Abdominoplasty

Abdominoplasty, commonly known as a tummy tuck, is a surgical procedure that improves the appearance and contour of the abdomen. It is performed to remove excess skin and fat and to tighten weakened or separated abdominal muscles. The goal is to achieve a flatter, firmer, and more toned abdominal profile.

Abdominoplasty may be suitable for:

  • People who have lost a significant amount of weight and are left with loose or sagging abdominal skin

  • Women with stretched abdominal muscles and skin following pregnancy

  • Individuals with stubborn fat and skin laxity in the lower abdomen that does not respond to diet and exercise

There are different types of abdominoplasty, tailored to your anatomy and goals:

  • Full abdominoplasty: Involves a horizontal incision across the lower abdomen and around the navel. Excess skin and fat are removed, and the abdominal muscles are tightened.

  • Mini abdominoplasty: Targets the area below the navel with a smaller incision and without repositioning the belly button. Suitable for patients with less excess skin and good muscle tone.

  • Fleur-de-lis abdominoplasty: Used for patients with significant skin excess both vertically and horizontally (e.g., after major weight loss), requiring a vertical scar in addition to the standard horizontal scar.

  • Lipoabdominoplasty: Combines liposuction with abdominoplasty to contour the waist and flanks more effectively.

This surgery is often performed as a standalone procedure but can be combined with others, such as liposuction or breast surgery, in a “mommy makeover.”

  • The operation is performed under general anaesthetic and usually lasts between 2 and 4 hours, depending on the extent of the procedure.

    Most patients stay in hospital for 1 to 2 nights. You will be monitored for comfort, mobility, and wound healing before discharge.

    You will leave with:

    • Dressings over your incisions

    • A compression garment to support the abdomen and reduce swelling

    • Sometimes, drains to remove excess fluid, which are usually removed after 1–3 days

    • Plan to take 2–3 weeks off work or usual activities

    • Mild to moderate discomfort is expected and usually controlled with prescribed painkillers

    • You may feel tightness or pulling in the abdomen, especially when standing upright, which improves over time

    • Bruising and swelling are common and gradually improve over 2–4 weeks

    • You will need to wear a compression garment for several weeks to help reduce swelling and support healing

    • Sutures are usually dissolvable or removed around 10–14 days post-op

    • Avoid strenuous activity, heavy lifting, or abdominal exercises for 6 weeks

    • Light walking is encouraged after a few days to promote circulation and reduce the risk of clots

    • You can usually resume driving after 10–14 days, when you feel safe and are no longer taking strong pain medication

  • All surgeries carry risks. In abdominoplasty, these may include:

    • Bleeding or fluid collections (haematoma/seroma), which may require drainage.

    • Infection, though uncommon, can occur—especially if fluid builds up.

    • Scarring, which can be thick, raised, or asymmetric.

    • Delayed healing, especially in smokers or diabetics.

    • Changes in skin sensation, including numbness or sensitivity, often temporary.

    • Contour irregularities or firmness under the skin.

    • Asymmetry of the abdomen or umbilicus.

    • Risks from anaesthetic or blood clots (DVT/PE).

    • Allergic reactions to medications or materials.

    All of these risks will be discussed with you in detail during your consultation with Mr. Eccles.

  • The results of abdominoplasty are generally long-lasting, especially with a stable weight and healthy lifestyle.

    • Skin and muscle improvements are permanent, although natural ageing and changes in weight can affect long-term results

    • Pregnancy after surgery may stretch the skin or muscles again, so it is often recommended to wait until you have completed your family

    • Maintaining a healthy diet, regular exercise, and stable weight will help preserve your results

    Mr. Eccles will discuss what to expect in your case and help you plan for the best and most realistic outcome.