Abdominoplasty (Tummy Tuck): What to Expect Before and After Surgery

Abdominoplasty, commonly known as a tummy tuck, is a surgical procedure that removes excess skin and fat from the abdomen while tightening the underlying muscles. Many choose this procedure after pregnancy, significant weight loss, or ageing, when diet and exercise alone can’t restore their desired abdominal contour.

This guide explains what abdominoplasty involves, recovery times, risks, and whether it may be the right choice for you.

What is abdominoplasty?

Abdominoplasty is a procedure that reshapes the abdomen by:

• Removing loose, stretched, or sagging skin

• Tightening weakened or separated abdominal muscles (diastasis recti)

• Removing stubborn fat deposits in the abdominal area

The goal is to create a firmer, flatter, and more contoured stomach.

The procedure

Abdominoplasty is usually performed under general anaesthetic in a hospital or accredited surgical facility.

• An incision is made across the lower abdomen, just above the pubic area (designed to be hidden by underwear or swimwear).

• Excess skin and fat are removed.

• Abdominal muscles may be tightened.

• The skin is then pulled down and sutured into place.

The surgery generally takes around 3 hours, depending on the extent of correction needed.

Recovery after a tummy tuck

Recovery varies between individuals, but here’s what most patients can expect:

• Hospital stay: often a few nights

• Discomfort, swelling, and tightness in the first few days

• Return to desk-based work: usually within 2 weeks

• Strenuous activity and heavy lifting: avoid for 6–8 weeks

• Support garments: worn for 6 weeks to aid healing and reduce swelling

Final results continue to improve over 3–6 months as swelling settles.

Risks and considerations

Like all surgery, abdominoplasty carries some risks, including:

• Infection, bleeding, or delayed wound healing

• Seroma (fluid collection)

• Numbness or altered skin sensation

• Prominent scarring

• Asymmetry or contour irregularities

• Skin loss (rarely)

Dr Law will discuss these risks with you and outline how they can be minimised.

Who is a candidate for abdominoplasty?

You may be a suitable candidate if you:

• Have excess abdominal skin after pregnancy or weight loss

• Have separated or weakened abdominal muscles

• Are in good general health and a stable weight

• Have realistic expectations about results

• Can stop smoking from 6 weeks before surgery until fully healed

Abdominoplasty is not a substitute for weight loss and is best for people who are already close to their ideal weight.

Frequently asked questions

1. Is tummy tuck covered by Medicare or private health insurance?
   In some cases — such as significant weight loss with excess skin causing rashes or functional issues — item numbers may apply, and rebates can reduce your costs.

2. Will there be a scar?

   Yes, but scars are placed low on the abdomen and usually fade over time. Most patients can conceal them under clothing or swimwear.

3. How long do tummy tuck results last?

   With a stable weight and healthy lifestyle, results are long-lasting. However, future pregnancies or weight fluctuations can affect outcomes.

Take home message

An abdominoplasty (tummy tuck) can restore a flatter and firmer abdomen. It’s a significant procedure, so it’s important to weigh the benefits and risks and consult with an experienced plastic surgeon to determine the best approach for you.

Dr. Jenaleen Law
Specialist Plastic and Reconstructive Surgeon
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