Tummy Tuck

A tummy tuck (abdominoplasty) removes excess skin and tightens the abdominal muscles. Discover the procedure, recovery, scarring, and when treatment may be appropriate.

What is a tummy tuck?

A tummy tuck, also known as abdominoplasty, is a surgical procedure in which excess skin and fat are removed from the abdomen and the abdominal wall is tightened.

The procedure is often considered after pregnancy, significant weight loss, or skin aging.

In these situations, the abdomen may not fully recover despite exercise and diet.

Furthermore, many patients experience diastasis, where the rectus abdominis muscles have separated. During a tummy tuck, these muscles can be brought back together, resulting in a flatter and firmer abdomen.

The goal of a tummy tuck is to achieve a flatter, tighter, and more harmonious abdomen.

INDICATIONS

When is a tummy tuck considered?

01.

Excess skin on the lower abdomen

A tummy tuck may be considered when there is clear excess skin on the lower abdomen that does not disappear with exercise or diet.

02.

Laxity of the abdominal muscles

Many patients experience diastasis, where the rectus abdominis muscles have separated. This can cause a protruding abdomen, even at an otherwise healthy weight.

03.

Excess skin after pregnancy

After pregnancy, the skin of the abdomen can remain permanently stretched. Sometimes the abdominal wall itself does not fully recover, leading to the consideration of a correction.

04.

Loose skin after significant weight loss

After significant weight loss, the abdominal skin may remain redundant and loose. In such cases, surgical correction is often the most effective solution.

05.

Persistent skin fold

Some patients experience a persistent skin fold or an abdominal contour that is no longer in proportion with the rest of the body. A tummy tuck can then provide a tighter and more balanced shape.

procedure

How is a tummy tuck performed?

During a tummy tuck, excess skin and fat are removed, and the abdominal wall is tightened if necessary.

Safety

A tummy tuck is typically performed under general anesthesia.

During the procedure, excess skin and fat are removed, the rectus abdominis muscles are brought back together if necessary, and the abdominal skin is redraped. In a full tummy tuck, the navel is also repositioned.

Not every patient requires the same procedure. The choice of technique depends on the amount of excess skin, the quality of the skin, the presence of diastasis, and the shape of the abdomen.

Results

A tummy tuck can provide a flatter abdomen, a tighter abdominal wall, and an improved body contour.

The goal of the procedure is a natural result where the abdomen better complements the rest of the silhouette.

The result is usually long-lasting, provided that weight remains stable.

Aftercare

After the procedure, patients usually stay in the hospital for one night.

In addition, a compression garment is typically worn for approximately four weeks to support healing.

Strenuous activities and intensive strain on the abdomen should be temporarily avoided.

TECHNIQUES

Advanced tummy tuck techniques

In cases of significant excess skin around the entire torso, a 360° tummy tuck or body lift may be considered.

After significant weight loss, a fleur-de-lis tummy tuck may also be indicated, involving both horizontal and vertical skin resection.

In certain cases, additional skin tightening may be considered using less invasive techniques. An example of this is J-Plasma, where energy is used beneath the skin to contract tissue and improve skin quality. This can be particularly interesting when skin laxity is present, but without the pronounced excess skin that would require a classic, extensive skin resection.

During the consultation, we will discuss which technique best suits your anatomy and expectations.

Frequently asked questions

Your questions about a tummy tuck answered

Can a tummy tuck help with diastasis?

Yes. During the procedure, the rectus abdominis muscles can be brought back together, making the abdomen flatter and firmer.

Is a tummy tuck a weight loss method?

No. A tummy tuck is not a weight loss surgery, but a procedure to correct excess skin, excess fat, and potential muscle laxity.

What is the difference between a mini tummy tuck and a full tummy tuck?

For limited excess skin below the navel, a mini-abdominoplasty may be sufficient. When excess skin is present both above and below the navel, or when the abdominal muscles need repair, a full tummy tuck is usually indicated.

Can a tummy tuck be combined with liposuction?

Yes. In many cases, a tummy tuck is combined with liposuction of the abdomen or flanks to further refine the contour.

What is the recovery like after a tummy tuck?

After the procedure, patients usually stay in the hospital for one night. In addition, a compression garment is typically worn for approximately four weeks to support healing.

Light activities can usually be resumed after about two weeks. Strenuous activities and intensive strain on the abdomen should be temporarily avoided.

Will the scar remain visible?

A scar is inevitable. In a classic tummy tuck, the scar usually runs low across the lower abdomen, so it is generally well-hidden under underwear or swimwear.

There is also usually a fine scar around the navel. With proper scar care, scars typically fade gradually over time.

How long will the results remain visible?

The result is usually long-lasting, provided that weight remains stable. New pregnancy, significant weight fluctuations, or further aging can affect the result.

Can the abdomen become loose again?

Yes, this can happen with weight fluctuations, pregnancy, or further aging. A stable weight and healthy lifestyle help to maintain the result for as long as possible.

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