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Tummy Tuck or Abdominoplasty Cosmetic Surgery

Procedure Time: 1-5 hours

Recovery Time: 2-4 weeks to rest and recover

Results Duration: Permanent, dependent on lifestyle

Cost: Approx. £3,000 - £6,000

Anaesthesia: General anaesthesia

For a full list of FAQs please .

Tummy tuck or abdominoplasty is a surgical operation to remove excess skin and fat from the middle and lower area of the abdomen and to tighten the muscles of the abdominal wall to reduce the appearance of a saggy or sticking out stomach. The abdomen (stomach area) is one of the most difficult places on the body for both men and women to lose weight. Women whose skin and muscle has been by pregnancy, or those who have experienced weight gain followed by a significant weight loss can be good candidates as the becomes rounded with loose and sometimes skin. Tummy tucks are performed under a general anaesthetic. Some people return to work after two weeks, while others take three or four weeks to rest and recover from the surgery. It is unlikely that anyone considering a tummy tuck would be able to access this free of charge on the National Health Service (NHS). costs for an abdominoplasty can range from approximately £3,000 - £6,000.

Tummy Tuck or Abdominoplasty Cosmetic Surgery FAQs

As many of us know, the abdomen, or stomach area, is one of the most difficult places on the body for both men and women to lose weight. Even if you are in relatively good shape, many people are bothered by a large fat deposit and loose skin in this part of the body. This can be especially so for women whose skin and muscle has been stretched by pregnancy, making it extremely difficult, in some cases, to return to the same shape that they were before giving birth.

Weight gain followed by a significant loss in weight can be another reason why the abdomen becomes rounded with loose and sometimes overhanging skin.

Depending on the amount of Onabotulinumtoxinaabobotulinumtoxinaincobotulinumtoxinaprabotulinumtoxinaletibotulinumtoxinarimabotulinumtoxinbhyaluronic Acid Fillerscalcium Hydroxylapatite Fillerspoly-L-Lactic Acid Fillerspolymethylmethacrylate Fillersautologous Fat Lines Frown Lines Treatmentcrow's Feet Treatmentbunny Lines Treatmentchemical Brow Flipgummy Smile Correctionmasseter Reductionjaw Slimmingdimpled Chin Smoothingcobblestone Chin Smoothingnefertiti Neck Liftmicro-Botoxmesotoxhyperhidrosis Treatmentchronic Migraine Reliefbruxism Treatmenttmj Treatmentcervical Dystonia Treatmentneck Spasm Treatmentblepharospasm Treatmentlip Contouringcheekbone Enhancementtear Trough Fillersnasolabial Fold Softeningmarionette Line Fillersliquid Rhinoplastynon-Surgical Nose Contouringjawline Definitionchin Augmentationtemple Volumisinghand Rejuvenationacne Scar Subcision Filling (Https://Www.Strivectin.Co.Uk/), shape of the abdomen, looseness of the skin, and strength of the muscles underneath the skin, a less aggressive procedure known as  may be recommended by a surgeon. Liposuction simply sucks the fat out from underneath the skin. However, if the skin is loose, and muscles are weak, a "tummy tuck" or abdominoplasty may help to restore your body shape.

This is a surgical operation to remove excess skin and fat from the middle and lower area of the abdomen and to tighten the muscles of the abdominal wall to reduce the appearance of a saggy or sticking out stomach.

According to 2019 statistics from the American Society for Aesthetic Plastic Surgery (ASAPS), 140,381 tummy tucks (abdominoplasties) were performed in 2018 in the U.S., marking a decrease of 10.9% on 2018 figures and making them the fourth most popular surgical treatment. 

No official figures are yet available for the U.K., but tummy tucks are becoming increasingly popular in this country too.

If you are considering an abdominoplasty, the following information will give you a basic understanding of the procedure. It can't answer all your questions, since a lot depends on the individual patient and the surgeon. Please ask your surgeon about anything you don't understand.

Your first discussion with a surgeon should set out your expectations and whether the can give you the results you desire.

Careful regarding the reasons for wanting a tummy tuck and your suitability for this type of surgery are very important at this stage. Make sure that you obtain as much information as necessary to enable you to make a fully informed choice and make sure you receive satisfactory answers to all your .

If, for example, your fat deposits are only in the area below the navel, you may require a less complex procedure called a partial abdominoplasty, or "mini-tummy tuck". You may, on the other hand, benefit more from partial or complete abdominoplasty done at the same time as liposuction to remove fat deposits from the hips, for a better . Or maybe liposuction alone would create the best result for you.

A medical history should also be taken to make sure that there are no reasons why you shouldn’t have this operation. You would normally be asked to sign a consent form which means that you have understood the potential benefits and risks with an abdominoplasty.

Photographs may also be taken by the practitioner as a "before and after" comparison at a later date.

The surgeon may also wish to write to your G.P. giving details of the operation so that if there are any problems associated with surgery in the short or long-term, your doctor is aware of the procedure and can help you to recover.

Anaesthesia

Tummy tucks are performed under a general anaesthetic. Alternatives include an epidural anaesthetic injection (sometimes used in childbirth) which will numb the area from the waist down, combined with a sedative to make you drowsy, so that you remain awake but feel very little .

Please take into account that a general anaesthetic carries more potential risks – this should be explained by the surgeon before you make any decisions about the anaesthetic.

The operation

If you make a to go ahead with a tummy tuck, the actual procedure may take place in an outpatient surgical clinic, but most and patients prefer a hospital setting where you can recover overnight.

An abdominoplasty usually takes two to five hours, depending on the extent of work required, and whether any combined procedures such as liposuction are involved. Partial abdominoplasty may take an hour or two.

Partial abdominoplasty:

During the operation, a large cut is made which runs across the lower abdomen, just above the pubic area. The skin is then separated from the abdominal wall between the incision above the pubic hair right up to the navel. Fat deposits are removed and the skin is stretched down to the incision line, with the excess skin removed before it is restitched. If the navel is not repositioned, it can be pulled into an unnatural shape as the skin is tightened and stitched.

Full Abdominoplasty:

During the operation, a large cut is made which runs across the lower abdomen, usually from hipbone to hipbone, just above the pubic area. A second incision is then made to free the navel (tummy button) from surrounding tissue. Next the skin is separated from the abdominal wall all the way up to the ribcage to reveal the abdominal muscles.

The muscles are then pulled and tightened and stitched into position to provide a firmer abdominal wall which provides the foundation for a slimmer waistline. Fat may also be removed. The skin is then stretched down, with the excess skin again being removed. A new hole is then usually cut for your navel. Next, the navel is stitched back into place and the original incision is closed as the tightened skin is stitched back into place.

After an abdominoplasty, dressings will be applied, and a temporary tube may be inserted to drain excess fluid from the area of surgery. Firm elastic bandages are then applied to support the area.

Depending on the extent of the procedure, you may be to go home after a few hours, or stay in hospital for 1 or 2 days.

An abdominoplasty is a major surgical procedure, so expect to be out of action for a while. Some people return to work after two weeks, while others take three or four weeks to rest and recover.

For the first few days surgery, the abdomen will feel swollen and tight with some pain and discomfort.

At first you may not be able to stand up straight without feeling a tugging sensation, but you should start walking as soon as possible.

Bruising after the surgery is usually quite light but is substantial and it can take up to three months to disappear. Risks also include numbness of the abdominal skin and it may take several months for the sensation to return.

Like all surgical procedures, there is always a possibility of complications or side effects and, although rare, these can include infection, a reaction to the anaesthesia, blood or fluid underneath the skin, nerve damage, blood clots, and an irregular or a "lop-sided" appearance after the operation.

The surgery does produce a permanent scar which, depending on the extent of the procedure, may extend from hip to hip. Your scars may actually appear to worsen during the first three to six months as they heal, but this is normal. Expect it to take nine months to a year before your scars flatten out and lighten in colour. While they'll never disappear completely, abdominal scars will not show under most clothing.

It may take you weeks or months to feel like your old self again. If you start out in top physical with strong abdominal muscles, recovery from this procedure will be much faster than if you are out of shape when you have the operation. 
 

It is very important that you follow the advice of your surgeon carefully after an abdominoplasty.

advice may include:

Only fully trained and qualified should perform an abdominoplasty or tummy tuck procedure.

For more information about practitioner training, qualifications and relevant medical organisations please view the information section of the Room.

It is unlikely that anyone considering a tummy tuck would be able to access this free of charge on the National Health Service (NHS).

However certain do make special cases for free plastic and cosmetic surgery and we would always recommend that you visit your Practitioner before embarking upon a major cosmetic procedure. As well as their advice and guidance they may also be able to refer you to a local NHS Hospital who can treat you.

The NHS has set out the following guidelines on how to get cosmetic surgery through the NHS:

"To qualify for surgery on the NHS you must meet specific criteria as set out by your local health authority. The NHS will not pay for surgery for cosmetic reasons alone. Reconstructive and cosmetic surgery to correct, or improve, congenital abnormalities and injuries will usually be carried out free of charge.

NHS reconstructive surgery is performed by plastic surgeons who have had extensive training and belong to the British Association of Plastic Reconstructive and Aesthetic Surgeons. Surgeons who carry out cosmetic surgery through the NHS also belong to the British Association of Aesthetic Plastic Surgeons.

To receive cosmetic surgery from the NHS, you will normally need a referral from your GP. You will have a consultation with a plastic surgeon and an assessment by a psychiatrist, or psychologist. It will then be decided whether there is enough social, psychological, or physical benefit to be gained to justify surgery." 

Thousands of abdominoplasties are performed each year. When done by a qualified plastic surgeon who is trained in body re-shaping, the results are generally quite positive.

However, because tummy tucks are major procedures, they carry an increased risk of complications, and longer recovery times than other forms of cosmetic surgery.

It is also very important for you to describe exactly how you envisage the final cosmetic result with an experienced surgeon who also performs so that they can assess you properly and recommend the most procedure, or combination of procedures for you.

The longevity of results is difficult to predict, and depend upon maintaining good control over excessive weight fluctuation causing the skin to stretch, following the procedure. Your surgeon will discuss predicted of results with you from their own experience and the experience of their colleagues.

Prices for a private abdominoplasty can range from £3,000 - £6,000.

Please note that results of cosmetic surgery vary enormously, depending upon both the patient and the skill of the individual surgeon, so outcomes for procedures will always be more variable than those for less invasive non-surgical treatments.

(All before and after featured are real patients treated by highly experienced surgeons, your results may differ).

Front and side views of female abdomen with stretch marks before abdominoplasty (tummy tuck) surgery and 6 months after.

Tummy Tuck (Abdominoplasty) Before and after pictures courtesy of Consultant Plastic Surgeon, Mr Christopher Inglefield, BSc, MBBS, FRCS (Plast) at London Bridge Surgery.

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All information contained within this site is carefully researched and for accuracy of content. Please note that for prospective purchasers of aesthetic treatments, information and guidance provided does not substitute an in-depth consultation with an experienced practitioner.