Abdominoplasty

Information

The Procedure

An abdominoplasty, also known as a tummy tuck, is a surgical procedure in which excess skin and fat are removed from the abdomen. The result is a flatter, firmer abdomen and a significantly improved body contour. The procedure is suitable for people who have loose abdominal skin, often after pregnancy or significant weight loss.

If there is a rectus diastasis — a separation of the abdominal muscles — these muscles are brought back together and sutured during the procedure. This is called plication and helps create a firmer and flatter abdominal profile. If necessary, liposuction may also be performed to remove excess fat deposits from the flanks or upper abdomen.

Type of Anesthesia

An abdominoplasty is performed under general anesthesia. You will be completely asleep during the procedure and will not feel anything. An anesthesiologist monitors your vital functions throughout the surgery.

Duration of the Procedure

The procedure typically takes 2 to 3 hours, depending on the extent of correction, whether a rectus diastasis is present, and if liposuction is included. You will usually stay one night in the hospital for observation.

Before the Surgery

Proper preparation contributes to a smooth recovery:

• Stop smoking: Smoking impairs wound healing and increases the risk of complications.
• Discontinue blood thinners: In consultation with your doctor, you will need to temporarily stop these medications.
• Maintain a healthy weight: A stable and healthy weight contributes to a better and longer-lasting result.
• Preoperative consultation and assessment: During your consultation, you will discuss your wishes, medical history, and the surgical technique with your surgeon.

Aftercare and Follow-up Appointment

Proper aftercare is essential for good healing and optimal results:

• Rest and posture: For the first few days, you will walk slightly bent forward to reduce tension on the wound. You will usually be able to stand fully upright after 1 to 2 weeks.
• Movement: Avoid lifting, bending, and strenuous activities during the first few weeks. You will need to wear an elastic support garment or abdominal binder.
• Recovery time: Light activities can typically be resumed after 2 to 3 weeks, while heavy work and sports should be avoided for 6 weeks.
• Follow-up: You will return for a follow-up appointment to assess your recovery and discuss any questions.

Scarring

Scars after an abdominoplasty are usually located in the following areas:

• A horizontal scar low on the abdomen, just above the pubic area – usually easy to conceal under underwear or a bikini.
• Around the navel, as it is repositioned and sutured into place.

Scars fade over time but will always remain visible to some extent. With proper care, scar creams, and sun protection, they generally heal nicely.

Possible Complications

An abdominoplasty is generally a safe procedure, but as with any surgery, there are potential risks:

• Bleeding: This may cause additional swelling and, in some cases, require further surgical intervention.
• Infection: Keep the wound clean to prevent infection. In case of redness around the wound, discharge, or fever, contact the clinic immediately. Antibiotics may be required.
• Thrombosis: Although rest is important after surgery, gentle movement several times a day is essential to prevent blood clots.
• Wound separation and/or widened scars: Sometimes the skin does not heal properly, leading to wider scars.
• Asymmetry: Minor differences between both sides of the abdomen may occur.
• Altered skin sensation: Temporary or permanent changes in skin sensitivity can occur.
• Tissue necrosis: In rare cases, part of the abdominal skin or the navel may not heal properly and may require additional surgery.
• Rectus diastasis correction discomfort: Temporary tightness or muscle soreness in the abdominal muscles can occur.

Discuss all risks and expectations with your plastic surgeon beforehand to ensure you are well informed.

Costs and Insurance Coverage

An abdominoplasty is usually not covered by health insurance, unless there are serious medical issues such as:

• A large skin fold that frequently becomes infected;
• Hygiene or mobility problems.

In such cases, a request for insurance approval must be submitted, including a doctor’s referral and, in some cases, supporting photographs or medical documentation.