Abdominoplasty (Tummy Tuck) is a procedure designed to address concerns related to excess abdominal skin, weakened abdominal muscles and changes that can occur after weight fluctuations, pregnancy or ageing. When researching this procedure, many individuals find themselves asking similar questions about the process, recovery, risks and long-term outcomes. Below, we have compiled a series of Abdominoplasty FAQs to help guide those considering surgery. This information outlines what the procedure involves, what to expect during the recovery period and general factors to consider when exploring your options.
Dr Gary Kode is a Specialist Plastic Surgeon consulting in Melbourne and Launceston, performing Abdominoplasty in accredited hospitals in Melbourne.
Please note that the information on this page provides general guidance only. It is not a substitute for personalised medical advice. A consultation with Dr Kode allows for a detailed assessment, discussion of the most suitable surgical approach and recommendations tailored to an individual’s anatomy and needs.
General Abdominoplasty FAQs
What is an Abdominoplasty?
Abdominoplasty is a surgical procedure designed to address excess skin and soft tissue through the abdominal region. It can also involve repairing separated abdominal muscles (rectus diastasis) or hernias if necessary.
Who is a suitable candidate for Abdominoplasty surgery?
A person may be considered a suitable candidate for an Abdominoplasty when they are concerned about excess abdominal skin, weakened or split abdominal muscles (diastasis recti) or changes following significant weight loss or pregnancy that do not respond to diet and exercise.
Suitable candidates are generally individuals that are;
- In good overall health
- Non smokers (or willing to quit for the recommended timeframe)
- At a stable weight
- Are not planning future pregnancies
Each person’s anatomy and circumstances are different. A consultation is the only way to determine suitability. A thorough consultation allows Dr Kode to review medical history, examine the abdominal area and determine whether the procedure is appropriate or if a different approach may be more suitable.
How much weight do you lose with Abdominoplasty?
Abdominoplasty is not a weight-loss procedure. Any weight lost during the procedure will be the result of excess skin removed, which is the primary aim of the procedure.
Dr Kode can give you an idea of what to expect based on your anatomy, amount of excess skin and the specific surgical plan discussed during consultation.
Is an Abdominoplasty considered a weight-loss procedure?
No. As mentioned above, Abdominoplasty is not a substitute for weight loss. It is a procedure that can help individuals reduce the amount of excess skin that fails to retract after significant weight loss or pregnancy.
Is Abdominoplasty Major Surgery?
Yes, Abdominoplasty is considered major surgery because it involves incisions, removal of excess tissue and repair of the abdominal muscles (when required). It is performed under general anaesthesia in an accredited hospital and requires a period of recovery, during which patients need to limit certain activities and follow specific post-operative instructions.
Abdominoplasty Procedure FAQs
What does Abdominoplasty surgery involve?
Abdominoplasty is a surgical procedure designed to address concerns related to the abdominal area. The steps vary between patients because the approach is tailored to individual anatomy, skin quality, muscle position and the extent of excess tissue.
In general, the procedure may involve:
- Removal of excess skin and fatty tissue from the lower abdomen.
- Tightening of the abdominal muscles, when separation is present.
- Repositioning of the belly button (if required), to optimise the abdominal appearance after excess skin is removed.
- Closure of incisions in a way that supports wound healing and reduces tension on the surrounding tissue.
The surgery is performed in an accredited hospital under general anaesthesia. The length of the procedure differs depending on the complexity of the concerns being addressed.
Dr Gary Kode will explain the recommended surgical plan, expected outcomes, potential risks and your specific post-operative care needs during your consultation.
Are there different types of Abdominoplasty?
Abdominoplasty can be performed in several ways, and the recommended approach depends on individual anatomy, concerns and needs. During a consultation, Dr Kode will assess your skin laxity, muscle separation, fat distribution and previous surgical history before advising which option may be appropriate. Different types of Abdominoplasties include:
- Partial Abdominoplasty/Tummy Tuck: Involves tightening and removing skin and fat from the lower abdomen only. It may be suitable for patients with mild to moderate concerns below the navel and does not require repositioning of the belly button.
- Full Abdominoplasty: A Full Abdominoplasty involves removing excess skin and fat from the lower abdomen, typically from the area between the pubic region and the navel. It also allows for the tightening of abdominal muscles and repositioning of the navel. This option may be suited to individuals with more significant skin laxity or muscle separation.
- Extended Abdominoplasty: An extended abdominoplasty addresses excess skin and soft tissue across the lower abdomen and flanks. It is a more comprehensive version of a standard abdominoplasty (tummy tuck), extending the surgical area to include the sides of the torso and in some cases, the upper hips.
- Fleur-de-Lis Abdominoplasty: This method uses both a vertical and horizontal incision. It may be recommended for people who have substantial excess skin in both vertical and horizontal directions, often after significant weight loss. This technique allows for more extensive tightening when needed.
- Liposuction-Assisted Abdominoplasty: In some cases, liposuction may be performed in conjunction with Abdominoplasty to assist in shaping the surrounding areas, such as the flanks or upper abdomen. This approach may be suitable for individuals with good skin tone who want fat removal in addition to tissue tightening.
Your suitability for this technique will be assessed during consultation. For more information on Abdominoplasty, visit our dedicated Abdominoplasty (Tummy Tuck) Surgery page.
What is Diastasis Recti?
Diastasis recti is the medical name for the separation of the rectus abdominis muscles, the abdominal muscles that run vertically down the front of the abdomen. These muscles are typically held together by a band of connective tissue called the linea alba. When this tissue becomes stretched or weakened, the muscles can move apart, leaving a gap.
This condition can develop after pregnancy, significant weight changes, abdominal strain, or previous abdominal surgeries. It can contribute to abdominal bulging, a reduction in core strength, lower back discomfort and even difficulty with certain physical activities.
Diastasis recti is not considered a hernia, but it can occur alongside one. Assessment by a qualified medical professional is required to determine the extent of the separation and whether surgical intervention (as part of an Abdominoplasty) is appropriate.
How long does Abdominoplasty surgery take?
Surgical time varies based on the patient’s anatomy and the type of Abdominoplasty being performed. Dr Kode will outline expected timing once a physical assessment is completed.
Will I need to stay in hospital?
Most patients will require at least a one-night stay in hospital for observation and monitoring, though some patients may need longer. The length of stay is influenced by an individual’s overall health and the specifics of the procedure.
Abdominoplasty Recovery FAQs
How painful is Abdominoplasty (Tummy Tuck) Recovery?
Pain is subjective and levels vary between individuals. Recovery from Abdominoplasty generally involves a moderate-to-significant degree of discomfort, particularly in the initial postoperative period.
Many describe the feeling in the early stages as a sensation of tightness, stretching or pressure through the abdomen rather than sharp pain. Discomfort is usually managed with prescribed and over-the-counter pain relief as recommended by Dr Kode. He may also recommend the use of cold compresses to support comfort during recovery.
What is the typical recovery timeline for Abdominoplasty?
Initial recovery generally takes several weeks, with gradual changes over the months that follow. Specific recovery timeframes vary depending on individual healing and the details of the procedure.
How many days should I rest after a Tummy Tuck/Abdominoplasty?
As mentioned above, recovery timelines vary. Most patients will need to allow several days of dedicated rest following Abdominoplasty. The first 1 to 2 weeks are generally the most restrictive. During this time individuals are advised to avoid strenuous activity, heavy lifting and any movement that places strain on the abdomen.
Dr Kode urges patients to walk soon after surgery to support circulation, but extended periods of standing, bending and household tasks may still be difficult during the early phase.
Most people take approximately two weeks off work, (depending on the physical demands of their job and their surgeon’s advice). Full recovery, including a gradual return to exercise, occurs over several weeks to months.
When can I return to work after Abdominoplasty surgery?
Returning to work after surgery will depend on the type of work you do and your own individual healing. Light, desk-based duties may be possible after a few weeks, while roles involving physical activity will require more time. It’s important to listen to your body and the cues it gives you. If you feel able, start slow and see how it feels. It’s important not to push yourself to soon.
How long after Abdominoplasty can I drive?
Most people are advised to avoid driving for at least two weeks, however, the exact timeframe varies depending on the extent of the procedure, individual healing, pain levels, and whether prescription pain medication is still being used. You must not drive while taking medications that can impair alertness or reaction time.
Driving should only resume once you are able to perform all necessary movements required to control a vehicle without pain.
How long will I walk bent over after a Tummy Tuck/Abdominoplasty?
After an Abdominoplasty (Tummy Tuck), patients may find themselves walking or standing in a bent-over posture to reduce tightness and discomfort.
The ability to stand upright will gradually return over a week or two, depending on the extent of the surgery and individual healing.
Dr Gary Kode advises patients to listen to their bodies and progress at a pace that feels comfortable.
Do I need to wear a post-surgical garment?
Dr Gary Kode recommends that patients wear a support garment following Abdominoplasty surgery. This garment provides light, even pressure over the stomach, helping support the body as it heals. It can also help manage swelling and fluid retention during the early recovery period.
Typically, patients will be advised to wear the support garment both day and night for several weeks. The specific instructions will vary depending on the patient as advised by Dr Kode. Following these instructions helps support the healing process and allows your body to adjust gradually after surgery.
When can I resume exercise?
Light walking can often begin shortly after surgery, but more strenuous activity, especially core-related exercise will need to be delayed until cleared by Dr Kode.
Appearance & Long-Term Results of Abdominoplasty FAQs
Will I have a scar after Abdominoplasty Surgery?
Yes, Abdominoplasty surgery will result in a scar. However, due to its placement low on the abdomen patients are generally able to conceal it beneath clothing and underwear.
The appearance of the scar will change as it matures. It you are concerned about the appearance of the scar there are scar treatments available to alter its appearance, though it will never disappear.
How long do results last?
Results can be long-lasting when weight remains stable. Significant weight fluctuations or future pregnancies can influence the outcome.
When will I see the final result?
Some changes are visible soon after surgery, but swelling can persist for several months. Final results may take up to a year to become apparent.
What happens 10 years after Tummy Tuck/Abdominoplasty surgery?
The long-term appearance of the abdomen following Abdominoplasty depends on factors such as ageing, lifestyle, weight changes and genetics.
While the results of surgery are generally long-lasting, changes in skin elasticity and body composition will occur over time. Maintaining a stable weight and suitable lifestyle can help support the longevity of the surgical results.
What happens to a Tummy Tuck/Abdominoplasty as you age?
As the body ages, skin loses elasticity and muscle tone can decrease. This can result in gradual changes to the abdomen, even after Abdominoplasty. While the surgery addresses excess skin and can strengthen the abdominal wall at the time of the procedure, ageing, weight fluctuations, and pregnancy may affect the appearance in the long term.
Regular exercise, a balanced diet, and overall lifestyle habits can help maintain the outcome, though the ageing process cannot be stopped.
Abdominoplasty Cost & Medicare FAQs
How much does Abdominoplasty cost?
Costs vary between patients depending on anatomy, complexity, surgical time, hospital fees, anaesthesia and whether a Medicare item number is applicable. A personalised quote is provided after consultation.
For more information on costs visit out Plastic Surgery Costs and Fees page.
Is Abdominoplasty covered by Medicare?
Medicare may offer a rebate when Abdominoplasty is performed for medical reasons and strict criteria is met, such as significant skin redundancy after major weight loss that causes functional symptoms (skin irritation, rashes or infections). Medicare eligibility can only be assessed during consultation.
Will private health insurance cover my Abdominoplasty costs?
If you meet Medicare requirements and your private health insurance includes the relevant item number, your fund may contribute to hospital theatre and accommodation fees. However, patients will still have out-of-pocket costs
Will I still have out-of-pocket expenses for my Abdominoplasty?
Yes. Even with Medicare eligibility and private health coverage, patients will have out-of-pocket costs.
Risks & Complications of Abdominoplasty FAQs
What are the risks associated with Abdominoplasty?
All surgery carries risks. Potential concerns may include bleeding, infection, delayed wound healing, numbness, fluid collection, scarring and anaesthetic-related risks. Dr Kode will discuss these in detail.
For more information visit our Risks and Complications page.
How are Abdominoplasty risks managed?
Careful planning, a thorough medical assessment, and following post-operative instructions help reduce risks. Regular follow-up appointments allow your surgeon to monitor healing.
What should I do if I have concerns after Abdominoplasty surgery?
If anything feels unexpected during your recovery, contact your surgical team promptly for advice or assessment.
How Do I Find a Qualified Abdominoplasty Surgeon?
Choosing a qualified surgeon is an important part of preparing for Abdominoplasty surgery. In Australia, Abdominoplasty procedures must be performed by a suitably trained and accredited medical practitioner. There are several steps patients can take to help make sure they are selecting an appropriately qualified professional. Key considerations when researching an Abdominoplasty surgeon include:
- Verify qualifications: Look for a surgeon with AHPRA (Australian Health Practitioner Regulation Agency) registration and holds specialist recognition in plastic surgery (Specialist Plastic Surgeon). This indicates they have extensive surgical training and have the necessary qualifications to perform cosmetic and reconstructive procedures.
- Check hospital accreditation: Abdominoplasty surgery should always be performed in an accredited hospital to support patient safety and appropriate standards of care. They follow strict guidelines relating to sterile facilities, infection control, equipment quality and staff training. These standards help reduce risks associated with anaesthesia, surgery, and the post-operative period.
- Review experience in Abdominoplasty procedures: Different surgeons have different areas of focus. It may be helpful to choose a surgeon who regularly performs Abdominoplasty surgery and can explain how the procedure may apply to your individual anatomy.
- Look for clear communication: A qualified surgeon should provide thorough consultations, explain risks and possible complications, outline expected recovery steps and answer questions without pressure. Transparent communication is a key aspect of surgical care.
Further Reading
- Abdominoplasty (Tummy Tuck) Surgery
- Fleur De Lis Abdominoplasty
- Extended Abdominoplasty
- Abdominoplasty vs Liposuction: What’s the Right Choice for You?
- Changes to Cosmetic Surgery Regulations – What You Need to Know
- Australian Health Practitioner Regulation Agency
Disclaimer
This information is general only and does not replace a consultation with a qualified medical practitioner. Surgical outcomes, risks and recovery experiences vary. All surgery carries risks, and patients should seek personalised medical advice. Decisions regarding surgery should only be made after a full consultation, assessment and discussion with a Specialist Plastic Surgeon.
