After dramatic weight loss or pregnancy, we can be left with loose folds of skin and fat over the abdomen where the skin has been stretched and the underneath tummy muscles pushed apart. Despite exercise and diet, this may be difficult to shift and can be source of embarrassment, particularly when wearing swimwear or even undressing in front of our partners.

Abdominoplasty, better known as a tummy tuck, is an operation to remove excess skin from the abdomen and tighten tummy muscles, to create a firmer flatter shape. It is not a solution to being overweight and patients should ideally be within several pounds of their ideal weight before even considering a tummy tuck. 

Abdominoplasty has always been a popular cosmetic treatment, particularly amongst women who dislike the effects childbirth has had on their body shape and want a return to a tighter flatter tummy.  In some cases liposuction is performed at the same time as a tummy tuck for an overall improvement to the profile of the abdomen.

The procedure
This is a major procedure, involving a general anaesthetic and a one or two night stay in hospital. It involves removing an area of skin and underlying fat, and repositioning the tummy button.  A less radical 'mini abdominoplasty' is also available for people whose tummy protrudes only below the belly button.

Recovery
Immediately after the operation the abdominal skin will feel very tight. The scar will be just below the bikini line, and whilst pink initially it will eventually return to normal skin colour. It is recommended that you have at least two weeks away from work or more if you do a physical job. Strenuous activity of any sort will need to be avoided for several weeks.