Abdominal Reduction (also known as Abdominoplasty or Tummy Tuck)

Abdominal reduction removes excess skin and fat from the lower abdomen, which diet and exercise cannot always resolve. Often abdominal fat can persist after childbirth or increase with age.

An abdominoplasty or tummy tuck may be suitable for people who have excess skin and a floppy abdominal wall, and who therefore require a technique that removes all excess fat and skin.

However, other patients may be better suited to abdominal liposuction, which relies on the skin being able to shrink around the targeted area after the fat is removed (please see the Liposuction page).


Full abdominoplasty

A full abdominoplasty targets the area between the belly button (also known as the umbilicus) and the pubic area (mons pubis). A full abdominal reduction requires the belly button to be repositioned. Scars may extend from one hip bone to the other, usually just above the pubic hairline where a caesarean section scar would run.

The inpatient stay is usually two-three nights and you will need around two weeks off work.

Click here to read more about abdominoplasty procedures on the BAPRAS website.


The operation and post-op information

Patients will need to wear an abdominal support for three weeks. It is also advised that patients wear anti DVT-stockings and foot pumps (provided by the hospital) to reduce the risk of a calf thrombosis.

Scars can remain red for several months but usually settle well. The tummy wall can stay a little numb for a few months too.

Patients are given antibiotics (three doses) to reduce the risk of infection. Infections are rare but potentially serious. The risk is higher in patients who are significantly overweight, smoke or have additional risk factors (i.e. are diabetic or take medication that may interfere with wound healing).

Post-operative problems are uncommon but can include seroma, which is a fluid collection under the skin that may need gently draining in clinic with a needle and syringe.

Most patients who have an abdominoplasty are very pleased with the recontouring and improvement in their silhouette which is permanent unless significant weight gain occurs.


Similar procedures


A smaller procedure, known as a mini-abdominoplasty, can be performed as a day case. A mini-abdominoplasty removes skin in the lower abdomen but does not require the belly button (umbilicus) to be repositioned.

Fleur de lys

Some patients who have significant skin and fat excess after massive weight loss might choose to have ‘an additional vertical scar’. This removes tissue in both a horizontal and vertical plane and the resulting scar pattern is referred to as a fleur de lys.

To read more about abdominoplasty procedures on the BAPRAS website, click here.

PLEASE NOTE: During your consultation, Prof Devaraj will decide which is the most appropriate procedure for you.