The purpose of having a tummy tuck or abdominoplasty is to remove excessive soft tissue (skin and fat) from the lower abdomen while tightening the underlying fascial system with attendant muscles.  This procedure is indicated when there is bulging due to abnormal stretching of the abdominal wall and excess skin and fat.  The extent of surgery depends on the amount of excess soft tissues as well as the laxity of the abdominal muscles.  Symptoms such as low back pain, skin rashes and abdominal discomfort may be relieved as a result of the procedure.



This type of surgery is carried out by Dr. English at his surgical facility under general anesthesia.  In some cases, the belly button is repositioned because of the amount of skin that is removed.   Although hidden by clothing, a scar is unavoidable.  It may widen over time, however, revision is uncommon.  Every effort is made to reduce the size of the scar and to make it as inconspicuous as possible through such methods as taping the incision post-operatively and  the use of IPL and laser  treatments.  In spite of the incisional scar, most patients are enthusiastic about their results.

Swelling around the incision can be moderate and peaks at 72 – 96 hours.   As a general rule, 80% of the swelling is gone in four to six weeks and the remainder should resolve in four to six months.  To minimize swelling, patients should rest and sleep in a reclining position for at least two weeks after surgery.  It is important that patients sleep on their backs rather than their sides. Avoidance of salt in the diet also helps to prevent excess swelling.  Hourly movement of the lower extremities help to prevent leg swelling and blood clots.



Bruising may occur in the surgical area following the procedure.  If bruising develops, it should be much improved in two to four weeks.  Some oozing along the incision may occur the first 24 to 72 hours after surgery.  Areas of numbness, firmness and tenderness around the incision and under the skin are common.  Normal feeling should return several months after surgery.


Lifestyle issues (for example smoking) or previous abdominal surgeries such as gallbladder, gastric by-pass, C-section, or liposuction may delay healing and/or change Dr. English's recommendations.  Since nothing heals symmetrically or suddenly, the best result will usually be achieved six to nine months following the procedure.  The best outcomes result from following his post-operative instructions and practicing good health habits.  If you or someone you know may benefit from this information, please call or e-mail us at  your convenience.