Abdominoplasty

Diastasis recti is the vertical separation of the rectus abdominis muscles away from the midline, caused by stretching of the fibrous linea alba during pregnancy or major weight fluctuations. This creates an abdominal bulge, poor core stability, and lower back strain that cannot be corrected by exercise. During an abdominoplasty, the surgeon performs internal muscle plication — placing heavy, permanent braided sutures along the entire length of the abdominal wall from the ribcage to the pubic bone. This acts like an internal corset, flattening the stomach, narrowing the waistline, and restoring core intra-abdominal strength.

A Mini Tummy Tuck targets only the lower abdomen beneath the navel with a shorter incision, does not reposition the belly button, and repairs lower muscle laxity. A Full Tummy Tuck addresses the entire abdominal wall — tightening muscles from ribs to pubis, removing loose skin and stretch marks between the navel and pubic line, contouring flanks with liposuction, and cleanly repositioning the belly button. An Extended Tummy Tuck extends the incision laterally around the hips to eliminate loose tissue folds across the lower back, commonly performed after massive weight loss.

The incision is placed low on the lower abdomen — spanning horizontally between the hip bones, beneath the underwear and bikini line. Prior to surgery, you can wear your favorite swimwear or low-rise underwear so the surgical team can map the incision line beneath your preferred clothing boundaries. While the scar is long, it matures and fades into a thin, pale line over 12 to 18 months, easily concealed beneath two-piece swimwear.

In a full tummy tuck, your original belly button remains attached to its deep muscular stalk on the abdominal wall. The redundant skin is pulled downward over it, and a new, anatomically designed opening is created. Advanced inset techniques — deepening the umbilical depression, trimming excess periumbilical fat, and placing subtle internal anchoring sutures — ensure the navel has a youthful, slightly hooded, vertical oval appearance without circular or unnatural external scarring.

Temporary closed-suction drains are placed to evacuate normal lymphatic fluid and blood from beneath the abdominal skin flap, preventing seroma formation. Patients or caregivers record daily drainage output. Once output drops below 25 to 30 mL over a 24-hour period (typically around 5 to 8 days post-op), the drains are gently removed in the clinic with minimal discomfort. Progressive tension sutures (internal quilting) are also utilized to minimize dead space and reduce drain duration.

Because the abdominal skin and core muscles are repaired under firm tension, you will walk in a slightly flexed position (bent forward at the hips about 15 to 20 degrees) for the first 7 to 10 days to avoid stress on the lower incision. When resting, maintain a beach-chair position with head elevated and knees bent over pillows. As tissues naturally relax and stretch, you will gradually stand fully upright between day 10 and day 14.

A tummy tuck does not prevent a safe, full-term pregnancy — the abdominal wall and uterus retain elasticity to expand safely. However, a subsequent pregnancy will stretch and re-separate surgically repaired muscles and redilate the skin, compromising the aesthetic results of the operation. Plastic surgeons strongly recommend postponing an abdominoplasty until your family is complete and your body weight is stable.

Light walking begins on day 1 to promote circulation. Desk-based office work resumes after 10 to 14 days. Driving can be resumed around 2 to 3 weeks, once you are off prescription pain medications and can brake comfortably. Light cardio (treadmill walking) begins at 3 to 4 weeks, while direct core exercises (planks, crunches, heavy lifting >15 kg) must be strictly avoided until 6 to 8 weeks to protect internal fascial healing.