How is a tummy tuck performed?

A tummy tuck, medically known as abdominoplasty, is usually done under general anesthesia and typically lasts between two and five hours depending on how extensive the procedure needs to be. The surgeon generally creates a horizontal incision low on the abdomen—often running from hip to hip—so the resulting scar can be concealed beneath underwear or swimwear. Through this opening the surgeon repairs and tightens the abdominal muscles, removes surplus skin and fatty tissue, and if necessary repositions the navel to match the new contours.

Surgeons may tailor the approach to the patient’s needs: a full abdominoplasty addresses both above and below the belly button, while a mini tummy tuck targets the lower abdomen and requires a smaller incision. Liposuction is frequently combined with abdominoplasty to refine the waistline and shape, improving overall definition.

Potential risks and complications

As with any major surgical procedure, abdominoplasty carries risks that should be discussed with your surgeon during the consult. Common concerns include infection, bleeding, blood clots (deep vein thrombosis), and complications related to anesthesia. Problems with wound healing, noticeable scarring, and changes in skin sensation—such as numbness or tingling—are also possible. Some patients may experience asymmetry or require minor revision procedures to optimize results.

Risk factors that can increase complications include smoking, uncontrolled medical conditions (like diabetes), obesity, and significant previous abdominal surgeries. To reduce risk, surgeons typically recommend stopping tobacco use well before surgery, optimizing medical conditions, and following all pre-operative instructions.

What to expect during recovery

Recovery timelines vary by individual and the procedure’s extent. Expect swelling, bruising, and discomfort for several days to weeks. Pain is usually manageable with prescribed medications, and surgeons often use drains to prevent fluid buildup; these drains are typically removed within a week or two.

Most people can return to a desk job and light activities within two to four weeks, but strenuous exercise, heavy lifting, and intense core work should be avoided for at least six weeks—or longer, as advised by your surgeon. Proper wound care, wearing compression garments as instructed, and attending follow-up visits are essential for healing and achieving the best aesthetic outcome.

Plan ahead for help around the house, especially during the first week when mobility is limited and bending can be uncomfortable. Smoking cessation, adequate nutrition, and staying hydrated support tissue repair and reduce complication risks.

How long do results last?

A tummy tuck can provide long-lasting improvement in abdominal contour, particularly when patients maintain a stable weight and a healthy lifestyle. The procedure removes excess skin and tightens muscle, changes that are not reversed by the body itself. However, major weight fluctuations, future pregnancies, or aging will influence the appearance over time.

To preserve results, patients are encouraged to follow a balanced diet, maintain regular exercise, and avoid smoking. While abdominoplasty can dramatically improve the shape of the abdomen, it is not a substitute for weight loss or a replacement for ongoing healthy habits.

Costs and provider options

Prices for abdominoplasty vary widely based on the surgeon’s expertise, geographic location, facility fees, anesthesia, and whether additional techniques like liposuction are performed. Below is a general snapshot of typical cost ranges and what they may include.

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Provider Type	Average Cost Range	What's Included
Plastic Surgery Center	$6,000 - $12,000	Surgery, facility fees, anesthesia
Hospital	$8,000 - $15,000	Surgery, hospital stay, anesthesia
Med Spa	$5,000 - $10,000	Surgery, minimal facility fees

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Prices, rates, or cost estimates mentioned in this article are based on the latest available information but may change over time. Independent research is advised before making financial decisions.

Most insurance plans consider abdominoplasty cosmetic and do not cover it, unless there is a clear medical indication (which is uncommon). Many practices provide financing plans or payment options. When comparing providers, prioritize board certification, before-and-after photos, patient reviews, and clarity about what the quoted fee includes (operating room costs, anesthesia, follow-up visits, and any potential revisions).

Choosing a surgeon and preparing for surgery

Select a board-certified plastic surgeon with specific experience in abdominoplasty. A thorough consultation should cover surgical approach options, realistic expectations, risks, recovery timeline, and costs. Ask to see a range of before-and-after photos from patients with similar body types.

Prepare for surgery by following your surgeon's pre-operative instructions: stop smoking, adjust medications as advised, arrange transportation and post-operative care, and plan time off work. Compliance with medical guidance before and after surgery substantially improves safety and results.

Final thoughts

Abdominoplasty can be a highly effective option for reducing excess abdominal skin, repairing muscle separation, and improving the body's contour. It requires a recovery period and carries potential risks, so careful research and selection of a qualified surgeon are essential. With realistic expectations and commitment to a healthy lifestyle, many patients find the procedure transformative.

This article is for informational purposes only and should not be considered medical advice. Please consult a qualified healthcare professional for personalized guidance and treatment.