What Is Tummy Tuck Surgery (Abdominoplasty)?

Tummy tuck surgery is a comprehensive aesthetic surgical procedure that removes excess skin, fat accumulation, and muscle laxity in the abdominal area. It is one of the most effective solutions, especially for individuals who experience abdominal sagging due to pregnancy, rapid weight loss, aging, or genetic factors.

During the procedure, the abdominal skin is tightened and loosened abdominal muscles are repaired, resulting in a flatter, fitter, and more aesthetic abdominal appearance.

How Is Tummy Tuck Surgery Performed?

Abdominoplasty is performed under general anesthesia, and the procedure is planned according to the patient’s needs. During the surgery, an incision is usually made along the bikini line.

Through this incision;

• Excess skin and fat tissue are removed
• If separation of the abdominal muscles (diastasis recti) is present, it is repaired
• Liposuction may be added when deemed necessary
• The belly button may be repositioned

This allows the abdominal midline to become firmer and the waistline to appear slimmer.

Who Is Suitable for Tummy Tuck Surgery?

• Women with abdominal sagging after pregnancy
• Individuals whose skin does not tighten after rapid weight loss
• Those with abdominal laxity that cannot be corrected with exercise
• Individuals with abdominal muscle separation (diastasis)
• People who desire a flatter abdomen aesthetically

Good overall health and not smoking positively affect the recovery process for ideal candidates.

Preoperative Considerations Before Tummy Tuck Surgery

• Blood-thinning medications should be discontinued 1 week before surgery
• Vitamins, herbal teas, and supplements should not be used
• A light, stomach-friendly diet is recommended before surgery
• If the patient smokes, it should be stopped at least 2–4 weeks in advance
• The condition of excess skin, muscle structure, and overall health status are evaluated

What to Know After Tummy Tuck Surgery

Movements may be limited during the first days after surgery, but the process progresses in a controlled manner.

• Walking slightly bent at the waist is recommended for the first 10 days
• A compression garment should be worn for at least 12 months
• Heavy activities should be avoided for the first 2 weeks
• Moderate pain is normal and can be controlled with medications prescribed by the doctor
• Sexual intercourse should be avoided for the first 2 weeks
• Sutures usually dissolve on their own

Mini Tummy Tuck (Mini Abdominoplasty)

Mini tummy tuck is a smaller procedure applied to patients who have sagging only in the lower abdominal area. Excess skin is removed through a 15–20 cm incision along the bikini line, and liposuction may be added if necessary.

Muscle repair is not required. The recovery period is shorter compared to a full tummy tuck.

Scarless Tummy Tuck (Endoscopic Tummy Tuck)

Endoscopic tummy tuck may be applied to patients with very mild sagging. In this technique, large incisions are not made; subcutaneous tissues are tightened with the help of a camera.

Scarring is minimal. It is especially ideal for individuals with abdominal muscle separation but minimal skin sagging.

Risks of Tummy Tuck Surgery

When performed by an experienced surgeon, the risk of serious complications is low. However, as with any surgery, certain risks exist:

• Redness, bruising, and swelling
• Bleeding or hematoma
• Infection
• Delayed wound healing
• Rarely, noticeable scarring

Will There Be Scarring After Tummy Tuck Surgery?

A thin scar remains along the bikini line; this scar fades and becomes lighter over time. In endoscopic tummy tuck, scarring is almost nonexistent. Laser-assisted treatments can further reduce the visibility of scars more rapidly.

Can Tummy Tuck and Liposuction Be Performed Together?

Yes. In most patients, tummy tuck surgery is combined with liposuction. Liposuction slims excess fat in the waist, abdomen, and flanks, while tummy tuck removes excess skin.

When these two procedures are performed together, a slimmer waist and flatter abdomen can be achieved.

Do Post-Pregnancy Stretch Marks Improve With a Tummy Tuck?

Most stretch marks below the navel can be removed during a tummy tuck. Stretch marks above the navel may partially improve depending on the amount of skin removed.

Can an Abdominal Hernia Be Corrected With a Tummy Tuck?

Yes. Since the abdominal muscles are strengthened during abdominoplasty, umbilical hernias or bulges caused by a weakened abdominal wall can also be corrected in the same session.

What Should My Weight Be for a Tummy Tuck?

Ideally, the patient should reach their ideal weight with the guidance of a dietitian, and the body mass index (BMI) should be below 30.

In overweight patients;

• Wound healing becomes more difficult
• The risk of infection increases
• Aesthetic results may not be as desired

Surgery should be planned after an evaluation appropriate to the patient’s weight.

How Long Does Recovery Take After a Full Tummy Tuck?

The general recovery period ranges from 2 to 4 weeks. The first 10–14 days are critical. From the third week onward, patients may gradually return to daily activities. Full recovery may take 45–60 days.

Can I Get Pregnant After Abdominoplasty?

Yes. The surgery does not affect the uterus or fertility. However, if a planned pregnancy is considered, it is recommended to wait at least 1 year after surgery.

Is Tummy Tuck Surgery Painful?

Moderate pain may occur after surgery, but it is controlled with prescribed medications. Pain usually decreases within a few days.