Tummy tuck surgery, also known as abdominoplasty, removes excess fat and skin and, in most cases, restores weakened or separated muscles creating an abdominal profile that is smoother and firmer.

A flat and well-toned abdomen is something many of us strive for through exercise and weight control. Sometimes these methods cannot achieve our goals.

Even individuals of otherwise normal body weight and proportion can develop an abdomen that protrudes or is loose and sagging. The most common causes of this include:

• Aging
• Heredity
• Pregnancy
• Prior surgery
• Significant fluctuations in weight

A tummy tuck is not a substitute for weight loss or an appropriate exercise program.

Although the results of a tummy tuck are technically permanent, the positive outcome can be greatly diminished by significant fluctuations in your weight. For this reason, individuals who are planning substantial weight loss or women who may be considering future pregnancies would be advised to postpone a tummy tuck.

A tummy tuck cannot correct stretch marks, although these may be removed or somewhat improved if they are located on the areas of excess skin that will be excised.

In general, you may be a good tummy tuck candidate if:

• You are physically healthy and at a stable weight
• You have realistic expectations
• You are a non-smoker
• You are bothered by the appearance of your abdomen

Tummy tuck surgery is a highly individualized procedure and you should do it for yourself, not to fulfill someone else's desires or to try to fit any sort of ideal image.

During your tummy tuck recovery, dressings or bandages may be applied to your incisions, and you may be wrapped in an elastic bandage or a compression garment to minimize swelling and support your abdomen as it heals following surgery.

Small, thin tubes may be temporarily placed under the skin to drain any excess blood or fluid that may collect.

You will be given specific instructions that may include:

• How to care for the surgical site and drains
• Medications to apply or take orally to aid healing and reduce the potential for infection
• Specific concerns to look for at the surgical site or in your general health
• When to follow up with your plastic surgeon

Be sure to ask your tummy tuck surgeon specific questions about what you can expect during your individual recovery period:

• Where will I be taken after my surgery is complete?
• What medication will I be given or prescribed after surgery?
• Will I have dressings/bandages after surgery? When will they be removed?
• When will the stitches be removed?
• How will I bathe?
• How long will I wear the pressure garment?
• When can I resume normal activity and exercise?
• When do I return for follow-up care?

The final results of tummy tuck surgery may be initially obscured by swelling and your inability to stand fully upright until internal healing is complete.

Within a week or two, you should be standing tall and confident in your new slimmer profile.

Your tummy tuck will result in a flatter, firmer abdominal contour that is more proportionate with your body type and weight.

You can view tummy tuck surgery before and after photos in our gallery. Previous abdominal surgery may limit the potential results of a tummy tuck.

Tummy tuck scarring

In women who have undergone cesarean section, the existing scars may be incorporated into the new scar.

The tummy tuck scar may take several months to a year to fade as much as it will.

Although good results are expected from your procedure, there is no guarantee. In some situations, it may not be possible to achieve optimal results with a single surgical procedure and another surgery may be necessary.

Following your physician's instructions is essential to the success of your surgery.

It's important that the surgical incisions are not subjected to excessive force, swelling, abrasion, or motion during the time of healing. Your doctor will give you specific instructions on how to care for yourself.

The decision to have plastic surgery is extremely personal, and you'll have to decide if the benefits will achieve your goals and if the risks and potential complications of tummy tuck surgery are acceptable.

You will be asked to sign consent forms to ensure that you fully understand the procedure and any risks.

The risks and others will be fully discussed prior to your consent. It's important that you address all your questions directly with your plastic surgeon.

During your tummy tuck consultation be prepared to discuss:/p>

• Your surgical goals
• Medical conditions, drug allergies and medical treatments
• Current medications, vitamins, herbal supplements, alcohol, tobacco and drug use
• Previous surgeries

Your tummy tuck surgeon will also:

• Evaluate your general health status and any pre-existing health conditions or risk factors
• Take photographs
• Discuss your options
• Recommend a course of treatment
• Discuss likely outcomes of the tummy tuck and any risks or potential complication

The success and safety of your tummy tuck procedure depends very much on your complete candidness during your consultation. You’ll be asked a number of questions about your health, desires and lifestyle.

In preparing for tummy tuck surgery, you may be asked to:

• Get lab testing or a medical evaluation
• Take certain medications or adjust your current medications
• Stop smoking
• Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding

Use this checklist as a guide during your tummy tuck surgery consultation:

• Am I a good candidate for this procedure?
• What will be expected of me to get the best results?
• Where and how will you perform my procedure?
• What surgical technique is recommended for me?
• How long of a recovery period can I expect, and what kind of help will I need during my recovery?
• What are the risks and complications associated with my procedure?
• How are complications handled?
• How can I expect my stomach to look over time? After pregnancy?
• What are my options if I am dissatisfied with the cosmetic outcome of my tummy tuck?
• Do you have before-and-after photos I can look at for this procedure and what results are reasonable for me?