Tummy tuck surgery and recovery

• A long incision from hipbone to hipbone is made, just above the pubic area.
• A second incision is made to separate the navel from surrounding tissue.
• Skin is separated from the abdominal wall to the ribs.
• A large flap of skin is lifted to reveal vertical muscles in the abdomen.
• Muscles are tightened and the flap of skin is stretched down.
• Extra skin is removed.
• A new hole is cut for the navel and it is stitched in place.
• Incisions are stitched, dressings applied and a temporary tube may be inserted to drain excess fluid.

For the first few days, your abdomen probably will be swollen. You are likely to feel some pain and discomfort, but this can be controlled by medication. You may be released within a few hours or you may remain in the hospital for two days to three days.

Your surgeon will give you instructions for showering and changing dressings. Start walking as soon as possible. Surface stitches will be removed in five days to seven days and deeper sutures, with ends that stick out through the skin, will come out in two weeks to three weeks. Incision dressings may be replaced by a support garment.

Your recovery will be much faster if you start out in top condition and have strong abdominal muscles. Some people return to work after two weeks, but others take up to a month to recover. Exercise helps you heal better and faster. Avoid vigorous exercise until you can do it without discomfort.

In normal cases, scars may appear to worsen during the first three months to six months. It takes up to one year before scars flatten out and lighten in color. Scars never will disappear completely, but abdominal scars should not show, even under a bathing suit. In most cases, results of this surgery are long-lasting, especially if you follow a balanced diet and exercise regularly.