Tummy Tuck (Abdominoplasty)

Traditionally, a full abdominoplasty is a large procedure with potential complications such as bleeding, fluid collection, poor healing and scarring, sometimes requiring multiple large drains and multiple visits to see your surgeon.

The Cadogan Clinic Brazilian Abdominoplasty removes the same amount of skin, tightens the rectus abdominis muscles and repositions the belly button the same way a full abdominoplasty would, however, the technique is refined by incorporating liposuction to mobilise the skin in such a way that allows for significantly quicker, better healing.

Sometimes there is confusion because this seems like an easier way to have a tummy tuck, when in fact you’re getting more than you would with a traditional tummy tuck. It’s far a more advanced surgical technique. This technique takes longer to perform, as it is a highly precise surgery, resulting in better results than you would have with the traditional tummy tuck.

This procedure can also be carried out as a day case and does not come with the same complications as the full abdominoplasty. 

Benefits of The Cadogan Clinic Brazilian Abdominoplasty:

+ Less pain
+ Less downtime
+ 30% less risk of hematoma seroma (blood or fluid filling up in the area operated on)
+ Often carried out as a day case
+ No need for drainage
+ More of a nipped in waist
+ Quick recovery
+ More liposuction

To compare with the risks of a traditional tummy tuck:

+ Normally stay several nights in hospital
+ More downtime
+ 30% higher chance for hematoma seroma (blood or fluid filling up in the area operated on)
+ Longer recovery time
+ Connected to drains from the surgery area, highly unpleasant!

A mini tummy tuck only removes the loose skin and bulge of fat below the belly button to sculpt the lower abdominal wall. The abdominal muscles below the navel can also be tightened if necessary. If you are not a candidate for a full abdominoplasty, then a mini tummy tuck - also called mini-abdominoplasty or mini stomach correction - can offer a good solution. We use the same techniques as for the full Brazilian Abdominoplasty and perform the procedure as a day case, avoiding drains and reducing complications.

This is for the unsightly fold of skin that so often develops above a caesarean section scar. It is due to tethering of the scar and any loose skin and fat will bulge above it. This is unsightly and visible through tight clothing and swimwear. We treat this by simple excision, with or without liposuction. It is normally carried out under local anaesthesia as a day case.

This is for patients who are left with a bulging abdominal wall after pregnancy without a surplus of skin and is due to an over-stretching of the muscles and the fascia retaining the vertical rectus muscles. We introduce a telescope through small incision in the pubic area and at the umbilicus to repair this weak fascia. It is very important that patients do not overexert the muscles of the abdominal wall for at least three months following this surgery.

Sometimes patients have an extra surplus of skin vertically and laterally and it is desirable to remove some skin centrally to tighten the waist. Here as well as the long horizontal cut of the standard abdominal reduction there is a vertical cut too, so that the resulting scar looks like an anchor with a small vertical element extending from the lower scar upwards towards the umbilicus.

This is a modified mini tummy tuck for patients who have a lot of skin and fat hanging down over the pubic area, here only extra skin and fat is removed. This leaves a long horizontal scar. If there are scars from previous operations the usual tummy tuck may be modified to incorporate them.

This is for patients who have surplus skin and fat extending right around the abdominal wall into the flanks and beyond. In these cases, the low horizontal scar is extended laterally into the flanks.

In the body lift the surplus skin and fat extends from the abdomen around the flanks and across the back. It is possible to remove a strip of skin all the way around the abdominal wall in the shape of a tyre. However, if this is carried out tightly the tension is too great to allow proper healing both on the front and the back at the same time. At the Cadogan Clinic we prefer therefore, to carry out a body lift in two stages, with an extended abdominoplasty on one occasion and then the tissue of the back removed separately on another occasion.

As the name suggests, this is a lesser procedure than the Full or Brazilian Abdominoplasty and is designed to treat a lesser problem. A mini-abdominoplasty focuses on rejuvenating the abdominal wall below the umbilicus (tummy button), the area most commonly affected by pregnancy.

The procedure consists of liposuction of as much of the abdominal wall as is required and excision of surplus skin. Frequently, the recti muscles will need to be tightened to give a taut, flat tummy. Unlike the Brazilian or full abdominoplasty, the umbilicus (tummy button) is not moved and is therefore unscarred.

There is only a single scar running across the lower abdomen. The longer the scar, the more skin is removed and the tighter it is. Very often it is not much longer than a caesarian section scar and easily hidden. We should remember that transverse scars are of better quality than vertical ones. This scar can be kept low through the pubic hair. In this case, the skin removed can include pubic hair extending upwards towards the tummy button. The downside is that patients who tend to make bad scars may form keloid scars where the incision passes through hair follicles.

The mini-abdominoplasty is particularly appropriate for patients who have had a caesarian section, and are left with a fold of skin above the scar visible through clothing.

The mini-abdominoplasty can be carried out under Local or General Anesthesia as a day case without drains.

There are three main candidates of people who require tummy tucks.

People with good skin elasticity - no loosening inside the abdominal walls and only sub-dermal fat accumulation that they want to have removed. Often times it is possible to achieve the desired results for these patients using liposuction or laser liposuction.

People whose skin elasticity is intact, but they have an enlarged abdominal wall. For these patients, the desired result is obtained by making an incision of 3 to 4 cm and entering to do an endoscopy in order to repair the abdomen wall.

People with loose and sagging skin. For these patients, it is necessary to remove the loose skin and then repair the deformed muscles.

A tummy tuck operation may be required for various reasons when patients have a deformation in their abdomen. This operation is often needed for women who gain and lose large amounts of weight frequently during and after pregnancies.

There are several ways to perform a tummy tuck, and your surgeon will determine during your consultation what the best method of surgery is for your case. If your skin is fairly tight, without too much sagging, then an endoscopic tummy tuck may be all that is needed. This can be performed with an endoscope just by narrowing the abdominal wall from the inside. For patients with excess loose and sagging skin, a mini tummy tuck will be enough for the lower parts of the tummy. If there is a hernia in the abdomen, then it will be necessary to perform a full tummy tuck.

Recovery time after an abdominoplasty can vary from patient to patient. Whether you're having a partial or complete tummy tuck, the area that's operated on will have stitches and bandages, so it's very important to follow all your surgeon's instructions on how to care for the bandage in the days following surgery.

Your Cadogan Clinic surgeon will also instruct you on how to best position yourself whilst lying in bed at least for a few days following your abdominoplasty, usually on your back or side with your knees bent. The procedure is carried out as a day case and you will be able to walk out of hospital, usually slightly hunched as the skin is now very tight. By the next day, you should be able to straighten up and walk around the house. The day after you will be using your computer, but we would recommend you do not travel to work for about 10 days. You should seriously limit any strenuous activity over the next 6 weeks and if the muscles have been tightened then this should be extended to 3 months. Your surgeon will advise you on what is appropriate for you.

Pain is moderate after surgery and will if necessary be controlled by simple analgesia. It may be advisable to arrange for a friend or relative to stay with you during the first day or two of your tummy tuck recovery time at home. 

Abdominoplasty surgery, commonly known as a tummy tuck, is an operation to remove extra skin, scars, stretch marks and fat from the tummy, and sometimes to tighten the tummy muscles. What is the alternative treatment? Losing weight and exercising to tighten up the tummy muscles may help. For some younger patients, liposuction (where fat is sucked out through a tube inserted into small cuts) can help. This can be done on its own, or with a tummy tuck.

As with all surgical procedures generally,  patients must abstain from taking blood thinners, limit drinking alcohol and smoking as much as possible and ideally, stop altogether in the last couple of days preceding surgery.

After the abdominoplasty surgery, the patient comes to the hospital room dressed in a compression garment. We recommend this compression garment is used for three weeks. Light walks can commence immediately after surgery but it is wise to wait one and a half months before undertaking heavy exercise or returning to the gym or working out. You should refrain from lifting anything heavy for 4-6 weeks following the surgery as well.

The belly-button is extracted from the skin without any change, so the shape stays the same. A replacement belly-button is made that will look the same as you had before. 

The tummy tuck operation is best undertaken after pregnancy if possible. So if you are planning to have more children, it may be best to wait until afterwards to have a tummy tuck. There are no upper age limits in this surgery. It is possible to operate on people who are healthy and take good care of themselves, at any age.

If there is sagging in the skin, especially any excess under the tummy, the preferred size and location for the abdominoplasty scars is 4 cm on both sides, left and right of the caesarean scar line. This scar can usually be hidden behind bikini bottoms and turns into a thin, white line after the healing period, similar to a caesarean scar. 

There is no harm in getting pregnant one year after a tummy tuck surgery. If the person does not gain too much weight during pregnancy, the tummy will return to how it looked right after abdominoplasty.

During the tummy tuck operation, the abdomen is narrowed and an inner corset is built. Patients usually lose weight after the surgery, but in the case of weight gain, the abdomen area does not return to its shape before the operation in any way, but maintains its proportion.

The right time for a tummy tuck operation for those who have given birth is the end of the first year. At the end of this period, the patient can lose as much extra weight as she can and the degree of sagging and stretchmarks settle. Ideally, any weight-loss should reach completion before the tuck since they are performed to correct the end results of a weight loss program. Best results are achieved if the patient has reached their ideal weight.

Yes. For the right patient and with the correct planning, a tummy tuck and liposuction can be carried out simultaneously.

People have this surgery to take away extra skin and fat, or get a flatter tummy, often after pregnancy or gaining and losing weight. It can help re-join the muscles of the abdominal wall if they have been pulled apart in the middle (known as ‘divarification of the recti’). Stretch marks can sometimes be cut away or tightened to make them less obvious. Ideally, your weight will be normal before the surgery. A tummy tuck is not for people who are very overweight, or carried out in order to lose weight. For the right person, a tummy tuck can make a big difference to their confidence and quality of life.

The abdominal reduction or "tummy tuck" is a surgical procedure to tighten the skin of the abdominal wall, frequently performed following childbirth and weight loss.

Plumper patients will require liposuction to reduce the fat following the procedure and, where the muscles are stretched, some tightening of the fascia that holds them together will be required.

There are four main different abdominoplasty procedures:
- The Cadogan Clinic Brazilian tummy tuck.
- Mini or partial abdominoplasty.
- Full Abdominoplasty or traditional tummy tuck is now obsolete at the Cadogan Clinic.
- Cadogan Caesar Correction (CCS) - post C-section scar revision

There are other techniques used in particular situations and these are described elsewhere on this website.

The primary difference between a mini abdominoplasty and a full abdominoplasty is that in the first the tummy button is not moved and therefore skin tightening is only carried out in the lower half of the abdominal wall, below the tummy button. Liposuction is used for the whole of the abdominal wall and the muscles can still be tightened.

The full abdominoplasty is the traditional Tummy Tuck or Abdominal Reduction. We, at the Cadogan Clinic, consider it to be obsolete and will explain our reasons. It is, however, the common procedure carried out countrywide to remove excess skin and fat. All the skin and underlying fat of the abdominal wall from the umbilicus (tummy button) is removed allowing the muscles beneath to be tightened. The skin of the upper abdomen is freed up as far as the ribs and pulled down and stitched leaving a long scar across the lower part of the abdomen to be hidden beneath panties or bikini. The freed-up tummy button is brought through at the appropriate level.

This is a big procedure requiring several nights in a hospital and, because of the undermining (freeing up) of all the skin and soft tissues of the abdominal wall, carries risks of blood and serum collecting under the wound. This issue is solved to some degree by using multiple drains, which remain in place for some days. These drains are uncomfortable, inconvenient and only partially reduce these risks.  This is the traditional Abdominoplasty.

At the Cadogan Clinic, we can produce a tight, slim contoured abdomen without using drains and allowing patients to walk out of the clinic the same day. The risk of blood and serum collecting under the wound is small. The key is liposuction used both to thin and contour the abdomen, but also to mobilize the skin without cutting its blood supply.

A Brazilian abdominoplasty – or Brazilian tummy tuck – is similar to the traditional abdominoplasty technique, in that the same amount of surplus skin is removed and the tummy button or umbilicus is repositioned; however, all the undermining is achieved by very careful liposuction, avoiding cutting blood vessels and nerves. This procedure therefore avoids multiple drains and can very often be carried out as a day case.