Abdominoplasty, the more formal name for a tummy tuck, is a cosmetic procedure that addresses a patient’s concerns with their mid and lower abdominal areas.
The procedure is very popular in the UK, whether on its own or as part of a Mummy Makeover whereby the patient has a breast augmentation as well as tummy tuck – the augmentation in part using grafted fat.
A common question though is whether abdominoplasty is major surgery, does the fact it is so commonplace imply it is a minor operation?
The Quick Answer
Abdominoplasty is major surgery, it involves general anaesthetic and then a procedure which typically takes several hours.
Recovery also takes some time, initially the patient is likely to have some pain and bruising, with the ongoing recovery then taking several months.
It is a procedure which can have clear, very visible benefits but it is not something to undertake lightly.
Why Abdominoplasty is Considered Major Surgery
Every aspect of abdominoplasty makes it major surgery – from the invasive nature of the procedure, to the length of time under anaesthetic to the recovery thereafter.
It is not a procedure with a high degree of risk – of course all surgery has some inherent risk – but any patient should not consider it under the mistaken impression it is a minor operation.
The tummy tuck sees the surgeon remove excess skin and fat and then tighten and close the wound. Depending on the extent of the surgery, it may be necessary to reposition the belly button to ensure a natural look.
Liposuction around the hips, flanks and pubic area can accompany the operation, this addressing the wider region.
There are essentially three different kinds of abdominoplasty – the traditional tummy tuck, partial (or mini) tummy tuck and extended abdominoplasty.
The traditional option is the most common – this suitable for people in good overall health but who have a considerable amount of loose skin around their abdomen.
The partial option, as you would expect, is for those with smaller amounts of excess skin – typically this is for people who are within 10% of their ideal body weight and only want to address the part of the naval that is below the abdomen.
The extended abdominoplasty is for those with more excess skin and fat than those undergoing the traditional procedure. It makes a more fundamental change to the patient’s figure, also altering the hip and lower back regions.
However, any prospective patient does not need to know which option is right for them, that would be for discussion with a surgeon. They can advise as to the different options, the results achievable and why they believe one of the options to be the most suitable given the patient’s aspirations.
Whichever option is suitable, the procedure will involve a large cut across the lower tummy – potentially from hip to hip for a full abdominoplasty. Skin will be separated from the abdominal wall and excess skin and fat removed.
It may be necessary to realign abdominal muscles and cut a new hole for the belly button.
The remaining skin is then pulled together and stitched in place.
The operation itself will last at least two hours and often up to five or six and an overnight stay will be required – for more major surgery a stay of several nights can be required.
Recovery also takes time. There will be initial pain and swelling, the patient will be unable to drive initially and must stay home for a period of time. A period off work will have to be factored in, typically four to six weeks, while it will also be several weeks before exercise can be undertaken.
What Results Can You Expect – and When?
Initial results will be visible as soon as swelling begins to subside — usually within the first few weeks — but the full benefits of abdominoplasty often take several months to fully reveal themselves.
Scars are an inevitable part of the procedure, though they are typically hidden beneath underwear or swimwear lines and fade significantly with time. Scar care advice is provided post-operatively to help optimise healing.
When performed by a skilled plastic surgeon, the results of a tummy tuck can be transformative — producing a firmer, flatter abdomen and a more defined waistline that clothing fits better around.
What Are the Risks – and How Are They Managed?
While abdominoplasty is a safe and routine procedure in the hands of a qualified surgeon, it is still a significant operation and carries certain risks.
Possible complications include:
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Fluid build-up under the skin (seroma)
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Infection
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Delayed wound healing
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Temporary or permanent changes in skin sensation
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Scarring
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Blood clots in the legs or lungs (rare)
These risks are minimised by carefully selecting patients who are medically fit, using meticulous surgical techniques, and following a detailed post-operative care plan.
Patients under the care of Miss Breahna benefit from a consultant surgeon with extensive international experience, who tailors each procedure to individual anatomy and ensures ongoing aftercare.
Download Anca Breahna’s Tummy Tuck Guide
Who is it suitable for?
Abdominoplasty may be major surgery, but it can also be truly life enhancing surgery for the right patients.
We are all prone to fat deposits in certain areas and for many of us, this is the stomach region. Once there, however hard we exercise, however well we control our diet, these stubborn pockets of fat remain.
This undesirable effect can come about as we get older, it can be because of metabolic changes, it is also common post-pregnancy. Whatever the cause, the solution is often abdominoplasty, a procedure that addresses a specific issue and rectifies it.
Results last and are long term, if the patient maintains a sensible diet and exercises there is no reason for them not to be permanent.
It is not a procedure for those who are obese, it tackles a specific area on an otherwise healthy person rather than addressing overall health.
Modern Recovery Techniques and What to Expect
Abdominoplasty techniques have evolved significantly in recent years, resulting in improved comfort and faster recovery for patients.
In selected cases, drainless tummy tucks may be an option, reducing discomfort and the risk of complications. Compression garments are worn during the early recovery phase to support healing, reduce swelling, and shape the abdomen.
Patients are typically encouraged to begin light walking soon after surgery to promote circulation and reduce the risk of blood clots, but more strenuous activities, including driving and exercise, must wait several weeks.
Your individualised aftercare plan — designed by Miss Breahna — will guide you at every step of your recovery journey.
It Starts With A Consultation
As with all cosmetic surgery, the process begins with an initial detailed consultation. This consultation will address whether the surgery is suitable for the prospective surgery, ensure that achievable results are detailed and answer any concerns.
It will be at this stage that the surgeon can outline the different options and offer opinion as to which is the most suitable, for instance whether a traditional tummy tuck or partial option is more suitable.
In other cases it will be determined that this form of surgery is not suitable, whether that is because of the patient’s overall health, or because the results they desire are not realistically attainable.
Patient satisfaction and care is the key consideration for all cosmetic surgeons, the consultation is a chance to ascertain whether surgery should be undertaken and if so which form. It is a partnership between patient and healthcare expert.
Emotional and Psychological Benefits
Beyond the physical transformation, many patients report a significant improvement in self-confidence following abdominoplasty.
For individuals who have worked hard to improve their health, or have gone through the life-changing journey of pregnancy, a tummy tuck can restore a sense of body confidence and comfort in one’s skin.
This is not simply about aesthetics — it’s about reclaiming your body and feeling more empowered in your daily life.
Frequently Asked Questions
Will I lose weight after abdominoplasty?
Abdominoplasty is not a weight loss procedure, but patients often feel lighter and slimmer due to the removal of excess skin and fat.
Is the procedure painful?
Mild to moderate pain is expected in the first week, but this is well managed with prescribed medication and usually settles quickly.
Can I get pregnant after a tummy tuck?
Yes, but future pregnancies may affect your results. It’s often recommended to wait until your family is complete before having the procedure.
When can I return to work or exercise?
Most patients return to light work within 2–4 weeks and resume light exercise by week six, with full activity typically permitted by 8–12 weeks.
Next Steps
If you would like more information about abdominoplasty or are considering this form of surgery please contact us for an obligation-free consultation.
Anca Breahna is a renowned female surgeon who has held prestigious Fellowships and been consultant surgeon at world-leading institutions.
If you would like to arrange a consultation, please use our Contact Form.
Further Reading about Body Procedures with Consultant Plastic Surgeon Anca Breahna
- Read more about Liposuction
- Read more about Tummy Tuck
- Read more about Tummy Tuck after a C Section
- Read more about Silicone Strips for Cosmetic Surgery Scars
- Read more about Excess Skin after Weight Loss – Causes and Solutions
- Read more about Liposuction vs Tummy Tuck
- Read more about Best Compression Garments after Tummy Tuck Surgery
- Read more about Causes and Solutions for FUPA (Fat Fat Upper Pubic Area) – Anca Breahna
- Read more about How Much Is a Tummy Tuck in the UK
- Read more about Who Is the World’s Best Tummy Tuck Surgeon?
- Read more abou Myths and Facts about Tummy Tuck Surgery
- Read more about Causes and Solutions for an Apron Belly
Ms Anca Breahna, PhD, MSc, FEBOPRAS, FRCS (Plast) is a highly regarded Consultant Plastic Surgeon specialising in the field of Aesthetic and Reconstructive Plastic Surgery. Anca performs a range of 
