Abdominoplasty is significant surgery and is performed under a general anaesthetic in a private hospital. A long horizontal incision is made across the lower abdomen and the excess soft tissue is lifted off the wall of your abdomen up to the ribcage. Your skin is then pulled down and the excess removed. Your belly button is repositioned through a new small opening.
Body lift
After massive weight loss, the folds on your waist can extend right around your back. In these cases, we would perform a "body lift". This operation removes excess skin and fat from around your entire waist. It combines abdominoplasty with an outside thigh lift and a buttock lift.
After the operation
You will normally spend 1 to 2 nights in hospital. You may have an abdominal drain and a bladder catheter in place. The catheter is removed the day after surgery and the drain usually before discharge from hospital, but sometimes needs to be left in longer. You will also need to wear a pressure garment for 4 to 6 weeks after the surgery.
You will normally be seen between 5 and 7 days after surgery for any dressings to be removed, wounds checked and sutures removed if necessary. A light tape dressing will be applied and your pressure garment put in place.
After the surgery you should rest quietly for the first few days although it is important that you continue to move around to maintain good circulation. Most people get back to normal levels of activity 3 to 4 weeks after the operation. However, you need to restrict vigorous exercise such as gym work for at least 6 weeks.
A body lift procedure will take a lot longer to recover, as the surgery is more extensive.