Tummy Tuck (Abdomen Surgery)


Abdominoplasty, or ‘tummy tuck’ is a surgical procedure designed to remove excess skin and fat from the middle and lower abdomen and to tighten the muscles of the abdominal wall. The procedure can dramatically reduce the appearance of a protruding abdomen and create a flat athletic appearance with greater waist definition.

Abdominoplasty should not be viewed as a surgical alternative to diet and exercise for the obese patient.  It is best suited for non-obese men and women concerned about abdominal fat and skin that will not respond adequately to diet and exercise. The surgery is particularly effective for women who, as a result of pregnancy, have lost the abdominal muscular support of the lower abdomen and are concerned about excess skin.

Abdominoplasty is performed in a Marin County Outpatient Surgery Center under a superficial plane of general anesthesia administered by a Board Certified Anesthesiologist. An incision is made in the bikini line just above the pubic area and extends laterally towards the waist.  Dr. Wolf designs this incision so that it is imperceptible beneath a brief panty or swimsuit. The abdominal apron consisting of skin and fat is separated and lifted in an upward direction to the level of the ribs.  In doing so, the vertical rectus abdominis muscles are visualized and sutured together in the midline.  This produces a firm, flat abdominal wall and narrows the waistline. The navel is preserved. Excess skin and fat are removed and the incision is closed. Small drainage tubes are left in place for 48-72 hours following abdomen surgery.

For a few days the abdomen may feel tight and uncomfortable, and mild analgesics may be required.  Showering is permitted on the first postoperative day, and all sutures are removed seven days following surgery.  Return to normal non-athletic activities is anticipated within one week.  Full athletic activities, with the exception of core exercises may be undertaken 4-6 weeks following surgery.  Core exercises are permitted 8 weeks following surgery.