Abdominoplasty, more commonly known as a tummy tuck, is a popular cosmetic procedure aimed at improving the appearance of the abdomen by removing excess skin and fat, and tightening underlying muscles. This procedure is often performed as part of a mummy makeover or combined with liposuction to provide enhanced body contouring results. But the question remains: Is abdominoplasty considered major surgery? As an experienced plastic surgeon, I will guide you through what defines a major surgery, the nature of abdominoplasty, and what you should expect from the procedure and recovery.

What Defines a Major Surgery?

Before we delve deeper into whether a tummy tuck is a major surgery, let’s establish what qualifies as major surgery. Major surgery generally involves:

• General Anaesthesia: Most major surgeries require the patient to be under general anaesthesia.
• Invasiveness: Major surgeries usually involve significant dissection or manipulation of tissues, muscles, or organs.
• Longer Operating Time: These procedures typically have longer operating times, usually exceeding one hour.
• Extended Recovery: Major surgeries often require a longer recovery period, with more post-operative instructions and care.

Minor vs. Major Surgery: What’s the Difference?

Minor surgeries are typically less invasive, with local anaesthesia or light sedation, and have shorter recovery periods. For instance, small mole excisions or upper lid blepharoplasty would be classified as minor. Abdominoplasty, on the other hand, involves a combination of skin removal, muscle repair, and fat reduction—an approach that matches the criteria for major surgery.

Is Abdominoplasty a Major Surgery?

Yes, abdominoplasty is classified as major surgery. During the procedure, a significant amount of tissue is manipulated, including the removal of excess skin and fat, tightening of abdominal muscles, and potentially reshaping the belly button. So why is abdominoplasty major surgery?

What Happens During an Abdominoplasty?

During a tummy tuck, the patient is placed under general anaesthesia, and we make a horizontal incision just above the pubic area, extending from hip to hip. This incision allows us to access the underlying muscles and tissues.

• Muscle Repair: One of the key aspects of the procedure is the tightening of separated or weakened abdominal muscles. This part is particularly crucial for patients who have experienced diastasis recti after pregnancy.
• Skin and Fat Removal: Loose skin is trimmed, and fat may be removed either through surgical excision or with the help of liposuction.
• Reshaping the Belly Button: We will also reshape or reposition the navel for a more natural appearance. This is why there is a scar around the belly button.

The surgical time can range from 2 to 3 hours, depending on the complexity and whether additional procedures like liposuction are included.

Abdominoplasty vs. Mummy Makeover: Are They Different?

A tummy tuck is often part of a mummy makeover—a broader term that typically includes breast procedures (augmentation or lift), liposuction, and sometimes additional body contouring surgeries. While a standalone tummy tuck focuses solely on the abdomen, a mummy makeover addresses multiple areas that may have changed due to pregnancy. Both procedures are considered major surgeries due to the extensive nature of the work involved and the longer recovery times.

The Role of Liposuction in a Tummy Tuck

Liposuction is commonly combined with abdominoplasty to contour the waistline and enhance overall results. While liposuction alone is not always classified as major surgery, when combined with abdominoplasty, the overall impact on the body becomes more significant. This is because the body is undergoing both fat removal and surgical tightening of muscles and skin, necessitating a more complex approach that has a longer surgical time.

Understanding Tummy Tuck Recovery

How Long is the Recovery Period?

The recovery period for abdominoplasty varies from patient to patient but generally takes about 4 to 6 weeks. In the first few days, you can expect:

• Swelling and Bruising: Swelling and bruising around the abdomen are common in the early stages. Swelling following liposuction can take several monthsa to settle.
• Drainage Tubes: We are often asked ‘will I have drains after a tummy tuck?’ and in my practice I do not use drains. This is because I use a quilting technique which helps reduce the risk of seroma hence no benefit of drains.
• Limited Mobility: You’ll need to limit your activities, especially movements that involve bending or lifting. We encourage you to get up and about straight away and keep doing gentle mobilisation.

Week-by-Week Recovery Timeline

1. Week 1: The first week is the most critical for rest and recovery. Patients typically feel tightness in their abdomen and should avoid strenuous activity. You may be hunched over as the tummy and muscles feel tight.
2. Week 2-3: Swelling starts to subside, and most patients can move around more comfortably. You will feel you can stand straight again.
3. Week 4-6: By the 4th week, many can return to light activities. Most people are able to resume exercise by the 6th week.
4. Week 6 and Beyond: Full recovery, including complete scar maturation, can take several months to a year.

Risks and Considerations of Abdominoplasty

Like all major surgeries, abdominoplasty comes with its share of risks and considerations, which should be thoroughly discussed with your surgeon beforehand. These include:

• Infection: The risk of infection can be minimised through proper post-operative care.
• Seroma: Fluid collection is common but can be managed with drainage and compression garments.
• Scarring: A permanent scar is inevitable, but it usually fades over time and is strategically placed to be hidden beneath clothing.
• Anaesthesia Risks: General anaesthesia always carries certain risks, including reactions and breathing difficulties.

Is Abdominoplasty Right for You?

If you’re considering a tummy tuck in Manchester or Cheshire, it’s essential to understand that this is not a weight loss procedure. Ideal candidates are those who:

• Have excess skin and fat around the abdomen.
• Experience muscle separation after pregnancy.
• Are at a stable weight and do not plan significant weight fluctuations.

Abdominoplasty for Mums: Why It’s a Popular Choice

For many women, abdominoplasty is an essential part of a mommy makeover, helping restore their pre-pregnancy figures. Pregnancy often leads to stretched skin, weakened abdominal muscles, and sometimes stubborn pockets of fat. A tummy tuck can address these issues in one procedure, making it highly sought after by mothers looking to regain their confidence.

What to Expect During Your Consultation

During your consultation, we will discuss your goals and evaluate whether a tummy tuck or a mummy makeover is the best choice for you. We will review your medical history, discuss the details of the surgery, and explain the recovery process in detail.

Is Abdominoplasty Worth It?

Given the extent of the procedure and the recovery time, it’s clear that abdominoplasty is major surgery. It requires commitment to the recovery process and a clear understanding of the risks and benefits. However, for the right candidate, the results can be life-changing, providing not only a flatter, firmer abdomen but also a renewed sense of confidence.

If you’re considering abdominoplasty, mummy makeover, or any other body contouring procedure, book a consultation with Mr Nassab who can guide you through every step, ensuring you’re making the best decision for your body and lifestyle.