Overview
After pregnancy, major weight change, or aging, the abdominal skin and tissues supporting the abdominal wall may loosen. Full tummy tuck is an approach considered when excess skin above and below the belly button is prevalent. When necessary, the support layer on the separated abdominal muscles is repaired; There may also be scars around the navel. Not every abdominal protrusion results from the same reason: subcutaneous fat, intra-abdominal fat, diastasis and hernia should be evaluated separately. Surgery does not eliminate all stretch marks; Only stretch marks within the removed skin are eliminated. A new pregnancy or significant weight change may affect the results.
What is evaluated?
- The distribution of excess skin above and below the navel is examined.
- Diastasis, possible hernia and scars from previous abdominal surgeries are evaluated.
- Pregnancy planning, weight stability and diseases that affect wound healing are discussed.
Approach and options
- In cases of extensive excess skin, full abdominoplasty and, if necessary, abdominal wall repair may be considered.
- Mini tummy tuck may be an option for limited lower abdominal laxity.
- Adding liposuction may be considered depending on the fat distribution in the waist and abdomen.
Recovery and follow-up
Abdominal tension, edema and temporary numbness may occur. The need for drains, corsets and wound care depends on the extent of the surgery. Early movement is balanced with protection from movements that strain the abdominal wall. A personal plan is made for lifting children, sports, and returning to work; The scar takes longer to mature.
Risks and limits
- Seroma or hematoma
- Wound dehiscence, infection and skin loss
- Significant scarring, asymmetry or change in sensation
- Deep vein thrombosis and pulmonary embolism
The headings here do not cover all risks. Possible benefits, alternatives and personal risks should be discussed in detail during the examination.
You can ask in the consultation
- How much of the protrusion is related to skin, fat, or diastasis?
- Where will the scars remain around the navel and in the lower abdomen?
- How does the treatment plan change if there is a hernia?
Resources
Access to sources: September 2026. The content has been prepared for general information purposes.