Abdominoplasty: All What You Need To Know About The Procedure

image_3Are all your efforts at reclaiming your pre-baby tummy leading nowhere? Are you just fed up with those tiring daily sit ups which are not doing your abdomen any good in terms of size and shape? Are those stretch marks bothering you?

Although a tummy tuck or abdominoplasty might appear like a rather drastic step, it could be your best solution, especially when conducted by surgeons certified by the Australian Medical Council and fellows of the Royal Australasian College of Surgeons (RACS).

What Causes Abdomen Stretching?

Usually, your abdomen gets stretched by either a baby inside or your intra-abdominal contents, usually fat. Once the abdomen stretch is eliminated surgically, how far the retraction goes to its former state will be dependent on several factors. These will include genetics, position of remaining muscles, exercise and tone.

Another important factor will be the fat amount between your muscle and skin and the structural integrity of your skin.

What Does the Surgical Procedure Entail?

Similar to any surgical procedure, for a tummy tuck to realize the best outcomes, it has to address a number of surgical components. To address only a single component without taking into consideration the others may end up giving you sub-optimal outcomes.

A comprehensive tummy tuck entails:-

  • Shifting your six-pack or rectus muscles back into your midline
  • Surgically removing excess fat through liposuction
  • Removing your stretch marks and excessive skin in the lower abdomen
  • Replacing/shifting your umbilicus into a more normal position

Which Technique is the Best One for You?

Two main techniques are commonly used. Though using the same approach, the main differences occur in the skin and fat excision pattern, and the direction in which the tension is placed during the final wound closure.

  1. The Pitanguy procedure gets rid of more fat and skin in your midline than closer to your waist. Mostly, the surgeon closes the wound in a top to bottom style.
  2. The Lockwood method eliminates a more evenly distributed amount of fat and skin across your abdomen width and closes up with tension going from the waist in the direction of your midline.

What will establish the best technique for you will be your fat distribution, and to some degree your personal preference.

When is the Ideal Time for Abdominoplasty, Sydney?

Closeup photo of a caucasian woman's abdomen marked with lines for abdominal cosmetic surgery

If another pregnancy is part of your future plans – better wait! This is because your repaired abdominal muscle won’t cope with the stretching that comes with another baby.

The most ideal tummy tuck time is after a period of weight stability, say after about a year. The results will be better when the surgery is done when you are closest to your desired or ideal weight. The results will last longer and of course the happier you are likely to be!


Studies have shown that the more advanced training your surgeon has received, higher are the odds of a having a very satisfying surgical outcome. You can achieve this by searching for the online Board Certified Australian Plastic Surgeon LipoSite to verify their credentials.

Additional recommendations would be to check with the Australian Society of Plastic Surgeons and Royal Australasian College of Surgeons who normally maintain updated records of certified surgeons in Australia.

Tummy Tuck Abdominoplasty – Selecting The Most Suitable Technique

Excess weight can be difficult to get rid of, especially as you continue to grow older. The body can deposit fat in certain parts of the body, it can sometimes seem impossible to get rid of it. The abdomen is a common area of the body where fat deposits can easily accumulate, giving you a protruding tummy. A tummy tuck or abdominoplasty may be the best solution to get rid of the sagging tummy and make it flat and firm.

Abdominoplasty Banner Dr Kourosh Tavakoli

About the procedure

A tummy tuck (abdominoplasty) is used to get rid of excess skin and fat in the tummy and strengthen weak abdominal muscles. You can develop a protruding, loose stomach due to pregnancy, loss of weight, aging, or because of a previous surgery. You can also end up with a sagging stomach due to your genes. A tummy tuck therefore helps to flatten your stomach and make it firm and well-toned.

Who should get a tummy tuck?

The procedure is suitable for both women and men who are in good health, and for women that have undergone multiple pregnancies. Anyone who was previously obese and has lost a large amount of weight will also find the procedure useful. Women who are planning for future pregnancies should consider postponing the surgery because the technique will tighten your vertical muscles which end up getting separated again during pregnancy.

Kourosh Tavakoli is a leading plastic surgeon in Australia who has conducted numerous tummy tuck procedures successfully. He uses the following techniques to perform abdominoplasty:

Dr Kourosh Tavakoli Tummy Tuck Diagram

Standard abdominoplasty

In a standard abdominoplasty, the surgeon makes a cut from one hipbone across to the other. The cut is made on the lower abdomen and the tissue, skin and muscles are shaped as required. A new position is then made for the navel.

Mini abdominoplasty

A mini abdominoplasty is best if the unwanted fat is below the belly button. It is also suitable if you require more muscle repair than skin removal. A short incision is usually made below the belly button and the excess fat is removed. Tightening of the abdominal muscles is done, the skin is pulled down and the cut is stitched up. Usually, your belly button will not be moved when this technique is used.

Body lift

Tummy Tuck Procedure PhotoDuring a body lift, also known as belt lipectomy, excess skin, tissue and fat is removed from the waistline, the hips and the back. The width of tissue or belt that is to be removed will depend on how much extra fat and skin you have. After unwanted skin, fat and tissue is removed from the belt area, the remaining tissue and skin on the upper part is stretched downwards, while the remaining tissue and skin on the lower part is pulled upwards. The results will affect the stomach, waistline, back, hips, thighs and buttocks.

Extended abdominoplasty

An extended abdominoplasty is done if the excess fat and skin is around the abdomen and back. A 180 degree cut is made across the waistline and excess skin and fat is removed. The muscles are tightened and a new opening for the belly button is made.