Tummy tuck surgery

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What is an abdominoplasty?


Abdominoplasty surgery – often referred to as a tummy tuck – lifts, tones and flattens the abdominal area by surgically removing excess skin and fat, and restoring weakened or separated muscles. It can be cosmetic or reconstructive in nature.

Skin and muscles in the abdominal region can become separated or stretched by weight loss or weight fluctuations, pregnancy, age, genetics/hereditary factors, injury or previous surgery. This can make the stomach protrude or bulge, which causes a distorted or disproportionate appearance.

Tummy tuck surgery achieves a flatter, firmer abdominal wall and more flattering waistline. For women it creates ideal curves, and for men it aims to help achieve the inverted triangle shape that draws in the lower waist to accentuate shoulder width, and assist in creating proportion.

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Before and 5 months after abdominoplasty surgery with Dr Sharp

What to expect at your abdominoplasty consultation

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Scroll down to read more about tummy tuck surgery with Dr Sharp, after the image gallery.

before and after surgery with Dr Sharp

before and after surgery with Dr Sharp
before and after surgery with Dr Sharp
before and after surgery with Dr Sharp
before and after surgery with Dr Sharp
before and after surgery with Dr Sharp
before and after surgery with Dr Sharp
before and after surgery with Dr Sharp
before and after surgery with Dr Sharp
before and after surgery with Dr Sharp
before and after surgery with Dr Sharp
before and after surgery with Dr Sharp
before and after surgery with Dr Sharp
before and after surgery with Dr Sharp
before and after surgery with Dr Sharp
before and after surgery with Dr Sharp
before and after surgery with Dr Sharp
before and after surgery with Dr Sharp
before and after surgery with Dr Sharp
before and after surgery with Dr Sharp

above: before and five months after abdominoplasty (with breast lift and augmentation) surgery with Dr Sharp. This is a classic ‘mummy makeover’ post pregnancy combined procedure.
before and after abdominoplasty with Dr David Sharp: this mother of four had achieved massive weight loss following gastric sleeve surgery. She had a tummy tuck and breast augmentation.
before and after abdominoplasty with Dr David Sharp: this mother of three had achieved massive weight loss.
before and after abdominoplasty with Dr David Sharp
before and after abdominoplasty with Dr David Sharp: this 60 year old woman had undergone three previous abdominal trauma surgeries. Her abdominoplasty removed excess skin and revised internal scarring.

What does tummy tuck surgery involve?

Sharp Clinic patient

In most cases, Dr Sharp will make a low ‘apron’ incision along your bikini line. The residual scar usually fades over time and is concealed by underwear or swimwear. He will remove saggy skin and excess fat from the middle and lower abdomen, and rejoin separated muscles.

See also: Body Lift

Although a tummy tuck is sometimes a cosmetic procedure,  it is usually classified as reconstructive surgery, particularly in the following circumstances:

  • Estructural or function defects
  • Ehernia
  • Epost pregnancy
  • Eobesity / extensive weight loss
  • Etumours
  • Eabnormally excessive overhang (called a pannus) of fat, which can cause hygiene issues, inbhibit normal activity and create skin infections.
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tummy tuck mummy makeover with Dr David Sharp
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Tummy tucks come in all shapes, sizes and ages!

The patients shown above underwent abdominoplasty with Dr Sharp following pregnancy or weightloss. Their surgery included abdominal muscle repair and skin removal. Approximately half were performed as day surgery.

The surgery is performed under general anaesthetic and takes two to three hours. It can be performed in a day hospital, whereby you return home on the day of surgery, with 24/7 access to our post operative nurse and regular post operative wound checks. Or you may choose to have the procedure as an in patient in a private hospital, with a three to five night stay.

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Benefits of having an abdominoplasty

Obvious benefits include the improved sense of body confidence that comes with having a flatter stomach – and the wider selecting of clothing and swimwear available to suit your new body shape.

The procedure will lead to improved abdominal tone, enhancing the appearance of the abdominal wall muscles.

Functionally, repairing the separation of the rectus abdominis muscles will also result in an increase in core strength.

If your ‘apron’ of skin was hanging over your pants or rubbing on the skin underneath, you will also no longer have to worry about chaffing, skin infections, dermatitis in this region.

Some patients also notice improved abdominal and pelvic muscle function, which can help them develop better control over defecation and urination – and help with stress incontinence.

In the long term, patients may also notice a reduction in back pain and improved posture.

Mini tummy tuck

Partial abdominoplasty involves a smaller incision; in this procedure, there is no incision around the navel as it does not require repositioning.

A mini abdominoplasty is ideal for people with a moderate degree of excess skin in their lower abdomen, with or without separation of their rectus abdominus muscles – for example, slim women who would like to remove a persistent pocket of fat and excess sagging skin after pregnancy.

Dr Sharp will advise you during your consultation as to whether or not you are a candidate for a mini abdominoplasty.

Combined tummy tuck + breast lift or augmentation

Dr Sharp performs abdominoplasty surgery alongside liposuction, breast lift, breast reduction and breast augmentation surgery. Advantages of combining procedures include the aesthetic benefit of having a ‘total’ result as well as possible cost advantages. Click here to find out more about its postpartum benefits.

Tummy tuck + liposuction

Liposuction is sometimes used during abdominoplasty surgery to achieve an ideal shape and body contouring. Liposuction can be particularly useful for achieving results in areas that cannot be corrected by the tummy tuck alone, such as thighs, flanks and ‘love handles’. It is not used in the abdominal area as this can hinder healing and optimal internal repair.




The goals of abdominoplasty surgery are unique to every patient, and can include:

  • To create a more normal appearance of the abdomen
  • Repair abdominal hernia
  • Removal of the apron of excess skin and fat
  • Improvement in abdominal muscle tone and shape
  • Revision of any existing scars


Abdominoplasty surgery can be beneficial for functional as well as aesthetic purposes, enabling more movement and reducing potential medical problems such a hernias or skin infections – while also improving self-confidence and self-esteem. Tummy tucks are common, however, it is major surgery and should only be undertaken after due consideration under the guidance of a plastic surgeon.

Abdominoplasty should ideally be performed when your weight loss is stable. The best candidates for tummy tucks are in good health, and have stubborn pockets of fat and loose skin – or stretched skin and muscles from pregnancy.

If you are in the process of losing a substantial amount of weight with the view to obtaining an abdominoplasty, it is best to wait until you are getting close to your ideal weight before proceeding with a tummy tuck; this will ensure optimal long-term results and healing. Abdominoplasty is not recommended for people who are morbidly obese.

Tummy tuck scars

Abdominoplasty involves an extensive scar, which is why it is important to choose a qualified plastic surgeon, to ensure the best techniques and approach is taken to ensure scars are as minimal as possible. Scars are low along the bikini line and are well hidden by most underwear, swimwear, and clothing.

Dr Sharp and his team offer a proven pre and postoperative skin optimisation program that supports you in maintaining healthy skin quality throughout, and after, your surgical journey to reducing long-term scarring. Ask us about our laser therapies to reduce the appearance of scars.


Even if you have a normal body weight, good diet and active lifestyle, it can be difficult to achieve a flat, toned stomach. Often, pregnancy, age, weight fluctuations, genetics, caesareans, hernias or laparotomies leave your stomach with protrusions, fat deposits and loose or sagging skin.

These need not bother you (and if that’s the case – that’s great!)

But if you find yourself limiting your wardrobe choices, feeling inhibited in front in intimate partners or covering up at the beach – and provided you have realistic expectations, there’s nothing wrong with wanting to do something about it.


Tummy tuck surgery is very safe and performed frequently by plastic surgeons in Brisbane. However it is a major procedure – and therefore, choosing the right surgeon is of upmost importance. Abdominoplasty surgery should be performed by a qualified plastic surgeon who is registered as a Fellow of the Royal Australasian College of Surgeons. You can confirm your surgeon’s credentials here

Dr David Sharp is a qualified plastic surgeon with a special interest in reconstructive and cosmetic plastic surgery. His personalised approach means that you receive plenty of preoperative time with him to discuss your specific body goals and any questions.

It’s normal to feel both nervous, and an excited sense of anticipation, when planning your tummy tuck. Dr David takes the time to ensure you have as many consultations as you require, to ensure your treatment is customised to suit your body and expectations – and address any concerns you may have.


This is similar to an abdominoplasty but is usually in the setting of massive weight loss – or post-bariatric surgery. It involves the removal of a large apron of fat, called a pannus, which can cause:

  • Skin infections
  • Hygiene problems
  • Impaired function, mobility or movement
  • Chronic dermatitis

Tummy tuck + pregnancy

Pregnancy can cause stomach muscles to separate, which is called rectus divarication or diastasis recti. In addition to leaving the abdomen with a permanently protruding appearance, research shows that pregnancy can result in significant functional and medical problems such as core strength issues, urinary incontinence and back pain. Abdominoplasty surgery with Dr Sharp reconstructs the abdominal wall, repairs hernias, restores core strength and removes excess unwanted skin.

If you are planning future pregnancies, Dr Sharp recommends that you postpone having an abdominoplasty until you think you have completed your family.

Dr Sharp has a special interest in post-pregnancy transformations – also known as ‘mummy makeover’ surgery. Click here to read more about the tummy tuck and breast surgery options for restoring pre-pregnancy body shape and condition.


A tummy tuck does not correct stretch marks, however, some of these might be removed or reduced if they are located on the excess skin that is removed, generally below the belly button.

Dr David’s clinic offers a range of safe, skin therapies that have been scientifically proven to reduce stretch marks – without surgery, needles or downtime. If you are concerned about stretch marks, call 07 3202 4744.


Tummy tucks are performed under a full general anaesthetic. A specifically selected range of medications are administered during the surgery to ensure your post-operative comfort. Dr Sharp works with an experienced team of anesthetists.


You should avoid strenuous activity for up to six weeks. Depending on your work, you would need to take up to a month off work, although many people return to work, particularly if it involves sedentary activity, after 2 weeks.


Potential costs include:

  • Surgeon’s fee
  • Anaesthetist’s fee
  • Assistant’s fee
  • Theatre costs
  • Support garments

Dr Sharp performs this procedure as either an inpatient stay or as a day procedure in an accredited private hospital. The decision to have a tummy tuck as a day procedure or inpatient will cause the hospital component of your costs to vary.

Abdominoplasty for cosmetic reasons is not covered by most private health insurers. However, in some cases, your surgery might be classified as reconstructive, and therefore have a Medicare item number. If so, you might be eligible to claim a rebate from Medicare, as well as your private health fund.

After your consultation with Dr Sharp, if there’s a possibility that your surgery meets Medicare’s criteria, you will be provided with an item number, we recommend you contact your health insurance provider and ask them if you are covered for plastic surgery, particularly siting the item number provided.

It is important to understand that, in the case of complications or revision surgery, the cost of your abdominoplasty might extend to future surgical procedures and hospitalisations. We encourage patients to think about how they would fund further treatment beyond the immediate costs expected.

Abdominoplasty results + expectations

Tummy tuck surgery produces a flatter, firmer and tighter stomach, however, your immediate results can be obscured by swelling and posture restrictions.

Women who have undergone previous cesarean section are usually pleased to find that their original c-section scar is incorporated into their new tummy tuck incision.

Once you can stand up straight and observe good posture – within a fortnight of surgery – your swelling will be reduced and you will notice your new, contoured profile.


In some cases, abdominoplasty surgery can be considered to be medically required. This is determined by assessing whether the patient meets the Medicare Benefit Schedule’s criteria for abdominoplasty surgery after pregnancy or massive weightloss. If you meet the criteria, an item number will be assigned to your procedure. This item number will carry a Medicare rebate for a portion of your surgeon and anaesthetic fee. If you have eligible private health insurance, it means your fund will also cover all (or part) of your hospital fee, depending on your policy provisions. At your initial consultation, a detailed quote including rebates, will be provided. We recommend that patients have private health insurance before undergoing this surgery, even if they intend to have it as a day procedure.


Your result will last forever (or at least as long as you do), provided you generally maintain your operative weight and don’t sustain injuries or undergo further abdominal surgery. Pregnancy and substantial weight gain are the two most common reasons why abdominoplasty results don’t last.


Dog ears are an excess ‘pucker’ of skin and fatty tissue at the end of an incision line. Most abdominoplasty patients do not experience dog ears. They are, however, more common in procedures that involve the removal of a large amount of skin, fat or tissue, for example abdominoplasty, brachioplasty, breast reduction or bilateral subcutaneous mastectomy. Dog ears are more likely to occur at the end of an incision line if a patient has residual fat, or loose skin, in the adjacent area. An example of this can sometimes be seen following abdominoplasty, especially if the patient has experienced significant weight loss. Where the tummy tuck incision stops at the hips, patients sometimes have residual skin or fat.   Pockets of swelling along the incision line are sometimes mistaken for dog ears during the first few weeks or months of surgery. If you develop a dog ear at the end of your incision line, your surgeon might ask you to wait 3-6 months to see of it will improve on its own as swelling subsides. If it doesn’t, a dog ear is relatively simple to remove under local anaesthetic in the clinic. It does not usually require a general anaesthetic or hospital visit.

Read more about dog ears here.


No, an abdominoplasty scar is longer, and often thicker, than a cesarean scar.  

Abdominoplasty scars are often thicker, as they are under tension from the tightened abdominal wall and reduced skin laxity, compared to a cesarean incision which occurs in an area that has been stretched through the pregnancy, usually resulting in loose skin which places no strain or tension on the incision line.

Tummy tuck scars are always visible, but they ‘mature’ over a period of 2 years. That sounds like a long time, but it is the approximate length of time that internal and internal scarring takes to settle into its final state. At this point, if postoperative instructions have been closely followed, the scar is significantly softer, lighter and less prominent than it appears during the first 6-12 months after surgery.


Yes, scarring is dependent on many factors, but the key ones are:

  1. the position of the scar on the body
  2. postoperative scar care
  3. time since surgery
  4. skin type/quality and genetics 

Scar position 

Scars that are located on parts of the body that are under tension or frequent movement are more likely to be stretched, and thicker. This is why it is important to wear postoperative compression garments after tummy tuck surgery and limit movement. 

Postoperative scar care

Our patients go home with extensive postoperative instructions. These feature evidence-based, best practice scar care recommendations; when followed, they give patients the best possible scar outcome.

It is therefore essential to wear your support garment correctly (our team are always on hand to clarify if you are unsure of the correct positioning), observe physical activity restrictions, practice good nutrition and only use approved tape/products on incisions for the recommended amount of time. We also advocate for daily scar massage once the incision has healed.

When we see poor scarring in otherwise healthy patients, it is usually because one or more of the above recommendations have not been followed. 

For example, failure to wear compression garments properly can place additional pressure on the scar, or result in excessive swelling, haematoma or seroma, which can require further surgery, in turn causing more incisional tension and unfavourable scarring. 

Essential oils, bleaching creams or any products not supplied or recommended by the clinic can be detrimental to healing and cause wound breakdown, delayed healing and poor scarring. 

Time since surgery

It is inevitable that patients will monitor, observe and worry about their scars most closely during the exact phase of natural scar healing when it is always going to be looking its worst; the first 3-12 months postoperatively. This maturation process takes the scar approximately 24 months in total, so patience is needed in order to see the final result! While it might be annoying to hear ‘be patient’ during this period, it is important to give your body time to fully heal. 

Rest assured that if postoperative instructions are closely followed, patients usually find their abdominoplasty scars mature into soft, lightly-coloured scars that are not anywhere near as prominent as they appear to be in the first 3-12 months.

Skin condition, quality or genetics

Some skin types or ethnicities are more predisposed to poor scarring. Sun damaged, aged or thin skin can also scar badly or experience delayed healing. Even if you are genetically predisposed to poor scarring, good scar care can go some way to improving the appearance of the scar.





Tummy tuck incision

A full abdominoplasty involves two incisions; a horizontal one from hipbone to hipbone near the pubic hairline and another around the navel. The length of the horizontal incision depends on how much skin and fat needs to be removed and in which areas. Weakened abdominal muscles are then repaired and sutured to bring them closer together, and excess fat and skin are excised to remove the protubing appearance of the abdomen. The skin is tightened over flat abdominal muscles. The second incision around the navel is necessary to remove additional loose skin in the mid to upper abdomen. The navel is repositioned in an aesthetically sensitive manner.

Sutures and surgical skin tape is used to close the incision.

If you have concerns about scarring after abdominoplasty surgery, talk to our skin clinician regarding the laser options we have available to accelerate healing and improve the appearance of scars.

Muscle repair during abdominoplasty

Abdominal wall muscles can become lax or separated due to pregnancy or aging. When toned, the rectus abdominus muscles join to create a flat stomach or ‘six pack’ shape. When repeatedly stretched, they can sometimes sit far apart from where they should ideally meet in the middle (called diastasis or diverication of rectus). This is corrected using permanent stitches, which pulls the muscles together for a firmer abdomen and narrower waist. Sometimes the laxity of the lateral abdominal muscles (obliques) also requires permanent sutures to create an ideal shape (called muscle plication).

Abdominal hernia repair

A weak abdominal wall, previous surgery (such as laparoscopy or caesarean) can be associated with abdominal hernias; whereby the fat surrounding the bowels, or the bowel itself, protrudes through the abdominal wall and can be seen and felt as an irregular lump.

During surgery, the hernia is pushed back through the wall, and the weakened area stitched back together and oversewn to strengthen the site.

If the weakness is large enough, sometimes Dr David places a surgical mesh to provide extra strength to the area and prevent future hernia from forming.

Vertical abdominoplasty

In patients with an existing vertical (‘midline’) scar from previous abdominal surgery, a vertical tummy tuck may be considered.

Risks and complications

Like any surgery, you must weigh up whether the benefits outway the risks for you. While tummy tuck surgery is very common, it also carries risks. Your pre-operative consultations with Dr Sharp will enable him to discuss potential complications with you, and help you determine whether the surgery is right for you. Possible complications of tummy tuck surgery include:

  • Excessive bleeding or haematoma
  • Post operative infection
  • Blood clots, cardiac and pulmonary complications
  • Discoloured or keloid scars
  • Infection
  • Slow or poor wound healing
  • Skin or fat necrosis
  • Loss of the belly button (umbilicus) due to necrosis or infection
  • Numbness or sensory changes around the scar and across the abdomen.
  • Wound separation (dehiscence)
  • Asymmetry (lopsided) appearance to the scarline
  • Persistent pain
  • General anaesthesia risks
  • Swelling or accumulated fluid
  • Skin looseness (especially if further weight loss occurs)

Complications are rare, and Dr Sharp and his team manage each of these risks with the upmost care to further reduce the likelihood of them occurring. In the event they do occur, most can be treated quickly and easily with prompt intervention.

Everyone’s body responds differently to surgery. In some cases, post operative revision surgery might be required.

Some factors, such as weight, lifestyle or health problems can increase the chance of a complication occurring. Dr Sharp will take time to learn about your potential risk factors during your pre operative consultations, and will determine if they are relevant to your surgery.

If you have any concerns regarding your tummy tuck and the associated risks, feel free to book additional pre operative consultations with Dr Sharp.

Tummy tuck recovery

After your abdominoplasty, your incisions will be covered by dressings (bandaging) and you will be wrapped in a surgical tape to provide support and reduce swelling. During the surgery, small drains (thin plastic tubing) is placed under the skin, enabling excess blood and fluid to drain away from the site; this reduces swelling, discomfort and the chances of a hematoma forming. These tubes are removed after drainage has stopped.

You will stay in the hospital for three to five days, comfortably positioned on your bed with pillows under your legs to take any pressure off the wound.

Within days of your abdominoplasty surgery, your physiotherapist will be supporting you in getting on your feet and moving around, showing you how to get out of bed to minimise straining of the abdominal muscles and suture site.

Before leaving the hospital, your dressings will be replaced by a customised support garment. Restrictions after an abdominoplasty include no driving for 2 weeks and no lifting or heavy activities for 8 weeks.

Due to the hunched-over posture, many tummy tuck patients acquire in the days after leaving the hospital, Dr David recommends that you book a home massage to relieve sore back muscles after returning home. We can provide you with a list of recommended masseuses that provide home calls specifically for our post-surgery patients.

Within one to two weeks after your surgery, you will be able to stand up straight and observe good posture. This will help gently re-tone your core muscles, rebuild strength and accentuate your results.

Most patients require gentle muscle tightening after abdominoplasty surgery, which means you will not be able to lift heavy weights, undertake a strenuous activity or normal work outs for 12 weeks. After this time, you will be able to ease yourself back into a normal level of physical activity.


Healthy nutrition and regular physical activity, including core strength exercises and practicing good posture, are integral to obtaining and maintaining optimal long-term results.

Dr Sharp and his team can also medically support your results after abdominoplasty through the nonsurgical treatments available at his practice, including SculpSure; a revolutionary nonsurgical fat reduction treatment that reduces stubborn pockets of residual fat by up to 24% in only 25 minutes, while tightening the skin. The treatment is comfortable, quick and has no downtime or after-treatment pain.

Contact our experienced clinicians on 07 3202 4744 to find out more.