The procedure is done under general anesthesia; it takes about 2-4 hours. The incision is horizontal, placed in the lower part of the abdomen, above the pubic hair line, lateral towards the pelvic bones. Length depends on the level of looseness and volume of the tissue. Commonly, it is in line with a bathing suit, hidden very low, so it is not visible beyond the line of the underwear. Sometimes, an additional cut towards the belly button and around the belly button is required, due to a more complete skin and subcutaneous tissue mobilization.
Skin and subcutaneous tissue are re-stuffed all the way to the muscle fascia, upwards toward the ribcage. The abdominal muscles are tightened and put together, shaping new body contours. Excess tissue is tightened and removed. Belly button is moved, or a new one is formed that looks like the current one. In some cases, drains are placed during the next few days; however, they are mostly unnecessary.
Sometimes, along the abdominoplasty, it is necessary to do a hydroliposuction at the same time, during the same procedure.
Postoperatively, a custom-made corset is immediately put on. Patient stays in a suite during the next few hours for the sake of surveillance, analgesia and bleeding control. If necessary, the patient stays overnight. The patient should be lying with knees bent – in order to avoid abdominal tension around the incision. Corset is worn for 6-8 weeks after the procedure.