American Society of Plastic Surgeons
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Achieving a flatter stomach: Ideal conditions for a tummy tuck


achieving a flatter stomach with a tummy tuck

Many of us dream of a flatter, more contoured abdomen. Yet, despite a dedicated diet and exercise program, achieving this desired look can be an uphill battle.

That's where a tummy tuck, or abdominoplasty, can be a game-changer. However, before undergoing this transformative procedure, patients must meet certain ideal conditions.

Understanding tummy tuck surgery

It's essential to understand what a tummy tuck entails before determining if you are a candidate. The procedure typically involves:

  • Removal of Excess Skin and Fat: Surgeons eliminate surplus skin and fat from the lower and middle abdomen.
  • Tightening of Abdominal Muscles: The underlying muscles are sutured together, creating a firmer abdominal wall.
  • Repositioning the Belly Button: In some cases, the belly button is repositioned to ensure a natural appearance.

Who's a suitable candidate for a tummy tuck?

An appropriate candidate must satisfy certain criteria to undergo tummy tuck surgery:

  • Excess Skin and Fat: One of the primary reasons people seek a tummy tuck is to address excess skin and fat in the abdominal area. This commonly occurs after significant weight loss, pregnancy or reduced skin elasticity because of aging. If you've lost a considerable amount of weight but are left with loose, sagging skin that refuses to tighten with exercise, a tummy tuck might be the solution.
  • Muscle Weakness and Separation: Pregnancy and weight fluctuations can also lead to weakened or separated abdominal muscles, a condition known as diastasis recti. This not only affects the appearance of the stomach but can also result in lower back pain and poor posture. A tummy tuck can tighten these muscles, restoring core strength and stability.
  • Healthy Body Weight: While a tummy tuck can remove excess skin and fat, it's not a substitute for weight loss. Ideal candidates for this procedure are at or near their target weight for at least six months, with a stable lifestyle and realistic expectations. It's essential to maintain a healthy diet and exercise regimen to optimize and prolong the results of a tummy tuck.
  • Nonsmoker: Smoking can significantly impair the body's ability to heal properly after surgery. Ideal candidates for a tummy tuck are non-smokers or willing to quit smoking several weeks before and after the procedure. This promotes better circulation, reduces the risk of complications and enhances the overall outcome.
  • Good Physical and Mental Health: Undergoing any surgical procedure requires being in good physical and mental health. Your surgeon will assess your medical history to ensure you're a suitable candidate for a tummy tuck. Conditions such as uncontrolled diabetes, heart disease or a weakened immune system may increase the risk of complications.
  • Realistic Expectations: While a tummy tuck can produce remarkable results, it's important to have realistic expectations. The procedure can enhance your abdominal contour and tighten loose skin, but it won't achieve perfection or stop the natural aging process. Your surgeon will discuss what you can expect from the surgery and the limitations involved.
  • Completed Family Planning: For women, it's advisable to wait until they have finished having children before undergoing a tummy tuck. Pregnancy can stretch the abdominal muscles and skin, potentially reversing the benefits of the surgery. Thus, completing family planning ensures that the results are long-lasting.

Consultation with a qualified plastic surgeon

The first step in determining eligibility for a tummy tuck is consulting with a board-certified plastic surgeon. During the consultation, the surgeon will:

  • Evaluate Medical History: Reviewing the patient's medical history to ensure they are fit for surgery.
  • Physical Examination: Conducting a thorough examination of the abdominal area.
  • Discuss Goals and Expectations: Understanding the patient's goals and setting realistic expectations for the outcome.
  • Develop a Customized Plan: Creating a tailored surgical plan to meet the patient's specific needs.

A tummy tuck can be a life-changing procedure for individuals struggling with excess abdominal skin, fat and muscle laxity. However, it's crucial to meet certain criteria to ensure the best possible outcome.

By addressing excess skin and fat, repairing weakened muscles and maintaining a healthy lifestyle, you can achieve a flatter, more toned abdomen that boosts your confidence and overall wellbeing.

If you're considering a tummy tuck, consult with a board-certified plastic surgeon who is an ASPS member to discuss your options and determine if you're an appropriate or suitable candidate.


The views expressed in this blog are those of the author and do not necessarily reflect the opinions of the American Society of Plastic Surgeons.

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