What Is Tummy Tuck Surgery?
Tummy tuck surgery (abdominoplasty) is a comprehensive surgical procedure designed to create a smoother, firmer abdominal profile by addressing concerns that diet and exercise alone cannot fix.
The procedure involves
(1) removing excess skin and fat from between the pubic hairline and navel or above—particularly beneficial for loose, sagging skin with stretch marks (exercise cannot remove excess skin);
(2) restoring weakened muscles by repairing and tightening underlying abdominal muscles, specifically addressing Diastasis Recti (separated rectus abdominis muscles from pregnancy or weight changes), which restores core strength and creates a flatter appearance; and
(3) contour modification often including liposuction of flanks to refine the waistline for balanced shape.
Types of tummy tuck:
Full abdominoplasty (most comprehensive) uses a long horizontal incision hip-to-hip (hidden under underwear/swimsuit), repairs abdominal muscles, and repositions the belly button through a new opening to match new contours—suitable for significant sagging and muscle separation in upper and lower abdomen;
Mini tummy tuck (less invasive) uses shorter incision for localized issues below the navel only, doesn’t reposition belly button, has quicker recovery but cannot fix upper abdomen sagging or severe muscle separation;
Circumferential tummy tuck (belt lipectomy) removes excess skin 360 degrees around torso (hips, lower back, buttocks)—suitable for massive weight loss patients (30-40+ kg).
The procedure takes 1-4 hours under general anesthesia involving incision, muscle repair (plication), skin excision with excess trimmed, belly button repositioning if needed, and closure with sutures/drains to prevent fluid accumulation.
Who Is Tummy Tuck Surgery Suitable For?
Who Is Tummy Tuck Surgery Suitable For?
Tummy tuck surgery is ideal for individuals with abdominal structural issues that diet and exercise cannot fix, particularly those seeking comprehensive improvement beyond simple fat removal.
Primary candidates include those with
(1) excess or sagging skin from significant weight loss, pregnancy, or aging (exercise cannot remove excess skin);
(2) weakened abdominal muscles (Diastasis Recti)—stretched or separated muscles from pregnancy requiring repair to restore core strength and flatter appearance;
(3) post-pregnancy mothers needing restoration from loose skin and muscle separation (often part of Mommy Makeover);
(4) persistent stretch marks on lower abdomen that can be removed with excised skin; and
(5) stubborn fat deposits resistant to diet/exercise in lower abdomen and flanks, addressed through surgery plus complementary liposuction.
Specific procedure suitability: Full tummy tuck for significant sagging (upper and lower abdomen) with noticeable muscle separation; Mini tummy tuck for localized issues below the navel only with otherwise good muscle tone; Circumferential tummy tuck (belt lipectomy) for massive weight loss patients (30-40+ kg) with excess skin extending 360 degrees around torso including hips, lower back, and buttocks.
Essential health prerequisites:
(1) stable weight for 6-12 months pre-surgery (weight fluctuations compromise results);
(2) no future pregnancy plans (pregnancy reverses results by stretching skin and re-separating repaired muscles);
(3) good overall health free of uncontrolled diabetes/heart disease (medical clearance required);
(4) non-smoker or quit 4-6 weeks before/after surgery (smoking severely impairs wound healing and increases skin necrosis risk); and
(5) realistic expectations understanding tummy tuck improves shape/contour but isn’t weight loss or a fix for all body issues.
Tummy Tuck Surgery Procedure
Tummy Tuck Surgery Procedure
Tummy tuck (abdominoplasty) is a comprehensive surgical procedure creating a smoother, firmer abdominal profile by addressing three core components:
(1) removing excess skin and fat (especially loose, sagging skin with stretch marks below the navel—diet/exercise cannot remove excess skin);
(2) repairing muscle separation (Diastasis Recti)—tightening separated rectus abdominis muscles to restore core strength and flatten appearance; and
(3) contour modification including liposuction of flanks to refine waistline for balanced shape.
Full tummy tuck procedure (1-4 hours) follows four steps:
Step 1—Anesthesia: general anesthesia administered with specialized anesthesiologist monitoring throughout;
Step 2—Incision: horizontal incision between pubic hairline and belly button (hip-to-hip), strategically placed to hide beneath underwear/swimwear;
Step 3—Muscle repair and tissue management: abdominal skin/fat lifted, weakened muscles repaired (fascial plication), upper abdominal skin pulled down like window shade, excess trimmed, remaining sutured together;
Step 4—Navel repositioning (neoumbilicoplasty) and closure: new opening created for belly button, brought through newly tightened skin and sutured in natural-looking position, incisions closed in layers with sutures/adhesives/clips, drainage tube installed to prevent fluid accumulation (seroma/hematoma), optional Painless Pump delivering local anesthetic 3-5 days post-op for significant pain reduction, and compression garment applied immediately.
Procedure types:
Full tummy tuck (long hip-to-hip incision, repairs muscles, removes upper/lower abdomen skin, repositions navel);
Mini tummy tuck (short incision above pubic hairline, focuses below navel only, usually no navel repositioning, quicker recovery);
Circumferential tummy tuck/belt lipectomy (360-degree incision around torso for massive weight loss patients with sagging front, sides, hips, lower back, buttocks).
Key distinction: unlike liposuction (fat removal only), tummy tuck removes excess skin AND tightens muscles; unlike panniculectomy (removes hanging skin wedge without muscle repair or navel repositioning for functional/reconstructive purposes), abdominoplasty includes muscle plication and neoumbilicoplasty for comprehensive cosmetic improvement.
Post-Procedure Car
Post-Procedure Care After Tummy Tuck Surgery
Comprehensive post-operative care is critical for successful recovery, optimal results, and minimizing complications.
Immediate care (Days 1-2): manage pain with prescribed medications or Painless Pump Technique (delivers local anesthetic 3-5 days, reduces pain 70-80%, minimizes nausea-causing oral painkillers); sleep in semi-sitting position with back support to reduce incision tension; expect one-night hospital stay for monitoring; manage surgical drains carefully (removed in 7-14 days depending on fluid output); and wear compression garment continuously as instructed to reduce swelling, support tissues, and promote contouring.
Physical activity restrictions: walk frequently (most important to prevent DVT/blood clots and promote circulation); avoid lifting, bending, strenuous activities for 4-8 weeks to prevent wound separation; rise from sitting/lying with slightly bent posture to reduce incision tension; return to desk work in ~2 weeks (manual labor 4-6 weeks, mini tummy tuck 7-10 days); begin light exercise at 3-6 weeks, avoid abdominal exercises (sit-ups, planks) for 6-12 weeks pending clearance.
Wound and swelling care: expect moderate swelling/bruising for weeks to months (increases evenings, use ice packs); wear compression garments 4-10 weeks; keep incisions clean and dry, avoid submerging in water 4-6 weeks; manage scars with tape/silicone sheets (minimum 12 weeks), daily scar gel with gentle massage, and protect from sun for 1 year to prevent darkening—scar maturation takes up to a year.
Diet and hydration: drink 2+ liters water daily for metabolism/skin elasticity; consume high-protein diet (lean meats, fish, eggs, protein shakes) for tissue repair; use stool softeners to prevent constipation from pain medications; limit sodium/salt to reduce fluid retention/swelling.
Follow-up and complications: attend scheduled appointments (weeks 1, 2, 4, 8, months 3, 6); seroma (fluid accumulation—most common complication) may require needle drainage; expect numbness/tingling from cut nerves (touch therapy helps retrain sensation); contact doctor immediately for high fever (>38°C), infection signs (redness, excessive swelling, warmth, pus, foul odor), excessive bleeding, severe unrelieved pain, or blood clot symptoms (leg swelling/pain, chest pain, difficulty breathing). Final results visible in 6-12 months after swelling resolves and scars mature.
Potential Risks of Tummy Tuck Surgery
Tummy tuck surgery is safe when performed by experienced professionals in accredited facilities, but carries potential risks ranging from common minor issues to rare serious complications.
Major risks (less common but serious) include blood clots (DVT—major complication)—can form in legs from inactivity and travel to lungs as pulmonary embolism (potentially fatal), prevented by frequent walking post-surgery plus compression stockings and blood thinners; adverse reactions to general anesthesia/sedation; infections (pneumonia from shallow breathing, bladder infection from catheter, wound infection appearing as hot/red/tender skin requiring wound opening, gauze packing, antibiotics); hematoma (blood collection within 24 hours causing pain/swelling/bruising, may require surgery to evacuate); and skin necrosis (tissue death from severe blood supply problems, requiring time/nutrition/cleanliness to heal—smoking significantly increases this risk).
Common post-operative complications include seroma (most common)—clear lymphatic fluid accumulation beneath skin after channels disrupted, managed by surgical drains but may still develop after removal requiring needle drainage; permanent scarring (long horizontal scar, strategically placed to hide beneath underwear, hypertrophic scars more common than keloids); changes in skin sensation (numbness, tingling, hypersensitivity from cut nerves—may persist long-term, managed with touch therapy to retrain brain sensation); wound separation (dehiscence) from compromised blood supply or excessive movement/pressure; and spitting stitches (body rejects internal suture, easily removed).
Aesthetic and long-term risks include asymmetry or contour irregularities; dog ears (excess skin at incision ends requiring minor revision); belly button problems (shape changes, slightly off-center position, rarely loss from inadequate blood supply); and results reversal from significant weight fluctuations or future pregnancy stretching skin and muscles again.
At Rattinan Clinic, we minimize these risks through experienced board-certified surgeons, AACI-accredited facilities, comprehensive pre-operative screening (smoking cessation requirements), meticulous surgical technique, strict post-operative protocols including early ambulation and drain management, and close monitoring with regular follow-up appointments.
Tummy Tuck Surgery Price in Thailand
Procedure Starting Price (THB) Tummy Tuck/Abdominoplasty 290,000 Belt lipectomy 500,000 Breast Lift (Mastopexy) 70,000 - 180,000 Crescent Lift (Level 1) 150,000 Donut Lift (Level 2 175,000 Lollipop Lift 180,000 Anchor or Inverted T Lift (Level 3) 180,000 Bra Line Back Lift 220,000 Arm Lift (Brachioplasty 220,000 Inner Thigh Lift (Thighplasty) 220,000 Buttock Lift 250,000
Frequently Asked Questions
Is Tummy Tuck Surgery Safe?
Is Tummy Tuck Surgery Safe?
Tummy tuck surgery is considered safe when performed by qualified professionals under strict protocols, though like all surgeries it carries potential risks that can be minimized through proper precautions.
Safety factors at reputable clinics include:
(1) board-certified plastic surgeons (ASPS members with rigorous training—studies show plastic surgery-trained surgeons have lower complication rates than non-specialists);
(2) accredited facilities like AACI-certified (Accreditation Association for Ambulatory Health Care International) ensuring strict safety/quality protocols;
(3) comprehensive pre-operative screening (medical history, medications, blood panels, urinalysis to ensure candidacy and manage pre-existing conditions); and
(4) board-certified anesthesiologist monitoring throughout general anesthesia.
At Rattinan Clinic, we ensure safety through AACI certification, board-certified surgeons with decades of experience, comprehensive screening, meticulous surgical technique, and close post-operative monitoring with dedicated follow-up care.
Does Tummy Tuck Surgery Hurt?
Does Tummy Tuck Surgery Hurt?
Yes, tummy tuck surgery involves pain and discomfort, but it’s carefully managed through anesthesia during surgery and effective post-operative pain relief techniques—pain levels depend on individual tolerance, procedure extent (full vs. mini), and pain management systems used. During surgery: you’re under general anesthesia (asleep, feel nothing) monitored by a board-certified anesthesiologist throughout.
Immediately after: expect pain and tightness in the abdominal area requiring prescribed pain medications.
Early recovery (Days 2-Week 2): common feelings include soreness, tightness, swelling, bruising; you’ll need to walk in slightly bent/stooped posture to reduce incision tension—this is the most uncomfortable period.
Advanced pain management at Rattinan Clinic: we use the Painless Pump Technique delivering continuous local anesthetic via catheter for 3-5 days post-op, reducing pain by 70-80% compared to oral painkillers alone—patients report “tight discomfort” rather than “severe pain” during critical initial days, can move more comfortably, take deeper breaths, and need fewer opioid medications (minimizing nausea, vomiting, constipation side effects).
How Many Days Is the Recovery?
Recovery timeline:
Week 1-2 (intensive recovery, moderate discomfort, prescribed medications and ice packs essential);
Day 3 (critical pain management phase);
Week 3-4 (pain significantly reduced, can stand straighter, move comfortably, swelling/bruising diminishing);
Weeks/months (residual swelling and numbness/tingling from cut nerves may persist long-term).
Patient experiences: discomfort similar to C-section recovery (especially mini tummy tuck with liposuction); emotional challenges like “mommy makeover blues” (anxiety, frustration from swelling/limitations); sleep struggles from pain and required semi-sitting position to relieve abdominal tension.
While tummy tuck involves significant post-operative discomfort, modern pain management techniques like our Painless Pump system make recovery substantially more tolerable, with pain gradually subsiding over 3-4 weeks
.
How Many Days Should I Stay in Thailand?
How Many Days Should I Stay in Thailand for Body Lifting Surgery?
For tummy tuck, Mommy Makeover, or arm lift procedures at Rattinan Clinic in Bangkok, plan to stay at least 7-14 days to complete essential early recovery steps, drain removal, and mandatory follow-up appointments—duration depends on surgery complexity (full tummy tuck/Mommy Makeover typically require longer stays).
Key recovery milestones determining your stay:
(1) Initial hospital stay of at least 1 night for close nursing team monitoring;
(2) Drain management and removal—surgical drains installed during full tummy tuck/Mommy Makeover to prevent fluid accumulation are typically removed within 7-14 days depending on drainage volume, requiring clinic return visit;
(3) Follow-up appointments scheduled at Day 1, Week 1, Week 2, Week 4 for post-operative checkups monitoring healing and complications;
(4) Painless Pump system (if used) delivers continuous local anesthetic for 3-5 days post-op requiring monitoring during critical initial recovery;
(5) Travel restrictions—someone else must drive you from facility, avoid strenuous arm use/driving before stitch removal (arm lift), refrain from lifting/bending/strenuous activities 4-8 weeks (abdominal surgeries), but travel usually possible sooner once drains removed and initial healing secured.
Practical minimum: stay 7-14 days to manage immediate surgical care before long-distance travel, ensuring drains removed and critical early recovery completed.
Accommodation: stay near Rattinan Clinic in Silom, Bangkok for convenient post-operative visits—we can assist with partnered hotel arrangements for your recovery period ensuring easy access to medical care and optimal healing support.
Plastic and Reconstructive Surgeon
The surgeon who performs the treatment
Jatuporn Suesat, M.D, FRCST
Biography
- Doctor of Medicine, Faculty of Medicine Siriraj Hospital Mahidol University
- Board-certified in Plastic and Reconstructive Surgery, Thailand, 2020
- Member, Thai Society of Plastic ad Reconstructive Surgery
- ATLS course certification, 2015
- Plastic and Reconstructive Surgeon, Royal Thai Air Force Medical Department Bhumibol Adulyadej Hospital
- Plastic and reconstructive surgeons Chulalongkorn Hospital Faculty of Medicine
“This clinic is so prompt, efficient, and professional. Rattinan created a wonderful experience for me and delivered results that truly exceeded my expectations.”
— James, USA“I chose Rattinan Clinic because it was the only place with so many real before-and-after photos from actual patients. After speaking with the staff and consulting with the doctor, I knew I had made the right decision.”
— Brioney, Australia
Dr. Suthipong Treeratana (Dr. Nueng) specializes in liposuction and body contouring surgery, focusing on personalized treatment plans to help you feel more confident in yourself.