How it works
Everything begins with a consultation. Your surgeon asks about your health, your pregnancies or weight changes, the medicines you take, and what you hope for. Your surgeon examines your abdomen, assesses how much excess skin there is and how much the muscle has stretched, then talks honestly with you about whether a full tummy tuck is right for you, or whether another approach would make more sense.
The surgery is usually done under general anesthesia, which means you are fully asleep and feel no pain throughout. Your surgeon makes a horizontal incision on the lower abdomen, usually placed low so the scar can be hidden under the underwear line.
Through that incision, your surgeon removes the loose skin and excess fat, then stitches and tightens the stretched abdominal wall so the abdomen looks flatter and firmer. Because the skin is drawn down a good deal, your surgeon creates a new opening and brings your navel out to its natural position — this is the navel repositioning part.
Once the reshaping is complete, your surgeon usually places one or two small drains to let fluid escape in the first few days, closes the incision in several layers, and applies a compression dressing or a shaping garment over the abdomen.