Dr. Brian Evans


What You Need to Know About Full and Partial Abdominoplasty

Abdominoplasty, also known as a "tummy tuck", is a surgical procedure that tightens the mid and lower abdominal muscles and removes excess fat and skin. A tummy tuck makes the abdomen noticeably more firm. It is highly effective in producing an exceptional looking figure for people with belly fat and loose skin that has refused to diminish with dieting and exercise.

A tummy tuck is beneficial for mothers who have had multiple pregnancies and are left with sagging abdominal muscles and excess skin. It is also beneficial for persons who suffered from obesity and after losing weight were left with sagging and excess skin in the abdominal area. This is why abdominoplasty is one of the most asked about cosmetic surgery procedures available today.


Do not confuse a tummy tuck with liposuction. Abdominoplasty is a major surgery. Your surgeon will evaluate your medical history as well as your body condition in order to properly select the best tummy tuck treatment for you. They should present you with all options so that you can select the procedure that is "best fit" for your needs.

A tummy tucks is done under full anesthesia. Your surgeon will start by making incision(s) in the abdominal area, removing fat from under the skin, removing some skin, and suturing muscles, reposition the naval, and stitching the skin back together.


There are two surgical options: a complete abdominoplasty and a mini- or partial-abdominoplasty. A complete abdominoplasty requires an incision that runs from hip bone to hip bone while the mini-abdominoplasty requires shorter incisions. You should discuss both options with a highly qualified, ASPS certified plastic surgeon to decide which option is the best fit for you.

A partial abdominoplasty (mini-tuck) is completed in 1 to 2 hours, whereas a complete abdominoplasty requires 1 to 5 hours.


Outline of steps followed for a full tummy tuck:

1) A hip to hip incision is made just above the pubic area.
2) A round incision is made to separate the belly button from the surrounding skin.
3) Skin is pulled back to reveal muscles to be tightened with sutures.
4) Excess fat and skin is cut away..
5 a) The old belly button stalk is brought out through a round hole made in the skin that has been pulled down and sutured in place.
   b) Liposuction may be used to smooth out the tummy tuck area.
6) The flap is stitched back into place.
7) Dressing is applied. A compression garment may also be applied.
8) Excess fluid is drained from the area.


Similar steps are followed for a partial tummy tuck. A smaller incision is made along the lower abdomen and less skin and fat are cut away.

Recovery from a partial or full tummy tuck takes one to four weeks. The patient should take a least the first week off work. There should be no strenuous exercise during recovery. Bruising and discomfort can be minimized with a compression garment. These garments are widely available, ask your doctor for more information and recommendations.


Both men and women get abdominoplasty, but this procedure is not for women who plan to have more children.
A tummy tuck is a permanent solution for both women and men struggling with a disproportioned figure.
If you are considering a tummy tuck, you can discuss all your issues with Dr. Brian Evans MD. Mr. Evans is a plastic surgeon in West Hills, California and is affiliated with multiple hospitals in the area, including Cincinnati Veterans Affairs Medical Center and San Joaquin Community Hospital. He received his medical degree from Case Western Reserve University School of Medicine and has been in practice for more than 20 years. Brian Evans Plastic Surgery private medical practice has been divided between cosmetic and reconstructive surgery and the care of the burn-injured patient.
Call (818) 676-4001

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