Restoring comfort, confidence, and natural contour

Abdominoplasty (Tummy Tuck) in London

Abdominoplasty, commonly known as a tummy tuck, is a surgical procedure that removes excess skin and fat from the abdomen and, when necessary, tightens weakened muscles to create a firmer, smoother abdominal profile. For many people, it represents a fresh start, especially after pregnancy, significant weight loss, or changes that have left the midsection stretched or uneven.

At her London practice, Dr Nicki Bystrzonowski performs abdominoplasty with precision and sensitivity. Her approach combines advanced surgical skill with an understanding of the emotional impact that body changes can bring. The aim is always a natural, balanced result that helps patients feel more at ease in their own skin.

Patients often choose this procedure to restore definition, improve posture, or feel more confident in fitted clothing. Every treatment plan is tailored to the individual, designed to enhance comfort, proportion, and overall wellbeing.

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What Is Abdominoplasty?

Abdominoplasty is a body-contouring procedure that addresses loose skin, stretched muscles, and localised fat around the midsection. Depending on the extent of tissue and muscle involvement, Dr Nicki may perform a full abdominoplasty (addressing skin and muscle above and below the navel) or a mini-abdominoplasty (focused on the lower abdomen only).

Unlike liposuction, which removes fat alone, a tummy tuck also repairs the underlying abdominal wall if it has separated, a condition called rectus diastasis. This creates a firmer core as well as a smoother surface contour.

The procedure can be combined with liposuction for further definition, particularly around the waist or flanks. The result is a flatter, more contoured abdomen that moves and feels natural.

Key Information

DetailSummary
Procedure Time2–4 hours, depending on technique and combination procedures
AnaestheticGeneral anaesthetic
Hospital StayUsually one night; some cases can be day surgery
Recovery TimeLight activity after 10–14 days; full recovery in 6–8 weeks
Compression GarmentWorn for 6 weeks to support healing and contour
Results VisibleNoticeable immediately, refining over 3–6 months
LongevityLong-term, provided weight remains stable
ScarringLow horizontal scar positioned to sit within underwear line
Follow-UpRegular postoperative reviews with Dr Nicki to monitor healing

How It Works

Consultation and Planning

A thorough consultation with Dr Nicki Bystrzonowski is the first step. She reviews your medical history, examines skin quality, and discusses your goals in detail. Together, you’ll decide on the most appropriate technique, whether a full or mini abdominoplasty, and whether liposuction should be included for contour enhancement.

Anaesthetic and Preparation

The procedure is performed under general anaesthetic. Before surgery, the incision lines are marked carefully along natural skin creases to ensure they remain as discreet as possible once healed.

The Procedure

Excess skin and fat are removed from the lower abdomen, and underlying muscles are tightened where required to restore a firmer core. The skin is then re-draped smoothly, and the navel is repositioned to match the new contour.

Sculpting and Closure

Dr Nicki pays close attention to proportion and shape, ensuring a natural transition between the upper and lower abdomen. Fine, dissolvable sutures are used and surgical dressings applied to protect the area.

Recovery and Healing

Most patients spend one night in hospital and return home the following day. Initial discomfort and tightness are normal and managed with prescribed medication. Walking is encouraged early to support circulation. Over the following weeks, swelling subsides, and the scar softens and fades gradually.

Long-Term Results

Once healed, the abdomen appears flatter and firmer, with improved posture and comfort. Results are long-lasting, especially when maintained through a balanced lifestyle and stable weight. Many patients describe renewed confidence and relief from the physical heaviness that once affected their movement or clothing fit.

Frequently Asked Questions

Who is a suitable candidate for abdominoplasty?
Abdominoplasty is ideal for individuals who have loose or excess abdominal skin, stretched muscles, or stubborn fat around the midsection that hasn’t responded to exercise or diet. It’s especially common after pregnancy or significant weight loss. Dr Nicki assesses each patient individually to ensure the treatment is appropriate for their goals and overall health.
What’s the difference between a full and mini tummy tuck?
A full abdominoplasty addresses both the upper and lower abdomen, removing excess skin and tightening the abdominal wall. A mini abdominoplasty focuses on the area below the navel only, with a shorter scar and quicker recovery. The right approach depends on how much skin and muscle tightening is required, something Dr Nicki explains clearly during consultation.
Will I have a visible scar?
All tummy tucks involve a low horizontal scar across the lower abdomen, positioned carefully to sit within the natural underwear or bikini line. For most patients, the scar fades significantly over time and can be easily concealed beneath clothing.
How painful is the recovery process?
It’s normal to experience tightness and mild to moderate discomfort during the first week, but this is well managed with prescribed pain relief. Dr Nicki and her team provide clear aftercare guidance and remain in contact to ensure smooth, safe recovery.
When can I return to normal activities?
Light activities, such as gentle walking, can usually resume after 10–14 days. More strenuous exercise, heavy lifting, and abdominal workouts should be avoided for at least six weeks. Most patients return to work within two to three weeks, depending on the nature of their job.
When can I return to normal activities?
Light activities, such as gentle walking, can usually resume after 10–14 days. More strenuous exercise, heavy lifting, and abdominal workouts should be avoided for at least six weeks. Most patients return to work within two to three weeks, depending on the nature of their job.
How long do the results last?
Results are long-term, provided body weight remains stable. The skin and muscles do not typically stretch again unless affected by future pregnancies or major weight changes. Many patients maintain their results for years by staying active and following a balanced lifestyle.
Can abdominoplasty be combined with other procedures?
Yes, it’s often combined with liposuction, breast surgery, or other body contouring treatments to achieve a more comprehensive transformation. Combining procedures can be more efficient, reducing overall recovery time and delivering balanced, harmonious results.