Curious about: “how long does abdominoplasty surgery take?”. The duration of an abdominoplasty typically ranges from 1 to 6 hours, depending on the type of procedure and individual factors. In this article, we will break down the various types of abdominoplaties factors that impact how long abdominoplasty surgery takes, and what you can expect before, during, and after the procedure.
Key Takeaways
- Abdominoplasty varies in type and duration based on individual needs, with options like mini, full, extended, and fleur de lis abdominoplasty.
- Surgery duration is influenced by factors like patient anatomy, the scope of the procedure, and any additional surgeries combined with it.
- Recovery demands adherence to post-operative care, with significant downtime expected.

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Abdominoplasty surgery is a surgical procedure aimed at tightening loose abdominal muscles (diastasis recti) and removing excess fat and skin. It’s a popular cosmetic surgery for people who have lost significant weight, women who have had multiple pregnancies, or anyone dealing with stubborn fat and loose skin in the abdomen.
The goal is to create a flatter, firmer abdominal profile by removing the excess skin and fat.
Types of Abdominoplasty
There are several types of abdominoplasty to consider, each tailored to different needs and goals.
The main types of tummy tucks are:
- Mini abdominoplasty
- Full Abdominoplasty
- Extended Abdominoplasty
- Fleur de lis Abdominoplasty
- Circumferential abdominoplasty.
Each type is tailored to different needs and goals.
A mini abdominoplasty focuses on the lower abdomen and does not require repositioning of the belly button, making it a less invasive option with a shorter recovery time. A full abdominoplasty focuses on the entire abdominal area, including tightening the abdominal muscles and removing excess skin.
The extended abdominoplasty goes a step further by also targeting the flanks, while the circumferential abdominoplasty offers the most comprehensive approach, removing skin and fat around the entire torso.
Factors Influencing Surgery Duration
The duration of abdominoplasty surgery can vary widely based on several key factors. The extent of loose skin and excess fat plays a significant role, as larger amounts typically require more time to remove and contour. Additionally, the complexity of individual patient anatomy can affect the surgical duration due to variations in body structures.
Complex procedures, like body lifts and extended abdominoplasty naturally take longer due to their more intensive nature. Moreover, the experience of the surgeon can influence the efficiency and time required to complete the surgery.
Patient Anatomy
Patient anatomy is a crucial factor influencing the duration of tummy tuck surgery. Variations in individual anatomy, such as the presence of muscle separation, the amount of excess skin, and underlying muscle conditions, can create challenges that potentially increase the time required for the procedure.

For example, if a patient has significant muscle separation or hernias, the surgery becomes more complex and time-consuming. These anatomical factors demand more surgical time and precision, impacting the overall duration of the surgery.
Scope of Surgery
The scope of the surgery also plays a significant role in determining its duration. Whether you opt for a mini abdominoplasty or a full abdominoplasty, the extent of the procedure directly impacts the time required. More extensive procedures, such as an extended tummy tuck or a circumferential abdominoplasty, naturally take longer due to the additional areas being treated.
These comprehensive procedures require meticulous planning and execution, adding to the overall duration. Talking to your surgeon about the scope of your surgery helps set accurate expectations for the time commitment involved.
Additional Procedures
Incorporating additional procedures alongside abdominoplasty can significantly extend the overall surgery duration. For instance, a cosmetic procedure like liposuction is often performed to remove excess fat from surrounding areas, adding to the complexity and time required.
Opting to combine your abdominoplasty with other cosmetic surgeries, such as breast augmentation, will substantially increase the total operation time. A mini abdominoplasty typically takes 1 to 2 hours, while a more complex lipo-abdominoplasty can take between 5 to 5.5 hours.
Typical Duration for Different Abdominoplasty Surgeries

Here are the typical durations for different types of Abdominoplasty surgeries:
- Mini abdominoplasty: 1 to 3 hours
- Full abdominoplasty: 2.5 to 4 hours
- Extended abdominoplasty: 5 to 6 hours
- Fleur de lis abdominoplasty: 4 to 5 hours
- Circumferential abdominoplasty: usually more than 6 hours
Combining abdominoplasty with additional procedures, such as liposuction, can add at least one hour to the total operation time. The typical durations for each type of abdominoplasty are detailed below.
Mini Abdominoplasty

A abdominoplasty is a less invasive procedure that primarily targets the lower abdomen.
There are a number of variations to this operation that will affect the time that it takes to do.
Mini Abdominoplasty for Loose Skin Only
The mini abdominoplasty surgery typically lasts up to 1 hour, depending on the amount of excess skin. It is best for individuals with minimal excess skin. This procedure involves smaller incisions than a full abdominoplasty, leading to a shorter recovery period and less post-operative discomfort. Patients can expect a smoother, more toned lower abdomen with minimal scarring.
Mini Abdominoplasty with Suction-Assisted Lipectomy (VASER Liposuction)
VASER Suction-Assisted Lipectomy (Liposuction) will usually add one hour to the procedure making the procedure take around 2 hours in total. The combination of a mini abdominoplasty with VASER Suction-Assisted Lipectomy (Liposuction) offers a dual benefit:
- Tightening the lower abdominal area
- Contouring the body for a more defined appearance.
Patients often find that this combination yields more dramatic and satisfying results compared to a mini abdominoplasty alone. Moreover, the recovery period is relatively brief, enabling patients to resume their normal activities more swiftly.
Mini Abdominoplasty Lower Abdominal Muscle Repair
Muscle repair will take around 30 minutes to perform. This aspect of the mini abdominoplasty is particularly beneficial for patients who have experienced muscle separation or weakening in the lower abdomen, often due to pregnancy or significant weight fluctuations. Repairing the muscles not only helps in achieving a flatter and more toned appearance but also core strength and stability.
Full Abdominoplasty

The full abdominoplasty procedure is a comprehensive surgery that targets the entire abdominal area. This surgery usually takes between 3 to 4 hours and involves the removal of excess skin and fat, as well as the tightening of the abdominal muscles. There are various variations of this procedure, each affecting the duration of the operation.
Full Abdominoplasty Skin Only
The full abdominoplasty surgery typically lasts up to 3 hours, depending on the amount of excess skin. It is best for individuals with significant excess skin. This procedure involves larger incisions than a mini abdominoplasty, leading to a longer recovery period but more dramatic results. It’s important to note that while the full abdominoplasty offers significant improvements, it requires a longer recovery time and more post-operative care compared to less invasive options.
Full Abdominoplasty with Suction-Assisted Lipectomy (VASER Liposuction)
Suction-Assisted Lipectomy (VASER Liposuction) adds 1 hour to the procedure and will usually take 4 hours in total. The combination of a full abdominoplasty with Suction-Assisted Lipectomy (VASER Liposuction) offers a dual benefit:
- Tightening the entire abdominal area
- Contouring the body for a more defined appearance.
Patients often find that this combination yields more dramatic and satisfying results compared to a full abdominoplasty alone. Additionally, while the recovery period may be slightly longer due to the comprehensive nature of the procedure, the outcomes make it a worthwhile option for many.
Full Abdominoplasty with Diastasis Recti Repair
Repairing diastasis recti, or the separation of abdominal muscles, typically adds around 30 minutes to the full abdominoplasty procedure. This aspect of the surgery is especially beneficial for patients who have experienced muscle separation, often due to pregnancy or significant weight fluctuations. By repairing the muscles, the procedure not only helps achieve a flatter and more toned appearance but also boosts core strength and stability. This comprehensive approach provides both aesthetic and functional benefits, leading to increased physical comfort and a more contoured abdominal profile.
Download our short guide: “11 Important abdominoplasty techniques that you need to know about”
Extended Abdominoplasty

An extended abdominoplasty is designed for patients who require correction in both the abdomen and the flanks. This procedure typically takes 4 to 5 hours, making it one of the longer abdominoplasty surgeries. The extended abdominoplasty involves additional incisions to the flanks, adding an extra 30 to 45 minutes to the standard operation time.
This comprehensive approach is more dramatic, ideal for those with significant excess skin and fat in the abdominal and flank areas to remove excess skin.
Extended Abdominoplasty Skin Only
The extended abdominoplasty surgery typically lasts up to 4 hours, focusing primarily on the removal of excess skin from the abdomen and flanks. This procedure is ideal for individuals with significant excess skin in these areas. The extended abdominoplasty involves larger incisions than a mini or full abdominoplasty, leading to a longer recovery period but more dramatic and comprehensive results. It’s important to note that while the extended abdominoplasty offers significant improvements, it requires a longer recovery time and more post-operative care compared to less invasive options.
Extended Abdominoplasty with Suction-Assisted Lipectomy (VASER Liposuction)
An extended abdominoplasty with Suction-Assisted Lipectomy (VASER Liposuction) is designed for patients who require correction in both the abdomen and the flanks, providing a more comprehensive contouring. Due to the larger area involved, VASER liposuction generally adds 1.5 hours to the procedure, making the total operation time around 5.5 hours. This combination offers a dual benefit:
- Tightening the abdominal and flank areas
- Contouring the body for a more defined and balanced appearance.
Patients often find that this combination yields more dramatic and satisfying results compared to an extended abdominoplasty alone. While the recovery period may be slightly longer due to the extensive nature of the procedure, the outcomes makes it a worthwhile option for many.
Extended Abdominoplasty with Diastasis Recti Repair
Repairing diastasis recti, or the separation of abdominal muscles, typically adds around 30 minutes to the extended abdominoplasty procedure. This aspect of the surgery is especially beneficial for patients who have experienced muscle separation, often due to pregnancy or significant weight fluctuations. By repairing the muscles, the procedure not only helps achieve a flatter and more toned appearance but also boosts core strength and stability. This comprehensive approach provides both aesthetic and functional benefits, leading to physical comfort and a more contoured abdominal profile.
Fleur de lis Abdominoplasty

Fleur de lis abdominoplasty is a specialized abdominoplasty procedure that focuses on both horizontal and vertical excess skin, making it ideal for patients with significant skin laxity. This surgery typically ranges from 3.5 to 5 hours, depending on the complexity and extent of the individual case.
Fleur de lis Abdominoplasty Skin Only
The Fleur de lis abdominoplasty surgery generally takes between 3.5 hours, focusing primarily on the removal of excess skin both horizontally and vertically. This procedure is particularly suitable for individuals with significant skin laxity who need more extensive correction than a standard tummy tuck can provide. The Fleur de lis technique involves larger and more intricate incisions, which allows for a more comprehensive removal of excess skin and a greater degree of contouring.
While this approach offers a dramatic change in abdominal appearance, it also necessitates a longer recovery period and more diligent post-operative care. Patients should be prepared for a more intensive healing process, but the end results often justify the effort, providing a significantly flatter and more toned abdominal profile.
Fleur de lis Abdominoplasty with Suction-Assisted Lipectomy (VASER Liposuction)
A Fleur de lis abdominoplasty with Suction-Assisted Lipectomy (VASER Liposuction) is designed for patients who require correction in both the horizontal and vertical planes, providing a more comprehensive contouring. Suction-Assisted Lipectomy (VASER Liposuction) generally adds around 1 hour to the procedure, making the total operation time approximately 4.5 to 6 hours. This combination offers a dual benefit:
- Tightening the abdominal area
- Contouring the body for a more defined and balanced appearance.
Patients often find that this combination yields more dramatic and satisfying results compared to a Fleur de lis abdominoplasty alone. While the recovery period may be slightly longer due to the extensive nature of the procedure, the outcomes make it a worthwhile option for many.
Fleur de lis Abdominoplasty with Diastasis Recti Repair
Repairing diastasis recti, or the separation of abdominal muscles, typically adds around 30 minutes to the Fleur de lis abdominoplasty procedure. This aspect of the surgery is especially beneficial for patients who have experienced muscle separation, often due to pregnancy or significant weight fluctuations. By repairing the muscles, the procedure not only helps achieve a flatter and more toned appearance but also boosts core strength and stability. This comprehensive approach provides both aesthetic and functional benefits, leading to physical comfort and a more contoured abdominal profile.
Circumferential Abdominoplasty

Circumferential abdominoplasty, also known as a body lift, is the most extensive type of abdominoplasty surgery. This procedure involves removing skin and fat around the entire torso and typically lasts up to 6 hours. Circumferential abdominoplasty is commonly performed on patients who have experienced significant weight loss, resulting in excess skin and fat around the entire midsection.
This surgery is most comprehensive, treating all areas of the abdomen and flanks for a more balanced and contoured appearance.
Circumferential Abdominoplasty Skin Only
The circumferential abdominoplasty surgery typically lasts up to 6 hours, focusing primarily on the removal of excess skin around the entire torso. This procedure is ideal for individuals with significant excess skin not only in the abdomen but also in the back and flanks. The circumferential tummy tuck involves larger and more extensive incisions than a mini, full, or extended abdominoplasty, leading to a longer recovery period but more dramatic and comprehensive results. It’s important to note that while the circumferential tummy tuck offers significant improvements, it requires a longer recovery time and more post-operative care compared to less invasive options.
Circumferential Abdominoplasty with Suction-Assisted Lipectomy (VASER Liposuction)
Circumferential abdominoplasty with Suction-Assisted Lipectomy (VASER Liposuction) is designed for patients requiring comprehensive correction around the entire torso. Due to the extensive area involved, Suction-Assisted Lipectomy (VASER Liposuction) generally adds around 3 hours to the procedure, making the total operation time approximately 10 hours. Given the lengthy duration, it is often preferred to stage the operation in two phases.
In the first stage, the abdominoplasty is performed, focusing on the abdominal area. The second stage involves returning to resect the side and back skin, in addition to performing Suction-Assisted Lipectomy (VASER Liposuction) on the full flank area. This staged approach allows for more manageable surgery durations, enhancing patient recovery and outcomes.
Patients often find that this combination yields more dramatic and satisfying results compared to a single-stage circumferential abdominoplasty. While the recovery period may be longer due to the staged nature of the procedure, the outcomes make it a worthwhile option for many.
Circumferential Abdominoplasty with Diastasis Recti Repair
Repairing diastasis recti, which is the separation of abdominal muscles, typically adds around 30 minutes to the circumferential abdominoplasty procedure. This aspect of the surgery is especially beneficial for patients who have experienced muscle separation, often due to pregnancy or significant weight fluctuations. By repairing the muscles, the procedure not only helps achieve a flatter and more toned appearance but also boosts core strength and stability. This comprehensive approach provides both aesthetic and functional benefits, leading to greater physical comfort and a more contoured abdominal profile.
Pre-Surgical Preparation
Preparing for tummy tuck surgery involves several important steps to ensure the best possible outcome. Meeting with a surgeon for a thorough medical evaluation is the first step, assessing your overall health and suitability for the procedure. You will receive detailed pre-operative instructions, including dietary and medication guidelines, to optimize your surgery outcomes.
These preparations are crucial for minimizing risks and ensuring a smooth surgery and recovery process.
Medical Evaluation

A thorough medical evaluation is essential to determine your overall health and suitability for surgery, especially if you have a history of previous abdominal surgery. This evaluation includes discussing your medical history in detail with your surgeon to identify any potential risks. Lab tests or a medical assessment may be required to ensure you are fit for the operation.
The anesthesiologist will also assess you before surgery and explain the anesthesia process. Avoiding aspirin, anti-inflammatory medications, and herbal supplements is crucial to minimize bleeding risks during surgery.
Lifestyle Adjustments
Making certain lifestyle adjustments before surgery is vital for a successful outcome. Quitting smoking at least six weeks prior to surgery aids circulation and leads to healing outcomes. Maintaining a stable weight is essential to avoid complications and ensure the best results. Additionally, maintaining a balanced diet rich in nutrients supports your body’s healing process leading up to the surgery.
Moderating alcohol intake is also crucial as it can affect liver function and prolong recovery time. These changes prepare your body for surgery and promote smoother recovery.
Day of Surgery
On the day of your tummy tuck surgery, you can expect a series of steps to ensure everything goes smoothly. It’s important to arrange for post-surgery transportation, as you will be unable to drive. Proper arrangements for post-operative care should be made ahead of time to ensure a smooth transition from the Hospital to your home.
Arrival and Check-In
Upon arrival at the clinic, you will begin the day by checking in and undergoing a series of pre-operative assessments. You will need to complete general paperwork and provide personal identification and insurance information. A basic medical assessment will be conducted to ensure you are ready for surgery. You may be asked to change into a surgical gown and remove any jewelry or personal items. These measures ensure your comfort during the procedure.
Anesthesia and Incision
During abdominoplasty surgery, general anesthesia is administered to ensure you are comfortable and pain-free. You will be given relaxant medication followed by anesthesia before the surgery begins.
The surgical team will make incisions based on pre-marked areas on your body, tailored to the type of abdominoplasty being performed. These incisions generally involve removing skin and fat in a horizontal oval shape between the belly button and pubic area. The incisions are typically made in areas that can be covered by clothing to minimize the scar.
Post-Surgical Recovery
Recovering from tummy tuck surgery is a critical phase that demands your attention and adherence to post-operative instructions. Follow-up care is essential for monitoring your recovery progress and focusing on any complications that may arise. You can expect a significant period of downtime during which strenuous activities should be avoided. Effective pain management and recommended home care practices are crucial for a smooth recovery process.
Immediate Recovery
Immediately after abdominoplasty surgery, patients often feel tired, disoriented, and experience soreness in the abdomen. Swelling and bruising can last several weeks, and managing discomfort is crucial. Following the pain reliever instructions provided by your healthcare provider will help manage post-surgical pain.
Limiting physical activity and avoiding strenuous activities until you receive approval from your surgeon is essential. Adhering to the specific post-operative healing instructions provided by your surgeon will ensure the best outcomes.
Long-Term Recovery
Long-term recovery from abdominoplasty surgery involves several important steps to ensure optimal healing. Patients typically require assistance at home during the initial recovery days due to limited mobility.
Walking hunched over for up to two weeks post-surgery can help alleviate discomfort. Wearing a compression garment for at least six weeks helps minimize swelling and supports the healing process.
It’s common to feel a tight sensation in the abdomen for several weeks following surgery.
Cost Implications of Surgery Duration
The duration of abdominoplasty surgery significantly impacts the overall cost. Longer surgical procedures often require more operating room time, medical staff, and resources, which increases the total expense. Additional costs for anaesthesia can also accumulate based on the type and duration of the surgery.
The complexity of the surgery correlates with its duration, influencing the overall pricing structure. Therefore, factors such as the length of the procedure and the extent of body contouring have substantial financial implications for abdominoplasty surgeries.
Dr Beldholm’s Final Thoughts

Abdominoplasty is a cosmetic procedure that offers both aesthetic and health benefits. Understanding the different types of abdominoplasty and the factors influencing surgery duration is crucial for making informed decisions about your procedure. Pre-surgical preparation, including thorough medical evaluations and necessary lifestyle adjustments, is essential for achieving optimal outcomes.
Whether you’re considering a mini abdominoplasty or a more extensive procedure, the results can be life-changing. My team and I are here to support you every step of the way.