Tummy tuck (abdominoplasty) in Istanbul
A tummy tuck can help when loose skin or separated abdominal muscles remain after pregnancy or weight loss. This page explains full and mini techniques, recovery week by week, scars, risks and how to plan a stay in Istanbul.
- Operation time 1–3 hours by technique; NHS quotes 2–5 hours
- Hospital stay Usually one night; sometimes a few nights
- Time in Istanbul No flying for 7–10 days; date confirmed at check-up
- Back to work About 4–6 weeks; desk work may be sooner
What is a tummy tuck?
A tummy tuck (abdominoplasty) is an operation that removes excess skin and fat from the abdomen and, in most cases, repairs stretched or separated abdominal muscles, giving a flatter, firmer profile. It is not a weight-loss operation and is planned at a stable, healthy weight. It is done under general anaesthesia through a low horizontal incision that leaves a lasting scar, usually placed within the underwear line. Expect at least one night in hospital; most people stand fully upright within 1–2 weeks and return to work and exercise at around 4–6 weeks.
What it can do
- Remove loose, overhanging skin and fat from the lower abdomen
- Repair separated abdominal muscles (rectus diastasis) in a full tummy tuck
- Remove the stretch marks on the skin that is taken away
- Include an existing caesarean scar within the new scar
- Be combined with liposuction of the waist and flanks in suitable patients
What it cannot do
- Help you lose weight or replace diet and exercise
- Remove stretch marks outside the area of skin removed
- Avoid a scar: the incision leaves a lasting scar that fades but does not disappear
- Prevent change after a future pregnancy or a large change in weight
Is it right for you?
A tummy tuck suits people whose abdomen has changed in ways exercise cannot reverse: loose skin, an overhang or muscles that have pulled apart. Suitability is confirmed at an in-person examination.
Usually a good fit if
- Loose or overhanging abdominal skin after pregnancy or major weight loss
- Separated abdominal muscles that make the tummy bulge
- A stable weight, close to a healthy BMI
- Not smoking, or able to stop well before surgery
- Women and men alike: men ask for this operation too
Better to wait or consider alternatives if
- Planning to lose a lot of weight: reaching a stable weight first gives a better and lower-risk result
- Planning a future pregnancy, which can stretch the skin and the muscle repair again
- Less than six months after giving birth, or still breastfeeding, while the body is still changing
- Smoking: in one series of 132 tummy tucks, wound problems affected 47.9% of smokers and 14.8% of non-smokers
- Male sex, a BMI of 30 or more, age 55 or over and combined operations each add risk in large studies; this shapes the plan rather than ruling you out
- Expecting the operation to change your weight or to leave no visible mark
Techniques
The technique depends on how much skin there is to remove, where it sits, the scar you accept and, above all, your anatomy.
Full tummy tuck
A hip-to-hip incision just above the pubic hairline, plus a second incision around the belly button. The skin is lifted towards the ribs, the separated muscles are stitched together, excess skin is removed and the belly button is brought out through a new opening.
Best for
Loose skin above and below the belly button, and muscle separation
Mini tummy tuck
A shorter incision below the bikini line removes less skin from the lower abdomen. The belly button usually stays where it is and the muscles are usually not repaired.
Best for
Excess limited to below the belly button
Lipoabdominoplasty
A tummy tuck combined with liposuction of the waist or flanks. It can refine the contour but adds the risks of liposuction; a meta-analysis found lower rates of haematoma and seroma than with standard abdominoplasty.
Best for
Selected patients with fullness at the waist
Fleur-de-lis and extended techniques
When there is excess skin both across and up and down, often after major weight loss, a vertical midline scar is added, or the incision extends around the sides, overlapping with a body lift.
Best for
Large skin excess after major weight loss
Op. Dr. Bilgehan İlker
Specialist in plastic, reconstructive and aesthetic surgery
- Specialist training: Dokuz Eylül University
- Medical degree: Trakya University
- Health tourism authorization: ST-2657
- Dr. İlker speaks English and Turkish.
How Dr. İlker approaches a tummy tuck
Op. Dr. Bilgehan İlker, a specialist in plastic, reconstructive and aesthetic surgery trained at Dokuz Eylül University, describes the tummy tuck as the correction of a deformity, not a weight-loss operation: it deals with stretched skin and weakened muscles rather than with fat. She also points out that it is not only women who ask for it.
At examination she judges how loose the skin is and how far the muscles have separated, and decides with you between a full and a mini tummy tuck. Surgery takes place in a fully equipped hospital under general anaesthesia, through an incision placed along the underwear line.
- Muscles first In a full tummy tuck she tightens the abdominal muscles before removing the excess skin: a repair from the inside out.
- Honest about the scar Every tummy tuck leaves a scar. It is planned to sit low and fades from red to a paler line over 12–18 months.
- A night in hospital You stay one night; drains, if used, usually come out within 1–3 days, and you wear a special garment.
- Room to heal She asks patients to set aside about ten days of convalescence and not to push themselves.
The operation, step by step
This is the usual sequence; details depend on whether you have a full or mini tummy tuck.
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Planning and consent
Skin laxity and muscle separation are assessed, your BMI is recorded and your personal clot risk is scored. Full or mini is decided with you, and you sign a written consent.
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Anaesthesia and incision
Usually under general anaesthesia. A low incision runs from hip to hip just above the pubic hairline; its length depends on the excess skin.
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Muscle repair
The skin and fat are lifted towards the ribs and the separated muscles are stitched together.
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Removing skin, new belly button
The skin is drawn down and the excess removed; in a full tummy tuck the belly button is brought out through a new opening.
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Closing
Deeper layers and then skin are closed with stitches, glue, tape or clips. Drains may be placed, or layered internal stitches used instead.
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Garment and first night
A dressing and an abdominal garment go on, and you are monitored in hospital overnight.
Your days in Istanbul
A tummy tuck needs more time in Istanbul than smaller operations. Plan for rest; your surgeon confirms your flight date after a check-up, and your dates go in your written plan.
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Examination, tests, plan
Before surgery
Arrive in time for the in-person examination, blood tests and anaesthetic assessment before surgery day.
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Operation and a night in hospital
Surgery day
You stay at least one night. Getting up to walk early, with help, is part of preventing clots.
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Short walks, slightly bent
The first days
You walk slightly bent forward to protect the stitches and rest at your accommodation. ASPS advises against sunbathing, swimming, alcohol and tours after surgery abroad.
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Fit-to-fly check
Before you fly home
The NHS advises not flying for 7–10 days after a tummy tuck. Your wound and any drains are checked before you leave; on the flight, walk for 5–10 minutes every hour and drink water.
Recovery, day by day
These are typical timings, not promises; combined operations and your own healing change the pace.
- Day 1
In hospital
You are monitored overnight, with pain relief, dressings and a garment, possibly with drains. Getting up to walk early helps prevent clots.
- Days 2–3
Walking slightly bent
You walk bent slightly forward so the stitches are not stretched. Most people go home after the first night; some stay a few nights.
- Week 1
Bruising and drains
Bruising and swelling are at their most noticeable. Drains come out when your surgeon decides. Flying is not advised before 7–10 days.
- Week 2
Standing taller
Most people stand fully upright within 1–2 weeks. The garment stays on. Many return to social life at around 7–10 days.
- Weeks 3–4
Gentle routine
Light daily activity. A soft fluid swelling above the scar (seroma) can appear and is checked. Light sport may start after about a month, with your surgeon's agreement.
- Months 2–3
Back to activity
From about six weeks, the garment usually comes off and most people return to work, exercise and lifting.
- Month 6
Scar still maturing
The scar can still be red or raised and keeps fading. Numbness of the lower abdomen is common.
- Month 12
Scar fades
The scar matures over 12–18 months into a paler line, and numbness usually improves over the same period, though it can last longer.
Contact us straight away if you notice
- Sudden breathlessness, chest pain or an unusual heartbeat: call emergency services
- Pain or swelling in one calf or leg
- Fever, increasing redness or discharge from the wound
- Rapid, tense swelling of the abdomen, or bleeding that soaks the dressing
- Skin near the scar or the belly button turning dark or black
In an emergency, call your local emergency number.
Aftercare at home
- Wear your abdominal garment, usually for about 6 weeks.
- Walk early and often, and follow the clot-prevention measures you are given.
- Care for drains and wounds as shown, and avoid stretching, rubbing or pressing on the incision.
- Do not lift anything heavy for about six weeks; your surgeon and insurer decide when you can drive, usually after a few weeks.
- Once the wound has healed, silicone gel or sheets and sun protection help the scar fade.
- Avoid sunbathing, swimming and alcohol while you recover.
Risks and how they are reduced
A tummy tuck is major surgery and among the higher-risk cosmetic operations. In a database of 25,478 tummy tucks, 4.0% had a major complication within 30 days, compared with 1.4% for other cosmetic operations.
Risk is reduced by operating at a stable, healthy weight, stopping smoking, a personal clot-risk score with early walking and clot prevention planned for you, limiting operating time and combined operations, and an overnight hospital stay. In one analysis, each extra hour of surgery raised complication odds by 21%, with risk rising after about three hours.
| Risk | How often |
|---|---|
SeromaFluid collecting under the skin is the most common local complication, about 10.9% in a meta-analysis of 27,834 people. It may settle alone or need draining with a needle; occasionally surgery is needed. | Common |
HaematomaBleeding under the skin was the most frequent major complication in the large database and sometimes needs a return to theatre. | Uncommon |
Wound healing problems and tissue lossDelayed healing, wound opening, or loss of skin, fat or belly-button tissue. Smoking raises this risk sharply. | Uncommon |
InfectionAbout a quarter of major complications in the large database were infections, usually treated with antibiotics. | Uncommon |
Blood clots (DVT and pulmonary embolism)About one in five major complications in the database was a suspected or confirmed clot. Combined operations increase the risk. | Rare |
Numbness and scar problemsNumbness can last months or years. Scars can be thick or prominent, and small folds of skin ('dog ears') can remain at the ends. | Common |
Serious events and deathAbdominoplasty remains one of the cosmetic operations with the highest risk of serious complications. In a 2025 forensic study of 35 deaths after liposuction in Istanbul, 94.3% had also had a tummy tuck, mostly within multiple operations; the commonest cause was a clot in the lungs. | Rare |
Results and how long they last
Your abdomen looks flatter straight away, though swelling and a slightly bent posture hide the final shape at first. Full recovery and the full effect take around six weeks, and the scar keeps fading for 12–18 months. Results vary from person to person.
The result is long-lasting while your weight stays stable. A later pregnancy or a large weight change can stretch the skin and the muscle repair again, which is why it makes sense to wait until you have finished having children.
How long it lasts: Long-lasting while your weight is stable; pregnancy and large weight changes can affect it.
With any surgical or interventional procedure, results vary from person to person. We recommend a detailed consultation with your doctor before any procedure.
Before and after
Before and after photos are shared only with patients’ written consent. You can ask to see examples during your consultation.
Before and afterQuestions to ask at your consultation
Take these to any surgeon you see — including us.
- Do I need a full or mini tummy tuck, and why?
- Will my muscles be repaired?
- Where will the scar sit, and how long will it be?
- Will I have drains, and for how long?
- Which hospital will I be in, and for how many nights?
- How will my clot risk be assessed and reduced?
- Is it sensible to combine liposuction or breast surgery in my case?
- Who checks me before I fly, and who do I contact after I get home?
- What is your specialist training?
What shapes your plan and quote
Prices are not published. After an examination you receive a personal written plan that sets out what is recommended and what it covers.
- Full or mini tummy tuck, and whether the muscles are repaired
- Whether liposuction or another operation is added
- The number of nights in hospital
- Garments, tests and the length of your stay in Istanbul
We do not publish prices: every plan is personal and is written for you after your assessment.
Frequently asked questions
How much weight will I lose with a tummy tuck?
Very little. A tummy tuck is not a weight-loss operation: it removes excess skin and some fat and repairs the muscles, so it changes shape rather than weight. It is planned at a stable, healthy weight, and losing weight first, if you intend to, gives a better result.
Do I need a full or a mini tummy tuck?
It depends on where the excess sits. If loose skin is limited to below the belly button, a mini tummy tuck may be enough; the belly button usually stays put and the muscles are usually not repaired. Looseness above the belly button or separated muscles usually need a full tummy tuck.
Will a tummy tuck leave a scar?
Yes. There is a lasting scar across the lower abdomen and, in a full tummy tuck, around the belly button. It is planned to sit within the underwear line where possible. Scars are usually red or raised at first and fade over 12–18 months.
Can I get pregnant after a tummy tuck?
Yes, but a later pregnancy can stretch the skin and the muscle repair again and change the result. That is why ASPS suggests postponing a tummy tuck if you plan more children. If you are close to finishing your family, it is usually worth waiting.
How long do drains stay in?
In Op. Dr. Bilgehan İlker's practice, drains, when used, usually come out within 1–3 days. Some surgeons use layered internal stitches instead of drains; a meta-analysis of 24 studies found less seroma with this method, with no difference in bleeding or infection. Ask which approach is planned for you.
When can I stand up straight?
Most people stand fully upright within 1–2 weeks. For the first days you walk slightly bent forward so that the stitches are not stretched. Straightening up gradually, rather than forcing it, protects the wound while the tissues relax and the swelling settles.
How long do I wear the compression garment?
Usually for about six weeks, as your surgeon instructs. The garment supports the abdomen while it heals and helps to control swelling. Most people stop wearing it at around six weeks, when they return to most normal activities, including exercise.
When can I go back to work?
The NHS suggests taking about 4–6 weeks off work and exercise. Desk work may be possible sooner with your surgeon's agreement, and many people return to social life at around 7–10 days. Physical jobs and heavy lifting wait until about six weeks.
When can I fly home after a tummy tuck?
The NHS advises not flying for 7–10 days after a tummy tuck, because surgery and air travel both raise the risk of blood clots. Your surgeon confirms your date after checking your wound. On the flight, walk regularly, drink water and wear your garment.
Does a tummy tuck fix separated stomach muscles (diastasis)?
A full tummy tuck usually does: the separated muscles are stitched together in the midline before the skin is closed. A mini tummy tuck usually does not include muscle repair. Your examination shows how far the muscles have separated and which approach suits you.
Will my stretch marks go?
Only the stretch marks on the skin that is removed will go, usually those below the belly button. Stretch marks on the skin that remains are not removed by the operation, so it helps to look at where yours sit when you discuss the plan.
What is a seroma, and is it normal?
A seroma is fluid that collects under the skin above the scar. It is the most common local complication, at about 11% in a large meta-analysis. It is usually drained with a needle at a check-up and often settles; occasionally it needs further treatment.
When will the numbness go?
Numbness of the lower abdomen is normal after a tummy tuck. It usually improves gradually over 12–18 months, but some loss of feeling can last longer. Take care with hot-water bottles or heat packs while sensation is reduced, as you may not feel a burn.
Can I have a tummy tuck after a caesarean or with other surgery?
Yes. An existing caesarean scar can usually be included in the new scar, as long as at least six months have passed since giving birth. A tummy tuck is often combined with breast surgery as a mummy makeover, which adds some risk and needs careful planning.
Medical informationThe information on this page is general information only. It is not medical advice and does not replace a diagnosis or treatment. Every surgical and interventional procedure carries risks, which will be explained to you in detail during your consultation. Whether this procedure suits you can only be decided after an in-person examination and assessment. We encourage you to also seek independent advice from your own doctor before deciding.
Sources
- ASPS: Tummy tuck
- NHS: Tummy tuck (abdominoplasty)
- BAAPS: Tummy tuck (abdominoplasty)
- Winocour et al. Abdominoplasty: risk factors, complication rates and combined procedures (2015)
- Salari et al. Global prevalence of seroma after abdominoplasty, meta-analysis (2021)
- WHO: Smoking greatly increases risk of complications after surgery
- NHS: Cosmetic surgery abroad
A conversation, at your pace.
Would you like to know whether a full or mini tummy tuck suits you?
Send your questions, and photos if you wish. Suitability is confirmed at an in-person examination, and it is worth talking to your own GP as well.
- Nef 22 Ataköy, D Blok, Kat 1, Daire 36, Çobançeşme E-5 Yanyol Cad. No:22, Bakırköy / İstanbul
- Monday to Saturday, 10:00–18:00
- +90 542 280 27 51
- Dr. İlker speaks English and Turkish.
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