Abdominoplasty (Tummy Tuck)

My Approach

Abdominoplasty, or tummy tuck, restores firmness and contour to the abdomen by tightening the underlying muscles and removing excess skin and fat - most often after pregnancy or significant weight changes.

My focus is on achieving a natural silhouette and proportion, not simply a flat abdomen (i.e. "tubby tuck"). By combining liposuction for contouring with meticulous tissue handling, the waistline and upper abdomen are refined while preserving softness and mobility.

Whenever suitable, the procedure is performed as day surgery (sometimes with an overnight stay) using a drain-free technique and ultrasound-guided TAP block (Transversus Abdominis Plane block) for effective pain control. This allows most patients to return home the same day or next morning and recover comfortably.

Planning & Technique

The incision is placed low across the bikini line, carefully designed to be hidden beneath undergarments (you’ll be asked to bring your preferred piece during consultation for planning). Through this, the abdominal skin and fat are lifted, excess removed, and any separation of abdominal muscles (rectus diastasis) repaired to restore core strength and posture.

A key aesthetic focus is the umbilicus, often described as the “signature” of an abdominoplasty since it remains visible after surgery. My preference, refined during my time in Oxford and published in Aesthetic Plastic Surgery, is to recreate a natural umbilicus with gentle superior hooding, which enhances the overall harmony of the abdomen.

If a hernia is present, I work with a General Surgery colleague to address it safely at the same time. Liposuction is often added to refine the flanks and upper abdomen for a balanced, tapered contour.

Towards the end of the procedure, long-acting local anaesthetic is administered under ultrasound guidance (TAP block) to minimise postoperative pain and reduce the need for stronger medication, which can make patients drowsy, nauseated, or constipated.

Recovery & Expectations

Most patients are upright and mobile within a day, with light activities resuming in one to two weeks and exercise after four to six weeks.

Drains, if used, are typically removed within a few days once output is below 20 ml over 24 hours. Mild swelling and tightness are expected early on and subside as the tissues heal.

Scars are positioned low and usually fade well with proper care. A support garment is worn for several weeks to maintain contour and comfort. Manual lymphatic drainage may be recommended as part of recovery to reduce swelling and promote healing.

Post-operative care extends beyond routine reviews - it is an integral part of Dr Ng’s surgical philosophy. Through Doctor Stitch, an aftercare service founded to ensure seamless continuity and comfort, every patient is followed up personally by Dr Ng. Whether at home or in clinic, he provides attentive, discreet, and consistent care throughout the recovery journey.

Abdominoplasty (Tummy Tuck)

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