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The incision runs horizontally across the lower abdomen, above the pubic area, positioned so that it hides completely under underwear and swimwear. The classic technique adds a small scar around the navel.
A scar matures over about a year: for the first 4–6 weeks it is pink and firm, then it gradually fades and softens. Silicone sheets or gels, compression garments and sun protection help it settle neatly. If you are prone to hypertrophic scarring, laser resurfacing is an option, discussed no earlier than 6–12 months afterwards.
Walking is allowed from the first day — short distances, slightly bent forward. Desk work is usually possible after 2–3 weeks. Lifting and abdominal loading are off limits for 6–8 weeks, until the repaired muscles have healed.
Light cardio returns at around week 6; strength training and abdominal exercise no earlier than 2–3 months, and only with the surgeon's approval. Sleeping on your stomach is usually permitted after 4–6 weeks. Compression garments are worn around the clock for the first 4 weeks.
The main swelling settles within the first 4–6 weeks, and the new silhouette is already apparent then. The final contour, however, is judged at 3–6 months, once residual swelling has gone and the tissues have settled. The scar's appearance stabilises later, at around 9–12 months.
Before-and-after photographs are therefore only fairly compared from six months after surgery.
Removed skin and repaired muscle do not come back, so the underlying result is durable. The fat cells remaining in the area can still enlarge, however: gaining 8–10 kg or more visibly changes the contour. Surgeons therefore ask you to come to surgery at a stable weight and to hold it.
Pregnancy after abdominoplasty is possible and not contraindicated — you can carry and deliver, including vaginally. But stretching of the abdominal wall can separate the repaired muscles again, and the aesthetic result will likely need revision. If a pregnancy is planned, it is wiser to postpone the operation.