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The surgeon begins the procedure by making an incision from hipbone to hipbone, along with another incision which frees the bellybutton from the tissue adjacent to it. The skin is then separated and lifted to reveal the vertical muscles of the abdomen which are then tightened. The skin flap is then pulled back and the extra skin cut away. The bellybutton is stitched into place after having a new hole cut for it, then the incisions are closed. After the procedure, most patients return to work within two to four weeks, though more strenuous activities may need to be held off on for four to six weeks. Tummy tuck surgery may include the following complications and risks: bleeding under the skin flap, blood clots, conspicuous scarring, infection, poor healing, skin loss, and the need for additional surgery. 
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A tummy tuck, otherwise known as abdominoplasty, is a surgical procedure aimed at providing a flatter, more pleasing abdomen. To achieve this, the muscles of the abdominal wall are tightened and excess fat and skin of the middle and lower abdomen are removed. This procedure may take place in a surgical center, office or hospital, and most commonly requires either general anesthesia or local anesthesia combined with sedation. Surgical times can take anywhere from two to five hours.
