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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 around 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 stretched back down and the excess skin removed. Before the incisions are closed, the bellybutton has a new hole cut for it and is stitched into place. 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. Complications which can occur with tummy tuck surgery may include the following: 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, known by the medical term abdominoplasty, is a surgical procedure able to produce a flatter, more pleasing abdomen. This involves the removal of excess fat and skin from the abdomen, along with tightening of the abdominal muscles. This procedure can be carried out in a surgical center, office or hospital, and most commonly involves the use of either general anesthesia or local anesthesia combined with sedation. Surgical times can take anywhere from two to five hours.
