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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 surrounding it. By separating and lifting the skin, the vertical muscles are revealed and can then be tightened. The skin flap is then brought back down and the surplus skin excised. A new hole is then cut for the bellybutton, which is stitched into place, and the incisions are then closed. After the procedure, most patients return to work within two to four weeks, though more strenuous activities may need to be avoided 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, otherwise known as abdominoplasty, is a surgical procedure aimed at producing 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 can be completed in a surgical center, office or hospital, and usually involves either general anesthesia or local anesthesia combined with sedation. The procedure is usually completed within two to five hours.
