An abdominoplasty is a surgical procedure designed to remove excess skin and fat from the abdominal area and, in many cases, to address separated or weakened abdominal muscles. The procedure is intended to support a more stable abdominal area, with a focus on tissue integrity and patient wellbeing.
Dr Michael Kernohan is a Specialist Plastic & Reconstructive Surgeon (FRACS in Plastic Surgery) who consults and operates at his main clinic in Gregory Hills (Southern Highlands) and at his Sydney City clinic in Surry Hills. His practice focuses on patient safety, ethical care, and personalised planning in accredited hospital facilities.
For patients in Liverpool, NSW, these clinics are within reasonable travelling distance. Many individuals from South West Sydney choose to attend Dr Kernohan’s Gregory Hills or Surry Hills practices for both consultation and surgery, with post-operative care coordinated locally where possible.
This article outlines what to expect from abdominoplasty, how the procedure may be performed, who may be suitable, and the typical recovery experience. The information is based on clinical practice and aims to assist individuals with informed decision-making.
Potential Considerations
Some individuals who undergo abdominoplasty with Dr Kernohan report changes to abdominal firmness and a reduction in excess skin. These effects may assist with comfort in certain types of clothing or daily activity, particularly where skin folds are present. This change can help reduce chafing or skin irritation in the abdominal region, especially during movement.
In some cases, improvements in posture may be observed if the abdominal muscles are adjusted and support is improved. This is more likely when abdominal wall separation (diastasis) has been present, which can contribute to core instability. Stretch marks located in the lower abdominal area may be removed or repositioned during the removal of excess skin, although this depends on their location and extent. Outcomes vary and will be discussed during consultation.
Where clinically appropriate, abdominoplasty may be performed alongside procedures such as hernia repair. This combined approach may allow both structural and functional concerns to be addressed during a single operation. The possibility and suitability of this will be determined based on individual health factors and surgical findings.
Outcomes can vary widely. Factors such as previous surgery, skin elasticity, weight changes, and healing response all influence recovery and individual results. It’s important to remember that surgical procedures involve a period of recovery, and visible changes evolve over time.
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Who May Be Suitable
Determining suitability for abdominoplasty requires a detailed consultation with Dr Kernohan, who sees patients at both Gregory Hills and Surry Hills clinics. For those living in Liverpool, these locations are accessible by car or train, offering flexible options for consultation and follow-up.
Abdominoplasty may be considered for individuals who have maintained a stable body weight over time. Stability in body weight supports the planning and expected outcome of the procedure, reducing the influence of future changes on abdominal tissue.
It may also be an option for individuals with excess abdominal skin that does not respond to physical activity or dietary changes. In some cases, skin and soft tissue changes occur due to pregnancy, significant weight fluctuation, or ageing. Where these changes cannot be altered through lifestyle measures alone, surgical planning may be considered.
Some people may experience abdominal muscle separation (diastasis) following pregnancy or weight change. This can lead to reduced core strength or support. If clinically appropriate, muscle adjustment may be part of the surgical plan to improve abdominal support.
Good overall health is an essential consideration. Individuals considering abdominoplasty should be in good general health without unmanaged medical conditions. Non-smokers or those willing to stop smoking before and after surgery are more likely to achieve optimal wound healing and reduce risk.
It is also important that individuals have a clear understanding of the surgical process, including the presence of scars, the need for downtime, and the gradual nature of recovery. Setting realistic expectations is part of the pre-surgical planning process.
In some cases, alternative procedures such as liposuction or no surgery at all may be more suitable. These options will be discussed during your consultation.
Download Dr Kernohan’s Abdominoplasty Surgery Guide
Surgical Techniques Used
Dr Kernohan tailors each surgical approach to suit the individual’s anatomy, history, and needs. A full abdominoplasty may be recommended for those with changes to both upper and lower abdominal areas. This technique typically involves removal of excess skin and fat, muscle adjustment, and repositioning of the navel.
Smaller incision techniques may be suitable when changes are limited to the lower abdomen. In such cases, the navel may not need to be moved. This approach is only offered when clinically appropriate and discussed during consultation.
An extended abdominoplasty may be considered when tissue changes affect the sides of the abdomen, including the flanks or hips. This approach involves longer incisions and may be appropriate after significant weight fluctuation.
For some individuals who have undergone major weight loss, a vertical incision technique (also referred to as a fleur-de-lis pattern) may be considered. This approach allows for additional tissue removal and skin adjustment, particularly in the midline.
Abdominoplasty may also be combined with liposuction to assist with reshaping adjacent areas where appropriate. In addition, hernia repair may be performed during abdominoplasty when identified during assessment. All surgical plans are made with a focus on clinical safety and anatomical requirements.
Before and After Photos of Tummy Tuck (Abdominoplasty)
Understanding the Surgical Journey
Abdominoplasty is performed in fully accredited hospital settings under general anaesthesia. Most individuals from Liverpool travel to either Gregory Hills or Surry Hills for surgery and follow-up care.
The procedure begins with surgical marking. These markings help guide the incision placement and support the precision of the surgical approach. Once anaesthesia is administered, the abdominal skin and fat are elevated to access the muscles underneath.
If abdominal wall separation is present, the muscles are sutured to improve stability and support. This step helps create a firmer abdominal area and is often an important part of the overall plan.
Excess skin and fat are removed as appropriate. If required, the navel is repositioned to maintain a natural appearance. Liposuction may be performed in selected areas to support reshaping.
After completing the adjustments, the incisions are closed with sutures, and dressings are applied. Drains may be placed temporarily to help manage fluid. Compression garments are used to provide gentle support during healing.
Most individuals remain in hospital for one or two nights. The duration of the hospital stay depends on the extent of the procedure and individual needs. Nursing support is provided during the initial post-operative phase.
Post-Surgery Recovery Phases
Recovery times differ between individuals. However, some general timelines may guide expectations.
In the first few days after surgery, swelling, bruising, and discomfort may be present. Medications are provided to help manage symptoms. Gentle walking is encouraged as soon as possible, as this can assist with circulation and reduce the risk of complications.
During the first week, most individuals remain at home, resting and following wound care instructions. Compression garments are worn as directed. Sleeping in a flexed position, with the upper body slightly elevated and knees bent, can reduce tension across the abdomen.
By the second to fourth week, light activities may resume. Some individuals return to work during this time, depending on the physical demands of their job. Scar care may also begin, guided by clinical advice.
Between weeks four and eight, low-impact exercise may resume gradually, provided healing is progressing well. It is important to avoid strenuous activity until cleared.
By three to six months post-surgery, many individuals resume most activities, although internal healing continues. Swelling generally reduces during this period.
Scar appearance changes over time. From six to twelve months post-surgery, scars typically become less prominent. Ongoing follow-up with Dr Kernohan supports this stage of recovery.
Supporting Long-Term Outcomes
Maintaining a steady weight is an important part of supporting surgical outcomes. Major weight changes can affect abdominal skin and muscle position.
Smoking cessation remains essential before and after surgery to support healing. Smoking can impair circulation and increase the risk of complications.
Future pregnancies or significant lifestyle changes may influence the results of abdominoplasty. These factors are discussed during the initial consultation to assist with surgical planning.
Ongoing follow-up care is available at both Gregory Hills and Surry Hills. These appointments help support healing and provide opportunities for assessment and review.
Preparation and Follow-Up
The journey begins with a consultation at Gregory Hills or Surry Hills. During this appointment, Dr Kernohan will take a full medical history, examine the abdominal wall, and discuss your goals and expectations.
Following surgery, detailed discharge instructions are provided. These include information about medications, wound care, garment use, and signs to monitor. The support team remains available for questions and guidance.
Follow-up appointments are scheduled at the clinic where surgery was performed, but patients may choose the most convenient location for reviews.
Travelling from Liverpool for Surgery
Liverpool residents often travel to Gregory Hills or Surry Hills for consultations and surgery. Gregory Hills is linked via the M5 and Camden Valley Way, making it easily accessible by car. Surry Hills is conveniently reached by train from Liverpool Station.
Parking is available at both clinic locations. Some individuals arrange short-term accommodation near the clinic, especially for the initial days after discharge. This may be helpful for those who travel longer distances or want to reduce early post-operative movement.
Understanding the Procedure’s Nature and Risks
As with all surgical procedures, abdominoplasty carries risks. These may include infection, bleeding, fluid accumulation, wound healing delays, changes in sensation, scarring, or the potential for revision procedures. These possibilities are discussed in detail during consultation.
Dr Kernohan focuses on supporting patients with information that helps them make informed decisions. The discussion includes surgical goals, recovery expectations, and potential outcomes based on individual circumstances.
Frequently Asked Questions
Further Reading
- Read more about Extended Abdominoplasty NSW
- Read Dr Kernohan’s Blog on Preparing for Abdominoplasty Surgery
- Read Dr Kernohan’s Blog on Abdominoplasty Scar Treatment, Healing and Fading
- Read Dr Kernohan’s Blog on Tips for Recovery after Fleur De Lis Surgery
- Read Dr Kernohan’s Blog on How to Sleep After Tummy Tuck/Abdominoplasty Surgery
Specialist Care Close to Home
Dr Michael Kernohan is a Specialist Plastic & Reconstructive Surgeon (FRACS) with clinical experience in abdominoplasty and reconstructive procedures. He consults and operates in Gregory Hills and Surry Hills, offering convenient access for individuals from Liverpool and South West Sydney.
His approach combines detailed consultation, personalised surgical planning, and structured aftercare. Individuals travelling from Liverpool can expect continuity of care through his established clinics.
Booking a Consultation
If you are considering abdominoplasty and live in Liverpool, your consultation options include Gregory Hills and Surry Hills.
To book:
Phone: 1300 393 899
Online: Contact Dr Michael Kernohan
A GP referral is generally required. Consultations are conducted at both locations, providing flexible access to specialist surgical care.
