Abdominoplasty in Portland, Oregon: A Beginner's Comprehensive Guide to Tummy Tucks

By Dr. Aaron Gilson, Gilson Plastic Surgery, Portland, Oregon

Understanding Abdominoplasty: Definition and Basics

Abdominoplasty, commonly known as a tummy tuck, is a transformative surgical procedure gaining significant attention in Portland, Oregon, and beyond. At Gilson Plastic Surgery, we specialize in abdominoplasty, helping patients regain confidence and achieve their aesthetic ideals. This guide is designed to provide beginners with a thorough understanding of what abdominoplasty entails.

Abdominoplasty is a surgical technique aimed at reshaping and firming the abdominal region. The procedure typically involves the removal of excess skin and fat from the abdomen and the tightening of abdominal muscles. It's a popular choice for individuals who have experienced significant weight loss, post-pregnancy changes, or those who struggle with a sagging abdomen that doesn’t respond to diet or exercise.

The procedure is often categorized into two types: complete abdominoplasty and partial or mini-abdominoplasty. Complete abdominoplasty is more extensive, suitable for patients who require significant correction. It involves an incision across the lower abdomen and around the navel. Partial abdominoplasty is less invasive and focuses on the lower abdomen, with smaller incisions and often no navel repositioning.

One key aspect of abdominoplasty is the restoration of weakened or separated muscles, which not only improves the abdomen's appearance but also contributes to a stronger core and better posture. This muscle tightening can have a profound impact on the overall body contour and physical comfort.

As a fellowship-trained aesthetic surgeon, I, Dr. Aaron Gilson, approach each abdominoplasty case with a holistic perspective, ensuring that the procedure is not only about aesthetic improvement but also about enhancing the patient's overall quality of life.

Abdominoplasty is more than a cosmetic procedure; it's a journey towards reclaiming your body's contour and confidence. In the next sections, we will explore the ideal candidate for a tummy tuck in Portland, how to prepare for the surgery, the specific techniques we use at Gilson Plastic Surgery, followed by insights into the recovery process and the long-term benefits of this life-altering procedure.

The Ideal Candidate for a Tummy Tuck in Portland

In Portland, where the appreciation for health and wellness is deeply ingrained in the culture, abdominoplasty or a tummy tuck is a sought-after procedure for those looking to refine their body contours. At Gilson Plastic Surgery, understanding who makes an ideal candidate for this transformative surgery is crucial in ensuring successful and satisfying results.

Physical Health and Aesthetic Goals

The quintessential candidate for a tummy tuck is someone in good general health, close to their ideal body weight, but struggling with excess abdominal skin or a protruding abdomen that does not improve with diet or exercise. This condition is often the result of significant weight loss, aging, or post-pregnancy changes. It's important for patients to have realistic expectations — a tummy tuck is not a weight loss solution but a contouring procedure to create a smoother, firmer abdominal profile.

Post-Pregnancy Changes

Many women in Portland turn to abdominoplasty after childbirth. Pregnancy can stretch the abdominal muscles and skin beyond their ability to return to their pre-pregnancy state. A tummy tuck can address these changes by tightening the muscles and removing excess skin, helping mothers regain their pre-pregnancy body contours.

Weight Loss Transformations

Individuals who have experienced significant weight loss, either through lifestyle changes or bariatric surgery, often find abdominoplasty beneficial. Excess, sagging skin can be a common aftermath of major weight loss, and a tummy tuck can be an effective way to remove this skin and highlight the patient’s weight loss achievement.

Health and Lifestyle Considerations

Candidates should be non-smokers, as smoking can impair healing and increase the risk of complications. Additionally, it’s important that the patient’s weight has been stable for several months, as significant weight fluctuations post-surgery can affect the results.

At Gilson Plastic Surgery, each patient undergoes a comprehensive evaluation to ensure they are a good candidate for abdominoplasty. This includes a detailed discussion of their health history, aesthetic goals, and lifestyle factors. By carefully assessing each individual's unique situation, we tailor the tummy tuck procedure to offer the most beneficial and transformative results for our Portland patients.


Preparing for Your Abdominoplasty: Steps and Considerations

Preparing for an abdominoplasty, or tummy tuck, is an integral part of the journey towards achieving your desired body contour. At Gilson Plastic Surgery in Portland, we guide our patients through a comprehensive preparatory process to ensure safety, comfort, and optimal outcomes. Here are key steps and considerations for those embarking on this transformative procedure.

Medical Evaluation and Lifestyle Assessment

A thorough medical evaluation is the first step. This includes discussing your medical history, current medications, and any previous surgeries. We may also conduct physical exams and laboratory tests to assess your suitability for the procedure. It’s important to provide complete and honest information for your safety and the success of the surgery.

Adjusting Medications and Supplements

Inform us of all medications and supplements you are taking. Certain medications, particularly those that can increase bleeding risk like aspirin and anti-inflammatory drugs, may need to be adjusted or temporarily stopped. Similarly, some supplements and herbal remedies might need to be discontinued prior to surgery.

Smoking Cessation

Smoking can significantly hinder the healing process and increase the risk of complications. We strongly advise patients to quit smoking at least four to six weeks before and after the surgery.

Arranging for Assistance

Abdominoplasty is a major surgery, and you will need someone to drive you home and stay with you for at least the first night post-surgery. It’s advisable to arrange for assistance during the initial recovery period.

Preparing Your Home for Recovery

Set up a comfortable recovery space in your home. This should include a place to rest with essential items within easy reach, such as medications, water, and a telephone.

Nutritional Considerations

A balanced diet plays a crucial role in recovery. Focus on foods rich in vitamins and proteins to aid in healing and reduce swelling. Stay hydrated and avoid alcohol before the surgery.

Preoperative Instructions

We will provide specific instructions regarding fasting and hygiene prior to the surgery. Follow these instructions carefully to minimize risks and complications.

Preparation for abdominoplasty is as crucial as the surgery itself. At Gilson Plastic Surgery, we are committed to ensuring that our patients in Portland are thoroughly prepared for their tummy tuck, both physically and mentally, paving the way for a smooth procedure and a successful recovery.

The Abdominoplasty Procedure: What to Expect at Gilson Plastic Surgery

Undergoing an abdominoplasty at Gilson Plastic Surgery in Portland is a journey marked by expertise, care, and precision. Our goal is to provide a clear understanding of what the procedure entails, helping patients feel informed and at ease.

Pre-Procedure

On the day of your abdominoplasty, you'll be welcomed by our experienced surgical team who will ensure your comfort and readiness. Pre-operative marking, a crucial step, involves Dr. Gilson strategically marking the areas on your abdomen to guide the incisions. Before the surgery begins, you'll receive anesthesia for your comfort, typically general anesthesia.

The Surgical Process

The abdominoplasty procedure can take several hours, depending on the extent of the surgery. A typical tummy tuck involves making a horizontal incision just above the pubic area, which is carefully planned to be hidden by underwear or a bikini. Through this incision, weakened abdominal muscles are repaired and sutured for a firmer abdomen and narrower waist.

Excess skin is then removed, and if necessary, liposuction may be performed to remove excess fat and contour the abdomen. The remaining skin is stretched down, and a new opening for the navel is created, preserving the natural look of your stomach. The incisions are then closed with sutures, and the area is dressed with bandages.

Advanced Techniques

At Gilson Plastic Surgery, we employ advanced surgical techniques that focus on minimizing scarring and optimizing recovery. Our approach is always tailored to the individual, taking into account their unique anatomy and aesthetic goals.

End of Procedure

Once the surgery is completed, you will be taken to a recovery area where you will be closely monitored. Dr. Gilson and the team will provide detailed postoperative care instructions and schedule follow-up appointments to monitor your healing.

Undergoing an abdominoplasty in Portland at Gilson Plastic Surgery means entrusting your care to a team that values precision, aesthetic harmony, and individualized patient care. Our commitment is to provide not just a transformative procedure but an experience marked by safety, comfort, and excellence in aesthetic results.

Recovery and Aftercare: Tips for a Smooth Healing Process

Postoperative recovery is a critical phase in your abdominoplasty journey at Gilson Plastic Surgery in Portland. A smooth and successful healing process is key to achieving the best results. Here, we provide detailed guidance on what to expect and how to care for yourself during this period.

Immediate Postoperative Care

In the initial days following your abdominoplasty, it's normal to experience discomfort, swelling, and bruising. Pain medication will be prescribed to manage discomfort. It's crucial to rest and avoid any strenuous activities. You will be advised to walk around a little to promote circulation but do so gently and gradually.

Wearing Compression Garments

You will be required to wear a compression garment for several weeks. This helps reduce swelling, supports the abdominal area, and aids in the retraction of the skin. It's important to wear it as instructed to ensure optimal healing.

Caring for the Surgical Site

Proper care of the incision site is vital. Keep the area clean and dry, and follow specific instructions on how to bathe. You'll also be given instructions on how to care for drains if they were placed during surgery, including emptying and measuring the fluid.

Managing Swelling and Nutrition

Swelling can persist for several weeks. To manage this, maintain a balanced diet rich in nutrients and hydration to aid in healing. Foods high in protein and vitamins can accelerate the recovery process.

Activity Restrictions

Limiting certain activities is necessary to avoid strain on your abdomen. This includes avoiding lifting heavy objects and certain exercises until Dr. Gilson gives you the all-clear. Typically, patients can return to light activities within a few weeks and more strenuous activities after a few months.

Follow-Up Appointments

Adhering to scheduled follow-up appointments is critical. These visits allow Dr. Gilson to monitor your healing and address any concerns you may have.

Remember, each person's recovery is unique. At Gilson Plastic Surgery, we emphasize personalized aftercare, ensuring that your healing process is as comfortable and effective as possible, leading to the best possible outcome of your abdominoplasty.

Long-term Benefits of Abdominoplasty: Beyond Aesthetic Enhancement

While the primary allure of abdominoplasty at Gilson Plastic Surgery in Portland often lies in its ability to dramatically enhance one’s physical appearance, the long-term benefits extend far beyond the aesthetic realm. Abdominoplasty, or a tummy tuck, is not just about achieving a more desirable figure; it's about enriching one’s overall quality of life.

Improved Physical Comfort and Mobility

One of the most significant non-aesthetic benefits is the improvement in physical comfort and mobility. By removing excess skin and fat and tightening the abdominal muscles, patients often experience a reduction in back pain and improved posture. The strengthened core can alleviate the strain on the back and improve body mechanics, making physical activities and everyday movements more comfortable.

Enhanced Body Confidence

The psychological impact of abdominoplasty cannot be overstated. Achieving a firmer, flatter abdomen often leads to a significant boost in self-confidence and body image. This newfound confidence can have a cascading effect on various aspects of one’s life, from personal relationships to professional endeavors, allowing individuals to engage more fully and confidently.

Motivation for a Healthier Lifestyle

Many patients find that the results of their abdominoplasty serve as a powerful motivator to maintain a healthy lifestyle. The satisfaction gained from the surgery often inspires patients to adopt healthier eating habits and regular exercise routines, leading to improved overall health and well-being.

Longevity of Results

With proper care, including maintaining a stable weight and a healthy lifestyle, the results of an abdominoplasty can be long-lasting. The removal of excess skin and fat is permanent, and as long as significant weight fluctuations are avoided, the enhanced contour of the abdomen can be a lifelong benefit.


The long-term benefits of abdominoplasty at Gilson Plastic Surgery go beyond the cosmetic improvements. It's a comprehensive procedure that can significantly enhance not just the physical appearance but also the overall quality of life, providing lasting benefits and a foundation for a healthier, more active lifestyle.

-Dr. Aaron Gilson
Gilson Plastic Surgery
Portland, Oregon

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