Significant weight loss, either through lifestyle change or bariatric surgery, can leave behind excess abdominal skin, weakness in the abdominal wall, or the development of hernias. Abdominoplasty (tummy tuck) combined with hernia repair is designed to restore both the form and function of the abdominal wall.
During surgery, the focus is on restoring the integrity and strength of the abdominal wall. In many patients, there is a divarication of the rectus muscles—a separation of the central abdominal muscles—which can lead to a bulging appearance and reduced core stability. Surgical repair involves approximating these muscles to recreate a firm midline and improve functional support of the torso.
If a hernia is present, this is repaired at the same time. The hernia sac is reduced, and the defect in the abdominal wall is reinforced—often using a mesh when appropriate—to reduce the risk of recurrence and provide durable support.
Once the abdominal wall has been reconstructed, excess skin and fatty tissue are carefully removed. This step not only enhances contour but also eliminates overhanging skin folds (known as a pannus or abdominal apron) that can cause irritation, chronic rashes, and hygiene difficulties.
The typical goals of this surgery are to restore a functional abdominal wall, improve posture and core strength, and create a smoother, more comfortable abdominal contour. Patients often notice improvements in mobility, clothing fit, and confidence.
Scarring is an inevitable part of this operation, usually positioned low across the abdomen where it can be concealed by clothing. Over time, scars fade significantly. Temporary swelling and fluid collections (seromas) can occur and are managed with drains or compression garments as needed during recovery.
Beyond the cosmetic benefits, combining hernia repair with abdominoplasty can improve abdominal wall function, reduce back pain, and prevent recurrent skin irritation under the apron of excess skin. For patients who have achieved major weight loss, this surgery can represent the final step in their reconstructive journey—restoring comfort, confidence, and strength.
Schedule a free 30-minute appointment with our Bariatric Navigator to find out more or book a specialist consult if you are ready to take the next step.
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Join Dr. Ian Baxter on Saturday, 18 October at 10:00 am for a free 45-minute session (with Q&A). Learn the facts about weight loss surgery, how it compares to injectables, and what’s right for you. Attend in person or join via livestream.
