Tummy Tuck Surgery (Abdominoplasty) in Sydney and the North Shore
Abdominoplasty or tummy tuck surgery refines abdominal contour, tone and core strength.
A tummy tuck, or abdominoplasty, is a type of body contouring surgery that removes excess skin and fat from the abdomen while tightening weakened abdominal muscles. This procedure is especially popular after pregnancy, major weight loss, or ageing when the stomach may become stretched or protruding.
If you are considering a tummy tuck in Sydney or the North Shore, Specialist Plastic Surgeon Dr Varun Harish offers abdominoplasty procedures tailored to your needs.
Understanding Tummy Tuck
Who is Suitable for Abdominoplasty?
Tummy tuck surgery is suitable for both women and men who wish to restore a firmer, flatter stomach. Ideal candidates are people who are close to their target weight but have persistent loose skin, excess fat that does not respond to diet and exercise, or weakened abdominal muscles following pregnancy, ageing or significant weight loss.
You may be suitable for abdominoplasty if you:
- Have stretched or sagging abdominal skin after pregnancy, ageing or weight loss
- Have excess abdominal fat that resists diet and exercise
- Experience abdominal muscle separation (‘rectus diastasis’; which may be associated with a bulging stomach or core weakness)
For patients with circumferential excess skin after massive weight loss, a body lift (belt lipectomy) in Sydney may be recommended.
What is Rectus Diastasis (Abdominal Muscle Separation)?
Rectus diastasis (also called diastasis recti or abdominal muscle separation) occurs when the two vertical “six-pack” muscles of the abdomen stretch apart. This can occur after pregnancy, major weight changes, or ageing. The separation can cause a bulging or “domed” stomach and may weaken one’s core. Some people also notice symptoms such as lower back pain, poor posture, or urinary incontinence.
Learn more about rectus diastasis and its repair.
Rectus Diastasis Repair in Sydney
The separated rectus muscles can be repaired - this procedure is called diastasis recti repair or abdominal muscle repair. Stitches are used to bring the muscles back together, to reconstruct the function of the rectus six-pack muscles, and to enable a flatter abdominal contour. It is often performed at the same time as a tummy tuck but may also be planned as its own independent operation if muscle separation is the main concern.
For many patients in Sydney and across the North Shore, rectus diastasis repair can improve abdominal appearance but can also address functional problems — helping with posture, stability, and in some cases reducing back pain or incontinence. Results, however, can vary.
Recent medical research has shown that tummy tuck surgery with repair of abdominal muscle separation can do more than improve body shape. A 2018 study published in the leading journal Plastic and Reconstructive Surgery found that patients experienced significant improvements in symptoms such as low back pain and urinary leakage after this procedure (read the study on PubMed). This highlights that tummy tuck surgery may offer both cosmetic and functional benefits, improving day-to-day comfort as well as abdominal contour.
Who Benefits from Rectus Diastasis Repair?
You may be a candidate if you:
- Have a visible gap or bulging down the midline of the stomach
- Notice core weakness, poor posture, or abdominal discomfort
- Have had pregnancy or major weight loss and the gap has not improved with physiotherapy
- Are in good health, with a stable weight
Medicare & Rectus Diastasis Repair
In some cases, Medicare item 30175 may apply after pregnancy if:
- imaging confirms a muscle gap (diastasis) of at least 3 cm, and
- symptoms such as abdominal pain, low back pain or urinary symptoms are present, and
- non-surgical measures (e.g., physiotherapy) have failed
A GP referral is required to access Medicare rebates.
If you think you may be suitable for rectus diastasis repair and/or abdominoplasty, book a consultation with Dr Varun Harish to discuss your options.
BMI and Suitability for Tummy Tuck Surgery
There is no strict BMI cut-off for tummy tuck surgery. However, patients who are close to a healthy, stable weight generally achieve the safest surgery and best outcomes.
Higher BMI levels are linked with increased risks such as wound healing problems, infection, or anaesthetic complications. Each patient’s health, weight stability, and goals are assessed
At our North Shore practice, this individualised assessment helps determine whether abdominoplasty is appropriate and safe. Maintaining a stable weight after surgery is important for long-lasting results.
Who is Not Suitable for Abdominoplasty?
While abdominoplasty can improve abdominal contour and function, not everyone is a suitable candidate. It is important to ensure safety and realistic expectations before proceeding with surgery. Patients may not be suitable if they:
- Are actively smoking or vaping (nicotine increases risk of wound complications and poor healing)
- Have unstable or fluctuating weight (weight gain or loss after surgery may impact results)
- Have significant uncontrolled medical conditions such as heart disease or diabetes
- Are planning future pregnancies, as pregnancy can reverse the benefits of abdominoplasty
If you fall into one of these categories, Dr Harish may recommend delaying surgery or exploring alternative options until it is safe and appropriate to proceed.
Surgical Details
What Does a Tummy Tuck Involve?
Abdominoplasty addresses three layers of the abdominal wall: skin, fat and muscle. When these are weakened or stretched, the abdomen can bulge outward. The procedure removes loose skin, reduces stubborn fat, and repairs abdominal muscle separation. The result is a smoother, firmer, and stronger abdominal profile.
Types of tummy tuck surgery performed by Dr Harish include:
- Standard Abdominoplasty – tightens abdominal muscles, removes excess skin and fat above and below the navel, and repositions the belly button
- Mini Abdominoplasty – smaller incision, focuses on the lower abdomen, quicker recovery
- Extended Abdominoplasty – addresses skin extending to the flanks or back, often after weight loss
- Fleur-de-Lis Abdominoplasty – uses vertical and horizontal incisions to remove excess skin after massive weight loss
- Post-pregnancy Tummy Tuck – focused on repairing ‘diastasis recti’ and restoring abdominal contour after childbirth
- Mummy Makeover – a combined approach that may include a tummy tuck with breast surgery (reduction, lift, or augmentation) and liposuction to restore body shape after pregnancy
For more information about body lift surgery including belt lipectomy, see our dedicated page.
Male Tummy Tuck (Abdominoplasty for Men)
While abdominoplasty is often requested after pregnancy, many men also benefit from this procedure. A male tummy tuck can remove excess abdominal skin and fat, repair stretched or weakened abdominal muscles and improve core strength following significant weight loss or ageing.
For men, the focus is often on achieving a flatter, firmer abdominal contour that complements natural male body proportions. Medicare rebates may apply if certain criteria are met.
Book a consultation at our St Leonards clinic to discuss whether male abdominoplasty may be suitable for you.
The Surgical Procedure
Tummy tuck surgery is performed under general anaesthesia and usually takes 3 hours depending on complexity. The typical steps include making a low horizontal incision across the abdomen, tightening the abdominal muscles with sutures, removing excess skin and fat, and repositioning the belly button if necessary. Liposuction may also be performed to improve contour. Most patients stay in hospital for 3–5 nights. Drains may be placed to prevent fluid build-up, and a compression garment is worn for several weeks.
Patients may require imaging (such as ultrasound) to confirm abdominal muscle separation if seeking Medicare eligibility under item 30175.
Can a Tummy Tuck Remove Stretch Marks?
A tummy tuck can remove some stretch marks, particularly those on the lower abdomen below the belly button, since this skin is usually removed during surgery. Stretch marks higher up the abdomen typically remain, though their appearance may change as the skin is tightened.
While abdominoplasty is not primarily a treatment for stretch marks, many patients in Sydney notice a visible improvement in their abdominal skin following surgery.
Recovery & Results
Recovery After Tummy Tuck Surgery
Week 1–2: What to Expect Immediately After Surgery
During the first two weeks, swelling, bruising and a sensation of tightness are common. Most patients take around two weeks off work and are unable to drive until they feel comfortable and pain is adequately controlled.
Week 3–6: When Can I Return to Daily Life?
By the third week, light activities can resume. Exercise and heavy lifting should still be avoided, but walking and gentle movement are encouraged.
Desk-based work may resume earlier than physically demanding jobs, but always confirm with your surgeon before returning to work or driving.
Months 3–6: How Long Until I See Results?
Scars begin to fade during this period and the abdomen continues to settle into its new shape. Most patients feel stronger and are able to return to a wider range of activities
Compression garments are usually recommended for at least 6 weeks to support healing.
By 12 Months: Final Outcome
Final results are visible by 12 months, with scars continuing to flatten and lighten over time. The abdomen should appear flatter, firmer and more toned.
Expected Results of Abdominoplasty
In the same way that tummy tuck surgery or abdominoplasty surgery is individualised, results vary from patient to patient depending on each individual’s goals and surgical journey.
The goal of abdominoplasty is often a flatter, firmer abdominal contour, along with improved core strength and posture. Beyond these changes, tummy tuck surgery can provide functional benefits such as reduced back pain, improved posture and relief from incontinence. Many patients also find that their clothing fits more comfortably and that their overall self-confidence improves. However, results may vary.
Results are best maintained with a stable weight, regular exercise, and healthy lifestyle choices. Weight fluctuations or future pregnancies may alter long-term outcomes.
Learn more about combining tummy tuck with other body contouring procedures.
Practical Information
How Much Does a Tummy Tuck Cost in Sydney?
Many patients enquire about post-pregnancy tummy tuck options in Sydney or abdominoplasty with muscle repair on the North Shore when considering costs. The cost of tummy tuck surgery in Sydney and on the North Shore varies depending on the type of abdominoplasty, hospital and anaesthetic fees, and whether Medicare or private health insurance applies. In certain cases, Medicare provides a rebate if functional criteria are met.
Medicare item 30175 may apply if imaging confirms a diastasis of at least 3 cm following pregnancy, and if functional symptoms such as pain or skin problems are present.
Your exact costs will be discussed at your consultation with Dr Varun Harish.
Risks and Considerations
All surgery carries risks. The risks of tummy tuck surgery or abdominoplasty will be discussed in detail at your consultation.
Some risks include:
- Infection, bleeding, or delayed wound healing
- Fluid build-up (seroma)
- Numbness or changes in abdominal sensation
- Asymmetry or visible scarring (usually hidden low on the abdomen)
- Deep vein thrombosis (DVT), pulmonary embolism, and anaesthetic-related complications (rare but serious)
Combining a Tummy Tuck with Other Procedures
Tummy tuck surgery can be combined with other body contouring procedures for comprehensive results. Common combinations include liposuction of the waist or hips, breast reduction as part of a mummy makeover, or body lift surgery after major weight loss.
Patients can learn more about these options by visiting our related procedure pages:
Frequently Asked Questions About Tummy Tuck Surgery
How much does a tummy tuck cost in Sydney and the North Shore?
Costs vary depending on procedure type, hospital and anaesthetic fees, and insurance eligibility. Medicare rebates may apply if medical issues are present.
Is a tummy tuck covered by Medicare or health insurance?
Medicare item 30175 may apply if imaging confirms a diastasis of at least 3 cm after pregnancy and functional symptoms are present.
Private health insurance will provide a rebate based on the tier/level of coverage.
Can I drive after tummy tuck surgery?
Driving is not advised for at least 2 weeks or until you can move comfortably and safely without pain medication.
How soon after pregnancy can I have a tummy tuck?
It is generally recommended to wait at least 12 months after childbirth and once you are no longer breastfeeding. Many women specifically request a post-pregnancy tummy tuck in Sydney and the North Shore to restore confidence and comfort.
Will I have scars?
Yes, scars are positioned low on the abdomen to be hidden under clothing or swimwear. These generally fade over 6–12 months. Scarring and scar minimisation strategies will be discussed at length during your consultation.
Can a tummy tuck remove stretch marks?
Stretch marks on the lower abdomen may be removed with the removal of skin during tummy tuck surgery. Stretch marks outside this area (e.g., above the belly button) remain.
What BMI is required for tummy tuck surgery?
There is no strict BMI, but patients close to a healthy, stable weight see the best results and reduced surgical risk.
Will private health insurance cover my hospital stay?
If Medicare eligibility criteria are met, private health insurance may cover hospital and theatre fees. This will be clarified during consultation.
Can I have a tummy tuck if I plan more children?
It is best to wait until your family is complete before having a tummy tuck. Pregnancy after surgery can reverse results by stretching the skin and muscles again.
When can I return to work, gym, and driving?
Most patients return to desk-based work after 2 weeks, while physically demanding jobs may require 4–6 weeks. Driving usually resumes after 2 weeks once you can move comfortably and are off strong pain medication. Strenuous exercise and gym activity are avoided for at least 6 weeks.
Do I need imaging for Medicare eligibility?
Yes. Ultrasound or other imaging is usually required to confirm a diastasis of ≥3 cm when applying for Medicare item 30175.
Will a tummy tuck fix abdominal separation (diastasis recti)?
Yes, abdominoplasty can repair abdominal muscle separation, improving both function and contour.
What are the main risks of tummy tuck surgery?
Risks include infection, seroma (fluid build-up), bleeding, delayed wound healing, scarring, changes in sensation, and rare but serious complications such as blood clots and anaesthetic risks. These will be discussed in detail at your consultation.
About Dr Harish
Why Choose Dr Varun Harish for Tummy Tuck Surgery in Sydney & the North Shore?
Dr Harish is a Specialist Plastic Surgeon with expertise in abdominoplasty and body contouring procedures across Sydney’s North Shore. He provides a tailored, patient-centred approach and combines advanced techniques with safe, natural results.
His clinic is conveniently located for patients seeking tummy tuck surgery in Sydney’s Lower North Shore at St Leonards welcoming patients from all parts of the North Shore and across Sydney.
Dr Harish is a Fellow of the Royal Australasian College of Surgeons (FRACS) and a member of the Australian Society of Plastic Surgeons (ASPS). He operates at accredited private hospitals on Sydney’s North Shore, ensuring the highest standards of safety and care.
Book a Consultation
If you are considering tummy tuck surgery in Sydney or the North Shore, book a consultation with Dr Varun Harish. During this appointment, he will discuss your goals, explain your options, and outline the recovery process.
Serving Sydney and the North Shore
Our tummy tuck surgery (abdominoplasty) services are available across Sydney and the North Shore, with many patients travelling from nearby suburbs for body contouring care.
Patients visit our St Leonards clinic from:
Lower North Shore
Crows Nest, North Sydney, Neutral Bay, Mosman
Central North Shore
Chatswood, Lane Cove, Ryde, Killara
Upper North Shore
Hornsby, Wahroonga, Turramurra, St Ives
Northern Beaches
Manly, Dee Why, Mona Vale
Inner West
Ashfield, Burwood, Newtown
North West
Castle Hill, Baulkham Hills
Central Coast
Gosford, Terrigal, Woy Woy
Situated close to Royal North Shore Hospital with direct access via Crows Nest Metro and St Leonards Station, our clinic is convenient for patients across Sydney. Secure parking options are available nearby, making it convenient for patients across Sydney to attend consultations and follow-up appointments.
By choosing Dr Harish for abdominoplasty in Sydney, you can expect specialist plastic surgery care focused on safety, core repair and long-lasting contour results.