A woman with gender dysphoria may have a certain tendency to accumulate fat in the abdominal region. This deposit does not tend to be eliminated either through diet or physical exercise. Sometimes, in addition to such fat deposits, there is distension of the abdominal muscles, accentuating even further the “saggy tummy” sensation.

What is abdominoplasty?

Abdominoplasty, dermolipectomy or abdomen surgery is the surgical technique used to eliminate excess skin and fat from the abdomen and improve the silhouette (especially the waist). It is likewise useful for stretching the muscles of the abdominal wall.

An abdominoplasty should not be considered a substitute for a hypocaloric diet since it is not recommended for slimming.

The operation

The preparations

Your surgeon will assess skin quality and the musculature of the abdominal area before choosing the most suitable technique for you.

The operation

An abdominoplasty is a surgical operation that normally lasts from two to five hours, depending on the size of the area to be worked upon, and it requires general anaesthesia. In the case of a partial abdominoplasty, the time is considerably reduced to about two hours.

To remove the excess skin and return the musculature to its natural position, the surgeon makes an incision in the lower part of the abdomen that will later be concealed by underwear.


In the early days, the patient may note a certain discomfort that will disappear with the painkillers prescribed by her surgical team. In order to speed recovery, she should follow the surgeon’s instructions, such as walking a lot and not staying in the same position for a long time.

The patient may return to work after a couple of weeks, though this will depend on the type of activity she performs. The scars become imperceptible over the first year after the operation and, in any case, remain concealed by her underwear.

The result

Excellent results are obtained in both full and partial abdominoplasties, especially on patients with distended abdominal muscles and/or excess skin. In most cases, the results last a long time, as long as the patient follows a balanced diet and exercises regularly.