Treatment body
Weight fluctuations, pregnancy, ageing or genetics can stretch the abdominal muscles, loosen the skin and create stubborn areas of fullness that do not improve with diet or exercise. These changes may lead to abdominal bulging, skin laxity, or discomfort, affecting both body confidence and core support.
A tummy tuck is a targeted surgical procedure designed to address these concerns by removing excess loose skin, tightening weakened or separated abdominal muscles (diastasis recti) and refining the surrounding tissues. Unlike liposuction, which only removes fat, a tummy tuck corrects both skin laxity and muscle separation to achieve a smoother, stronger and more contoured abdominal profile.
At Paul Wilson Aesthetics, Mr. Paul Wilson combines advanced surgical techniques with a personalised approach, tailoring each treatment to suit your unique needs.
About
What is an abdominoplasty?
Abdominoplasty, commonly known as a tummy tuck, is a surgical procedure that removes excess skin and fat from the abdomen while tightening the underlying abdominal muscles to create a firmer, flatter and more defined midsection.
Pregnancy, weight changes, ageing and genetics can lead to stretched skin, weakened or separated abdominal muscles (diastasis recti) and stubborn areas of fat that do not respond to diet or exercise. A tummy tuck addresses all of these concerns by restoring abdominal strength, smoothing the skin and enhancing overall contour.
The procedure is tailored to each patient, allowing your surgeon to focus on the specific areas that concern you most and achieve a natural, balanced result that aligns with your aesthetic goals.
Types
Types of tummy tuck surgery
Mini Tummy Tuck
A mini tummy tuck focuses on the lower abdomen below the belly button. It removes a smaller amount of excess skin and tightens the lower abdominal muscles. This option is suitable for patients with mild skin laxity and minimal muscle separation.
Full (Standard) Tummy Tuck
Removes excess skin and fat from the upper and lower abdomen while tightening the full length of the abdominal muscles. The belly button is repositioned for a natural appearance. This is the most common approach for post-pregnancy or post-weight-loss patients.
Extended Tummy Tuck
Addresses the abdomen, flanks and lateral waist. By extending the incision laterally along the hips, this technique improves contour across the entire midsection and is ideal for patients with more significant skin laxity or excess tissue.
Fleur-de-Lis Tummy Tuck
Removes excess skin both vertically and horizontally, creating a more dramatic tightening effect. It is often recommended for patients who have lost a large amount of weight and have significant skin redundancy in the central abdomen.
360 Degree Tummy Tuck (Circumferential Body Lift)
This technique provides contouring of the abdomen, waist, lower back and buttock region. It lifts and tightens the entire midsection and is especially beneficial after major weight loss when extensive skin laxity is present.
Panniculetomy
A panniculectomy removes the βpannus,β or overhanging apron of skin and fat that hangs below the lower abdomen. Unlike a tummy tuck, it does not routinely tighten the abdominal muscles or reshape the upper abdomen. It is often performed for functional reasons, such as improving mobility, hygiene, or comfort and can be combined with a standard tummy tuck if aesthetic enhancement is also desired.
benefits
What are the benefits of tummy tuck surgery?
Abdominoplasty offers a range of aesthetic and functional benefits, including:
- A flatter, firmer abdominal contour
- Repair of weakened or separated abdominal muscles (diastasis recti), improving core strength and posture
- Reduction of bulging or abdominal laxity that cannot be improved with diet or exercise
- Smoother, tighter skin across the midsection
- Improved fit and comfort in clothing, especially around the waistline
- Relief from skin irritation or hygiene issues associated with a significant overhang
- Enhanced overall body proportions following pregnancy, weight loss, or ageing
- Increased confidence from achieving a more toned and refined abdominal appearance
candidates
Who is a good candidate for tummy tuck surgery?
A tummy tuck may be suitable for individuals who:
- Are in good overall health and at or near their ideal, stable weight
- Have loose or excess abdominal skin that does not respond to weight loss or exercise
- Experience muscle separation (diastasis recti) following pregnancy or weight changes
- Wish to improve abdominal contour and achieve a flatter, more supported midsection
- Are non-smokers or willing to stop smoking before and after surgery
- Understand that abdominoplasty is not a weight-loss procedure, but a contouring surgery
- Have realistic expectations about the results, recovery and scar placement
- Do not plan future pregnancies, as this may affect long-term results
What to expect
What to expect during an abdominoplasty?
Consultation
During your consultation, your surgeon will carefully assess the abdomen, examining skin laxity, muscle tone, the presence of rectus muscle separation (diastasis recti) and the distribution of excess fat. Your medical history, lifestyle factors and aesthetic goals will be reviewed to determine which type of tummy tuck best suits your needs.
Your surgeon will explain how the procedure works, where incisions are likely to be placed, how the navel may be repositioned and what results you can expect. The recovery process, scar locations and postoperative care will also be discussed. Clinical photographs may be taken to assist with planning and guide the surgical approach.
This appointment is your opportunity to ask questions and feel fully informed and confident before moving forward.
Anaesthesia and Procedure Time
Abdominoplasty is performed under general anaesthesia. The length of the procedure depends on the type of tummy tuck being performed, whether muscle repair is required and whether liposuction is added to enhance contour.
A mini tummy tuck generally takes around one to two hours, while a full or extended abdominoplasty may take two to four hours. More complex procedures, such as a fleur-de-lis or 360Β° tummy tuck, may take longer due to the additional skin removal and reshaping involved. Your surgeon will confirm the expected duration based on your personalised treatment plan.
Surgery
During an abdominoplasty, a low, curved incision is made along the bikini line to keep scarring discreet. In a mini tummy tuck, the navel is left untouched, but in most full procedures, a second incision is placed around the belly button so it can be repositioned once excess skin is removed. This results in a small scar around the navel in addition to the lower abdominal scar.
If muscle separation (diastasis recti) is present, the rectus (βsix-packβ) muscles are stitched back together to restore support and improve abdominal firmness. While the procedure flattens the abdomen by removing excess skin and fat, long-term muscle tone still depends on postoperative exercise.
Once the muscle repair is complete, the surgeon removes loose skin and fat and may use liposuction to refine the waistline or upper abdomen. The remaining skin is gently redraped, and the incisions are closed, creating a smoother, flatter abdominal contour.
Closure
Once the abdominal reshaping is complete, the incisions are closed using fine, absorbable sutures to support a smooth, precise finish. If the navel has been repositioned, a new opening is created to ensure it sits naturally within the tightened skin.
Dressings and a supportive compression garment are applied to minimise swelling and help the abdomen settle into its new contour. In some cases, temporary drains may be placed to prevent fluid build-up during the early stages of healing.
Recovery
Recovery and results of a rhinoplasty
Recovery varies from person to person and depends on the extent of surgery and whether the procedure was focused on cosmetic reshaping, functional breathing correction, or both.
What to expect
When you wake from surgery, small internal nasal packs may be in place to support the tissues during the early stages of healing.
If the nasal bones have been repositioned, a protective splint or cast will be fitted over the nose to support healing and maintain the newly refined shape. This is typically worn for around one week.
Swelling and bruising are most noticeable for the first few days and usually peak by day two or three. Bruising around the eyes is common and usually fades within 10 to 14 days.
Swelling resolves gradually in stages. Most of the swelling settles within the first three to four weeks, allowing the new shape of the nose to become clearly visible. However, finer swelling, particularly at the tip of the nose, can take several months to fully subside. The final definition continues to refine subtly over time as healing progresses.
Activity and movement
Light walking is encouraged soon after surgery to support circulation and reduce the risk of complications. Strenuous exercise, heavy lifting, bending and activities that significantly raise your heart rate should be avoided for at least two weeks, or as advised by your surgeon. Contact sports and any activity that risks nasal impact should be avoided for several weeks.
Follow-up care and long-term results
Follow-up appointments will be scheduled to monitor your healing and remove splints or sutures if required. As swelling continues to resolve, the nose’s shape becomes more refined over the following months.
Final rhinoplasty results are typically visible between three and six months, with continued subtle refinement for up to 15 months. Results are long-lasting and permanent once healing is complete.
Risks & complications
Risks and potential complications of tummy tuck surgery
As with any major surgical procedure, an abdominoplasty (tummy tuck) carries certain risks. Potential risks may include:
- Infection
- Bleeding or haematoma (blood collection under the skin)
- Seroma (fluid build-up)
- Delayed wound healing
- Scarring, including hypertrophic or widened scars along the lower abdomen or around the navel
- Contour irregularities or asymmetry
- Complications related to muscle repair, such as tension or prolonged tightness
Your surgeon will discuss all potential risks with you during your consultation to ensure you are fully informed before making any decisions.
Fees
What is the cost of tummy tuck surgery in the UK?
The cost of tummy tuck surgery in the UK varies depending on the type of abdominoplasty performed, whether muscle repair is required, the amount of excess skin and fat being removed and the overall complexity of achieving a smooth, balanced result. Additional factors, such as hospital fees, anaesthesia and whether liposuction is incorporated, may also influence the total price.
A personalised quote will be provided after your consultation and once your surgeon has determined the most suitable surgical approach to achieve your goals.
Results
Tummy tuck surgery before and after photos
FAQ
Frequently Asked Questions
Is there any follow-up aftercare I need to do?
Yes. After your tummy tuck, you will attend scheduled follow-up appointments so your surgeon can monitor healing. Once you are fully healed and have returned to normal activities, maintaining a healthy diet and regular exercise is recommended. Strengthening your core muscles through exercises such as Pilates or gentle abdominal workouts can help support long-term results and enhance abdominal tone.
Can you get a tummy tuck on the NHS?
In most cases, tummy tuck surgery is considered a cosmetic procedure and is not routinely available on the NHS. Exceptions may be made in rare situations, such as significant skin overhang that causes persistent infections, hygiene issues, or functional impairment after major weight loss. Eligibility is assessed on a case-by-case basis, and strict criteria apply.
How long do results from a tummy tuck last?
Tummy tuck results are long-lasting when supported by a stable weight and a healthy lifestyle. The tightening of muscles and removal of excess skin is permanent, but future weight fluctuations, pregnancy, or significant changes in fitness can alter the outcome.
Do I have to wear a garment following my tummy tuck?
Yes, a compression garment is essential following a tummy tuck to ensure a safe and successful recovery. It serves several critical roles: it minimises swelling and bruising, prevents the formation of fluid pockets (seromas), and provides vital support to your repaired abdominal muscles. Furthermore, the constant pressure helps your skin adhere smoothly to its new contours, ensuring the flattest possible result. We suggest you wear it 24/7 for the first three to four weeks, only removing it to shower, followed by several weeks of part-time wear as your body continues to heal and “set” into its new shape.
Do I need Manual Lymphatic Drainage (MLD) following my tummy tuck?
While not strictly mandatory, Manual Lymphatic Drainage (MLD) is highly recommended to accelerate recovery and optimise the aesthetic results of a tummy tuck. By using a specialised, light-touch technique to move stagnant fluid toward healthy lymph nodes, MLD significantly reduces post-operative swelling, prevents the formation of “lumpy” scar tissue (fibrosis), and lowers the risk of fluid pockets called seromas. Most patients begin sessions within the first week of surgery to alleviate that “tight” feeling and promote smoother skin adhesion, though it is critical to use a therapist specifically certified in post-surgical care rather than a standard massage therapist.
Schedule your consultation
Book a consultation with Paul Wilson Aesthetics
Patients choose Paul Wilson Aesthetics not only for the teamβs surgical expertise, but also for their thoughtful, honest and patient-centred approach to aesthetic care. To get started, book a consultation where our team will discuss your concerns, outline your goals and determine if a tummy tuck is the right option for you.
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Mommy Makeover | Mastopexy + Full Abdominoplasty
After two pregnancies, this patient was left with skin laxity and a change in shape to both her breasts and tummy β despite returning to a stable, healthy weight. She was happy with her breast volume but troubled by the drooping and excess skin, and by the loose skin and stretch marks across her abdomen.
We planned a combined approach:
πΉ Mastopexy (breast uplift) β excess skin removed and the nipple repositioned higher to lift and reshape the breast, while keeping her own natural volume, exactly as she wanted. This uses an βanchorβ pattern scar.
πΉ Full abdominoplasty (tummy tuck) β removal of the loose skin and stretch marks below the belly button, with repair of the separated tummy muscles (diastasis recti) that so commonly follow pregnancy.
Because sheβs naturally slim and athletic, no liposuction was needed β tightening the muscle separation and removing the skin overhang simply revealed the toned, defined abdomen that was already there. Sheβs especially delighted with her new core definition. πͺ
Every patient and every result is individual. Surgery carries risks, and a full consultation is essential to understand whether a procedure is right for you.
π Surgery by Paul Wilson @ Northwood Hospital, Bristol Consultations via the link in bio.
#MommyMakeover #Abdominoplasty #TummyTuck #Mastopexy #BreastUplift PlasticSurgery CosmeticSurgery BristolSurgeon PaulWilsonAesthetics NorthwoodHospital PostPregnancyBody DiastasisRecti
Breast Augmentation
A natural increase in volume β restoring shape after hypomastia
Hypomastia is the medical term for naturally underdeveloped breast tissue. Itβs a recognised developmental variation, not a flaw β but for many women it affects how comfortable and confident they feel in their own body.
This patient, a mum of two with a completed family, had thought about augmentation for several years. Her request was simple and one I hear often: a natural, modest increase in volume and improved shape β not a dramatic change. On examination she had reduced upper-pole fullness in both breasts with good underlying symmetry.
Rather than reaching for a number, we planned this properly. Measurements, 2D and 3D imaging morphed to her chosen implant, external sizers tried on in clinic, and a home rice test to let her feel the volume for herself. Her choice: a 275cc round, moderate-profile Mentor micro-textured implant, placed subfascially through an inframammary incision β a plan designed to add soft upper-pole fullness in proportion to her petite frame.
You can see in the lateral and oblique views how the goal was balance, not bulk.
The psychological side matters just as much. In appropriately assessed patients, augmentation for hypomastia is consistently associated with improvements in body image, self-confidence and quality of life β and that outcome means as much to me as the surgical one.
Shared with this patientβs full consent.
Results vary from person to person. This is educational and not a recommendation to undergo surgery β any decision should follow a personal consultation.
π Address: 1400 Parkway North, Stoke Gifford, Bristol BS34 8YU (Northwood Hospital)
π Phone: +44 7480 125890
π Website: paulwilsonaesthetics.co.uk
π Hours: MondayβFriday, 9:00 AM β 5:00 PM
#BreastAugmentationUK #Hypomastia #NaturalResults #PlasticSurgeon #BeforeAndAfter
Breast Augmentation
A natural increase in volume β restoring shape after hypomastia.
Hypomastia is the medical term for naturally underdeveloped breast tissue. It`s a recognised developmental variation, not a flaw β but for many women it affects how comfortable and confident they feel in their own body.
This patient, a mum of two with a completed family, had thought about augmentation for several years. Her request was simple and one I hear often: a natural, modest increase in volume and improved shape β not a dramatic change. On examination she had reduced upper-pole fullness in both breasts with good underlying symmetry.
Rather than reaching for a number, we planned this properly. Measurements, 2D and 3D imaging morphed to her chosen implant, external sizers tried on in clinic, and a home rice test to let her feel the volume for herself. Her choice: a 275cc round, moderate-profile silicone micro-textured implant, placed subfascially through an inframammary incision β a plan designed to add soft upper-pole fullness in proportion to her petite frame.
You can see in the lateral and oblique views how the goal was balance, not bulk.
The psychological side matters just as much. In appropriately assessed patients, augmentation for hypomastia is consistently associated with improvements in body image, self-confidence and quality of life β and that outcome means as much to me as the surgical one.
Shared with this patient`s full consent.
Results vary from person to person. This is educational and not a recommendation to undergo surgery β any decision should follow a personal consultation.
π Address: 1400 Parkway North, Stoke Gifford, Bristol BS34 8YU (Northwood Hospital)
π Phone: +44 7480 125890
π Website: paulwilsonaesthetics.co.uk
π Hours: MondayβFriday, 9:00 AM β 5:00 PM
#BreastAugmentationUK #Hypomastia #NaturalResults #PlasticSurgeon #BeforeAndAfter
Happy Friday! Cycle to work day! #paulwilsonaesthetics #northwoodhospital #cycletowork #happyfriday #starbucks
Dorsal Preservation Rhinoplasty: Whatβs the Hype?
Traditional rhinoplasty shaves the hump off the top of your bridge, then rebuilds the roof. DPR lowers the bridge from underneath β keeping your natural dorsum fully intact. π
Why people love it π
β
More natural front view (no widening!)
β
Preserves your dorsal aesthetic lines
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Fewer grafts needed
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Quicker recovery & less bruising π€
β
Smoother long-term results
The fine print π
β οΈ Hump recurrence is the #1 risk
β οΈ Best for straight noses with small/medium humps
β οΈ Technically harder β surgeon experience is everything
β οΈ Rare risks: saddle nose, radix step-off, asymmetry
The hype is real β if youβre a candidate. Always consult a surgeon fluent in BOTH techniques, not just the trendy one. π€
#rhinoplasty #dorsalpreservation #nosejob #facialplasticsurgery rhinoplastyjourney noseaesthetics
π¦From tension to transformation! This patient came to Mr Paul Wilson at Northwood Hospital with a classic tension nose β high radix, dorsal hump, an over-projected tip and a hanging columella. βοΈ The result? A natural dorsum, lowered radix, elevated tip and a normalised columella-labial angle.
Why choose Mr Paul Wilson at Northwood Hospital, Bristol? π
β
Accredited BAAPS Plastic Surgeon
β
Dual-qualified
β
Preservation rhinoplasty specialist β less disruption, more natural outcomes
β
Brand new, state-of-the-art CQC registered hospital
β
Perfectly located in Bristol β easy reach from London & the South-West
Nature, meet refinement. π₯β¨
#Rhinoplasty #NoseJob #paulwilsonaesthetics #NorthwoodHospital #BAAPS #preservationrhinoplasty #aestheticsurgery #BeforeAndAfter #BeforeAndAfterRhinoplasty #FacialHarmony
Your nose is the focal point of your face β and even the subtlest refinement can bring everything into harmony. At Paul Wilson Aesthetics, our rhinoplasty procedures are tailored to your unique anatomy, enhancing your natural beauty rather than erasing it.
Performed under general anaesthetic at Northwood Hospital, each procedure typically takes 2β4 hours, with most patients returning to everyday life within 2β3 weeks. Final results continue to refine beautifully over the following months.
Whether you`re looking to refine a bump, reshape the tip, or improve overall facial proportion, Mr Paul Wilson brings a meticulous, artistic eye to every consultation and procedure.
BOOK A CONSULTATION β
#Rhinoplasty #NoseJob #RhinoplastyUK #FacialAesthetics #PlasticSurgery #NoseReshaping #CosmeticSurgery #PaulWilsonAesthetics #NorthwoodHospital #FacialSurgery #NaturalResults #SurgicalAesthetics #FacialHarmony #BristolSurgeon #Rhinoplasty2026 #BeforeAndAfter #ConfidenceRestored #AestheticSurgery #FacialRefinement #CosmeticSurgeonUK
Precision in motion. π¦΄β¨
Meet Paul Wilson β one of the rare surgeons holding dual qualifications in both dentistry and plastic surgery. That unique combination is on full display here, as Paul interprets dental imaging in real time while placing mandibular angle and chin implants.
Facial implant surgery is as much about artistry as it is anatomy. Having a deep understanding of the underlying bony architecture β the kind of knowledge that comes from a background in dentistry β allows for implant placement thatβs tailored, precise, and harmonious with each patientβs natural facial structure.
From reading the CBCT scan on screen to refining the jawline and chin projection in the OR, every detail is considered. This is what dual expertise looks like in practice. π
β
Facial implants for jawline and chin enhancement should always be performed by a qualified surgeon following a thorough consultation. Individual results vary.
#FacialImplants #JawlineSurgery #ChinImplant #PlasticSurgery #FacialAesthetics MandibularAngleImplant SurgicalPrecision PaulWilson AestheticSurgery FacialContouring. Ready to take the first step?
π Call us today to book your private consultation
π¬ Or send us a DM β weβre happy to answer your questions
π Tap the link in our bio to learn more and enquire
VASER 3D Liposuction @northwood_hospital goes beyond fat removal β itβs full-body sculpting. By targeting fat layer by layer, the technique works with your natural muscle structure to reveal definition, contour, and shape that looks athletic, not just slimmer.
Total definition. Considered from every angle.
Performed by Paul Wilson Aesthetics, every procedure begins with a detailed consultation to map your anatomy, understand your goals, and design a result that suits your body.
βοΈ 3D high-definition contouring
βοΈ Sculpting that follows your natural lines
βοΈ Consultant-led, fully personalised
VASER is a surgical procedure. Results vary between individuals and a consultation is required to assess suitability.
π Northwood Hospital
π© DM us or book your consultation via the link in bio
#vaser #HighDefinitionLipo #BodyContouring #PaulWilsonAesthetics #NorthwoodHospital
It was a great honour to present my experience on #hairlinelowering at the Royal College of Surgeons of England at the British Aesthetic Meeting, among esteemed colleagues. #northwoodhospital #plasticsurgery #hair #brow
βPatient Testimonyβ #deepplanefacelift #cheekimplants #necklift #blepharoplasty #northwoodhospital
Gynaecomastia | Before & After
This procedure addresses excess fullness in the male chest caused by gland, fat, or a combination of both.
The aim is not simply to remove tissue, but to improve the overall chest shape for a balanced and natural appearance. As with any operation, success depends on choosing the right technique for the individual`s anatomy and careful surgical planning from the outset.
The initial result is just one stage of the process. Swelling gradually subsides, and the chest continues to refine as healing progresses.
Please take a moment to view the outcome.
Patient images shown with consent.
π₯ Paul Wilson Aesthetics
π Northwood Hospital, Bristol, UK
π 0117 332 1585 | 07480 125 890
π§ info@paulwilsonaesthetics.co.uk
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