The abdominoplasty, or what is more commonly referred to as a tummy tuck, is an invasive procedure designed to help tighten, reshape, and restore a flat, smooth abdomen. This procedure removes excess fat and skin, as well as restores, weakened or separated muscles.
Tummy Tuck Expected Results
- Tighter stomach muscles that have been weakened over time, commonly seen with pregnancy (Plication)
- Contouring of abdomen and waist line to more shapely figure
- Less stubborn fat and loose skin that is resistant to exercise and diet
- Improvement in scars from prior abdominal or pelvic surgery
- Possible removal of stretch marks
- Possible correction of any abdominal hernias
- Improved overall self-confidence and self image
- Clothing and swimwear fitting nicer and compliment your figure
| PROCEDURE SUMMARY | |
|---|---|
| Pain Level After Surgery | Moderate |
| Anesthesia | General |
| Duration of Surgery | 2-4 hours |
| Scars | Lower abdomen |
| Final Results | 3-6 months |
| Return to Regular Activity | 7-14 days |
| Resume Vigorous Exercise | 4-6 weeks |
| Price Range (not including anesthesia/ hospital fee) | $10,500 – $14,500 |
What is a “mommy makeover?”
The joys of having children unfortunately sometimes leave behind undesired changes in the female body. Loose skin, excess weight gain, sagging or loose breast tissue, and stretch marks. A Mommy Makeover is a combination of cosmetic surgery procedures, which usually involve improvements to the breasts as well as the abdomen. After childbirth and breastfeeding, many women experience deflated breast volume and sagging breasts. Breast lift with or without implant or fat grafting augmentation can help rejuvenate the breasts to their pre-pregnancy appearance. Liposuction to the abdomen and flanks can help contour a nice hourglass and shapely waistline to complement the results of the abdominoplasty. Our surgeon is an expert at advising patients on what combination of procedures can help them achieve a more attractive and youthful figure.
Ideal Candidate for a Tummy Tuck
A Good Candidate for a Tummy Tuck
- Is a male or female that has lost a significant amount of weight and is now at a stable weight
- Has lost abdominal tone and shape over the years due to pregnancy, weight fluctuations, genetics, age, or previous surgeries
- Has completed childbearing years
- May have a “pannus” which is a collection of loose, sagging tissue comprised of skin and fat that hangs below their waist
- Is in overall good health and has no medical conditions that can impair healing
- Holds realistic surgical expectations
- Is a non-smoker
Actual Patient Results, Before and After Tummy Tuck
Will my stretch marks go away after a tummy tuck?
Any stretch marks that are in the region of the abdomen where skin will be removed during the tummy tuck, will diminish in appearance. However, any stretch marks that are outside the area of skin that is resected during surgery will not change. You can speak with your surgeon about treatments with lasers, microneedling, and skincare products that can help reduce the appearance of stretch marks.
Actual Patient Results, Before and After Tummy Tuck
Tummy Tuck Surgical Techniques
Your tummy tuck will be performed at an accredited outpatient surgical facility or hospital using general anesthesia. You will be able to go home the same day. The procedure typically takes 3 – 4 hours or more depending on whether other surgical procedures are also performed at the same time.
Steps to Performing the Tummy Tuck
- STEP 1: General anesthesia is administered
- STEP 2: Liposuction to the flanks (back side) when deemed necessary
- STEP 3: Liposuction of the abdomen
- STEP 4: Resection of belly button
- STEP 5: Lower transverse incision between the pubic hairline and umbilicus. Incision may extend upward to assist in further removal of tissue.
- STEP 6: Removal of excess abdominal skin and fat
- STEP 7: Tightening of loose and weak abdominal muscles
- STEP 8: Recreation of natural belly button
- STEP 9: Closure of tummy tuck incision
- STEP 10: Application of dressing and special post-operative garment
Actual Patient Results, Before and After Tummy Tuck
What are the different Tummy tuck surgical techniques and scars?
FULL ABDOMINOPLASTY
A complete or full abdominoplasty removes excess tissue and reconstructs the abdominal wall. Full abdominoplasty is the chosen technique for patients who have gone through pregnancy or experienced a dramatic fluctuation in weight.
MINI -ABDOMINOPLASTY
A mini-abdominoplasty or short scar abdominoplasty is a less extensive surgery that involves removing only the stretched skin from below the belly button area. A mini-abdominoplasty will also tighten the lower abdominal muscles. The mini-abdominoplasty is best suited for those patients seeking minimal correction below their belly button but still looking to achieve a slimmer lower and upper abdomen. The resulting scar from a mini-tummy tuck is a thin, horizontal line that is typically just a few inches long. If you are looking for a less involved procedure, with a shorter scar and faster recovery, the mini-tummy tuck will be the best option for you.
EXTENDED ABDOMINOPLASTY
An extended abdominoplasty is where excess skin and tissue are also removed from the patient’s sides/flank area. Liposuction is also commonly used to achieve an ideal contoured body. The incision spans the entire length of the abdomen and extends to the back of the hips. Patients having excess muscle laxity in the hips and flank region can benefit from an extended tummy tuck.
CIRCUMFERENTIAL ABDOMINOPLASTY
A circumferential abdominoplasty or body lift is more extensive than a standard tummy tuck. Patients who have lost a great deal of weight, and now have loose, overhanging skin around their entire body are ideal candidates for a circumferential tummy tuck. The incision extends around the entire waistline, through which he or she removes excess skin and fat and tightens the muscles.
REVISION ABDOMINOPLASTY
Revision abdominoplasty– Our plastic surgeon sees many patients who have had previous tummy tuck surgery performed elsewhere with unsatisfied results. Patients who have had a tummy tuck, but are still experiencing excess fat from insufficient liposuction, a poorly shaped belly button, untreated diastasis, unattractive scar line or placement are great candidates for a revision tummy tuck.
The “Tailored Tummy Tuck” or “Triple-T” Tummy Tuck
The Naderi Center’s body specialist believes that no two tummy tucks are the same. Our surgeon customizes every tummy tuck to the patient’s body and individual aesthetic goals. Some of the components that go into tailoring your tummy tuck will include:
- Smallest Scar possible
- “Quilting” or “progressive tension suture” technique
- Minimizes the chance that you will go home with a surgical drain after surgery
- Natural belly button
- Meticulous umbilical or belly button recreation with puckering and hooding to give the most natural belly button possible.
- Flank liposuction to avoid the “muffin top”
- One main reason for the “muffin top” after surgery is that the surgeon did not take the time to combine liposuction to the flanks or backside when performing the abdominoplasty. Our specialist commonly and routinely combines liposuction to the flanks with her abdominoplasty to ensure that the patient has both a flat abdomen as well a nicely sculpted flank region.
- Advanced Liposuction techniques using SAFE Liposuction
- Allows for better body contouring as well as quicker recovery
- Advanced Post-operative pain control and quicker recovery
- A long-lasting local anesthetic pain medication is administered to patients during the operation to minimize the amount of anesthesia that is required as well as the amount of post-operative pain medication.
What will my belly button look like after an abdominoplasty surgery?
In extended tummy tucks or full tummy tucks, the plastic surgeon will need to recreate the belly button. Recreating the belly button involves resecting it from its initial location and implanting it to a more natural location once excess fat and tissue have been removed. Our plastics surgeon is known for her meticulous umbilical recreation using the puckering and hooding technique to make sure the belly button looks natural and realistic.
Actual Patient results
Before & After photos of Tummy Tuck
Cost of an Abdominoplasty
There are a variety of factors that determine the overall cost of your Tummy Tuck.
For more detailed pricing information visit here.
- Surgeons Fee: $10,500 – $14,500
- Anesthesia Fee: depends on the length of the procedure
- Hospital and Surgical Facility Fees: depend on the length of the procedure
- Post-Surgery Garments: included with surgeon’s fee at The Naderi Center
- Pre-Surgical Medical Clearance and Lab Tests: usually covered by medical insurance
- Medication Costs: usually covered by medical insurance
- Follow-Up Visits: included with surgeon’s fee at The Naderi Center
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- Duane Dregits
Preparation for Tummy Tuck Surgery
At the consultation appointment, you will be provided with detailed pre and post-op abdominoplasty instructions. To ensure a smooth and successful recovery period, the following should be kept in mind:
- Labs/Pre-op Clearance – It is the patient’s responsibility to make sure all necessary labs, blood testing, doctor’s visits, and medal clearances are completed.
- Transportation – Arrange for a ride home from the hospital or surgery center; you will not be allowed to drive.
- Medications – Pick up any medications before the day of your tummy tuck; some may need to be started right away.
- Arrange for Help – Consider scheduling a friend or family member to stop by each day, help you with light chores or errands.
- Necessary Supplies – Recovery supplies such as extra pillows, reading materials, movies, and ice packs will make the first several days more comfortable.
- Soft Diet – For several days, patients will be on a soft diet. Have a variety of items on hand.
- Time off work – Take the recommended time off work to heal. (typically 1 week)
- No Smoking – Stop smoking and limit your exposure to second-hand smoke. (Nicotine interferes with healthy circulation and may affect the results of your surgery)
- Garment – Maximize wearing your post-surgical garment to optimize healing and minimize swelling.
- No vigorous exercise for 4 -6 weeks
- Follow-Up Visits – Schedule all follow-up appointments and do not miss them, no matter how good you feel.
Recovery Time after a Tummy Tuck
The abdominoplasty recovery period will take from seven to fourteen days. Most people are feeling well enough to return to work in about a week, although vigorous exercise and heavy lifting should be avoided for up to four weeks.
At first, patients will note bruising and swelling; these will resolve over the following two to three weeks. It is normal to have an itching sensation and/or numbness around your incision sites. You may not be able to stand straight up for the first week, this is normal. By the second week, you will gradually notice that you are able to stand more upright. Moderate pain is not uncommon. Our breast and body plastic surgeon specialist will prescribe the necessary medication for a comfortable recovery. A compression garment will need to be worn for the next several weeks, as well. This will assist in keeping the swelling to a minimum and will promote proper healing.
Some benefits of the abdominoplasty will be noticeable immediately. However, full results from a tummy tuck will take approximately four to six months to appear. As the swelling slowly resolves, and the healing process progresses, the tummy tuck’s complete benefits can be appreciated. Wearing your compression garment can ensure a quicker recovery and better results.
The Abdominoplasty Recovery Timeline
The recovery process following a tummy tuck can vary for each individual, but here is a general timeline of what you can expect in the first month and beyond:
Day 1-2: Immediately after your surgery, you will be monitored closely by medical staff to ensure your safety and comfort. You may experience some pain, swelling, and bruising during this time.
Day 3-7: You will likely still have some discomfort during this week, but it should start to improve. Your surgeon may recommend wearing compression garments to help reduce swelling and support your abdomen as it heals.
Week 2-3: By the end of the second week, you should start to feel more comfortable moving around and returning to light activities. Your surgeon may advise you to avoid strenuous exercise or heavy lifting during this time.
Week 4: By the end of the fourth week, most patients are able to return to work and resume their normal daily activities. However, it’s important to continue following your surgeon’s instructions for optimal healing.
Month 2-3: During these months, you should start noticing significant improvements in the appearance of your abdomen as swelling continues to subside. Your scars will begin to fade over time but may take several months or even up to a year to fully mature.
Beyond Month 3: It’s important to maintain a healthy lifestyle with regular exercise and a balanced diet to help maintain your results long-term. Follow-up appointments with your surgeon will also be scheduled throughout the year to monitor your progress and address any concerns.
Overall, every patient heals at their own pace so it’s important to listen to your body and follow your surgeon’s advice for a successful recovery.
Is a Tummy Tuck permanent?
Although the results of an abdominoplasty are technically permanent, the outcome can be greatly diminished by significant weight gain, weight loss, or future pregnancies. If pregnancy or anticipated significant weight gain or loss is expected in the near future, it is best to postpone a tummy tuck procedure. A tummy tuck cannot help you lose weight or prevent future weight gain. The best candidates for a tummy tuck should be in good health overall and enjoy a stable weight.
Tummy Tuck Scar
Our plastic surgeon will create a low transverse incision, immediately above the pubic area. How long the scar runs will depend on the type of tummy tuck that will be performed. Proper care is crucial to help heal and reduce the appearance of your tummy tuck scar.
Tips to Help with Tummy Tuck Scar Healing
- Keep the bandages/dressings on as long as recommended.
- Always avoid tension in the operated area for as long as possible.
- Avoid and minimize sun exposure. The sun leads to scarring and delays wound healing.
- Scar creams containing silicone, as well as brown medical-grade tape, can speed up the healing process and help fade scars.
- Patience, the fading of any scar takes time. If you are not seeing a gradual fade over time, we can discuss other treatments such as microneedling or laser treatments.
Risks, Safety, and Potential Complications after a Tummy Tuck
Our breast and body plastic surgeon specialist has years of experience with the abdominoplasty procedure. Our surgeon utilize today’s most cutting-edge techniques to provide ideal results. When patients choose a skilled provider, such as our surgeon, the abdominoplasty is considered a rewarding procedure.
Possible Complications after a Tummy Tuck can Include:
- Risks of general anesthesia
- Excessive bleeding
- Skin changes or discoloration
- Poor incision healing
- Fluid accumulation, or what is known as a seroma
- Nerve damage or numbness on the skin
- Asymmetry with results
- Infection
- Death of fatty tissue or fat necrosis
- Need for revision surgery
Abdominoplasty Specialist
The Naderi Center’s Breast and Body specialist is board-certified by the American Board of Plastic Surgery. Our surgeon believes that no tummy tuck is the same and our surgeon customizes every abdominoplasty based on each individual patient’s body and their desires. Our plastic surgeon has over twenty years of experience performing our “Tripled-T” or Tailored Tummy Tuck procedure. Men and women who are interested in the abdominoplasty technique should begin the process by scheduling a one-on-one consultation with our Board-Certified body plastic surgeon.
Our surgeon commonly performs revision tummy tuck surgery on patients who have been unhappy with their results with other plastic surgeons.
Schedule your Initial Tummy Tuck Consultation
If you are still considering the benefits of an abdominoplasty, schedule a consultation with top plastic surgeons and abdominoplasty specialists at The Naderi Center. Speak with a patient coordinator in Reston, Virginia at 703-481-0002 or in Chevy Chase, Maryland at 301-222-2020. For anyone outside of the immediate Maryland, Virginia, or Washington D.C. area, virtual consultations can also be arranged.
Tummy Tuck Questions To Ask
Patients travel from all over the world to come to The Naderi Center so that they may have one or more procedures performed by ultra-specialists in cosmetic surgery. Many of our patients have one or more cosmetic surgery procedures performed in one operating room by different surgeons who specialize in the specific areas where the patient is seeking improvement. The most commonly performed procedures with a tummy tuck include liposuction, breast augmentation, and breast lift.
An abdominal hernia is an area of the abdominal muscle that has become weak and protrudes outward most commonly noted when bearing down or performing a Valsalva maneuver. An abdominal hernia can be corrected in conjunction with an abdominoplasty. Depending on the complexity of the hernia and repair needed, our plastic surgeon may perform the hernia repair herself or refer you to a general surgeon who specializes in hernia surgery.
The surgeon’s fee for abdominoplasty ranges between $6,500 – $10,000. This does not include the hospital fees or anesthesia, as this will vary depending on every patient.
Patients generally feel well enough to return to work in five to seven days after surgery, as long as their job does not require heavy lifting. Depending on how extensive and the type of surgical technique was utilized, your surgeon will advise to you when the best time is to return to work.
Patients should wait for at least four to six weeks after surgery before undertaking any strenuous exercise or heavy lifting. This period of rest allows for full recovery and healing of incisions made during the abdominoplasty procedure.
Swelling after a tummy tuck typically lasts for a few weeks to a few months, with the majority of swelling subsiding within the first 4 to 6 weeks. However, it can take up to a year for all swelling to completely resolve and for the final results to be visible. Proper post-operative care, including wearing compression garments and following your surgeon’s instructions, can help minimize swelling and promote optimal healing.
No, the scar from a tummy tuck does not completely go away. However, with proper care and healing, the scar will fade over time and become less noticeable. It is important to follow your surgeon’s instructions for scar care to help minimize its appearance.
The healing process for a tummy tuck typically takes about 6-8 weeks. Patients are usually able to return to work and light activities after 2-3 weeks, but strenuous exercise should be avoided for at least 6 weeks to allow for proper healing. It is important to follow your surgeon’s post-operative care instructions carefully to ensure the best results and minimize any complications.
It is typically recommended to wait at least 48 hours before taking a bath after a tummy tuck procedure. It is important to follow your surgeon’s specific post-operative instructions, as they may advise waiting longer depending on individual circumstances. It is also important to avoid submerging the incision site in water until it has fully healed to reduce the risk of infection.
We recommend waiting at least 6 months after surgery (after C-section). This allows the body to go back to its normal state. With more extra skin being removed, this could move your C-section scar below your bikini line.
Our plastic surgeon revises many other surgeons’ work (and scars) when patients are unhappy. “Dog ears” are when puckering of the skin becomes apparent at the end of a scar. Our specialist’s incision closure techniques help to minimize the potential for “dog ears” to form.
Pregnancy may cause loose skin, stretch marks, or weight gain that can affect the results of a tummy tuck procedure. However, women who gain a modest amount of weight with pregnancy are more likely to return to their pre-pregnancy figure after their delivery. In most cases, we recommend waiting until patients are done with childbearing before proceeding with an abdominoplasty.
While problems associated with a tummy tuck are rare, especially when performed by a skilled surgeon, there is still a small chance for complications. These can include bleeding, infection, scarring, asymmetry, and permanent numbness in the surgical area. Our breast and body plastic surgeon specialist will discuss these risks further during your consultation appointment.
If the area of skin that is to be removed with the tummy tuck procedure has stretch marks, then patients will diminished visibility in those stretch marks after an abdominoplasty. Most often, as the skin is pulled down, many of the stretch marks may be relocated to the pubic area and thus easier to hide with undergarments.
Most of the time during an abdominoplasty the location of the belly button needs to be changed. Our breast and body plastic surgeon specialist performs meticulous umbilical recreation with puckering and hooding to make sure the belly button looks as natural as possible.
We recommend that patients ideally wait 6 months after pregnancy for a tummy tuck. After about six months the body’s physiology as well as hormone levels have returned to their pre-pregnancy status. Additionally, at around six months most patients have lost most of their “baby weight” and have reached a stable weight. Additionally, caring for a newborn baby can be exhausting and cause a lack of sleep, which would also not be good for one’s recovery. Women who are breast-feeding may want to wait until they are done with breastfeeding to pursue surgery. We invite patients to come in for a consultation at any time if only to gain information and guidance on when is the best time for them to have surgery.
If you are 30-40 pounds overweight with clear stomach rolls and loose skin, most likely non-invasive treatment options will not give you the dramatic results that most patients hope to achieve with a tummy tuck. Liposuction will remove the fat, but will not remove the loose skin or tighten the stomach muscles. Sometimes if there is a minimal amount of abdominal fat and mainly loose skin beneath the belly button, a “mini-abdominoplasty” will provide great surgical results. If the patient has a stretched-out belly button, or loose or wrinkled skin above the belly button more invasive surgical options need to be sought. Non-invasive fat melting and skin tightening procedures such as Cool Sculpting, Ultherapy, or SkinTyte are great options for specific patient populations. Cool sculpting is a non-invasive procedure where fat cells are destroyed by freezing the tissue. Ultherapy will help tighten a small amount of sagging skin by building collagen in the treated areas. Our board-certified plastic surgeons can better advise you on whether non-invasive treatments will provide you with satisfactory results and avoid having to perform surgery.
If you live in the states of Virginia or Maryland, The Naderi Center for Plastic Surgery and Dermatology offers tummy tuck among its services. For a full list of services, please visit our Locations page.
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