Obtain a flatter, tighter tummy with a tummy tuck
A flat stomach is important to a physically fit appearance. However, a healthy diet and regular abdominal workouts cannot always eliminate excess fat and loose, sagging skin in the abdominal area, and there is no exercise to eliminate stretch marks from pregnancy or weight loss/gain cycles. If you are bothered by the appearance of your tummy, a tummy tuck, called abdominoplasty, may be a good choice for you.
A tummy tuck is generally an outpatient cosmetic surgery procedure. Some of our patients stay overnight in our recovery area, as do our facelift patients. It removes excess skin and fat from the abdomen and tightens the muscles of the abdominal wall. The result is a flatter, tighter abdominal profile.
For a non-surgical tummy tuck alternative, visit our ThermiTight page.
A tummy tuck is best suited for men and women who are in good health, close to their ideal weight, and who desire a more sculpted look to the abdomen. It is especially effective for patients with stretch marks and loose muscles in the belly, such as those who have experienced pregnancy and/or weight loss. It is an excellent procedure for those who have undergone massive weight loss, i.e., in the range of 100 lb. or more, as a result of weight-loss (bariatric) surgery.
Best results are obtained by:
- A healthy adult within 30% of his or her ideal weight
- An individual with stretch marks and sagging skin
- A non-smoker
- An individual with realistic expectations
It’s wise to understand that a tummy tuck is not a weight-loss method. Although this will eliminate skin and tissues, it is not a true weight loss surgery, yielding only a 1-2 lb. weight loss at best. Unfortunately, fat and skin don’t weigh very much! Patients who are closest to their normal body weight have the best results. If you have very loose skin and/or stretch marks, a tummy tuck will eliminate these problems.
Dr. Berman will discuss all the options at your private consultation in his Boca Raton plastic surgery practice.
If you plan to become pregnant or to lose a significant amount of weight, you should discuss these plans with Dr. Berman, as undergoing a tummy tuck and then becoming pregnant can undo all your results. In a similar manner, losing a great deal of weight after a tummy tuck can leave you with sagging skin.
Scars from previous abdominal surgeries may limit the results of an abdominoplasty. However, in some cases, an existing scar can be used for the new incision, as is often the case for women with Cesarean section scars. Often, scars are removed during the tummy tuck surgery, including those from appendectomies and hernia repair.
Your private consultation with Boca Raton plastic surgeon Dr. Jonathan Berman is the first step for every patient considering a tummy tuck in South Florida. During this meeting, Dr. Berman will assess your physical and emotional health and discuss your specific cosmetic goals for the surgery.
You should arrive at your Tummy Tuck consultation prepared to provide information about:
- previous surgical procedures.
- past and present medical conditions.
- medications you are taking, including herbal remedies or nutritional supplements.
When examining your abdomen, Dr. Berman will evaluate:
- the quality of your abdominal skin.
- the location of any existing scars.
- the amount and location of any excess fat.
- the status of any underlying fat.
Dr. Berman may suggest other treatments to better meet your appearance goals. For example, some patients may benefit from liposuction alone or a limited type of abdominoplasty, such as a mini tummy tuck.
All cosmetic surgery procedures, including abdominoplasty, are performed in the accredited ambulatory surgical facility in our Boca Raton plastic surgery suite. The operating room is accredited by the American Academy of Ambulatory Surgical Facilities, an external review association that inspects office-based operating rooms to assure the highest standards of safety. Because Dr. Berman has chosen the most experienced surgical scrub techs and surgical and recovery room nurses to assist him, you can rest assured that you will have the safest surgery possible. Dr. Berman only uses board certified anesthesiologists, rather than working with anesthesia nurses, to give his patients the highest quality anesthetic experience. With our certification, experienced staff and over 20 years of experience in plastic surgery, Dr. Berman’s patients may be safer in our operating room as in a hospital setting, because we don’t have the exposure to hospital-based bacteria. Additionally, our Boca Raton plastic surgery patients enjoy a much more personalized experience. This level of skill and comfort is hard to find but our patients are worth it! And PS: We have a -0- infection rate!
After marking the patient, general anesthesia is instituted by our board certified anesthesiologist. Incisions are then made in the lower abdomen just above the pubic bone. The skin and tissues are then undermined up to the rib cage, after which extra fat and skin are removed. The abdominal muscles are sutured to provide strength, and the skin and tissues are brought back down to the pubic bone area. Extra skin and fat are removed and absorbable sutures are placed to close the incision. Two temporary drains will also be inserted to keep the tummy flat during healing. A special surgical garment is then put on the patient, who is then transferred to the recovery area, to remain for a couple hours or until he or she is feeling ready to go home to recover, unless the patient elects to stay overnight and return the next day, as do our facelift surgery patients.
Most of our tummy tuck patients find that they are most comfortable sitting in a recliner and even sleeping in one for the first 3-5 nights. All straining, bending and lifting must be avoided for the first several weeks. This includes lifting children, heavy groceries and exercise, other than walking. Dr. Berman encourages his patients to walk for exercise, which promotes circulation and speeds healing.
You will wear the compression garment 24 hours a day, removing it only to shower, for the first several days. You will be instructed to empty the drainage tubes and record the amount of fluid that has been removed. It’s important that you keep accurate records, as Dr. Berman will know when to remove the tubes based on the diminution of fluid. In most patients, the drainage tubes are in for 3-4 days.
Although everyone heals at a different rate, you can expect that your recovery will follow this general timeline:
- you will see Dr. Berman 2-3 times
- drainage tubes are removed.
- bruising and swelling will reach its peak.
- you will no longer need to wear the support garment.
- you will increase your activity and exercise
- you can play tennis and/or jog at 6 weeks
- you may return to non-strenuous work (typically within 2 weeks).
- bruising and swelling will continue to subside and you’ll begin to see your results.
- you’ll see a truer picture of the final result of your surgery.
- feelings of numbness or tightness will disappear. Your incision line may begin to fade from its reddish color (full fading may take a year or so).
- in the months following surgery, it’s important to treat your healing skin with extra care – that means avoiding sun exposure and not wearing black or other dark colors when you are outdoors. Heat absorbed by dark colored clothing can actually burn your healing skin and complicate recovery.
Quite soon after surgery, you will see a noticeable difference in the shape of your body. Most people find that their firmer, flatter abdomen boosts their confidence and makes them feel more comfortable in clothing. In particular, women find that they are one to two clothing sizes smaller, and men often lose 1-3″ from the waist.
As the months pass, your incision line will continue to fade; however, it’s important to realize that your scar will be permanently visible. Many patients view the permanent scar as a small trade-off for their firmer, sleeker appearance.
Abdominoplasty produces long-lasting results. Unless you gain or lose a significant amount of weight, you can expect to retain your new shape for many years. Over time, gravity and aging may cause your skin to loosen somewhat. If this occurs, Dr. Berman can recommend treatments to restore a more youthful abdominal contour.
Frequently Asked Questions
Are tummy tucks dangerous?
Can you get pregnant after tummy tuck?
Can a tummy tuck cause stomach issues?
Can you lose weight after tummy tuck?
Can I walk after tummy tuck?
Yes, but walk hunched over for the first several days until Dr. Berman tells you its okay to walk standing up.
Do men get tummy tuck?
Can you get a tummy tuck if youre obese?
If you are a good candidate. That is a conversation to have with Dr. Berman.
Do tummy tucks work?
They are one of the most successful cosmetic surgeries I perform.
Do you get a scar from a tummy tuck?
There is a scar a little longer than a typical cesarean section incision
How can I lose my stomach fat?
Do you have to be skinny to get a tummy tuck?
How dangerous is a tummy tuck?
Every surgery has its risks and benefits. In the right hands, for the good candidate, the surgery usually has few and minor untoward issues.
Does a tummy tuck tighten muscles?
Yes, that is one of the benefits of the surgery.
How do I prepare for a tummy tuck?
That is part of the consultation and pre-operative instructions which will be discussed prior to the surgery.
How are tummy tucks done?
Thats a good question. One that is better discussed in the office.
How early does your stomach get hard when pregnant?
It depends on the individual
How long after a tummy tuck can you drink?
I feel it is ok to have a glass of wine 5-7 days after the surgery.
How long is pain after tummy tuck?
The first 24-36 hours are the most uncomfortable. That is why we prescribe some pain medicines for the first 2-3 days. We recommend that the pain medicines be used sparingly.
How long do tummy tucks last?
Usually a lifetime. It depends on the individual and their idiosyncracies.
How long will a tummy tuck last?
Same answer as previous question.
How long do you wear a binder after surgery?
I usually have the patient wear a binder or surgical garment for the first week.
How many pounds can you lose with liposuction?
A very fine question. It depends on how much fat is removed.
How long does it take to lose weight after a tummy tuck?
We usually do not encourage weight loss after any surgery for the short term. It puts the patient in negative nitrogen balance which affects the healing.
How many sizes do you lose with a tummy tuck?
It really depends on how big one is and how small they become afer surgery. It is not uncommon to loose at least 2 inches at the waistline.
How much does it cost for a tummy tuck?
Those numbers can be discussed at the office after the doctor examines the patient so the correct operation can be suggested.
What are the side effects of a tummy tuck?
There are really no side effects of a tummy tuck. Post-operatively, the patient will feel tight and unable to stand upright for a couple of days. By one week, the patient is able to stand upright and ambulate without difficulty.
How much weight can you lose having a tummy tuck?
It depends on how big you are.
What do you eat after tummy tuck?
Immediately after surgery, we always start of slowly and advance the diet accordingly. By the second day, most patients are enjoying their usual diet.
How painful is a tummy tuck?
THe tightening of the abdominal muscles usually creates the greatest discomfort from the tummy tuck.
What does a tummy tuck usually cost?
Those numbers can be discussed in the office after the doctor examines the paiten so the correct operation can be suggested.
Is it easier to lose weight after a tummy tuck?
We feel it is.
What is the best girdle to wear after a tummy tuck?
We find that patients are most comfortable in liposuction type garments.
What qualifies you for a tummy tuck?
If the patient has a weak abdominal wall, excess skin and fat--- a weak and fat core--- and otherwise healthy, the patient will probably be a good candidate for a tummy tuck procedure
Why would you need a tummy tuck?
It is a cosmetic surgery aimed at improving the midsection. The tummy tuck procedure usually is well tolerated and often beneficial for the correct patient
Will a tummy tuck make my stomach flat?
.That is one of the best things a tummy tuck will do.
When can I start working out after tummy tuck?
Usually, we will let patients begin working out one month after surgery.
When can I wear regular clothes after tummy tuck?
Patients usually can stop wearing the loose-fitting clothing soon after the first several days after surgery. Often times, patients need to shop for new clothes because the presurgical clothing does not fit well.
Who is a good candidate for tummy tuck?
The best candidates for a tummy tuck surgery are healthy people that have a weak abdominal wall, excess skin and fat of their midsection.