A tummy tuck, also known as abdominoplasty, removes excess fat and skin and repairs weakened muscles to create a flatter abdominal contour.
Having kids is hard on a mother’s body, and the abdomen is often affected the most.
If you have loose sagging abdominal skin or a protruding belly, a tummy tuck can restore a flat and firm tummy.
Our Body Contouring Cosmetic Self Evaluation can help you decide if a tummy tuck is the right procedure for you.
TAKE OUR SELF EVALUATIONGet A Flat and Firm Tummy*
There are very few women who do not have changes to their abdominal wall after having children. Most tell us that they have felt self-conscious about their stomachs for a long time.
Some have loose sagging abdominal skin. Others have abdomens that protrude because their muscles have been stretched by pregnancy. Some have lost weight and have excess tissue that won’t go away on its own. Almost all have tried dieting and exercising and are discouraged by the lack of results. In fact, patients often find that as they lose weight the skin becomes loose and looks even worse!
Liposuction alone can’t fix that, nor does it repair the abdominal muscles or remove the excess skin. So, if you want your pre-pregnancy tummy back, there is no substitute for a tummy tuck.
Your Consultation
During your consultation, leading San Francisco plastic surgeon Dr. Fan, will address your specific goals and discuss your treatment options. He will determine if you are a good candidate for a tummy tuck and review the results that can be realistically achieved. He will also help you determine which tummy tuck procedure is right for you and which complementary procedures may benefit you the most. We believe that every patient is
Two More Quick Questions
Are You Bothered by A Loose Tummy or Muffin Top?
You may be a good tummy tuck candidate if you are bothered by the appearance of your abdomen:
It’s important to be in good overall health, to be a non-smoker, to be finished having children, to be near your goal weight, and to have realistic expectations.
Typical Appearance Before Tummy Tuck: Tummy tuck patients can present with a combination of anatomical and aesthetic
Procedure Sequence
A tummy tuck corrects three main areas of concern:
A tummy tuck usually takes two to four hours to perform. You are typically discharged home after surgery, although an overnight hospital stay may be needed after a more extensive tummy tuck so you can be safely monitored during the initial recovery period.
A tummy tuck is often combined with liposuction and breast enhancement as part of a Mommy Makeover procedure.
Benefits: The end result of a tummy tuck is a flatter, firmer, and more shapely abdominal contour.
Typical Appearance After Tummy Tuck: Tummy tuck patients can begin to see their flatter abdominal contour and tighter skin after about 6 weeks.*
Tradeoffs:
There are two main tradeoffs for a full tummy tuck:
Tummy Tuck Variations
Although mini tummy tucks are frequently discussed, we have found that most patients are better candidates for either liposuction alone or a full tummy tuck. However, there are subsets of women who will benefit from a mini tummy tuck or a limited tummy tuck. Some women may be better candidates for an extended tummy tuck, which will also correct the flank area. Choosing the most appropriate type of procedure is based upon your goals and your anatomy. Dr. Fan will discuss with you the specific advantages and disadvantages of the available options. For more information regarding the types of tummy tucks and abdominal contouring procedures available, see our FAQ below.
Common Tummy Tuck Incisions: Tummy tuck patients will have more than one tummy tuck option, from less invasive with a smaller scar, to more extended versions of tummy tuck procedures for very extensive laxity and loose skin.
The Results Are Worth The Recovery*
Expect to be sore and somewhat uncomfortable during the first week or so after surgery. You will likely want to spend the first few days resting quietly at home, although you will be instructed to get up and walk around the house every few hours to maintain healthy circulation. Because of
Getting Back To Normal*
You will need to refrain from strenuous activity including lifting more than 20 pounds for about six weeks. Most patients return to work in 2-4 weeks, although recovery time may vary depending on your age, genetics, skin quality,
Read More: Tummy Tuck Recovery: What to Expect
Choose Your Surgeon Wisely
Tummy tuck surgery is a demanding procedure that requires a high level of skill and artistry as well as careful attention to detail. It is imperative that the surgeon
Dr. Fan is an Expert with A Full Range of Body Contouring Treatments Both Surgical and Non-Surgical
Dr. Fan is also highly experienced with minimally invasive body contouring treatments such as liposuction and non-invasive body contouring treatments such as CoolSculpting, so he will be able to help you understand the benefits, expected results, risks, and limitations of each type of treatment so that you can decide which is best for you.
Look Beautiful and Natural, Not “Done”
Dr. Fan is known for his elegant sense of artistry and refined surgical skills. You will look firmer and more sculpted.
Free eBook: 14 Questions to When Choosing Plastic Surgery
Exact Costs Vary Depending On Your Specific Needs and Desired Results
The cost of a tummy tuck varies from person to person and depends on a number of factors including your specific needs and desired results.
Factors that contribute to the cost of treatment include:
Costs of surgery may include fees for the surgeon, anesthesia, operating room, facility, equipment, implants, garments, aftercare, lab tests, and medications.
The cost for a tummy tuck ranges from $12,000 to $40,000, with most procedures falling in the $20,000-30,000 range.
We offer a range of patient financing plans including low monthly payment plans and plans for those with suboptimal credit histories.
You can find more information about our Financing plans here
Get A Flat and Firm Tummy
A tummy tuck will help you obtain a flatter and firmer abdomen and will accomplish the following:
The end result is a flatter, firmer, and more sculpted abdomen and waistline.
Dr. Fan is known for his artistic eye, expert hands, experience, and meticulous attention to detail. He is also known for his outstanding body contouring results.
Actual Patient Before and After Tummy Tuck.*
For a tummy tuck procedure, anesthesia is given for safety and comfort. A low horizontal incision is made across the bikini line. The skin is lifted. The underlying abdominal muscles, which are separated or weakened after pregnancy, are tightened. Excess fat is removed using liposuction. The skin is redraped, and the excess fat and skin are removed. A small drainage tube or two may be left in place temporarily to facilitate healing. The scars are hidden in the bikini line and belly button. Some patients may be candidates for a mini tummy tuck, a limited tummy tuck, an extended tummy tuck, a
Liposuction is an excellent procedure for removing unwanted tummy fat. You may be a good candidate for liposuction if you wish to improve the shape of your tummy, are in good overall health, and have a modest amount of excess fatty deposits under the skin along with good skin and muscle tone.
If you have had children and have minimal to
If you have significant amounts of loose skin and/or loose or separated underlying abdominal muscles, then a tummy tuck may be needed.
Be wary of anyone suggesting that a laser or other "fancy" technology (eg. Smartlipo, laser assisted liposuction, nonsurgical skin tightening treatments, etc.) can eliminate the need for a tummy tuck. This is rarely true, and we frequently see patients who have been disappointed by these technologies ending up at our office in need of a tummy tuck or, worse yet, more extensive reconstruction for residual loose skin, cobblestoning, or other cosmetic deformities. It has been suggested that a laser can help with skin tightening after liposuction, but scientific evidence is lacking. Our advice to you - don't believe the hype that Smartlipo is a quicker, safer alternative to a tummy tuck or that it can help you avoid a tummy tuck or lift. Because it's rarely true.
Read More: Tummy Tuck vs. Liposuction
Abdominal liposuction can help contour the belly by removing unwanted fat while a tummy tuck also removes loose skin and stretch marks and tightens loose muscles. If you have loose, hanging skin, or loose, bulging abdominal muscles, it is very likely that a tummy tuck may be needed. You should seek out the advice of a Board Certified plastic surgeon who performs both liposuction and tummy tucks.
Yes, liposuction can be safely performed along with a tummy tuck, as long as you are not a smoker.
In fact, it is often recommended that liposuction of the abdomen and love handles be performed along with a tummy tuck for best results.
A mini tummy tuck is a less invasive procedure in which a shorter incision is made along the bikini line. A mini tummy tuck is only suited for patients with very small amounts of loose lower abdominal skin and good muscle tone. Although mini tummy tucks are frequently discussed, we have found that most patients are better candidates for either liposuction alone or a full tummy tuck. Proper patient selection is important.
In general, there are ten distinct abdominal contouring procedures available:
1. CoolScupting: The best candidates for CoolScupting are women (and men) who have not had children who have a modest amount of excess abdominal wall fat and good skin and muscle tone. CoolScupting may also be appropriate for some women who have had children with minimal to modest loss of skin elasticity and good muscle tone if they understand that their skin quality will not be improved but their contour enhanced. CoolScupting uses controlled cooling to freeze off unwanted fat cells. CoolScupting is completely non-invasive, has no downtime, is comfortable, and produces modest but consistent results.
2. Liposuction: For candidates similar to those for CoolSculpting above. A few ¼ inch incisions are used to remove the excessive fat. Liposuction can remove more fat and therefore produce a greater degree of improvement compared to CoolSculpting.
3. Mini Tummy Tuck: For patients with mild lower abdominal skin and/or muscle laxity and excessive fat but good upper abdominal skin and muscle tone. Through a limited bikini line incision, a small amount of excessive skin is removed through a limited bikini line incision. Excessive fat is removed using liposuction. If deemed appropriate, the abdominal muscles below the belly button may be tightened. Only a small percentage of patients are good candidates for a mini tummy tuck.
4. Limited (or Mid or Modified) Tummy Tuck: This procedure is similar to a mini tummy tuck but involves a longer incision, which is useful for patients with greater degrees of lower abdominal skin laxity.
5. Tummy Tuck (or full tummy tuck): For patients with loose skin, stretched out muscles, and excessive fat, a full tummy tuck is usually the best option. Through a full bikini line incision, all excessive skin and fat of the lower abdomen between the belly button and pubic area is removed. Upper abdominal liposuction is performed. The muscles are repaired, often decreasing waist size by 2 to 4 inches. The scar is hidden in the bikini line.
6. Extended Tummy Tuck (or fleur-de-lis abdominoplasty): An extended tummy tuck is appropriate for patients who require more aggressive treatment for excess skin throughout the abdomen and trunk, particularly in the upper abdomen and lower chest and back. In addition to the horizontal bikini line incision, a full midline incision is used to performa a more complete skin removal.
7. Reverse Tummy Tuck: The reverse tummy tuck is best suited for patients with primary or residual excess upper abdominal skin. Through a bra-line incision, excess skin and fat of the upper abdomen is removed. A reverse tummy tuck is often performed in conjunction with a breast lift.
8. Flankplasty: Flankplasty is appropriate for patients with larger amounts of excess skin throughout the abdomen and trunk, particularly along the lateral trunk and flank regions. This procedure is similar to a full tummy tuck but involves a longer incision extending three quarters of the way around the lower trunk. A flankplasty is well suited for patients who are bothered by sagging flanks as well as abdomen.
9. Belt Lipectomy: A belt lipectomy is appropriate for patients with large amounts of excess skin throughout the abdomen, trunk, hips, and buttocks, particularly patients who have lost large amounts of weight. This procedure is similar to a full tummy tuck but involves a longer incision extending circumferentially around the lower trunk. A “belt” of lower trunk fat and skin is removed. The improvement gained from a belt lipectomy is usually very dramatic. A belt lipectomy is well suited for patients who are bothered by sagging buttocks and hips as well as flanks and abdomen.
10. Extended Belt Lipectomy: This procedure is similar to a belt lipectomy but also involves a full midline incision. This is appropriate for patients who have lost a large amount of weight and require the most aggressive treatment for excess skin throughout the abdomen, trunk, flank, hip, and buttock regions.
Dr. Fan will be able to help you understand the differences between these procedures and decide which is best for you.
Tummy tuck scars are hidden along the bikini line. We prefer to keep the tummy tuck scar as low as possible, but final placement of the scar will depend on a number of factors including your anatomy, the amount of loose skin present, the location of your belly button, and the degree to which your tissues relax and stretch after surgery.
The tummy tuck scar usually fades after several months to a few years. The final quality of the tummy tuck scar depends on a number of factors including your age, genetics, skin type, and healing properties. Dr. Fan uses very meticulous surgical technique to optimize the quality of the scars. We also offer a number of scar management treatments to assist with healing.
Most patients see an improvement in the appearance of their belly button after a tummy tuck, with a tighter, more youthful appearance. Dr. Fan pays very careful attention to this part of the procedure to create a very natural looking belly button.
During a tummy tuck, small drainage tubes are often left in place for a period of time to help evacuate fluid that may collect after surgery, which helps speed up recovery. An alternative technique is to use internal quilting sutures to reduce the need for drains. Dr. Fan performs tummy tucks both with and without drains and can discuss with you the advantages and disadvantages of each method.
Choosing to have a tummy tuck is a very personal decision. Only you can decide whether a tummy tuck can achieve your goals and whether the recovery and risk profile are acceptable to you.
All surgical procedures carry a small degree of risk. Fortunately, significant complications from tummy tuck surgery are infrequent.
Potential risks of tummy tuck surgery include:
· Hematoma or seroma (an accumulation of blood or fluid under the skin that may require removal)
· Infection
· Scarring
· Adverse reaction to anesthesia
· Delayed healing
· Tissue loss
· Altered sensation
· Damage to underlying structures
· Blood clots
· Fat embolism
· Contour irregularity
· Asymmetry
· Allergic reactions
· Unsatisfactory results that may require additional procedures
Tummy tuck costs vary depending on a number of factors including the complexity of the procedure needed, type of anesthesia, facility, geography, and the surgeon’s expertise.
Costs of surgery may include fees for the surgeon, anesthesia, operating room, facility, equipment, implants, garments, aftercare, lab tests, and medications.
A general cost range for tummy tuck surgery is $ 5,000 - $30,000, with most procedures falling in the $12,000-18,000 range.
We offer a range of patient financing plans including low monthly payment plans and plans for those with suboptimal credit histories.
Read More: How Much Does a Tummy Tuck Cost in San Francisco?
You can find more information about our Financing plans here
Liposuction is a procedure that removes unwanted fat through tiny openings in the skin. Liposuction does not remove or tighten sagging skin. Liposuction is often performed in conjunction with a tummy tuck.
A Mommy Makeover is a series of procedures designed to help you regain your pre-pregnancy figure. A Mommy Makeover often includes a tummy tuck, liposuction, and breast enhancement.
A belt lipectomy, or lower body lift, removes excess skin circumferentially from the trunk.
CoolSculpting uses controlled cooling to freeze and eliminate unwanted fat cells without surgery or downtime. CoolSculpting does not remove or tighten sagging skin. The results seen with CoolScupting are more modest compared to those achieved with liposuction and tummy tucks.
I was very nervous about having an elective procedure and within a few minutes I felt like I was visiting with friends or family. Dr. Fan spent so much time patiently answering my laundry list of questions and even told me to call or come back if I needed more information. If you are looking for the best plastic surgeon, then look no further. I had a mommy makeover, which included a tummy tuck and a breast lift and augmentation. I have my body back. Thank you Dr. Fan and staff. Five stars all the way."*
— Ms. E
Dr. Fan is known for his elegant sense of artistry and refined surgical skills. He will perform your surgery with expert, world-class execution and has the results to prov
Dr. Fan and his team are committed to providing you with exceptional care, counseling, and support before, during, and after surgery. We take pride and joy in caring for you and have received numerous awards for our compassionate care.
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In this feature length book, you will learn:
This book was written by top plastic surgeon, Dr. Larry Fan.
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Schedule your consultation with Dr. Fan here.
During your consultation, Dr. Fan will take the time to address your specific goals and to discuss your treatment options. He will determine if you are a good candidate for tummy tuck surgery and review the results that can be realistically achieved. He will also help you determine which complementary procedures may benefit you the most.
Larry Fan, MD - 77 Plastic Surgery
77 Van Ness Ave #302
San Francisco, CA 94102 Directions
care@77plasticsurgery.com