What is a Tummy Tuck?

The first tummy tuck was called a dermolipectomy and it was performed in 1890 by doctors Demars and Marx in France. The first abdominoplasty in the United States took place at Johns Hopkins in Baltimore, Maryland. A gynecologic surgeon named Kelly called the procedure a transverse abdominal lipectomy, but the transverse (horizontal) nature of the incisions followed by the complete removal of the abdominal pannus caused the patient to lose their belly button (YIKES). By 1905 back in France, doctors succeeded in the first abdominal lipectomy that preserved the belly button (YEAH).

In 1909, a Doctor Weinhold in Germany made use of vertical and horizontal flap incisions to completely avoid removal of the belly button during the tummy tuck procedure. A tummy tuck, or abdominoplasty, removes excess fat and skin, and in most cases restores weakened or separated muscles, creating an abdominal profile that is smoother and firmer. A flat and well-toned abdomen is something many of us strive for through exercise and weight control. Sometimes these methods cannot achieve our goals.

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Tummy Tuck Before & After

TUMMY TUCK 'Real Women' with Rachel Walker, MD

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What Causes Abdominal Sagging?

Even individuals of otherwise normal body weight and proportion can develop an abdomen that protrudes or is loose and sagging. The most common causes of this include:

  • Pregnancy
  • Aging
  • Heredity
  • Prior surgery
  • Significant fluctuations in weight

Testimonials

5 out of 5 stars

"The day you can throw away your concealer is a really good day! Thank you so much Lara for answering every little qu...

"The day you can throw away your concealer is a really good day! Thank you so much Lara for answering every little question about my Halo Laser procedure and guiding me through the process to end at such great results. I would 110% recommend the Halo Laser and Dr. Walker's team to manage the success process for anyone's skin rejuvenation. Lara also recommended a follow-up BBL to even out a few spots, and I am loving my results. My face is fresher, clearer, and has less fine lines, and the natural collagen boost was exactly what I needed to trash my concealer for the first time in 30 years. Thanks again!"

5 out of 5 stars

"Dr. Walker is an amazing surgeon. She is very detail oriented, her bedside manner is excellent, and you can tell she...

"Dr. Walker is an amazing surgeon. She is very detail oriented, her bedside manner is excellent, and you can tell she truly cares about her patients. She is very thorough in her explanations and makes sure you understand."

5 out of 5 stars

"Dr. Walker performed Safe Lipo on me. I am now two weeks post op and I am absolutely pleased with the results. I had...

"Dr. Walker performed Safe Lipo on me. I am now two weeks post op and I am absolutely pleased with the results. I had no complications during surgery and my recovery was way easier than I anticipated. Dr. Walker is a genius! She is an artist! From my initial consultation to my most recent post-op follow-up, her staff has been respectful, informative, and all around great! I highly recommend her. Don't waste your time with anyone else. See Dr. Walker for your cosmetic surgery needs. She's the greatest!"

5 out of 5 stars

"Life changing! Literally the best decision in my life was to put faith into Dr. Walker and her team for my breast re...

"Life changing! Literally the best decision in my life was to put faith into Dr. Walker and her team for my breast reduction. They're so compassionate and care so much about achieving your vision as natural and beautiful as possible. Even the aftercare is just as attentive. Save yourself the time and highly consider Dr. Walker when you're looking for someone who actually makes you feel heard and not just another patient walking through the door."

5 out of 5 stars

"Your search is over! Dr. Walker and her team, Jackie, Madison, and everyone else, are absolutely incredible. Dr. Wal...

"Your search is over! Dr. Walker and her team, Jackie, Madison, and everyone else, are absolutely incredible. Dr. Walker's ability to listen to your personal needs and make suggestions based on her artistry and experience make her the best in my book. In our first appointment, she talked me through everything for over an hour and made me feel extremely comfortable with the whole process. Any questions or concerns I had, the team answered around the clock, since they have the office phone connected to a texting service that goes right to their phones. They never miss a single question. I cannot recommend this team enough. My results are even better than what I thought they were going to be, and I'm currently only three weeks out. I can't wait to see myself at three months! Thank you, thank you, thank you, Dr. Walker, for giving me a new outlook on life and a new confidence I didn't know I had. I appreciate you and your team more than you know!"

5 out of 5 stars

"Dr. Walker is nothing but fantastic! I've been going to her for my Botox for several months now, and the results are...

"Dr. Walker is nothing but fantastic! I've been going to her for my Botox for several months now, and the results are the best I've ever had. The entire process is seamless and professional from start to finish. I've tried several different injectors, and Dr. Walker is by far the best, especially in the areas of aesthetic appearance and longevity. She doesn't attempt to push more product on you, but instead works with you within your price range and goals. I highly recommend Dr. Walker for all your beauty and cosmetic needs. I will be a forever customer, she is amazing!"

5 out of 5 stars

"I love Dr. Walker's office! She's amazing, and is so warm, professional, and detailed in her approach. Her office st...

"I love Dr. Walker's office! She's amazing, and is so warm, professional, and detailed in her approach. Her office staff is super friendly, which honestly matters a ton in today's world. Excellent patient experience, and would highly recommend it."

5 out of 5 stars

"I got a breast augmentation and I'm absolutely in love with the results. If I could give this place 100 stars I woul...

"I got a breast augmentation and I'm absolutely in love with the results. If I could give this place 100 stars I would! Everyone here is so warm and welcoming, from the receptionists to the assistants to the injectable nurses and the lovely surgeon, Dr. Walker. They really are an amazing team. Nothing but positive things to say about my experience here. If you are looking to get any procedure done, I would highly recommend coming here if you want the best of the best. I am so happy with my results! Thank you, Plastic Surgery Center of Dallas!"

5 out of 5 stars

"I absolutely love everything about this office! I am a regular client and love my Botox results. One of the best dec...

"I absolutely love everything about this office! I am a regular client and love my Botox results. One of the best decisions I have ever made. I happily make the 40-minute drive and won't go anywhere else. If you want a staff that will remember your name, a pristine facility, and a doctor you can honestly trust, this is the place!"

5 out of 5 stars

“Obsessed! The results are perfect but getting there has been just as good. It’s so important to feel comfortable and...

“Obsessed! The results are perfect but getting there has been just as good. It’s so important to feel comfortable and confident with the surgeon and staff. Dr. Walker made me feel so sure of our plans and Sarah Stanford, BSN, RN needs 5 stars all on her own as well. I didn’t expect to need to feel so comfortable with the nurse but she has made my experience so pleasant. The entire staff is exceptional.”

5 out of 5 stars

“I cannot recommend this office enough!! From the level of knowledge and understanding I received during my consultat...

“I cannot recommend this office enough!! From the level of knowledge and understanding I received during my consultation with Dr. Walker, to the care and amazing talents of Katelyn- everything was beyond my expectations! Katelyn took her time explaining and showing me what areas would improve with treatment, but also didn’t make me feel forced with the treatment options. She spoke to me in a way that not only I could understand, but in a way that made me feel almost like a friend! I cannot rave enough about Katelyn- and will be making the drive to see her with any injections I need or want in the future, and I cannot wait to schedule my procedure with Dr. Walker. If you want a truly judgement free, woman friendly environment this is the place to go!! Also Izzy and Savannah were so friendly and helpful!!”

5 out of 5 stars

“My experience here was amazing! The whole staff was very kind, welcoming, and genuinely took the time to explain eve...

“My experience here was amazing! The whole staff was very kind, welcoming, and genuinely took the time to explain everything clearly and answer all of my questions/concerns (also love that it’s an all woman team). Dr. Walker’s work is astounding, I’m in love with my results. I had a breast augmentation and she gave me exactly what I asked for from my inspo pictures. Overall just a positive experience from beginning to end, Highly recommend!!”

5 out of 5 stars

“So glad I came to Dr. Walker's office for my procedure. The whole experience has been so easy & everyone has bee...

“So glad I came to Dr. Walker's office for my procedure. The whole experience has been so easy & everyone has been so friendly. I never once felt embarrassed when going through the initial consult. The morning of the surgery, the staff were the best at making you feel comfortable and safe. Everyone is professional. I have never been so at ease while being naked in a room full of strangers!! Communication has been amazing too. I highly recommend this facility for anyone thinking of having any procedures done!”

5 out of 5 stars

“Dr Walker makes sure from The first visit all the way until the last that you feel important and comfortable with he...

“Dr Walker makes sure from The first visit all the way until the last that you feel important and comfortable with her office and staff! Everyone she has hired has the same Kind of drive and vision and supports Doctor walkers vision in doing good work, staying true and fair, reasonable with the cost and taking pride in her work, making sure you as her patient receives concierge care! Dr Walker has the hands of an artist and takes pride in her masterpiece. No body anatomy is the same and she had a great teacher who taught her all the ways to love and admire her job, work and making others feel confident without looking botched!”

5 out of 5 stars

“I had a great experience at Plastic Surgery Center of Dallas. The patient coordinator, Savannah, was incredibly resp...

“I had a great experience at Plastic Surgery Center of Dallas. The patient coordinator, Savannah, was incredibly responsive and quick to answer all my questions, which made the whole process feel smooth and stress-free. Not to mention, Dr. Walker gave me exactly what I wanted with my breast augmentation. My results exceeded my expectations! The esthetician, Nyza, was extremely knowledgeable, and the injector Katelyn was warm and friendly. I felt comfortable & supported within each interaction. Thank you kindly to Dr. Walker and the whole women dream team at PSCD!”

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What You Should Know About Tummy Tuck Surgery

  • There is more than one tummy tuck procedure. A mini-tummy tuck focuses on the lower abdomen only to tighten loose skin and bulging below the bellow button. The standard procedure removes much more excess skin and tightens underlying muscles, from the ribs to the pubic area, while the extended tummy tuck targets loose skin around the back sides as well.
  • Your recovery from a tummy tuck will last several weeks. A tummy tuck is an extensive procedure that requires more recovery time than many other cosmetic surgeries, perhaps up to three weeks. (If you’ve had a C-section before, your recovery from a standard tummy tuck will probably be comparable.) Depending on the extent of the surgery you undergo, you may need assistance at home for up to five days. You’ll be on pain medication for a while and need to rest while your body recovers.
  • Tummy tucks are for men, too. Though tummy tucks are popular with women who have had multiple pregnancies, they are also offered for those who have lost a significant amount of weight. Men can also suffer from loose muscles and sagging skin that aren’t improved by exercise or diet—it’s not just a girl thing!
  • A tummy tuck is not a weight loss measure. You should lose weight before a tummy tuck and be as close to your “ideal” weight as possible, and not rely on the surgery to resolve any long-standing weight loss issues. Additionally, if you’ve already lost a dramatic amount of weight—good for you!—you should postpone an abdominoplasty for six months to a year, to be sure your new weight is stable. More on BMI (body mass index to come).
  • The results of a tummy tuck are technically permanent. This is good news! But to maintain your results over time, you should avoid big fluctuations in your weight. An encouraging January 2013 report from the American Society of Plastic Surgeons stated that many subjects in a post-abdominoplasty study sustained long-lasting weight loss after the procedure.
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Let’s Discuss BMI

Why is my BMI important?

Elective surgery is recommended for people within a “healthy” BMI range for safety reasons.

What is a “normal” BMI?

18.5 – 24.9 is “healthy”, while 25 – 29.9 is overweight & 30 – 34.9 is considered obese

Can I have “safe” surgery with a higher BMI?

Yes, under certain circumstances we may proceed & recommend surgery despite a high BMI , but only if it makes sense and your expectations are realistic.

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Which Tummy Tuck Procedure Is Best For Me?

The Traditional/Standard Tummy Tuck

The traditional tummy tuck is ideal for men and women who are in good physical health, and who have a sizable portion of loose skin to remove from their midsection. Oftentimes, traditional tummy tuck patients have recently lost a great deal of weight, or are women who have excess flab and/or weak abdominal muscles post pregnancy. Again, this procedure is for patients with damaged tissues who couldn’t reduce their tummy troubles through diet and exercise alone.

For the traditional tummy tuck, the surgical incision runs in a curved line between the hip bones. Because the standard tummy tuck involves a larger portion of skin being removed, the belly button must be correctly repositioned as one of the last steps. Since this procedure is a bit more extensive than the “true” mini or extended mini, traditional tummy tuck patients may require a bit more help from a caretaker following surgery . The average recovery time for traditional tummy tuck is from two weeks for return to sedentary work to 6 weeks for fully unrestricted activities and working out. Early on, stronger pain medication is provided to minimize unnecessary pain or discomfort.

“True” Mini Tummy Tuck

The baby of the bunch is the true mini tummy tuck, sometimes known as the “scarless” tummy tuck. At The Plastic Surgery Center of Dallas, we don’t do very many true “minis” since they are only a beneficial procedure for a small, small percentage of women. The true mini tummy tuck is used only to tighten the lower abdominal muscles (no skin removal, but maybe an improvement of your c-section scar); hence the small incision.

The true mini tummy tuck is great for generally healthy, fit patients who want to be rid of that “pooch“ hampering their otherwise slender physique. It is NOT however “scarless”. The mini (or Extended Mini) tummy tuck also just tightens the muscles below the belly button but takes out enough skin to smooth out and tighten up BELOW the belly button. The longer the scar, the more skin can be tightened. Our Doctor likes to draw the pattern on all of this patients so they can see how much skin needs to be removed to get the results they’re after! It is the perfect solution for women who need more than a mini-tummy tuck but do not need a full tummy tuck. Schedule a Consultation Today

Extended Tummy Tuck

For patients with a greater amount of loose, sagging skin on their abdomen, as well as on their hips and on the sides of their lower back, the extended tummy tuck is the most appropriate procedure choice. Extended tummy tuck patients also usually have excess fat in these body regions that need to be removed along with the extra skin. Many major weight-loss patients require an extended abdominoplasty to reduce the excess skin caused by extensive weight loss which is more extensive than the visual changes from pregnancy alone.

In extended tummy tuck surgery, a longer incision is made in the abdominal area that reaches around the hips towards the lower back. The process tightens muscles in the abdomen as well as removing any unnecessary loose skin before suturing the incision. Like with the traditional tummy tuck, the belly button must be repositioned to correspond with the patient’s newly transformed body shape. Daily activities that don’t require much physical exertion may often be resumed within a couple of weeks of surgery. Swelling may persist a little longer.

Realistic Tummy Tuck Expectations

Tummy tucks are not a substitute for weight loss or an appropriate exercise program. They certainly don’t remove the “belly fat” deep inside your abdomen. Also, tummy tuck operations cannot correct all of your stretch marks. Most of those beneath your belly button can be removed, but the ones above it will still be there. (However, the good news is they’re usually a lot lighter after the skin is tightened up!) A tummy tuck is usually done through a horizontal incision made low on the abdomen either in, or just above, the pubic region. If you already have a “C-section” scar it can typically be done through the same incision (and often improves the existing scar). The length and shape of the incision is based on your anatomy. The resulting scar can be very fine but is permanent, yet may be hidden under many swimsuits and undergarments (sometimes even teeny ones).

A smaller second incision is made around the navel, so that excess skin in this area can be pulled downward and removed. The position of your navel will not be changed and a new opening will be made for your belly button with the standard or “full” version. The underlying muscles are also addressed, and are tightened by suturing the muscles together in the middle, flattening the abdominal wall and recontouring your tummy and waistline. The lower abdominal skin is removed (including stretch marks). Stretch marks on the upper abdomen (above the belly button) are less noticeable since they are now lower and more taut. The end result is a stomach that is firmer and flatter. The resulting scars, although permanent, will fade over time. Ask us about “scar therapy”.

Abdominoplasty after Major Weight Loss

Body contouring after major weight loss improves the shape and tone of your underlying tissue and removes excess sagging fat and skin. Most women’s (men too) biggest concern is the excess, possibly hanging skin of the abdomen. If there are other areas of concern, they may be combined as a surgical procedure, or they may be staged in multiple surgeries for best results and safety. It is recommended to have the weight off and stable for about 12 months prior to seeking surgery. Surgical body contouring following major weight loss improves your shape and tone and removes excess sagging skin and often areas of underlying fat. The result is a more normal appearance to the body, with smoother contours. This is, in essence, the final phase of your total weight loss experience. Following weight reduction surgery, or any substantial amount of weight loss, the skin and tissues often lack elasticity and cannot conform to the reduced body size. As a result, skin that has been severely stretched now is unsupported:

  • Buttocks, groin and thighs can sag and cause hanging pockets of skin too
  • Abdominal sagging may extend around the sides and into the lower back area, resulting in an apron-like overhang possibly requiring an extended tummy tuck
  • Upper arms may sag and appear loose and “wiggle” when you move
  • Breasts may flatten and hang with nipples pointed downward
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Adbominoplasty (Tummy Tuck) with SAFELipo of Circ Trunk with Mastopexy Augmentation

How Much Does a Tummy Tuck Procedure Cost?

As you’re learned, there are several variables to a tummy tuck. Your quote is based on the kind of tummy tuck needed, the size of the patient, and the calculated time for your procedure, etc. In addition to the surgical fee, you will have fees for the operating room (read about our accredited OR later), anesthesia (we only use Board Certified MD Anesthesiologists), compression garments, post-operative prescriptions and possibly pre-operative lab work. Tummy tucks are one of the top 4 procedures she performs! In any artistic endeavor, whether it is sculpting, painting, photography, composing, or architecture, it is often the incorporation of subtle details, along with a fresh perspective and creative interpretation which distinguishes work that is ordinary from that which is exceptional. Plastic surgery is unique among surgical specialties in that it blends both science and art, revealing a surgeon’s knowledge of operative techniques and his own unique style and vision of the desired result translated to the body.

  • A Standard Tummy Tuck (the majority of the tummy tucks performed)
  • A “True” Mini Tummy Tuck is less than a standard
  • A Mini or Extended Mini
  • An Extended Tummy Tuck (has the most variables)

Payment Options

We are pleased to offer financing through Care Credit (including 6 mo. no interest) or payments over an extended timeframe. You will find more information on Care Credit as well as a link to get pre-approved on our website. If you have questions on fees or on financing, please feel free to call the office (we can even apply for Care Credit for you).

Recovery after Tummy Tuck

Recovery

The recovery from a full + tummy tuck is not fun for the first few days (why sugarcoat it?). For the first 48-72 hours you will need/want a caretaker to help you. After that, you will be able to get around (slowly) and not need constant care. You should be able to drive yourself after about 2 weeks (whenever you feel that you do not have reduced reaction time and are off all prescription pain relievers). We’ve had some patients rent or borrow a walker to help in the first few days – whatever works!

Scar Management

We want our patients to be pro-active (not reactive) in regards to your tummy tuck scar. Following surgery we recommend using a medical grade silicone gel sheeting. It helps flatten & smoothes scars for the best possible end result. We’ll tell you when to get started.

What’s an “Inverted T”

Sometimes (not often) especially if your belly button is high, there can be a small round opening (where the old belly button once was) that doesn’t quite reach the incision area. That “hole” needs to be closed with a small vertical incision (looking like an “inverted t”). This is only necessary when the patient has less skin laxity below the belly button and/or if the position of your belly button is relatively very high. This is easy to understand during your consultation.

Will I have Drains?

Dr. Walker doesn’t use drains during tummy tucks unless absolutely necessary. Her drainless tummy tucks result in less pain, quicker recovery timelines, and smoother skin along your incision lines. If you need drains, she’ll walk you through proper drain care and a removal timeline ahead of your procedure.

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What Does Your Personalized Mommy Makeover Look Like?

We get daily calls for a “mommy makeover” and daily we ask the caller “what does that mean to you? – What’s YOUR mommy makeover look like” That’s typically followed by a minute of silence… So, we ask “what is it that YOU want from the procedure?” A mommy makeover is NOT a procedure or the same for all mommies; but rather a personalized combination of procedures designed to help you look and feel your best after pregnancy. In addition to your new (or older) bundle of joy, pregnancy can bring with it many undesired physical changes to your body. From weight gain to sagging or excess skin, your body may seem foreign to you after your children. A growing number of moms (new or not-so-new) are choosing to combat these changes and undergo cosmetic surgery to regain their “pre-baby” bodies.

It can help restore or improve your body (and spirits) so you can enjoy your body as much as your growing family. Typically, it’s going to include surgery for the tummy and the breast ; although we’ve talked with women who’ve discussed their knees, even their faces or noses while inquiring about a mommy makeover (so for that mommy, it’s going to be unique and different!). As your weight yo-yo’s during your pregnancies, your skin can become lose and despite getting back into the gym or diets, you may be unable to regain your pre-baby body. Often during pregnancy your abdominal muscles become separated (called diastases) which, no matter how much you exercise, can’t be brought back together without surgical help.

You may also have a lost volume to your breasts (deflated), or end up with breasts that now are droopy or saggy. Indeed, some moms now have breasts larger and heavier than before. Needless to say, most moms’ look in the mirror longing for their pre-baby bodies; so the good news, a mommy makeover can help get that back for you! More good news is that a mommy makeover can improve several areas of the body with one surgery (AND, one recovery time!) It can help restore youthfulness, reduce excess fat, tighten loose skin and enhance breast volume or “perkiness”. All in all, a thorough mommy makeover can help restore self confidence by making you comfortable again in your own skin!

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Choose Plastic Surgery Center of Dallas for Your Mommy Makeover

Maybe, tummy and hip liposuction with a modified breast lift and new implants? The possibilities are as varied as the kids in a mommy playgroup! One key thing to remember about mommy makeover surgery is that it’s particularly important to find an experience, qualified surgery when combining procedures. The Plastic Surgery Center of Dallas has its own accredited surgery center and recovery facility conveniently located in North Dallas.

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About Our On-Site Surgery Center/OR

  • About Our Surgery Center The Plastic Surgery Center of Dallas, has a beautiful onsite surgical suite including a state-of-the-art operating room and extremely comfortable recovery facility. We have been fully licensed and accredited as an AAAASF facility since 1995. One of our staff will be happy to provide you with a tour of our facility in non-operating times.
  • It is the mission of the American Association for Accreditation of Ambulatory Surgery Facilities, Inc. (AAAASF) to develop and implement standards of excellence to ensure the highest quality of patient safety through an accreditation program. Accredited facilities must meet 100% of the standards set by AAAASF for accreditation through regular on-site inspections. Many office based surgical facilities are not accredited, legally operating independently of any peer review and inspection process. In AAAASF accredited facilities, assuring patient safety is the first and utmost priority. The Plastic Surgery Center of Dallas has achieved both National and Global Accreditation.
  • Why is This a Benefit to You? We spend nearly as much time at The Plastic Surgery Center of Dallas as he does at home. It is his highest priority to provide a comfortable and safe environment with a non-hospital feel and the most personalized care, never compromising on quality or the well being of his patients. Many doctors operate in a number of different surgery centers and some even in office exam rooms. Facilities designed for multiple physicians (orthopedic surgery, ocular surgery, urology, etc) are not specifically designed for cosmetic surgery and do not have the benefit of a customized layout and design for your utmost privacy and comfort. At these facilities, the surgeon often does not know which staff will be assigned to his room. We feel that the full control we have over our surgery center eliminates many variables and is better for our patients from the moment of arrival through the final visit. Your convenience and privacy are further assured by our plentiful private parking and our discrete covered pickup at the surgery center door, just steps away from our surgical entrance.
  • Your Overall Experience We will use all of our skills, talents and technical capabilities to help you reach your goals. In addition, we strive to provide unparalleled follow-up services to help you realize your optimal recovery with safety and peace of mind. We are always available for any of your questions or concerns. Call Today to Learn More

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