Tummy Tuck

A tummy tuck is a surgical procedure that removes excess skin in the abdomen.

In most patients we start with liposuction to sculpt the silhouette to establish long lean elegant lines and then we repair stretched or torn muscles (known as the diastasis recti) and remove excess skin.

Yes, we call this the mommy makeover and its our number one procedure. We love and cherish for the confidence that is unleashed in our patients.

Yes, when tummy tucks were created it was thought that liposuction would impair the blood supply to the skin. Good data and several studies have taught us where the blood supply is and how it works. That being said, the liposuction has to be done tactically and strategic to preserve the blood supply to the skin.

At Neinstein Plastic Surgery we believe that simple skin removal does not recreate the long lean elegant silhouette our patients are looking for and therefore finesse liposuction is always performed when needed.

When the baby grows and descends in the patient the body makes hormones that causes the muscles to separate which allows more space in the birth canal. Many patients will have the muscles come back several months after pregnancy but with large babies or several pregnancies the muscles will stay apart and this will cause bulging of the abdomen that is not just unsightly but uncomfortable as well.

We are rapidly gaining knowledge about how to reconstruct the muscles. Traditional teaching as to sew the rectus abdominus or the up and down muscles together. This is true for many but not all. We like to repair all the muscles needed to restore the core aesthetically and functionally. Dr. Neinstein also believes that many women will have their muscles stretched and elongated and actually need a horizontal or folding of the muscles along with rectus and oblique repairs to prevent continued bulging in the abdomen.

We use Exparel which is a 3 day long numbing on every patient, this dramatically reduces the amount of pain from the muscles repairs and allows patients to get up and moving.

We ask patients to plan a full week where they are focused on themselves and recovering

Week 1- resting, walking in room-floor-lobby

Week 2- resume normal activities at a low or slow pace

Week 3- resume normal pace

Week 4- exercise except core

At Neinstein Plastic Surgery our goal is the shortest scar possible but as long as needed to get the job done. For details on how Dr. Neinstein teaches around the world on how to make, draw, plan, and perform the scar please see our blog https://neinsteinplasticsurgery.com/blog/dr-neinstein-on-tummy-tuck-scar-revisions/

Patients are on a work book schedule of walking, eating, drinking, medication, massages in order to heal as fast as possible. It’s a time our team will be interacting daily with the patient. Many take a full week to be standing upright.

No, we bring your old belly button out a new opening that is made custom for you to natural.

Yes all patients will have blood thinners to prevent blood clots.

Yes, we believe in belts and suspenders meaning we use all available surgical techniques to reduce swelling and fluid accumulation and we add a drain for safety. Our procedures are comprehensive meaning because we do so many we know where the edges are and how you can push the tissues. We want the max results for our patients.