Why the Hourglass Tummy Tuck™ is Better
- You get a tightening of the abdominal muscles and obliques to bring in your waist, creating an hourglass figure. It’s like you get an internal corset that’s super long lasting. Dr. Kesarwani is one of the few surgeons who tightens not only the rectus muscles that get spread apart with pregnancies, but also the oblique muscles to re-establish the waist contour.
- Dr. Kesarwani is very meticulous when it comes to incisions and stitching them up. This means that you’ll have symmetric incision lines that are straight, even and neat. This gives you tidier scars that will remain covered up by your underwear or bikini bottoms.
- Dr. Kesarwani applies advanced surgical techniques that reduce trauma and bleeding. You’ll have less bruising and swelling than other methods of tummy tucking, so you have a faster recovery.
Your Private Medical Consultation with Head Plastic Surgeon, Dr. Atul Kesarwani
You and Dr. Kesarwani will talk at length about what you want to achieve. We dedicate this time solely to discuss your goals and assess your area(s) of concern. Dr. Kesarwani will then let you know if the Hourglass Tummy Tuck™ is right for you.
Generally, healthy people who have realistic goals and follow a regular exercise routine are good candidates. Abdominoplasty is a popular procedure that’s commonly part of a mommy makeover.
You should also be at your ideal weight. Being at an ideal, stable weight reduces surgical risks, improves predictability of your results and allows them to last longer too. If you aren’t at your ideal weight, Dr. Kesarwani can let you know if a tummy tuck is still suitable for you.
Mini Tummy Tuck or Full Tummy Tuck? Which tummy tuck is right for me?
The easiest way to figure out whether you need a mini or full tummy tuck is first pinpointing the area(s) that you want to improve. While the procedure is designed for the mid-section, consider above and below the belly button as two distinct areas.
What is a mini tummy tuck?
A mini tummy tuck involves fat removal, skin tightening and muscle repair but only improves everything below your belly button. Anything above your belly button is left unaffected. Generally speaking, a mini tummy tuck achieves limited improvement because the area of focus is smaller.
What is a full tummy tuck?
The most common option, a full tummy tuck improves everything below and above your belly button. It’s as simple as that! Skin tightening, fat removal and muscle repair everywhere on your stomach is targeted, giving you a more dramatic improvement. Liposuction can be performed at an additional cost for further enhancement of harder to reach areas and to refine the waist contour.
Read more about this topic here.
Preparing for the Procedure – How Do I Prepare for a Tummy Tuck?
Dr. Kesarwani believes that it’s all in the measuring, marking and planning of your surgery. This is important because it sets your expectations and allows you to know what to expect. Dr. Kesarwani will make markings while you’re sitting and standing. These are positions that you would see yourself doing on a regular basis after surgery. That way you’ll look great, whether you’re standing straight up, bending over or lying down.
The Procedure — How is a tummy tuck performed?
Dr. Kesarwani administers a unique formulation of anesthesia. This decreases any discomfort during your surgery and for about 6-8 hours afterward. We place pumps on your legs to prevent the risk of blood clots. This is whether you get a mini tummy tuck or full tummy tuck.
The skin is lifted off the abdominal wall so the upper flap can come down. Loosening the tissues to a certain extent also allows for a lower incision line. Dr. Kesarwani leaves the skin on your sides, so it remains attached. Doing this maintains blood flow, minimizing the risk of complications (i.e. necrosis). He also uses electrocautery to reduce bleeding and bruising. Fat is removed (with liposuction, if necessary). There’s only a conservative amount of skin removed to avoid a tight, unnatural result.
When it comes to muscle tightening, though, Dr. Kesarwani is not conservative.
He doesn’t only repair abdominal muscle separation down the mid-line of your body. He also pulls in the oblique muscles. This gives you a more cinched-in waist for a smaller girth that resembles an hourglass. It’s kind of like an internal corset, but instead of tying it up in the back, it’s done in the front without visible seams. The “internal corset” remains tightly together by sutures. It’s also supported by the fatty tissues that stick to these muscles, holding it in place like glue.
Dr. Kesarwani takes a fair amount of time to ensure the incision around the belly button isn’t all the way around it. He does this by bringing the skin on the lower abdomen up into the belly button. Part of the scar remains inside the belly button, and the incision is below the surface of the skin. Because it’s your own skin going inside the belly button, there is no visible scar. This allows you to flaunt your midriff without worrying about showing a scar!
We have found that CytoDerma™ is also an essential part of post-treatment recovery to help scars fade as much as possible. This is a silicone gel that should be applied for three months. You can read more about silicone scar gel here.
Surgical scars will tan like the rest of our skin when exposed to the sun. However, they often do not fade in colour like the rest of our skin. You don’t want dark scars, so diligent sunscreen use is particularly important for the first 12-18 months after surgery. We have a variety of non-comedogenic options in the office that we can help select for you depending on your skin type.
Dr. Kesarwani then closes the incisions. He administers local anesthetic in the treated area. This decreases discomfort for several hours after your cosmetic surgery. Pain medication can also help.
Dr. Kesarwani places sutures in several layers of tissue, so that there is less tension on the skin. This gives you a smoother, finer scar that’s less at risk of re-opening. There is no lumpiness. Drains in the incision reduce fluid accumulation.
The entire procedure can take 1 hour or more, depending on how much is done. While the general anesthesia will wear off in a couple of hours, the local anesthesia administered to the treated area provides longer lasting relief from discomfort.
What are tummy tuck drains?
Tummy tuck drains help to get rid of any fluid buildup that occurs within the cavities of the treated area.
Drainless vs. Drain Tummy Tuck
There are several surgeons who don’t place drains at the end of the tummy tuck surgery. Dr. Kesarwani uses drains. He has found that it is actually more beneficial to use drains for the following reasons:
- Drainless tummy tucks involve sutures to decrease cavities that may fill with fluid. This can lead to puckering on the skin surface that either took too long to go away, or didn’t go away at all. Puckering and unevenness can lead to a poor aesthetic outcome.
- Using drains eliminates fluids, thereby reducing swelling and speeding up recovery.
- Using drains causes some suction. The underside surface of the fat sticks on to the upper surface of the muscles. This supports muscle tightening and kickstarts the healing process, so recovery is shorter. The suction also helps puckering go away faster, too.
Drain marks are often found in the pubic area but you won’t have any. This is because Dr. Kesarwani places drains in the main incision. There are no extra incisions to accommodate the drains.
Once the surgery is over, you’ll stay in our recovery room for a few hours. Our dedicated nurses and Dr. Kesarwani will observe you until you’re ready to go home.
How long is the tummy tuck recovery?
The tummy tuck recovery is unique for each patient. You may need to take about 1-2 weeks off from work (or longer if your work is physically demanding). Follow your aftercare instructions and wear your compression garment for a complete recovery. You’ll need to avoid strenuous physical activities, like weightlifting and intense workouts, for a specified period of time.
Wearing Your Compression Garment After a Tummy Tuck
During recovery from abdominoplasty, we recommend patients wear a compression garment, or binder. The compression garment works to:
- Support the repaired tissue.
- Minimize swelling and bruising.
- Help skin form to it’s new shape.
- Control scar formation.
- Lead to smoother skin and better results.
- Decrease pain.
Compression garments are generally worn for four to six weeks after a tummy tuck. You may need to wear the garment 24/7 for the first week, and then wear it for ten to twelve hours a day after that. After this time, you can still wear the compression garment for comfort or pain relief if you’d like.
Since each patient is different, the best thing to do is to ask us directly how long you should wear a compression garment.
A full recovery following a tummy tuck usually lasts 3-6 weeks. During this time we will advise you on what kind of activity to avoid, how long to rest, and how to treat the area. It is usually advised that patients:
- Take part of your recovery time off of work.
- Avoid physical activity, especially heavy lifting.
- Avoid nicotine.
Your Results – Are Tummy Tuck Results Permanent?
The results of a tummy tuck are permanent but they can be affected by weight gain, aging and pregnancy. Follow a healthy lifestyle to maintain your results.
It’ll be amazing how much of a positive impact the surgery will have on your confidence. You’ll look like you did thousands of situps for a leaner, firmer mid-section and less stretch marks! Our patients love their new hourglass figure, and so will you.
Thousands of tummy tucks are completed across Canada on an annual basis. And the majority of operations are now completed for mothers looking to get their body back after a recent pregnancy. For mothers considering a tummy tuck procedure, there are many important considerations.
How Soon After Birth Can You Have A Tummy Tuck?
Timing is Everything: Wait Until your Body is Ready
The importance of timing cannot be understated when considering a post-pregnancy tummy tuck. The average post-pregnancy body is not immediately in the ideal condition for surgery and so women must evaluate their personal health carefully at this stage and consult with their primary care provider. Most surgeons recommend that you wait 6 months or so after giving birth before you consider a tummy tuck.
Breast Feeding will be an Important Consideration
Women often breastfeed their babies for the first few months of their baby’s life and during this time, it’s unadvisable to undergo a tummy tuck procedure due to the short-term impact the surgery will have on the patient’s body. Most health professionals recommend that women wait at least six months after their pregnancy before they undergo the tummy tuck procedure.
While some women may be able to have the operation sooner, they must only make the decision after speaking with their health professional and undergoing various tests that ensure their body is in optimal condition.
Important Considerations Before Undergoing a Tummy Tuck
In addition to the timing of the tummy tuck, there are many other important considerations. These include the following:
Oftentimes, tummy tuck patients require at least 2 weeks recovery after the tummy tuck procedure. This can limit mothers in terms of the activities they can complete with their children during that time. There are also restrictions on physical activity for a specific length of time, which includes lifting and carrying children.
For many women, the long-term benefits of the procedure must also be considered. For example, they may feel a heightened sense of confidence about their appearance. This may help enhance their lifestyle.
Is A Tummy Tuck Safe After Any Stomach Surgery?
If you’ve had previous surgery targeting your stomach, you may still move forward with a tummy tuck. However, it’s important to consider the following:
Location of Scar a Critical Consideration
Depending on the location of the previous surgery, most tummy tuck procedures can be completed on patients who have a undergone stomach operation. However, the surgeon may recommend that the patient undergo a variation on the tummy tuck procedure as a result of their previous surgeries. The scar from the past surgery may conflict with the circulation of abdominal skin during a tummy tuck, making the surgery more challenging. In most cases, when the scar is low enough on the body, it can be removed along with excess skin during a tummy tuck. But the surgeon will have the final say on whether the procedure moves forward.
The Following Patients Remain Suitable Candidates for Tummy Tucks
Some patients may have been put off the tummy tuck procedure because they have been misinformed that their past surgeries would prevent the process being completed safely. But with the right surgeon, the following patients can safely undergo a tummy tuck and achieve their ideal figure:
Patients who Have Undergone C-Sections
Mothers who have undergone C-sections are often prime candidates for the tummy tuck procedure. The patient will be able to remove the excess fatty deposits around their stomach and may even be able to remove some scar tissue depending on the location on the body of the C-section and the extent to which the body has recovered from the process.
Patient Who Have Undergone Appendectomies
The appendectomy procedure is relatively common across the country, and this means a large section of the population might falsely believe they are unable to undergo a tummy tuck due to their appendectomy scarring. Fortunately, with the innovation in surgical procedures in recent years, appendectomy scars tend to be quite small and simple for skilled surgeons to work around when completing tummy tuck procedures.
Patients Who Have Undergone Tubal Ligation
Women who have undergone tubal ligation are also prime candidates for the tummy tuck procedure. The scars from the process can be removed by a specialist when completing the tummy tuck.
Frequently Asked Questions About a Tummy Tuck
What’s a tummy tuck cost? What does tummy tuck cost? How much does a tummy tuck cost in Canada?
The cost of a tummy tuck Toronto depends on whether it’s a mini or full tummy tuck and if additional liposuction is performed. It normally ranges in the thousands of dollars.
What is the average cost of a tummy tuck in Canada?
In Canada, the average cost ranges from $8500 to over $10,000. The cost depends on whether the whole mid-section is targeted (full tummy tuck) or if only the area below the belly button is targeted (mini tummy tuck).
Are tummy tucks covered by insurance? Can tummy tuck be covered by insurance?
Usually, tummy tucks aren’t covered by insurance because they’re considered cosmetic rather than therapeutic. There are some cases where OHIP may cover a tummy tuck, but this is rare and can be further discussed with Dr Kesarwani during your consultation.
Are tummy tucks safe? How dangerous is a tummy tuck?
Yes, tummy tuck are very safe. We wouldn’t be doing them if they weren’t! We have countless of satisfied patients to prove that the surgery is safe and effective at achieving desired results. We have been performing tummy tuck for over 27 years. Complications that occur are extremely rare and can usually be resolved.
What qualifies you for a tummy tuck?
Candidates should be generally healthy, understand the risks of the procedure and have realistic expectations of surgical outcomes. They should have an excess of fat and loose skin in the mid-section that they have been unable to get rid of despite a healthy lifestyle. They may also have abdominal muscle separation.
Can an obese person have a tummy tuck?
Yes, people who have a high BMI and are considered obese may have a tummy tuck if they are generally healthy. However, we may perform the procedure in a hospital setting and the patient may need to stay overnight for additional safety.
Who is the best tummy tuck surgeon?
The best tummy tuck surgeon is a board certified plastic surgeon who has the training and experience in performing the procedure. You should feel comfortable with them and trust their medical expertise.
Will a tummy tuck strengthen my core?
While the procedure won’t affect the actual muscle strength of your abdominal muscles, it does help them work more properly.
Will a tummy tuck give me a waist?
Our Hourglass Tummy Tuck™ is designed to give you a more defined waist by targeting the abdominal muscles.
Can a tummy tuck remove stretch marks?
To a certain extent, tummy tucks can remove stretch marks if loose skin is removed. Most stretch marks that are removed are located below your belly button. Any that are above or are on the sides may not be removed, however their appearance may be improved.
Are tummy tuck stitches dissolvable?
We use both dissolvable and non dissolvable stitches.
Are tummy tuck scars permanent? Will tummy tuck scars go away? Will tummy tuck scars fade?
Tummy tuck surgery leaves a scar. Scars that develop following any surgery or trauma are permanent. However, with proper care, scars from a tummy tuck can heal to be very faint and well hidden by clothing. It’s important that while you heal, you care for your scars following your post-op instructions and keep them out of the sun to avoid permanently darkening them. We have found that CytoDerma™ is also an essential part of post-treatment recovery to help scars fade as much as possible. This is a silicone gel that should be applied for three months.
Where are tummy tuck scars?
Tummy tuck scars are located around the belly button (placed inside so as not to be visible) and horizontally below the belly button, from hip to hip. Another scar may extend vertically down from the belly button down to the horizontal scar. The type of scar that you’ll have depends on how much tissue is removed to achieve your aesthetic goals.
Are tummy tuck scars worth it? Is a tummy tuck worth it?
It really depends on your opinion. If you think that getting a flatter, firmer mid-section and hourglass figure is worth it, then yes, tummy tuck scars and the surgical experience are worth it!
Do you have a belly button after a tummy tuck?
Of course! For a natural result, your belly button and its appearance are preserved. The shape may change slightly or dramatically. After surgery, your belly button may go from an oval that’s flattened out horizontally to a rounder shape. The improvement is typically for the better.
What happens to the belly button during a tummy tuck?
Belly buttons are actually the remnants of our first scar because they form after the umbilical cord is cut upon our birth. When we undergo an abdominoplasty, our belly buttons can appear as though they have been damaged or scarred. However, this is all part of the healing process and is no cause for concern. The belly button is attached to a stalk, and it remains attached during the surgery regardless of whether you have a full or mini tummy tuck. During a full tummy tuck, a new opening is created in the skin to which the belly button and stalk are attached. The belly button and stalk are untouched during a mini tummy tuck. Depending on where your belly button sits on your abdomen, it may be shifted to accommodate the new, tighter contours of your abdomen.
How do you clean your belly button after a tummy tuck?
Generally, it is advised that you clean your belly button with a cotton swab soaked in hydrogen peroxide. You can do this once a day, gently wiping the area clean.
How long does it take a belly button to heal after a tummy tuck?
This depends on the extent of correction. For a full tummy tuck, swelling and crusting over of the scabs can take a few months to resolve. Wait a minimum of 6 months.Your belly button will swell in the first few days after your procedure. Scarring is normal and the scar itself will be hard at first but soften over time. It can take anywhere from three weeks to six months for your belly button to fully heal. Some crusting around the scar site is normal, and this will also clear up after about three weeks.
Most belly buttons recover nicely following an abdominoplasty. However, if you notice anything out of the ordinary, it could be cause for concern. Look out for:
– A belly button opening that appears to constrict or contract
– A scar around the belly button that gets thicker instead of fading over time
– A belly button that looks distorted, elongated, or oddly-shaped
– A formation of pus or blood or other substances around the belly button
If you notice that after six months your belly button has not healed and remains red and crusty, contact your surgeon immediately. It could be the work of an infection that requires antibiotics. You want to get the issue resolved promptly, so you can get your belly button back to normal and enjoy the results of your abdominoplasty.
Are tummy tuck revisions common? What is tummy tuck scar revision?
Usually, revisions aren’t common. The majority of our patients are extremely satisfied with their results after a single tummy tuck. However, in the rare event that a revision is needed to achieve the desired results, it can be performed. A tummy tuck scar revision can also be performed to improve the appearance of the scar.
Are tummy tucks painful? Is tummy tuck recovery painful? How painful is a tummy tuck?
Patients are placed under general anesthesia, so it is not painful during surgery. We also administer a unique type of anesthesia that decreases any discomfort for about 6-8 hours afterward. Once that wears off, it is not unusual to feel some tenderness, soreness and tightness. You may also feel tingly sensations as nerve regeneration occurs. These are all common and only last temporarily. Wearing a compression garment and following post-op instructions all help to ease discomfort during recovery.
Is tummy tuck liposuction?
No, a tummy tuck and liposuction are two different types of procedures. Tummy tucks are designed to target the mid-section by removing excess skin and fat as well as repair abdominal muscle separation. Liposuction is designed to remove fat underneath the skin in the mid-section as well as other areas of the body and face, including under the chin, arms, thighs and buttocks. There is no skin tightening or muscle repair performed during liposuction.
What are tummy tuck dog ears?
“Dog ears” occur when there is puckering of the skin along the incision line. This may be visible at the end of the incisions, where the skin beyond the end of the scar isn’t as tight as the skin along the incision line. Dog ears may appear during the recovery process, and often go away as swelling subsides and the skin retracts. If they don’t, they can be corrected with revision surgery.
Will tummy tuck remove fat?
Yes, a tummy tuck can remove unwanted fat on the stomach and waist.
Do you lose weight after a tummy tuck?
The amount of fat and skin removed during a tummy tuck is generally not enough to decrease your weight substantially. At most, only a couple of pounds may be lost. However, patients have found that they love their new body and consequently, follow a healthier lifestyle to maintain their results. This may indirectly lead to weight loss.
Will a tummy tuck remove love handles?
Love handles can be caused by excess skin and fat. A tummy tuck can tighten excess skin and remove unwanted fat, eliminating love handles.
Will a tummy tuck affect future pregnancy? Can a tummy tuck cause a miscarriage?
No, a tummy tuck doesn’t affect the reproductive abilities of a woman or man. However, pregnancy can undo results.
Will tummy tuck help bloating?
Bloating is caused by trapped gas or fluid. A tummy tuck cannot reduce this type of bloating. However, a bloated appearance can also be caused by abdominal muscle separation, where the abdominal muscles are unable to contain the organs so they push outward. In this case, a tummy tuck can help.
Will a tummy tuck help with back fat?
A tummy tuck focuses on the front and sides of your body. Liposuction can be performed at the same time to remove back fat, however it is generally not considered part of a tummy tuck. This would be a separate treatment that can be performed at the same time.
Will a tummy tuck reduce back pain? Will a tummy tuck help back pain? Will tummy tuck help lower back pain?
Back pain may be caused by the excess weight of the skin and fat on your front pulling forward and downward. If this is the case, then a tummy tuck may help reduce back pain.
Will tummy tucks help Diabetes? Will a tummy tuck help me lose weight?
Tummy tucks are not designed as a weight loss method or as a treatment for Diabetes. However, many patients decide to follow a healthier lifestyle after their surgery to maintain their results. This can positively impact a person’s health condition.
Can tummy tucks cause stretch marks?
It would be very unusual for a tummy tuck to cause stretch marks. If the skin is pulled overly tight, stretch marks may occur. However, Dr Kesarwani is very cautious about pulling on the skin too much to avoid this, and other related complications.
When can you exercise after a tummy tuck?
As long as your recovery goes well, you can start lower body, low intensity workouts that don’t involve the core a couple of weeks after surgery. Core exercises and upper body strength training can be done a few weeks after surgery.
When will tummy tuck swelling go down?
It can take a few months for the majority of swelling to go down, and up to a year for it to disappear completely. Make sure to wear your compression garment to help ease swelling.
Can tummy tuck be done with a c-section?
A tummy tuck should be performed at least 6 months after you’ve given birth or stopped breastfeeding — whichever is later. This waiting period allows your body to get back to pre-pregnancy shape, or as close to it as possible. If you have a tummy tuck too early, your results may not last because of bloating, excess visceral fat and other issues that can’t be treated with the surgery.
Can tummy tuck sutures break?
Yes, incision lines may separate if there is too much tension on them or if an infection occurs. This is rare, however, and can be resolved by Dr Kesarawni.
Can tummy tuck help incontinence?
Research in Plastic and Reconstructive Surgery (the journal of the American Society of Plastic Surgeons) found that tummy tucks can help with incontinence in women who’ve had children. While a tummy tuck isn’t designed for this express reason, the doctors of the study think that the procedure may restore strength and stability in the abdominal and pelvic area, thereby relieving incontinence.
Can tummy tucks cause gastroparesis?
Tummy tucks do not affect the size of the stomach or the digestive system, therefore it shouldn’t cause gastroparesis.
Can tummy tuck be undone?
The results of a tummy tuck can be undone by weight gain, aging and pregnancy. However, there is no predictable way in which results may be impacted.
How long does a tummy tuck last?
The results of a tummy tuck last for as long as you maintain a healthy diet and exercise regimen. Aging, pregnancy and weight gain may negatively impact your results.
Can you get pregnant after a tummy tuck?
Yes, your ability to become pregnant is not impacted in any way.
Can a tummy tuck be medically necessary?
A tummy tuck is an elective, cosmetic procedure. While it may be recommended for some patients with an excess of loose skin to reduce irritation, a tummy tuck is generally not medically necessary.
Do tummy tucks work?
Yes, tummy tucks are an effective method of reducing the circumference of the mid-section and improving the firmness of the skin. It can also repair diastasis recti (abdominal muscle separation).
What are the long term side effects of a tummy tuck?
Bruising, swelling discomfort and other side effects of surgery are considered temporary. With recovery, these will all disappear.
Can a tummy tuck improve my posture?
By tightening the tone of the skin in the abdomen, many patients will find that abdominoplasty can also help to improve their posture. The process tightens the muscles that support the patient’s spine, allowing them greater strength for standing in a fully upright position.
Can hernia repair be performed with a tummy tuck?
Some patients who require hernia repair may consider having abdominoplasty done at the same time. A hernia occurs when part of an organ, or other tissue, protrudes through the abdominal muscle walls. Hernias can be congenital or can be caused by excessive abdominal pressure. Causes of excessive pressure include cough, fluid buildup, lifting heavy weight, muscle straining, pregnancy,excess abdominal weight, and abdominal tumours or masses. While hernia repair surgery and abdominoplasty are two distinct procedures, they are performed on the same area of the body. Additionally, the causes that necessitate both surgeries are often similar or linked. For example, umbilical hernias can occur during pregnancy. After a pregnancy, a surgeon can repair the hernia while also performing a tummy tuck in order to minimize any sagging or loose skin and to tighten the stomach muscles. Since both abdominoplasty and hernia repair are major surgeries, it makes sense to combine the two. Hernia repair would be covered under OHIP, while abdominoplasty is a cosmetic procedure and would not be covered. There are still many benefits to combining the two procedures. You would be consolidating hospital time, recovery time, and physical therapy. Following hernia repair and abdominoplasty, surgeons recommend that you avoid any strenuous activity and avoid lifting anything that weighs over ten pounds. You must be very careful not to disturb your incision or cause any pressure on your abdomen. Most patients are able to return to work and daily activity as soon as two weeks after surgery, though it depends on the individual case. Your surgeon will be able to give you specific instructions to follow after your procedure. Overall, it is quite easy to repair a hernia while performing abdominoplasty. The area is exposed and can be easily repaired while an abdominoplasty is performed. Abdominoplasty can create a big improvement in your appearance and in your self-confidence. Following a large weight loss or a pregnancy, abdominoplasty can help tighten up your stomach, giving you a serious boost in self-esteem.