Abdominoplasty and Hourglass Tummy Tuck in Toronto

Dr. Atul Kesarwani is the medical director of the Cosmedical Rejuvenation Clinic. As a board certified plastic surgeon, Dr. Kesarwani has 30+ years of experience in the field. Read more about Dr. Kesarwani >
Book Your Private Medical Consultation With Head Plastic Surgeon Dr. Kesarwani.


Get a Flatter, Tighter Stomach and an Hourglass Body

You’ve got loose skin, folds and excess fat that you can’t get rid of with exercise and dieting. But don’t fret, because you can still reshape your body the way you want it to look.

Our Hourglass Tummy Tuck™ gives you a flatter and tighter stomach. You’ll also get a waist that cinches inward. You’ll be able to wear form fitting outfits that show off your curves in all the right places. It gives you such great results that you’ll look like you’ve done 40,000 sit-ups, overnight!

But our unique style of tummy tuck doesn’t only tighten loose skin and remove unwanted fat. It also targets every section of your abdominal muscles. This tightens your muscles together to create the effect of an internal corset. You’ll have a cinched in mid-section so you can get that hourglass figure you’ve always wanted!

Your resulting horizontal scar will be as low as possible, where it will be well hidden by your underwear. There are no visible incisions placed around your belly button either! You’ll be able to wear a bikini and not worry about revealing any tell tale scars.

Get the curves you deserve with the Hourglass Tummy Tuck™

  • Tighten skin in your mid-section
  • Get rid of stubborn fat and loose skin on your stomach,  waist & lower back
  • Decrease the presence of stretch marks.
  • Get an hourglass figure with unique All-Core Tightening of your abdominal muscles
  • Show off a natural looking and scarless  “beach-worthy” belly button

Illustration of the hourglass tummy tuck and how it can give you that classic beautiful shape.

The Hourglass Tummy Tuck™ and All-Core Tightening

The Hourglass Tummy Tuck™ doesn’t only remove unwanted fat and loose skin. It also repairs abdominal muscle separation located down the middle of your stomach. This is a condition known as diastasis recti (read more info here). And better yet, the technique pulls in the side oblique muscles, too. This brings together the left and right side of the rectus abdominus, along with the transverse abdominis. The result is total muscle tightening and a cinched-in waist. Plus, there’s no puckering of the skin from this plastic surgery procedure, so you’ll have a smoother, firmer contour!

No visible scarring around a belly button that looks totally natural. 

Little to no puckering of the skin and if there is puckering, it goes away faster than with other techniques.   

Extra muscle tightening for a cinched in waist for an hourglass figure

We make sure you're warm during and after surgery to improve comfort.

Drains are used to speed up healing and give you smoother results with no puckering.

World Class Board Certified Plastic Surgeon

Why the Hourglass Tummy Tuck™ is Better

  • Tightening of the abdominal muscles and obliques to create an hourglass figure. It’s like you get an internal corset that’s super long lasting.
  • 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. Any resulting scars 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 for a faster recovery.

Your Private Medical Consultation with Head Plastic Surgeon, Dr. Atul Kesarwani

Book Your Consultation With Dr Kesarwani.

You and Dr. Kesarwani will talk at length about what you want to achieve. He will then let you know if the Hourglass Tummy Tuck™ is right for you.

Generally healthy people who have realistic goals and a regular exercise routine are good candidates. It’s a popular procedure as part of a mommy makeover.

You should also be at your ideal weight.

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 figuring out where you want to improve.

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.

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.

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!

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:

  1. 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.
  2. Using drains eliminates fluids, thereby reducing swelling and speeding up recovery.
  3. 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.

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.

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?

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.

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?

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.

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.

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.

Contact us

Cosmedical Rejuvenation Clinic is dedicated to providing you with the care and support you deserve in an open and supportive environment.

If you have any questions or concerns, or would like to book an appointment with our head plastic surgeon, Dr Kesarwani, please fill out this form and we will respond shortly.

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