Loose skin, stubborn fat, and weak abdominal muscles can make it difficult to achieve a toned stomach. Tummy tuck surgery, also known as abdominoplasty, removes excess skin, tightens muscles, and sculpts the waistline. At Jonathan Heistein, MD, we offer tummy tuck procedures in Fort Worth and Southlake, TX, designed to deliver a flatter, firmer abdomen.

What Is a Tummy Tuck?

A tummy tuck is a surgical procedure that removes excess skin and fat while restoring weakened abdominal muscles. It is often recommended after pregnancy, significant weight loss, or when aging causes skin laxity.

Types of Abdominoplasty

Full Tummy Tuck

A full tummy tuck is often best when sagging skin extends above and below the belly button. It removes loose tissue and allows the surgeon to tighten stretched abdominal muscles. This is especially helpful for patients dealing with core weakness after multiple pregnancies. The procedure can also improve posture and core stability. It’s a strong option for those combining tummy tuck surgery with other contouring treatments.

Mini Tummy Tuck

The mini tummy tuck targets that small, stubborn pouch in the lower belly. It works well for people otherwise in shape but bothered by mild sagging below the navel. This tummy tuck procedure uses a smaller incision and doesn’t involve the belly button. Recovery is usually faster than with a full tuck. It’s a subtle but effective fix for minor concerns.

Extended Tummy Tuck

Losing weight can leave you with significant excess skin. An extended tummy tuck is often ideal in this scenario. The procedure treats the abdomen, flanks, and upper hips, removing loose skin and tightening the overall shape. 

Men’s Tummy Tuck

A men’s tummy tuck differs from other abdominoplasty procedures by focusing on muscle definition and a straighter, more angular contour. While the goal is still to remove fat and tighten skin, the approach is tailored to maintain a masculine appearance—avoiding the hourglass shape often emphasized in female patients. The surgeon may also adjust the incision placement and muscle repair to match male anatomy and fitness goals better.

Who Is a Good Candidate for a Tummy Tuck?

You may benefit from a tummy tuck if:

• You have loose, sagging abdominal skin.
• You experience muscle separation from pregnancy.
• Diet and exercise haven’t addressed stubborn fat.
• You’re in good health and maintain a stable weight.
• You’re not planning future pregnancies, as this may affect results.

During a tummy tuck consultation, Dr. Heistein will evaluate your concerns and determine the best surgical approach.

What Happens During a Tummy Tuck Procedure?

During a tummy tuck procedure, the surgery begins under general anesthesia to keep you comfortable throughout. The tummy tuck surgeon places incisions low on the abdomen, typically where they can be concealed by underwear or swimwear. Next, the abdominal muscles are tightened to restore core strength. 

Liposuction may be used to remove excess fat to enhance contouring. The surgeon then trims and repositions the loose skin to create a smoother appearance. Once the desired shape is achieved, the incisions are closed with sutures. A compression garment is also considered to support healing and reduce swelling.

Tummy Tuck Recovery: What to Expect

Recovery varies, but patients generally follow this timeline.

First Week:

• Swelling, bruising, and mild discomfort are normal.
• Drains may be placed to prevent fluid buildup.
• Walking is encouraged to aid circulation.

Weeks 2-4:

• Swelling and bruising begin to subside.
• Most patients return to work within 2-3 weeks.
• Light activities can resume, but heavy lifting should be avoided.

Months 2-3:

• Incisions continue healing, and scars fade.
• Exercise can gradually resume.
• Final results become more visible.

Long-Term Results:

• Maintaining a stable weight is key.
• Scars remain but lighten over time.