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Tummy Tuck

If you've had children or lost a great deal of weight, your body has been through some big changes. Unfortunately, the abdominal area doesn't always "bounce back" after pregnancy or weight loss, and you may be left with a sagging, protruding belly. Dr. Andrew Smith understands how frustrating this can be for many patients. He performs tummy tuck surgery in Orange County to repair weakened abdominal muscles and remove excess skin and fat and help his patients feel great their bodies. Dr. Smith offers numerous approaches to tummy tuck surgery, including the mini tummy tuck, and he'll work with you to customize your procedure for maximum benefits.

In Orange County, a tummy tuck can help renew your midsection. Request a FREE surgical consultation or call our offices in Irvine, Huntington Beach, and Corona at (949) 653-7000 to schedule your appointment. Dr. Smith is a board-certified plastic surgeon known for his warmth and integrity, as well as the amazing results he achieves for his clients.

What a Tummy Tuck Can Do for You

A tummy tuck, technically called abdominoplasty, helps Orange County patients attain a flat, slender abdomen and defined waist after pregnancy or weight loss. A tummy tuck may be a good choice if you:

  • Are at or near your ideal weight
  • Have excess skin and fat around the midsection
  • Have weakened abdominal muscles that cause the abdomen to protrude
  • Are not planning any future pregnancies

Dr. Smith will listen to your concerns and goals, then will suggest the best surgical technique for your tummy tuck surgery. He takes a comprehensive approach, addressing every detail so that your entire midsection looks great from all angles.

Before & After Photos

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Case 22, Abdominoplasty

This 46-year-old female wanted a trimmer-looking abdomen and slimmer waist that would complement her body type well. She had healthy habits and clear goals for a fitter appearance, so she decided that is was time to make an appointment with Dr. Andrew Smith to put her goals into action. She met with him for a tummy tuck consultation in Orange County. The patient quickly found that Dr. Smith had answers to even her most detailed questions. He listened to her goals, and explained how a combined tummy tuck and liposuction procedure would meet these expectations. He recommended liposuction to remove fat from her waist area, along with a tummy tuck to sculpt her abdomen and give her a fla...

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Case 15, Abdominoplasty

This 36-year-old woman was searching for a surgeon who perform a tummy tuck in Orange County. She was near her goal weight, but she wanted additional contouring that working out and eating healthfully could not provide. She knew she had to find a plastic surgeon that she could trust, and she found Dr. Andrew Smith. When this patient came to Dr. Smith's office for a consultation, she was unsure whether he would be able to meet her specific needs. She was concerned about how her midsection would look after the procedure. Seeing as Dr. Smith is a plastic surgeon who is skilled in liposuction, this patient inquired about liposuction in addition to a tummy tuck to achie...

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Case 29, Abdominoplasty

This 46-year-old mother of two came to Dr. Andrew Smith interested in liposuction of the hips and outer thighs as well as a tummy tuck in Orange County. She was concerned with the stretch marks and lax skin that came along with pregnancy, childbirth and age. Additionally, she was unhappy with excess fat deposits around her hips and outer thighs. She sought out Dr. Smith to see how he could help her. When she came to Dr. Smith, they sat down to discuss her concerns and what she wanted to see improved through surgery. He told her that combining a tummy tuck with liposuction would take care of her concerns and help her achieve the look she wanted. Once they agreed on which procedure...

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Case 21, Abdominoplasty, Breast and Body

48 year old female before and after abdominoplasty (tummy tuck).  Results are 10 months after surgery.

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Case 36, Abdominoplasty, Breast and Body

This 29-year-old, 5-foot-11 woman was unhappy with the excess skin that remained in her midsection following LAP-BAND® surgery for weight loss. After losing about 70 pounds, she sought an experienced Orange County tummy tuck surgeon. This patient felt the excess tissue and skin around her midsection detracted from the hard work she had put in losing the weight. She wanted her outward appearance to reflect her achievement, and she enlisted the help of Dr. Andrew Smith. To begin her procedure, Dr. Smith made an incision across the pubic bone and removed excess skin and tissue. After he was finished with the abdominoplasty, he performed liposuction on the flanks and waist area. Th...

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Case 327, Abdominoplasty, Mommy Makeover

This 34-year-old mother of 2 children was unhappy with the loose, flabby-looking skin and muscles in her abdominal area, a common concern that many post-pregnancy women want to correct. She had a previous breast augmentation procedure and had some slipping of her implants and felt her breasts lost overall volume post pregnacy. She wanted to restore fullness to her breasts, which tend to flatten and sag significantly as a result of pregnancy and breastfeeding. When she met with Dr. Andrew Smith, she discussed her options for a tummy tuck, breast augmentation and breast lift at his Orange County practice. This patient was impressed by Dr. Smith's com...

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Case 329, Abdominoplasty, Breast and Body, Mommy Makeover

This 62-year-old patient had lost about 100 pounds 5 years previously from gastric bypass and was unhappy with the loose, flabby-looking skin and muscles in her abdominal area. She also wanted to restore symmetry to her breasts. When she met with Dr. Andrew Smith, she discussed her options for both a tummy tuck, breast reduction and breast lift at his Orange County practice. This patient was impressed by Dr. Smith's commitment to personalized care and felt confident that he would help her attain her goals. In this patient's surgery Dr. Smith made a horizontal incision across the lower abdomen to allow him to tighten the abdominal muscle...

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Case 331, Abdominoplasty

This 57-year-old woman was searching for a surgeon who perform a tummy tuck in Orange County. She had lost about 100 pounds from the gastric bypass surgery and was close to her goal weight. She knew she had to find a plastic surgeon that she could trust, and she found Dr. Andrew Smith. When this patient came to Dr. Smith's office for a consultation, she was unsure whether he would be able to meet her specific needs. She was concerned about how her midsection would look after the procedure. Seeing as Dr. Smith is a plastic surgeon who is skilled in liposuction, this patient inquired about liposuction in addition to a tummy tuck to achieve the body shape she wan...

Your Surgery

Tummy Tuck DiagramOn the day of your surgery, board-certified anesthesiologists will administer general anesthesia for your comfort and safety. Most tummy tucks will require an incision across the lower bikini area between the pelvic bones. Dr. Smith will be sure to make the incision so that it is concealed by a bathing suit or underwear. During surgery, the lax abdominal muscles are tightened, restoring a narrower waist and flatter abdomen. Excess skin is trimmed away, and liposuction is often used to remove excess fat from the waist, abdomen and flanks. Dr. Smith reconstructs the navel to look attractive and natural.

Your Recovery and Beyond

Surgery is usually performed on an outpatient basis at the Laguna Hills Surgery Center. You will awake from your surgery with an abdominal binder and typically 2 surgical drains to prevent fluid from accumulating. It is important to keep your torso flexed for the first 1 to 2 weeks after surgery and to limit any strenuous activity during this time. Walking is beneficial as it helps you feel better and helps maintain leg circulation. Drains are typically removed after about 1 week and the binder is usually worn for 4 to 6 weeks after surgery. Most patients take 10 to 14 days to recover from surgery before returning to work.

During your recovery, Dr. Smith and his entire team of caring, knowledgeable professionals are available around the clock to answer any and all questions. They will follow up with you on the evening of your surgery, the next day, and at regular intervals to monitor your progress. While you will notice dramatic improvement after 6 weeks, results from tummy tuck surgery will continue to emerge over the course of 6 months to 1 year.

Frequently Asked Questions

How do I know whether I need a tummy tuck or liposuction?

During tummy tuck surgery, I remove excess, stretched skin from the abdominal area and tighten abdominal muscles if they are loose or separated. I often combine liposuction with the tummy tuck, also called abdominoplasty, in my Orange County practice to sculpt areas such as the hips and waist. Patients who have been pregnant or undergone significant weight loss usually need a tummy tuck to return their abdominal area to a fit and youthful appearance.

Can I combine another procedure with a tummy tuck?

Yes, it's not uncommon for Dr. Smith to combine tummy tuck surgery with liposuction, a breast procedure, or both. This is referred to as a Mommy Makeover because it is a popular choice for women whose bodies have changed after pregnancy.

Will I have a scar?

Any surgical procedure will leave a scar. When I perform abdominoplasty, I place the incision (which usually runs from hip to hip) low enough to be concealed by underwear and swimsuits. With a full tummy tuck, I conceal the second incision within the natural creases of the navel.

Will I have drains after surgery?

Yes, drains are important for safety and for optimal healing after your tummy tuck. Surgical drains prevent fluid from building up at your surgical site. Without them, you would be uncomfortable and at risk for serious complications. The tiny tubes allow the fluid to drain from the abdomen into a small receptacle which you will empty at regular intervals. This is a bit of a nuisance, but it isn't difficult or uncomfortable. After a few days, when your drains are collecting hardly any fluid, Dr. Smith will remove them. This is a simple and straightforward procedure that takes just a few minutes in the office.

Can a tummy tuck help me get rid of stretch marks?

Because a tummy tuck removes loose, stretched out skin, any stretch marks on that skin will also be removed during the procedure. If you have a full tummy tuck, stretch marks above your belly button will most likely end up hidden below your underwear after the skin is tightened.

What's the difference between a full tummy tuck and a mini tummy tuck?

A full tummy tuck removes excess skin and fat from the abdominal area, both above and below the belly button; a mini tummy tuck focuses on the area below belly button. Either procedure may include repair of the abdominal muscles. A mini tummy tuck usually requires a shorter incision and recovery period than a full tummy tuck. In my experience, however, very few patients are good candidates for a mini tummy tuck.

I plan to lose 15 pounds. If I wait until after having a tummy tuck, will I end up with loose skin again?

It's preferable to have a tummy tuck when you're as close to your goal weight as possible. Depending on factors such as your age and the condition of your skin, it's likely that losing 15 pounds will not reverse your improvements from a tummy tuck. However, if you become pregnant or gain a lot of weight after a tummy tuck, you will likely lose your improvements.

How much time should I plan to take off work?

Tummy tuck patients typically can return to less strenuous jobs, such as office work, and light activity within 10 to 14 days. After about 6 weeks, most patients have no restrictions on work or activity.

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