Get a Flatter, Tighter Stomach and an Hourglass Body
You’ve got loose skin, folds and excess fat in your midsection 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. It targets every section of your abdominal muscles 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! You’ll look like you’ve done 40,000 sit-ups, overnight!
Your resulting horizontal scar will be as low as possible, where it will be well hidden by your underwear or bikini line. There are no visible incisions placed around your belly button either! You’ll be able to wear a bikini and not worry about tell tale scars.
Get the curves you deserve with the Hourglass Tummy Tuck™
- Tighten skin laxity 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
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
The Hourglass Tummy Tuck™ and All-Core Tightening
In addition to removing excess fat and loose skin, abdominal muscle separation (diastasis recti) is repaired. The technique pulls in the side oblique muscles, too, bringing together the left and right side of the rectus abdominus and transverse abdominis for 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!
Why the Hourglass Tummy Tuck™ is Better
- You get a tightening of the underlying 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 tummy tuck 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 remain covered up by 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.
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.
Healthy people who have realistic goals and follow a healthy diet and exercise routine are good candidates. Abdominoplasty is a popular surgical procedure that’s commonly part of a mommy makeover or following weight loss.
You should be at your ideal weight to reduce surgical risks (such as wound healing complications and deep venous thrombosis). This also improves outcome predictability and allows results to last longer. If you aren’t at your ideal weight, please speak with Dr. Kesarwani.
Mini Tummy Tuck or Full Tummy Tuck?
The easiest way to figure out whether you need a mini or full is first pinpointing the abdominal area(s) that you want to improve.
What is a mini tummy tuck?
A mini tummy tuck flattens the lower mid-section. It includes fatty tissue removal, loose skin tightening and repair of lax abdominal muscles but only below your belly button (lower abdomen). Anything above 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 improves everything below and above your belly button. It’s as simple as that! Tummy skin tightening, fatty tissue removal and muscle repair of the abdominal wall is targeted, giving you a more dramatic improvement than a mini tummy tuck. Liposuction can be performed at an additional cost for further enhancement of harder to reach areas and to refine the waist contour. This option is commonly performed on most patients who’ve had significant weight loss or have had children.
Preparing for the Procedure
Dr. Kesarwani believes that it’s all in the measuring, marking and planning of your plastic surgery. This 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 and deep venous thrombosis.
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. Excess 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 abdominal wall muscle tightening, though, Dr. Kesarwani is not conservative.
He doesn’t only repair diastasis recti down the mid-line of your body. He also pulls in the oblique muscles. Targeting the muscles underneath 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 navel isn’t all the way around. He does this by bringing the hanging skin on the lower abdomen up into the navel, where the incision remains below the surface of the skin. Because it’s your own skin going inside the navel, there is no visible scar. This allows you to flaunt your midriff without worrying about showing a scar!
Dr. Kesarwani then closes the incisions after removing excess skin. He administers local anesthetic in the abdominal area. This decreases discomfort for several hours after your cosmetic surgery. Pain medication is prescribed
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. Drainage tubes are placed within in the incision to reduce fluid accumulation.
The entire procedure can take 1 hour or more, depending on what is done. While the general anesthesia wears off in a couple of hours, the local anesthesia administered to the treated area provides longer lasting relief.
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 (known as a drain free tummy tuck). Dr. Kesarwani uses drains for the following reasons:
- A drainless tummy tuck involves 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 following a drain free tummy tuck. These issues are common drainless tummy tuck complications.
- 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. No extra incisions are made.
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 recovery?
The recovery is unique for each tummy tuck patient. You may need to take about 1-2 weeks off from work (or longer if your work is physically demanding). Follow aftercare instructions and wear your 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 During Tummy Tuck Recovery
During recovery from abdominoplasty, we recommend tummy tuck patients wear a compression garment, or abdominal binder to:
- Support the repaired tissue.
- Minimize swelling and bruising, particularly in the lower abdomen.
- Help loose skin retract and form to its new shape.
- Control scar formation.
- Lead to smoother skin and better results.
- Decrease pain.
Compression garments are generally worn for four to six weeks. You may need to wear the garment 24/7 for the first week, and then ten to twelve hours a day afterward. After this time, you can still wear them 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.
Full recovery after this elective cosmetic surgery 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 abdominoplasty patients take some time off of work, avoid physical activity, especially heavy lifting and stop smoking.
A Note on Scars
We have found that CytoDerma™ is an essential part of post-treatment recovery to help scars fade as much as possible. This silicone gel should be applied for three months.
Surgical scars 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.
Are Tummy Tuck Results Permanent?
The results are permanent but can be affected by weight gain, aging and future pregnancies. Follow a healthy lifestyle and remain at a stable weight 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 abdominoplasty patients love their new hourglass figure, and so will you.
How Soon After Birth Can You Have A Tummy Tuck?
The importance of timing cannot be understated when considering a post-pregnancy tummy tuck. The average post-pregnancy body is not immediately in ideal condition for surgery. Most surgeons recommend that you wait 6 months or so after giving birth before you get 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. During this time, it’s unadvisable to undergo a tummy tuck due to the short-term impact the surgery will have on the patient’s body. Women should wait at least six months after stopping breast feeding before they undergo the tummy tuck procedure.
Other important considerations include the following:
- Post-Operative Care
Oftentimes, tummy tuck patients require at least 2 weeks recovery after surgery. 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.
- Long-Term Tummy Tuck Benefits
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 Tummy Tuck Surgery Safe After Any Stomach Surgery?
If you’ve had previous surgery targeting your stomach, you may still move forward with a tummy tuck abdominoplasty. However, it’s important to consider the following:
Location of Scar a Critical Consideration
Depending on the location of the previous surgery, such as hernia repair, most can be completed on patients who have undergone a 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
Some patients may have been put off because they have been misinformed that their past surgeries would prevent the process being completed safely. But with the right surgeon, these tummy tuck patients can safely achieve the toned stomach and ideal figure they want if they’re at a stable weight:
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 fat 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.
Patients Who Have Undergone Tubal Ligation
Women who have undergone tubal ligation are also prime candidates. The scars from the process can be removed by a specialist when completing the tummy tuck.
Frequently Asked Questions About a Tummy Tuck Toronto
What’s a tummy tuck cost? What does tummy tuck cost in Canada? What is the average cost of a tummy tuck in Canada?
The cost of a tummy tuck depends on whether it’s a mini tummy tuck or full tummy tuck and if additional liposuction is performed. It normally ranges in the thousands of dollars. In Canada, the average cost for this plastic surgery procedure ranges from $8500 to over $10,000.
Can tummy tuck procedures be covered by insurance?
Usually, abdominoplasty isn’t covered by insurance because it’s 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, this cosmetic surgery procedure is very safe. We wouldn’t be doing them if they weren’t! We have countless of satisfied patients to prove it. 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 abdominoplasty?
Candidates should be generally healthy, understand the risks of the procedure and have realistic expectations of surgical outcomes. They should have excess fat and loose abdominal skin in the mid-section that they have been unable to get rid of despite a healthy lifestyle. They may also have separated abdominal muscles.
Can an obese person have a tummy tuck abdominoplasty?
Yes, people who have a high BMI and are considered obese may be a viable candidate 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 and abdominal muscles?
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™ surgery is designed to give you a more defined waist by targeting the abdominal muscles, sagging skin.
Can a tummy tuck remove stretch marks?
To a certain extent, abdominoplasty can remove stretch marks if loose skin is removed. Most stretch marks that are removed are located below your navel. 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?
Toronto tummy tuck procedures leave a permanent scar. However, with proper care, scars 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™ helps scars fade as much as possible. This is a silicone gel that should be applied for three months.
Where are tummy tuck scars?
Scars are located around the navel (placed inside so as not to be visible) and horizontally below the navel, from hip to hip. Another scar may extend vertically down from the navel 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.
Is a tummy tuck procedure worth it?
It really depends on your opinion. If you think that getting rid of loose skin and having a leaner body and hourglass figure is worth it, then yes, it’s worth it!
Do you have a belly button after a tummy tuck abdominoplasty?
Of course! For a natural result, your navel is preserved but the shape may improve. It may go from a flattened out oval to a rounder shape.
What happens to the belly button during a tummy tuck abdominoplasty?
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. The navel is attached to a stalk, and it remains attached during the surgery. During full abdominoplasty, a new opening is created in the skin to which the navel and stalk are attached. These are untouched during mini abdominoplasty. Depending on where your navel 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 it 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?
For full abdominoplasty, swelling and crusting over of the scabs can take a few months to resolve. There may be some swelling 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 navel 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. However, if you notice anything out of the ordinary, it could be cause for concern. Look out for:
– A navel opening that appears to constrict or contract
– A scar that gets thicker instead of fading over time
– A navel that looks distorted, elongated, or oddly-shaped
– Formation of pus or blood or other substances
If you notice that after six months your navel hasn’t healed and remains red and crusty, contact us immediately. It could be an infection that requires antibiotics.
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 surgery. 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.
Is a tummy tuck painful? Is tummy tuck recovery painful?
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 where the sagging skin was tightened and muscle repair was performed. 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, tummy tuck surgery and liposuction are two different types of procedures. A Toronto tummy tuck removes excess skin and fat as well as repairs separation of abdominal muscles only in the mid-section. Liposuction removes fat underneath the skin in the mid-section as well as other areas of the face and body, so there is no excess skin tightening or muscle repair.
What are tummy tuck dog ears?
“Dog ears” occur when there is puckering of the excess 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.
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 a tummy tuck tightens 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 abdominal binder to help ease swelling.
Can tummy tuck be done with a c-section?
Tummy tuck surgery 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. Get one too early and your results may not last due to 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 abdominoplasty 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 Canada can be undone by gaining weight, aging and pregnancy. However, there is no predictable way in which results may be impacted.
How long does a Toronto tummy tuck last?
The results of a Toronto tummy tuck last for as long as you maintain a healthy diet and exercise regimen. Most patients find it easier to follow a healthy lifestyle after the cosmetic surgery procedure. Aging, pregnancy and weight gain may negatively impact your results.
Can you get pregnant after tummy tuck surgery?
Yes, your ability to become pregnant is not impacted in any way.
Can a tummy tuck be medically necessary?
A Toronto tummy tuck surgery 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 firmness of the skin. It can repair diastasis recti (abdominal muscle separation). The procedure is effective for women who’ve had children and massive weight loss patients, particularly following bariatric surgery (also known as weight loss surgery).
What are the long term side effects of tummy tuck risks?
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 to give you a smooth abdomen, many patients will find that Toronto tummy tuck surgery 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.