Tummy Tuck FAQs

Grapevine plastic surgeon Dr. Michael Bogdan is frequently asked many similar questions about tummy tuck by people from Plano, Frisco, and around the DFW area who are considering the procedure. To address some of these recurring issues, he has answered many of these common questions below:

Dr. Michael Bogdan

Dr. Bogdan is a board-certified plastic surgeon with a passion for his craft who is known for working closely with patients to get excellent results.

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[FAQ]

Q:What are the different types of abdominoplasty operations?

  • Mini Abdominoplasty – a tummy tuck with a c-section length (6 to 8 inches) scar that allows for tightening of the abdominal muscles, but does not significantly tighten the abdominal skin.
  • Umbilical Float Abdominoplasty – this version of a tummy tuck allows for tightening of the muscles on the whole abdomen, but does not tighten the skin as much as a standard abdominoplasty. It is appropriate for patients who desire a very low scar and have good skin quality (minimal stretch marks), or have a very high belly button that would result in an inverted “T” scar with a standard abdominoplasty.
  • Standard Abdominoplasty – a tummy tuck with a hipbone to hipbone length scar. This allows for tightening of the muscles and all of the skin on the abdomen.
  • Extended Abdominoplasty – The scar from this tummy tuck runs from the back hipbone, around the front, and to the back hipbone on the other side. This allows for tightening of the abdominal muscles, the abdominal skin, and the flank and lateral thigh. Effectively, the extended portion of this operation is a Lateral Thigh Lift.
  • Circumferential Abdominoplasty – (aka ~ Body Lift, Belt Lipectomy, 360 Degree Tummy Tuck, Around the World Tummy Tuck) – The scar runs all the way around the torso. It does everything an extended abdominolpasty does, but additionally performs a Buttock Lift.
  • Reverse Abdominoplasty – performs the same tightening of the abdominal muscles and skin as a standard abdominoplasty, but instead of the scar being at the level of the bikini line, it runs around the level of the breast crease or ribcage, crossing the midline. This operation really only makes sense for patients who already have a significant pre-existing scar in this location (such as resulting from an “Anchor” incision breast reduction, or an open gallbladder operation). [If you have no existing scars on your abdomen, do not consider this operation].

Tummy Tuck
 Before & After Photos

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Tummy Tuck
 Before & After Photos

Keep in mind that each patient is unique and your results may vary.

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Mommy Makeover Case 266 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case: 1 of 84

Case #266

Tummy Tuck Case 279 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Standard Abdominoplasty

Tummy Tuck Case 296 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case #296

Mommy Makeover Case 237 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case: 4 of 84

Case #237

Mommy Makeover: Breast Lift & Tummy Tuck with staged Breast Augmentation
3 cm Rectus Diastasis tightened 6 cm. 1.1 kg abdominal skin / fat removed. 
Surgical time less than 4 and 1/2 hrs 
Initial photos shown 2 months after surgery. Second set of photos are at 6 months, after performing staged breast augmentation with silicone... Read More
Tummy Tuck Case 421 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case: 5 of 84

Case #421

 Case 146 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case: 6 of 84

Case #146

Standard Abdominoplasty with 970 gm of skin removed. Liposuction of Flanks (Right 400cc, Left 525cc) Surgical Time 3:27
Mommy Makeover Case 233 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case: 7 of 84

Case #233

This 30 year old mother of 4 from Fort Worth became interested in my practice after researching patient stories on RealSelf. She had been considering a Mommy Makeover and noticed that my patients seemed to have an easy recovery after surgery. She already had undergone breast augmentation surgery after her first two children due to breast deflation,... Read More
Tummy Tuck Case 447 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case: 8 of 84

Abdominoplasty with liposuction contouring

Tummy Tuck Case 189 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case #189

Tummy Tuck Case 235 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case #235

2 months after Tummy Tuck.
5cm rectus diastasis tightened 9cm
360 gm skin removed
Surgery time 2:26
Tummy Tuck Case 134 Before & After View #4 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case: 11 of 84

Case #134

This extremely athletic 35 year old mother of three from Fort Worth was unhappy with the appearance of her abdomen. Despite waking up at 4:30 am to make time for exercise (including 300 crunches per day!), she could not achieve the stomach she desired due to the excess skin left over from childbearing. She visited my Southlake office to see if a... Read More
Tummy Tuck Case 110 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case: 12 of 84

Case #110

6 weeks after Tummy Tuck procedure to address a previous C-Section scar, stretch marks, and abdominal laxity. Swelling is still present on the abdomen, as seen by the line from elastic clothing. Read More
Tummy Tuck Case 227 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case: 13 of 84

Case #227

This 31 year old mother of 2 had the widest rectus diastasis that I have ever seen. She is very physically active, and had great muscular tone. Although she looks pregnant while standing, when she lays down, her abdomen would become perfectly flat. In the laying position, she could flex her rectus muscles, and you could place you fingers between... Read More
Tummy Tuck Case 451 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case: 14 of 84

6m after TT / SAL

Tummy Tuck Case 370 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case: 15 of 84

Abdominoplasty and Flank Liposuction

Tummy Tuck Case 317 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case #317

 Case 153 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case: 17 of 84

Case #153

This 34 year old mother of two from the Arlington region of Texas visited my Southlake plastic surgery office interested in improving the appearance of her abdomen. With her children, she had gained weight up to 200 lbs and was left with a significant amount of abdominal laxity and stretch marks. After discussing her goals, we agreed that a tummy... Read More
Tummy Tuck Case 294 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case #294

Tummy Tuck Case 521 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Tummy Tuck - Standard Case #521

Tummy Tuck Case 407 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case #407

Mommy Makeover Case 159 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case: 21 of 84

Case #159

This 30 year old mother from north of Aubrey, Texas, visited my Dallas plastic surgery office interested in a Mommy Makeover consisting of a Breast Reduction and an Abdominoplasty. She had been considering a breast reduction for over 10 years, as her 34 H/I sized breasts interfered with her lifestyle. She had been considering a tummy tuck for a number... Read More
Tummy Tuck Case 508 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case: 22 of 84

Tummy Tuck - Standard Case #508

Tummy Tuck Case 177 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case #177

Mommy Makeover Case 106 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case: 24 of 84

Case #106

Mommy Makeover: 6 weeks after Breast Augmentation and Tummy Tuck. Read More
Mommy Makeover Case 430 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case #430

Tummy Tuck Case 515 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Tummy Tuck - Extended Case #515

Tummy Tuck Case 131 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case: 27 of 84

Case #131

This 33 year old mother of 4 from Oklahoma was unhappy with the appearance of her abdomen due to child bearing and c-section scars. After reviewing the results of my abdominoplasty patients, she decided to visit with me in Southlake for a consultation. Due to the significant amount of skin excess and abdominal wall laxity, we decided that an extended... Read More
Tummy Tuck Case 606 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case: 28 of 84

Tummy Tuck - Standard Case #606

Mommy Makeover Case 201 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case: 29 of 84

Case #201

This healthy 60 year old mother of two underwent a Mommy Makeover consisting of a Breast Lift, Abdominoplasty, and Liposuction of the flanks. 

The operation took just less than 6 hours to complete. An anchor style mastopexy was performed to achieve our breast lift. 810 gm of skin and fat were removed from the abdomen and approximately... Read More
Mommy Makeover Case 188 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case: 30 of 84

Case #188

Mommy Makeover: Breast Augmentation and Standard Abdominoplasty (6 weeks after surgery)
 Case 144 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case: 31 of 84

Case #144

This 37 year old mother of five from Dallas visited my Southlake office interested in improving her abdominal contour. She was maintaining a stable weight with diet and exercise, but was unhappy with the appearance of her stomach and flanks after childbearing. We decided that a standard abdominoplasty combined with flank liposuction would achieve... Read More
 Case 148 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case: 32 of 84

Case #148

This 35 year old mother of three from the Grand Prairie region of Texas visited my Southlake plastic surgery office interested in a Mommy Makeover procedure. She was considering both a breast lift to achieve more youthful and perky breasts, and a tummy tuck to address the excess lax skin left from childbearing. She had not been able to attain the... Read More
Mommy Makeover Case 284 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
Before & After
Case: 33 of 84

Case #284

Mommy Makeover:  Mastopexy (Anchor incision breast lift) and standard abdominoplasty - 546gm of abdominal skin and fat removed - 3 cm diastasis tightened 7 cm - Surgical time: 4:31  Read More
Mommy Makeover Case 171 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case: 34 of 84

Case #171

5 weeks after Breast Lift (Anchor Incision) and abdominoplasty.
Tummy Tuck Case 405 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case: 35 of 84

Case #405

Mommy Makeover Case 236 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case: 36 of 84

Case #236

Mommy Makeover: Breast Augmentation & Tummy Tuck
 - 575 gm of abdominal skin removed, 3 cm rectus diastasis tightened 6 cm.
 - Operative time: 3:16
Tummy Tuck Case 82 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case: 37 of 84

Case #82

Tummy Tuck Case 64 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case: 38 of 84

Case #64

This 26 year old woman from the Mount Vernon region of Texas presented to my Dallas area medical practice with concerns regarding her stomach as well as fullness in her neck. She had delivered 3 children (all by C-section), and had been unhappy with the appearance of her abdomen since. She was bothered by fullness in the upper and lower abdomen,... Read More
Mommy Makeover Case 289 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
Before & After
Case: 39 of 84

Mommy Makeover

Mommy Makeover - 6 weeks after combined:
• Breast Lift(Anchor Incision)
• Abdominoplasty(800 gm skin removed, muscles tightened 6 cm)
• Flank Liposuction (900 cc fat removed)Surgical time: 5:35 Read More
Tummy Tuck Case 155 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
Before & After
Case: 40 of 84

Case #155

This athletic 33 year old woman from North Richland Hills visited my Southlake plastic surgery office interested in a tummy tuck procedure. She was unhappy with the appearance of her abdomen due to lax skin after delivering 2 children via c-section. Formal exercise with pilates and running between 10 to 15 miles per week was great for her muscle... Read More
Tummy Tuck Case 108 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case: 41 of 84

Case #108

5 weeks after Tummy Tuck procedure.
Tummy Tuck Case 29 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case: 42 of 84

Case #29

This 30 year old very athletic woman was bothered by her abdominal skin laxity (as seen by skin folds when she sat down), stretch marks under her umbilicus, and the laxity (bulge) of her lower abdomen. She is 5'7" tall, 135lbs, and had delivered 2 children. Despite a vigourous exercise program, these areas could not be improved. She underwent a standard... Read More
Tummy Tuck Case 204 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
Before & After
Case: 43 of 84

Case #204

Extended Abdominoplasty
1.8 kg skin removed 
4 cm diastasis tightened 6 cm 
Surgical Time: 3:18 
Photos: 10 weeks after surgery
Mommy Makeover Case 191 Before & After View #2 | Southlake, Texas | Michael A. Bogdan, MD, FACS
Before & After
Case: 44 of 84

Case #191

Mommy Makeover: Breast Augmentation and Tummy Tuck. Photos shown 6 weeks after surgery. Read More
Mommy Makeover Case 367 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case: 45 of 84

Case #367

Mommy Makeover Case 386 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case #386

Mommy Makeover Case 187 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case: 47 of 84

Case #187

7 weeks after Mommy Makeover (breast augmentation & tummy tuck)
Mommy Makeover Case 222 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
Before & After
Case: 48 of 84

Case #222

Mommy Makeover: Breast Augmentation and Standard Abdominoplasty
 - Abdominal wall tightened 6cm, 702 gm of skin removed
 - Surgical time: 3:20
 - Photos shown 2 months after surgery Read More
Mommy Makeover Case 125 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
Before & After
Case: 49 of 84

Case #125

This 34 year old mother of two visited my Southlake office interested in a "mommy makeover". We decided to perform a combined anchor incision breast lift and tummy tuck for her makeover. Photos are shown 6 weeks after surgery. 

(The red flushing on her chest is due to stress rather than surgery.) Read More
Mommy Makeover Case 267 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case: 50 of 84

Case #267

Mommy Makeover Case 435 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case: 51 of 84

Mommy Makeover Case #435

This 42 year old woman underwent a mommy makeover including a breast lift with abdominoplasty.  Surgery took 4 hours and 18 minutes.  1.3kg of abdominal skin and fat was removed.  Her 6 cm rectus diastasis was tightened to 8 cm.  Photos are shown 2 months after surgery (she is very happy with the changes!) Read More
Tummy Tuck Case 178 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
Before & After
Case: 52 of 84

Case #178

Extended abdominoplasty:
3cm diastasis, tightened to 9cm. 
1.2 kg of skin removed. 
Surgical time under 3 hrs. 
Photos taken 6 weeks after surgery. Read More
Tummy Tuck Case 500 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
Before & After
Case: 53 of 84

Tummy Tuck - Standard Case #500

Tummy Tuck Case 126 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
Before & After
Case: 54 of 84

Case #126

This 34 year old mother of two from Carrollton Texas came to my Southlake plastic surgery office interested in improving her abdominal contour. She was unhappy with the appearance of her stomach as a result of child bearing as well as previous surgical scars. She had sustained a pelvic fracture during a car accident a number of years ago that required... Read More
Mommy Makeover Case 231 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
Before & After
Case: 55 of 84

Case #231

Mommy Makeover:Breast Lift Abdominoplasty (1.4kg) Flank Liposuction (1.2L)
Surgical time: 5:33. Photos shown 3 months after surgery. Read More
Tummy Tuck Case 433 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case: 56 of 84

Case #433

Tummy Tuck Case 90 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case: 57 of 84

Case #90

This 39 year old mother of two from the Sulphur Springs region of Texas came to my Southlake office interested in improving her abdominal contour. She was very physically active, performing boxing for exercise 3 times per week, but was unable to improve her abdominal contour to her satisfaction. After our office examination and discussing the results... Read More
Tummy Tuck Case 147 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
Before & After
Case: 58 of 84

Case #147

This 36 year old mother of two visited my Dallas plastic surgery office interested in a tummy tuck operation. She had been considering the procedure since delivering her last child via c-section, but was quite anxious due to some medical concerns. She was not happy about the appearance of her abdomen despite doing cardio exercise and weight training... Read More
Mommy Makeover Case 43 Before & After View #4 | Southlake, Texas | Michael A. Bogdan, MD, FACS
Before & After
Case: 59 of 84

Case #43

This 44-year-old woman from the Waxahachie area presented to my Southlake medical practice desiring a “mommy makeover”. She has one grown child, and has always been bothered by the deflation of her breasts that occurred after breast feeding, and the laxity of her lower abdomen, which she could not improve despite exercise. She was satisfied with... Read More
Mommy Makeover Case 194 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
Before & After
Case: 60 of 84

Case #194

Mommy Makeover: Breast Lift / Reduction and Abdominoplasty. Surgical time 5:12. Photos taken 6 weeks after surgery.
Tummy Tuck Case 44 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case: 61 of 84

Case #44

This 27 year old woman from the Bedford area is the daughter-in-of a recovery room nurse who referred her to me after being impressed with how smoothly my patients tend to recover after surgery. The patient had been considering a tummy tuck (abdominoplasty) since the birth of her son and had been trying to choose a surgeon. Despite being very physically... Read More
Mommy Makeover Case 232 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
Before & After
Case: 62 of 84

Case #232

This 35 year old athletic mother of 4 from the Euless region of Texas was ready for her Mommy Makeover. She had gained and lost 60 lbs with childrearing, but now was back with a healthy diet and good exercise program. She was happy with her breast volume, but missed some of the "perk" that she had before kids. The stretch from childbearing had left... Read More
Mommy Makeover Case 136 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
Before & After
Case: 63 of 84

Case #136

Mommy Makeover including Lollipop Breast lift and a Tummy Tuck. For more information on this particular type of breast lift, please view the video Which Lift is Right for Me? Read More
 Case 172 Before & After View #6 | Southlake, Texas | Michael A. Bogdan, MD, FACS
Before & After
Case: 64 of 84

Case #172

6 months after Abdominoplasty (850 grams removed, abdominal wall tightened 6cm) and Flank Liposuction (550 cc removed per side). Surgical time 3:22.

The last photos were added at the patient's request. While searching the web trying to select a surgeon, she wanted to see more photos of the actual scar. Most post-operative photos are taken... Read More
Tummy Tuck Case 149 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
Before & After
Case: 65 of 84

Case #149

This very athletic 42 year old mother of 3 from Oklahoma was unhappy with the appearance of her abdomen. She has been vigilant at maintaining a healthy lifestyle, running 3 miles per day and keeping a trim figure. After delivering 2 children via c-section, she underwent a "mini" tummy tuck (by another surgeon) that was rather disappointing - it left... Read More
Mommy Makeover Case 437 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
Before & After
Case: 66 of 84

Mommy Makeover Case #437

Tummy Tuck Case 45 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case: 67 of 84

Case #45

This is a 57 year old woman from the Dallas area who presented to my Southlake practice. She was unhappy with the appearance of her stomach, which she could not improved despite actively dieting and exercising at Curves. She had a significant amount of skin laxity, and was bothered that it “hung over” in the region of her old C-section scar.

I... Read More
Mommy Makeover Case 422 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case: 68 of 84

Case #422

Mommy Makeover Case 183 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case: 69 of 84

Case #183

44 year old mother of two from north of the DFW metroplex visited my Southlake plastic surgery office initially interested in an abdominoplasty to fix abdominal laxity that she had after childbearing. She had a very stable exercise program, but was not happy with the appearance of her abdomen. We were all set to proceed with surgery, when an abnormality... Read More
Tummy Tuck Case 41 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
Before & After
Case: 70 of 84

Case #41

This 39 year old woman from the Arlington area presented to my Southlake surgical practice desiring improvement of her abdominal contour. She had delivered 2 children, and (despite a good exercise program) was unable to improve the appearance of her stomach. She had a bulge in the lower abdomen, stretch marks from childbearing, and fullness in general.
I... Read More
Tummy Tuck Case 396 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case: 71 of 84

Case #396

Tummy Tuck Case 221 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case: 72 of 84

Case #221

Extended abdominoplasty:
4cm diastasis, tightened to 6cm. 
1.2 kg of skin removed. 
Surgical time under 3 hrs. 
Photos taken 9 weeks after surgery. Read More
Tummy Tuck Case 446 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
Before & After
Case: 73 of 84

Athletic Tummy Tuck

Mommy Makeover Case 173 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case: 74 of 84

Case #173

mommy makeover: Staged Abdominoplasty and Breast Lift, followed by Breast Augmentation.
Tummy Tuck Case 61 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
Before & After
Case: 75 of 84

Case #61

This 51 year old woman from the Fort Worth region presented to my Southlake practice desiring improvement in the appearance of her abdomen. She had delivered one child, and had undergone non-elective abdominal surgery that resulted in a low midline scar. She was displeased with the stretch marks and budge in her abdomen that resulted from childbearing,... Read More
Mommy Makeover Case 364 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
Before & After
Case: 76 of 84

Case #364

This 39 year old mother of 3 was unhappy with her body after childbearing.   Despite a busy home life chasing the kids and managing to find time to do elliptical for cardio (as well as visiting the gym), she could not get back her pre-baby body.  Twins had stretched out her stomach skin & muscles, and even though she managed to loose... Read More
Tummy Tuck Case 492 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
Before & After
Case: 77 of 84

Tummy Tuck - Extended Case #492

Tummy Tuck Case 69 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
Before & After
Case: 78 of 84

Case #69

This is a 41 year old mother of three children (2 delivered by C-section) from the Fort Worth area who came to visit me at my Dallas area medical office. Because of her pregnancies, she had lost the intrinsic tone of her stomach wall, and had significant stretching and drooping of her abdomen. She was unhappy with the appearance of her tummy, and... Read More
Tummy Tuck Case 560 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
Before & After
Case: 79 of 84

Tummy Tuck - Standard Case #560

Tummy Tuck Case 122 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case: 80 of 84

Case #122

This 43 year old mother of 2 from Odessa visited my Southlake plastic surgery office seeking an abdominoplasty. She was quite unhappy with the appearance of her abdomen after childbearing. After researching tummy tuck procedures extensively on-line by visiting surgeon's websites and reviewing their photo galleries, she found she liked the results... Read More
 Case 257 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
Before & After
Case: 81 of 84

Case #257

Standard Abdominoplasty combined with Flank Liposuction
Abdomen: 380gm skin removed, 4cm diastasis tightened 8cm 
Flanks: 650cc fat removed 
Surgical time: 3:30
Tummy Tuck Case 402 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case: 82 of 84

Case #402

Tummy Tuck Case 316 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case: 83 of 84

Case #316

Tummy Tuck Case 369 Before & After View #1 | Southlake, Texas | Michael A. Bogdan, MD, FACS
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Case: 84 of 84

Case #369

Keep in mind that each patient is unique and your results may vary.

[FAQ]

Q:What is the difference between a tummy tuck and abdominal liposuction?

Liposuction (whatever method is used) primarily removes fat from below the skin surface and provides a small amount of skin tightening due to scar contracture.
Tummy Tuck does several things:

  • Removes abdominal skin that is in excess, and resets the tone to the remaining skin
  • Removes some fat from the abdomen
  • Redistributes skin and fat from the upper abdomen to the lower, effectively thinning the abdominal wall skin/fat thickness
  • Tightens the abdominal wall musculature, which flattens the stomach from the side view as well as pulls in the waist to improve the “hour glass” shape

Very simply, the tummy tuck reverses the changes caused by childbearing, and is typically the appropriate operation for mothers or individuals who have undergone significant weight fluctuation. Liposuction is for fat contouring in individuals who have resistant areas of localized fat and also have good skin tone. If skin tone is bad (skin that is lax or has stretch marks), the results from liposuction will be disappointing.


[FAQ]

Q:Will I have visible scars from a tummy tuck?

A tummy tuck removes excess skin from the abdomen and doing so requires the creation of a scar. The exact location of the scar is something that should be discussed in detail – once you have the scar, you can’t change your mind and move it! This is something worth considering, as most of the time tummy tuck scar location is dictated by clothing preference. If you liked French-cut one-piece bathing suits, the scar would be designed like a sharp smile to stay off your hip. However, this is not the current fashion. Now, low-cut two-piece bathing suits are in, as well as low cut pants. So you would want a very low, almost horizontal scar. Everything is a compromise, but if you take the time to consider all of your clothing preferences, you can decide which scar will be best for you.


[FAQ]

Q:What is the difference between an endoscopic tummy tuck and a regular tummy tuck?

Technically, an Endoscopic Tummy Tuck is done for people who really want to minimize the scar on the abdomen, and just need muscular tightening. From a surgical standpoint, the operation takes about the same length of time as a traditional tummy tuck, and therefore the price is about the same. From the patent’s standpoint, the recovery period is the same for both operations. (The muscular repair is the uncomfortable part of both the normal tummy tuck and the endoscopic tummy tuck that requires such a long period of absence from strenuous activities).
Since it costs about the same as a traditional tummy tuck, and has the same (uncomfortable and long) recovery period, most patients agree it is not worth skipping the benefit of removing all of the loose abdominal skin that occurs with a regular tummy tuck. The skin removal gives added flattening to the abdominal wall, and helps with the hip contouring.


[FAQ]

Q:Do you need a formal tummy tuck to fix a diastasis recti?

Bringing the rectus muscles back together is a major component of a standard tummy tuck (the other component being removal of excess skin). With the use of an endoscope, the diastasis can be repaired through a mini tummy tuck scar. This version of the operation results in a scar the length of a c-section scar, but does not allow for the removal of much skin. As such, it is only appropriate for patients who really have significant abdominal wall laxity but not skin excess. As these two processes tend to go hand-in-hand, appropriate candidates for the mini procedure are rare.


[FAQ]

Q:Does a tummy tuck remove stretch marks from pregnancy?

Yes, a tummy tuck will remove a significant amount of stretch marks on your abdomen–most cases all stretch marks below the belly button can be removed. The stretch marks that are above your belly button will still be present, but will migrate down to the lower portion of your abdomen.


[FAQ]

Q:Can a tummy tuck be done at the same time as a hysterectomy?

Yes. If you are in good health and are undergoing a “routine” hysterectomy, a tummy tuck can be performed at the same time. However, it is safer to separate the 2 procedures. As safety is one of Dr. Bogdan’s primary concerns, he recommends performing them at different times. If you would like to have Dr. Bogdan perform your abdominoplasty around the time of your hysterectomy (to combine the recovery periods), you should consult with Dr. Bogdan ahead of time. Together you can discuss the type of incision to be utilized by your gynecologist, so they will have full exposure for the hysterectomy component of the operation, and the incisions can later be fully removed in a follow-up tummy tuck. It is safe to schedule your abdominoplasty 2 weeks after the hysterectomy.


[FAQ]

Q:Can I combine a tummy tuck with breast surgery?

Yes. It is actually fairly common to combine a tummy tuck with some sort of breast enhancement operation, to the point where this operation is termed a “Mommy Makeover“. Children predictably affect both the breasts and abdomen, so it makes sense that women considering abdominal improvement would also desire breast enhancement. Any of the breast operations (Breast AugmentationBreast Lift, or Breast Reduction) can be combined with a tummy tuck. Typical surgical times for the Mommy Makeover operation range from 4 to 6 hours.


[FAQ]

Q:Should I lose weight before a tummy tuck?

A tummy tuck is a type of body contouring surgery, and will help “re-drape” your skin to match your underlying muscular framework. Generally, patients who are interested in a tummy tuck are bothered by skin excess, stretch marks, and/or abdominal wall laxity. All of these can be addressed by the procedure, but the amount of skin removed depends on the elasticity of skin, and how thick it is. If your weight changes significantly after a tummy tuck (gain or loss), you will be “undoing” the results. That being said, you should first attain your realistic, maintainable, goal weight before proceeding with body contouring. In general, I prefer my patients to have a BMI (Body Mass Index) of 30 or less for body contouring, but in patients who have undergone massive weight loss, it is sometimes appropriate to proceed at higher BMIs.


[FAQ]

Q:How do I know I have reached my goal weight for a tummy tuck?

In general, before considering body contouring surgery, patients should be at a stable weight (for several months) that is within 10% of their personal goal weight. If you gain or lose weight after the procedure, you will be altering the results. (If you lose a significant amount of weight, your skin will look lax, and if you gain a lot, you will be stretching out your skin). Your “personal goal weight” is something that is fluid and changes with time. When someone is first starting to consider losing weight, they can look at a height chart and pick a goal weight. The a good way to do this is to use the BMI scale. However, once a large amount of weight has been lost, and you have started a healthy exercise regime, you may find that your weight loss plateaus. If you keep your weight stable for a number of months, while having a healthy diet and maintainable exercise program, it is then reasonable to reassess your goal weight. The BMI charts are a nice guide and tool, but there is no number set in stone as to when you should consider body contouring. My preference for body contouring surgery is a BMI less than 30, because the surgical risks are low and the cosmetic results can be quite striking. However, in patients who have undergone massive weight loss, body contouring surgery may be completely appropriate at higher BMIs due to the significant amount of skin excess.


[FAQ]

Q:Why does swelling occur after a tummy tuck?

Your body is a very complicated system that is fine tuned to function normally. At the risk of over simplifying things a bit, there is a normal way your body handles fluids internally, and surgery can disrupt this system. The arterial system brings fluid (blood) to tissues to provide oxygen and healing cells, and the venous system removes this fluid. The system is not perfect, and normally some of the fluid leaks into the surrounding tissues. To account for this, there is a third fluid management system (the lymphatic system) in your body whose job is to scavenge up this extra fluid, and return it to the intravascular space. When a tummy tuck is performed, a significant amount of the lymphatic drainage channels are divided, and these take a long time to hook back up and function normally.


[FAQ]

Q:How long does the swelling after a tummy tuck last?

The majority of swelling resolves within 2 months, a small amount takes up to a year.
A tummy tuck is a major procedure that requires “lifting up” your stomach skin (which divides the lymphatic drainage vessels from under the skin surface), pulling it down to reset the tension of the skin, and then the excess is removed. Basically, the skin from the tummy tuck scar up to your ribcage is in a new environment, where it can only drain fluid “up” and to the sides. Until new lymphatic connections occur across the scar line and down to the stomach muscles, all of the swelling fluid has to run against gravity to get out of the skin. This is one of the reasons that we suggest patients wear compression garments for a period of time after surgery – these garments assist with the “uphill” removal of fluid.

A simple way to judge how you are doing is to look at the indentations that elastic clothing create on your trunk. On the front, you will see more of a lasting impression than on your back / flank region (even though there is even pressure all the way around your body). This is a way you can monitor the swelling, and you can expect it to go away over several months. After a few months, most of what patients consider “noticeable” swelling has resolved.


[FAQ]

Q:When can I go back to work after a tummy tuck?

Recovery after a tummy tuck really depends on the type of work that you perform. You can not go back to work while taking narcotic pain medicine, as that would be the equivalent of drinking alcohol at work! Since everyone has a different appreciation of pain, this length of time varies. In general, patients need pain medicine for a minimum of 3 days, and most are off medications by 5 to 10 days. After stopping pain meds, patients can work from home immediately, and return to desk-type of jobs between 10 to 14 days from surgery. Because of the abdominal wall tightening component of the operation, I restrict patients from heavy lifting and strenuous exercise for 6 weeks. If your job requires a significant amount of physical activity, you may have to take 6 weeks off of work, or modify your work activities. For example, a professional rodeo rider will be taking much more time off of work than a computer programmer.


[FAQ]

Q:When can I start working out after a tummy tuck?

I allow my patients to begin some light “movement” exercises (elliptical machine, cycling [NOT spin classes!]) at 3 weeks after surgery, but no impact or weight activities until 6 weeks after the operation. The reasoning behind this is that enough healing has occurred after 2-3 weeks that we are very unlikely to develop seromas or hematomas, but the muscular repair in the midline is not strong enough to be challenged until almost 2 months after surgery. At that time, it is unlikely that the muscular tightening component of the operation could get damaged or undone. At 6 weeks, patients should move into their exercise regime slowly, as they are a bit deconditioned. Patients should remember that muscular discomfort tends to show up 2 days after starting a new exercise, so I recommend that they take it easy and slow, and likely within 2 weeks they will be near their normal routine.

If you would like further information about abdominoplasty, please click here to schedule a consultation with Dr. Michael Bogdan, a board-certified plastic surgeon in Grapevine, Texas. Dr. Bogdan looks forward to meeting with you to discuss your personal goals and establish a treatment plan to achieve them. If you prefer, you can call us at (817) 442-1236 to schedule your appointment.

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