Abdominoplasty - Tummy Tuck Surgery - Manhattan, NY

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Abdominoplasty, often called a "tummy tuck", is a popular procedure used to flatten and shape the abdomen by removing excess fat and skin and tightening muscles. New York tummy tuck specialist, Dr. Aston has written text book chapters for plastic surgeons on Abdominoplasty techniques. As with other plastic surgery procedures, different patients need different techniques in order to obtain the best results. In gereral, patients love the look of their new flat stomachs following their Abdominoplasty. 

Who Is a Good Candidate?

The best candidates for a Abdominoplasty are those with loose skin, small or moderate amount of fat, and stretched abdominal muscles following pregnancy. It may also be a benefit in males or females who have an excessive amount of loose skin following weight loss. Dr. Aston does not perform an Abdomioplasty for women who continue to bare children. Patients who intend to lose a great deal of weight should do so before  before having an Abdominoplasty as the skin typically loosens after substantial weight loss. 

Tummy tucks can also be useful for women with stretched skin and muscles from pregnancy. Results from the tummy tuck procedure will likely diminish if women continue to bear children, so we advise patients who plan to become pregnant to consider postponing this procedure until they are done having children.

We also encourage patients who intend to lose a lot of weight to wait before undergoing the procedure, since skin in the abdominal area typically loosens after substantial weight loss.


The abdomen must be carefully evaluated in terms of the amount of skin that can be removed, the amount of fat that needs to be removed and the condition of the underlying abdominal muscles. Some patients will need or benefit from Liposuction in adjacent areas such as, love-handles.

The abdominoplasty Procedure

Abdominoplasty may take between two to three hours and are performed under general anesthesia. This procedure may be performed on an in-patient or outpatient basis, depending on the complexity of the surgery. Most of Dr. Aston's Abdominoplasty's are performed as an out-patient basis and patients spend the night at the hotel across the street from the surgical facility. 

On the morning of the surgery prior going into the operating room, Dr. Aston outlines on your body the kinds underwear or bathing suit you like to wear. You incisions are then designed to lie within this area in order so it will be hidden. Depending on the amount of the skin to be removed, the lower anterior abdominal wall incision is made in a slightly curved fashion and may extend from hipbone to hipbone or may be shorter, depending on the amount of skin needed to be removed. The skin is lifted off of the muscled up to the ribcage, the muscles in the midline are sutured together to give a firm foundation and narrow waist. The skin flap is then repositioned downward over the newly tightened muscle and excess skin is removed. The Umbilicus is reattached in its natural position. Your incision will be covered with a small dressing which is then covered with a Saran wrap like dressing which will allow you to get in the shower the next morning.  

RECOVERY AFTER abdominoplasty

A small drain may be placed under the skin to remove fluid that naturally occurs after lifting up the skin from its attachment to the muscles. This tube is usually moved after 3 or 4 days. You will be able to stand up, although not fully straightening up to full height for 2 - 3 days.

Your recovery time will depend on the extent of the procedure required. At the time of your consultation you will be given a more specific answer based on your individual needs and the extent of your surgery. With a full Abdominoplasty most people are back at work in 2 weeks and can start exercising after 6 weeks. After the first week one can easily take care of their usual daily living activities, however no heavy lifting or strenuous exercise is permitted at that time.


An Abdominoplasty leaves patients with a flatter, more toned abdominal area that fits the natural contours of your body. It can improve a patient's appearance and confidence by helping them look and feel younger and slimmer. The results of this procedure are visible right away and will continue to improve. With a balanced diet and regular exercise, results are long-lasting. Scars will fade with time, leaving your stomach sleeker and more defined than ever before.


Though rare, post-operative complications from any surgical procedure are possible. They may include infection, blood clots, and poor healing, which may require further surgery.

It is important that one does not remain sedentary following an Abdominoplasty as circulation in the legs is extremely important in order to avoid developing a blood clot in the calves which could travel to the lungs. You will be given specific instructions on your level of activity that is expected of you beginning of the day of your procedure.  

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Partial abdominoplasty, or "mini tummy tuck", is similar to the regular tummy tuck procedure, except it involves a shorter incision and the skin is only lifted to the navel, which does not have to be moved. This procedure is ideal for patients who need just a little improvement in order to reach their desired results. You can discuss the differences between these procedures, as well as weigh their benefits and risks with Dr. Aston in order to decide which procedure is best for you.

Contact us today to schedule a tummy tuck consultation and find out if you can benefit from this effective procedure.

The policy of our office is to preserve patient confidentiality. During your consultation, you will be able to view pre-operative and post-operative photographs of patients who have given us permission to show their photographs.

* All information subject to change.