Tummy Tuck Surgery at a Glance

Type of anesthesia:
General
Recovery time:
1-2 weeks off work (non-strenuous jobs); 6 weeks before resuming exercise
Time in surgery:
2-5 hours
When you go home:
Day of operation
Often Combined With:

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

What Is a Tummy Tuck?

Dr. Ablavsky performs tummy tuck surgery at his San Antonio, Texas, practice to create a slimmer midsection for women and men frustrated by excess skin and fat that doesn’t go away with diet and exercise. Abdominoplasty—known as a tummy tuck—is a popular body contouring procedure that removes rolls, stretch marks, and bulges (diastasis recti) that remain after pregnancy or significant weight loss.

Is a Tummy Tuck Right for You?

Tummy tuck surgery is often associated with women who want to regain a flatter, firmer abdomen after having children. However, the procedure is also performed to remove excess abdominal skin left after significant weight loss or simply the aging process. The skin and fat above the vagina (mons pubis) often is a concern for women because it sags and gets larger—this area can be raised and made thinner during a tummy tuck.

Good candidates for tummy tuck surgery should be at or near the weight they intend to maintain. A tummy tuck contours the midsection, but it is not a weight-loss procedure.

Tummy Tuck
 Before & After Photos

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How Much Does a Tummy Tuck Cost in San Antonio?

The cost of a tummy tuck depends on the extent of the procedure needed to accomplish the patient’s goals. At our practice, a tummy tuck procedure starts at $8,450. After meeting with Dr. Ablavsky for a consultation, we can provide a detailed price quote that you can review before deciding if you want a tummy tuck. If you’re concerned about how to afford a tummy tuck, many patients qualify for our we convenient financing options.

How Is a Tummy Tuck Performed?

Dr. Ablavsky customizes tummy tuck surgery depending on your needs and cosmetic goals. The most common procedure is a full (standard) abdominoplasty, but other patients may be good candidates for either a mini-abdominoplasty or an extended abdominoplasty.

Full (Standard) Tummy Tuck

Dr. Ablavsky begins tummy tuck surgery by making a horizontal incision that extends from hip to hip, just above the pubic area and below the bikini line. He makes a second incision around the bellybutton to release it from the surrounding skin. The procedure often involves repairing separated abdominal muscles—a condition called diastasis recti—before removing excess skin and closing the incision. This procedure simultaneously treats excess skin of the upper and lower abdomen with a scar that is well-concealed.

Mini (Short-Scar) Tummy Tuck

Patients whose concerns about excess skin and fat are limited to the area below the bellybutton are good candidates for a mini tummy tuck. Benefits of a mini tummy tuck include a shorter incision and no bellybutton incision. However, it isn’t appropriate for patients who need muscles repaired or who want stretch marks above the bellybutton removed.

Extended Tummy Tuck

A more extensive version of a full tummy tuck addresses loose skin on the flanks and lower back, in addition to the abdomen. The procedure involves making a horizontal incision that extends around the hips, along with an incision around the bellybutton. As with a full tummy tuck, liposuction may be included to remove excess fat and sculpt a natural-looking waist.

Dr. Michael Ablavsky at Aesthetic Enhancement - Cosmetic Surgery Center Dr. Michael Ablavsky at Aesthetic Enhancement - Cosmetic Surgery Center

Meet
Dr. Ablavsky

Dr. Ablavsky is a board-certified, fellowship-trained plastic surgeon whose patients trust him for natural-looking results from face, breast, and body procedures. He listens closely to his patients' concerns and takes the time to answer their questions with honesty and compassion.

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V.S.

Your Tummy Tuck Recovery

While every recovery varies, here’s a general idea of what to expect during the healing period.

Week 1: Rest & Gentle Movement

  • Take it easy—your body needs time to heal.
  • Expect tightness, swelling, and mild to moderate discomfort, managed with prescribed pain medication.
  • Begin gentle walking (with assistance, if needed) to promote circulation and reduce the risk of blood clots.
  • You may have drains in place; we’ll show you how to care for them.

Week 2: Early Healing

  • Most patients begin feeling more mobile and comfortable.
  • Drains are typically removed around this time.
  • You can return to light activities, but avoid bending, lifting, or strenuous movement.
  • Swelling and bruising will still be present but should begin to subside.

Weeks 3 to 4: Gradual Return to Normal Activities

  • Continue wearing your compression garment to support healing and minimize swelling.
  • You may begin light walking outside the home.
  • Depending on your job, you may feel ready to return to work.

Weeks 5 to 6: Increasing Activity

  • Light exercise and daily routines can usually resume, with Dr. Ablavsky’s approval.
  • Swelling continues to improve; incisions are healing well.
  • You’ll begin to see a more refined abdominal contour emerge.

After 6 Weeks: Full Activity & Final Results

  • Most patients can resume full physical activity, including core workouts and lifting.
  • Results continue to improve as residual swelling fades.
  • Scars will continue to mature and fade over the next 6 to 12 months.

Remember: Every body heals differently. Dr. Ablavsky will guide your recovery timeline based on how you’re progressing.

Tips for a Smooth, Successful Recovery

To help ensure a comfortable recovery and optimal results, keep these tips in mind:

  • Follow all postoperative instructions closely, including wound care, medications, and follow-up visits.
  • Sleep with your upper body slightly elevated and knees bent (a recliner works well) for the first 1 to 2 weeks.
  • Stay hydrated and maintain a healthy diet to support healing.
  • Wear your compression garment as directed to minimize swelling and support your abdominal muscles.
  • Avoid smoking and alcohol during the healing period, as both can interfere with recovery.
  • Enlist help for childcare, household duties, and errands during the first couple of weeks.

As always, Dr. Ablavsky and our caring team are available to answer questions and address any and all concerns throughout healing and recovery.

What’s Better? Lipo or Tummy Tuck?

If you’re deciding between a tummy tuck and liposuction, the best option depends on your goals, anatomy, and whether skin laxity or muscle separation is present. The chart below compares the two procedures and helps you better understand which one may be the right fit for your needs.

Feature Tummy Tuck Liposuction
Best For Loose or sagging abdominal skin; stretched or separated abdominal muscles Localized fat deposits with good skin elasticity
Removes Fat Yes Yes
Tightens Skin Yes No
Repairs Abdominal Muscles Yes No
Incision & Scarring Low horizontal incision hidden below bikini line Tiny incisions; minimal scarring
Recovery Time 2 to 3 weeks for most activities 3 to 7 days for most activities
Results Timeline Visible after swelling subsides; continues improving for several months Visible within weeks; full results in a few months

In general, liposuction is strictly for fat removal. You will need a tummy tuck if you have excess abdominal skin and stretched abdominal muscles. Dr. Ablavsky often uses liposuction to enhance tummy tuck results by sculpting the back, hips, and waist. During your personalized consultation, he’ll thoroughly assess your concerns and candidacy for a tummy tuck, liposuction, or a combined approach.

Combining a Tummy Tuck With Other Procedures

The physical toll that pregnancy takes may include deflated, sagging breasts in addition to a protruding abdomen with excess skin. Women considering a tummy tuck after having children often choose to combine it with cosmetic breast enhancement, such as a breast lift or breast augmentation. They may also benefit by adding a thigh lift, Brazilian butt lift, or other customized body contouring procedures. This combination of procedures is often called a mommy makeover.

Tummy Tuck FAQ

How long does it take to recover from tummy tuck surgery?

Patients typically return to non-strenuous work and activities in 2 weeks. Exercise restrictions are typically lifted in about 6 weeks.

What is the weight requirement for a tummy tuck?

Most plastic surgeons recommend being within 10 to 15 pounds of your ideal weight before your tummy tuck procedure. A stable, healthy BMI—typically 30 or under—reduces surgical risks and improves overall results. Dr. Ablavsky will evaluate your overall health and body composition to determine if you’re a good candidate.

How many sizes do you drop after a tummy tuck?

While experiences vary, most patients lose 2 to 3 pant or dress sizes after a tummy tuck once they are recovered and the swelling is gone. However, my answer to “Do you look thinner after a tummy tuck?” is that the goal of the procedure is body sculpting, not weight loss. That said, removing excess skin and repairing separated muscles can create a noticeably slimmer, more streamlined silhouette.

What is a 360 tummy tuck?

A 360 tummy tuck combines a traditional tummy tuck with liposuction around the entire midsection—including the abdomen, flanks, and lower back. This approach enhances body contouring from all angles for a smoother, more sculpted look than a standard tummy tuck alone.

Does a tummy tuck lift your pubic area?

Yes, a tummy tuck can lift and tighten the pubic area (also called the mons pubis) to some degree, especially when excess skin and fat are removed from the lower abdomen. If significant sagging or fullness is present, you may benefit by combining your tummy tuck with a mons lift for more noticeable improvement.

Is the surgery painful?

A tummy tuck involves some discomfort. Tummy tuck patients are definitely sore and cannot stand fully upright for the first week or so after surgery. Most consider the improvements from the surgery well worth their initial discomfort.

Are the results permanent?

Yes, tummy tuck results are permanent. As long as you don’t become pregnant or gain a significant amount of weight, your tummy tuck results should last indefinitely.

Request Your Consultation

If you’re looking for a plastic surgeon in San Antonio to perform a tummy tuck, request a consultation with Dr. Ablavsky using the online form, or call our practice at (210) 942-6672 to schedule an appointment.

ZO Skin Health Skincare Products now available at Ablavsky Plastic Surgery

Now Offering ZO® Skin Health Skincare Products at Ablavsky Plastic Surgery

Prep your skin prior to surgery to soften and smooth your skin’s appearance for optimal results.

Contact us at (210) 942-6672 to learn more.

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