Tummy Tuck (Abdominoplasty)
The laxity of the abdominal skin is usually a consequence of pregnancy, but can also happen with weight gain, weight loss, or a combination of these. In men, laxity usually happens after significant weight loss. The quality of the skin is critical in deciding between a tummy tuck and liposuction alone — in some patients, there is excess fat but the skin has no stretch marks and can retract after liposuction. A tummy tuck is the better choice when the skin is redundant or of poor quality.
Dr. Rafizadeh sees many patients who had surgery elsewhere and are unhappy with their results. The problem in these cases is usually related to the wrong choice of procedure — for example, liposuction performed when the patient needed a tummy tuck, or a mini tuck performed when a standard was needed. A careful evaluation by an experienced surgeon before surgery is essential.
“The judgment about which of the three procedures — liposuction, mini tuck, or standard tummy tuck — is appropriate is critical in order to get good results. The patient has to be careful and see an experienced plastic surgeon before undergoing this procedure.”
— Dr. Farhad Rafizadeh, MD FACS
Mini Tummy Tuck vs. Standard Abdominoplasty
When skin redundancy is primarily below the belly button, a mini tummy tuck may be appropriate. Liposuction is performed and excess skin above the pubis is removed without disconnecting the belly button. The operation is less extensive and recovery is faster. In some cases the muscles can be tightened through this approach as well.
A standard tummy tuck is for patients with redundant skin and excess fat over the entire abdomen. Liposuction is performed across the entire abdomen, skin from the lower abdomen is removed, and the abdominal muscles are repaired — correcting diastasis recti (separation of the rectus muscles) that pregnancy commonly causes. The belly button is repositioned to a natural location in the newly tightened skin.
Extended Tummy Tuck
The extended tummy tuck is a great alternative to more complicated body lift procedures. It is less invasive than a circumferential body lift while still allowing lifting of the lateral thighs and buttocks in addition to the abdomen. Patients are selected for this based on their body shape. The table is tilted from side to side during surgery to provide access to the back and the most lateral areas — without needing to be turned, reducing anesthesia complexity.
Mommy Makeover & Combination Procedures
The tummy tuck is a cornerstone of the Mommy Makeover — a combination of procedures designed to reverse the effects of pregnancy and childbirth. Dr. Rafizadeh commonly combines abdominoplasty with breast augmentation, breast lift, or liposuction in a single operation. A combination of abdominoplasty, liposuction, and breast enhancement can only be reversed by such a combination and can produce a truly transformative result.
Recovery Timeline
Days 1–3: The table is flexed for closure and patients are positioned with hips flexed. An abdominal binder is applied. Walking is encouraged but with hips and knees bent.
Days 4–5: Drains removed. Most patients feel more comfortable.
End of Week 1: Patients can usually walk upright.
Weeks 2–3: Return to desk work depending on the job. Driving resumes.
Weeks 4–6: Return to light exercise. Full activity at 6–8 weeks.




