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Discover real patients just like you.
Causes of excess, loose and sagging skin include:
After significant weight loss, there is only so much that diet and exercise can do to achieve a flat tummy. A tummy tuck, or abdominoplasty, is designed to remove excess fat and sagging skin and tighten separated abdominal muscles in a way that exercise is not able to do. This helps patients regain a smooth and flat abdominal profile, leading to increased confidence and comfort in clothing.
A tummy tuck, however, is NOT a weight-loss surgery nor is it able to remove fat deposited deep within your intra-abdominal cavity. If your belly is large and feels very tight, with little loose skin, you most likely need to lose weight before you can have a tummy tuck.
It is perfectly normal to want to have sagging skin or a protruding belly corrected. In addition to wanting to remove the loose skin around the midsection, patients may also want to consider a tummy tuck to:

Pregnancy left this woman with excessively stretched abdominal muscles, to a point where they were unable to maintain a normal abdominal contour and the internal organs were protruding forward making her look pregnant. A tummy tuck tightened her skin and repaired her muscles, restoring her core strength and a flatter tummy.

This 50 year old patient underwent an abdominoplasty. During her tummy tuck she had 1465g of skin and fat removed, 3200cc of fat liposuctioned from the upper abdomen and love handles, and her muscles which were stretched out by her prior pregnancies have been repaired. Her after photo is taken 3 months after surgery.





A standard tummy tuck allows both the upper and lower abdomen to be tightened and contoured, and allows for complete repair of the abdominal muscles. In this procedure, an incision is made above the pubic hairline, another is made around the belly button, and the muscles that run vertically on each side of the stomach’s front wall are tightened. The skin removal and the muscle tightening are the most critical steps in improving the contour of the stomach. Liposuction may be performed along with the complete tummy tuck, depending on the amount of fat that needs to be removed.
A standard tummy tuck allows both the upper and lower abdomen to be tightened and contoured, and allows for complete repair of the abdominal muscles. In this procedure, an incision is made above the pubic hairline, another is made around the belly button, and the muscles that run vertically on each side of the stomach’s front wall are tightened. The skin removal and the muscle tightening are the most critical steps in improving the contour of the stomach. Liposuction may be performed along with the complete tummy tuck, depending on the amount of fat that needs to be removed.
An Extended abdominoplasty is recommended for patients with a larger amount of loose skin that extends to the sides of the abdomen. This technique is most often recommended for patients who have lost a significant amount of weight and have a lot of loose skin.
For patients with a large amount of excess skin and fat in the back and hip area as well as the abdomen, a circumferential abdominoplasty can be considered. This is a more involved procedure and can help to improve body contour in three dimensions.

Choosing a cosmetic surgery procedure is always an important decision that should never be rushed. At SixSurgery we always takes the time to get to know our patients and their individual reasons for wanting a Tummy Tuck. During this consultation, you will have a general health check and discuss all the risks and benefits of an abdominoplasty. This is also a time when you can ask any questions that you might have about Tummy Tuck surgery in a private, but friendly clinic environment.
The SixSurgery team will listen to your needs, expectations, and your desired outcome from the surgery. We will review all the surgical options that are available to you, and you will be able to tour our state-of-the-art facility and meet with our caring staff that will be part of your team.
Some patients may have excessive amounts of internal fat which cannot be corrected by Plastic Surgery. If your BMI is over 30 or the SixSurgery team determines you have excess internal fat and would benefit from weight loss prior to your tummy tuck, you will be asked to lose a certain amount of weight before we can proceed with your surgery.
As you can see in the above photo, our patient underwent weight loss prior to her surgery and her final result is beautiful. This would not have been possible without her losing excess intra-abdominal fat (via diet and exercise).



The best way to determine if a tummy tuck is the right procedure for you is to have an initial consultation with our SixSurgery Consultation expert. You will have an opportunity to discuss your goals and expectations with the team, and ask any relevant questions you have about the surgery.
The tummy tuck surgery will be performed in our certified and accredited medical facility located inside the luxurious Royal York Hotel. Tummy tucks generally take anywhere from 2 to 3 hours. The length of your surgery will depend on your body type and the amount of work that is required.
The procedure begins a with general anesthesia. You will be completely asleep during the surgery.
In a traditional tummy tuck, an incision is made horizontally in the area between the public hairline and the belly button. The amount of excess skin will determine the length of the incision.
The skin will be dissected up toward the rib cage, the muscles are tightened and the belly button is repositioned while excess skin is removed. This helps to dramatically improve the appearance and strength of the abdominal area. The SixSurgery team may recommend having liposuction along with the tummy tuck to provide optimal results.
After the excess fat and skin are removed, the remaining skin from the upper abdomen is released and pulled down over the open area to close it. After the muscles are tightened the skin is contoured to the new, flat abdominal shape.
Once the procedure is completed, the incision will be sutured and bandaged. You may be given an elastic bandage or compression garment to wear in order to minimize swelling to support the abdomen as it heals.
Following your surgery you will recover in one of the beautiful Fairmont Royal York Hotel rooms. You will receive a care package from us and our staff is available to you while you stay with us. Should you desire, full room service is available to you.
You will see our SixSurgery nurses the day after your procedure and at specified intervals during the weeks following your surgery. This is done so that your surgeon can personally monitor your recovery process, and to ensure that you have the best results possible.

The procedure begins with general anesthesia. You will be completely asleep during the surgery.
In a traditional tummy tuck, an incision is made horizontally in the area between the public hairline and the belly button. The amount of excess skin will determine the length of the incision.
The skin will be dissected up toward the rib cage, the muscles tightened, and the belly button repositioned while excess skin is removed. This helps to dramatically improve the appearance and strength of the abdominal area. The SixSurgery team may recommend having liposuction along with the tummy tuck to provide optimal results.
After the excess fat and skin are removed, the remaining skin from the upper abdomen is released and pulled down over the open area to close it. After the muscles are tightened the skin is contoured to the new, flat abdominal shape.
Once the procedure is completed, the incision will be sutured and bandaged. You may be given an elastic bandage or compression garment to wear in order to minimize swelling to support the abdomen as it heals.
Following your surgery, you have the option recover in one of the beautiful Fairmont Royal York Hotel rooms for an added cost, pending availability.
You will see our SixSurgery nurses the day after your procedure and at specified intervals during the weeks following your surgery. This is done so that your surgeon can personally monitor your recovery process, and to ensure that you have the best results possible.
Muscle repair (repair of rectus diastasis) that takes place during a tummy tuck repositions separated abdominal muscles which were stretched and separated during a pregnancy. In mild cases of rectus diastasis, abdominal workouts and physio may be helpful. However with more significant muscle separation no amount of sit ups, physio, diet or exercise will correct the separation. In such patients, surgical muscle repair (diastasis repair) is the only effective treatment.


There are many differences between a mini tummy tuck and a full tummy tuck. The main difference is that with a mini tummy tuck the area at and above the navel is not treated, so there is no scar or repositioning of the belly button. Other differences include:
READ MORE ABOUT MINI TUMMY TUCK HERE

A full tummy tuck involves a scar that typically runs from hip to hip. We make every effort to keep the scar as low as possible so that when you wear your pants or a bikini, the scar is hidden. There is also a scar around the belly button. A mini tummy tuck does not have a belly button scar.
These scars take several months to fade, and a year to fully mature. Can the scar be shorter? The tummy tuck scar length varies in length from patient to patient.
The length is determined by your existing fold and how much loose skin you have. If you look in a mirror and see the fold where your skin folds over, this can help estimate the extent of your scar. Trying to cheat and make the incision shorter results in unnatural looking folds/lumps on at the sides of the incision and insufficient removal of loose skin.
If you are unsure about how long your scar would be, you can always send us your picture for an assessment.


While the tummy tuck, or abdominoplasty, is designed to create an abdominal profile that is smoother and firmer, an alternative procedure is a panniculectomy. This is NOT a tummy tuck, this is an ‘amputation’ of the loose skin in patients who have lost >100lb and have medical problems due to the excessive skin. This is NOT a cosmetic procedure and the goal of surgery is not to improve appearance.
This procedure can be performed alone or in combination with a tummy tuck, and is done to remove the skin hanging on the abdomen, called the “pannus” or apron. It runs from below the belly button, and is usually a result of losing significant amounts of weight – approximately 100 pounds or more. It is often done at the same time as the tummy tuck.
While the tummy tuck tightens the underlying stomach muscles, the panniculectomy only removes the excess skin and fat required for medical reasons.
Patients requiring panniculectomy have overcome obesity and have recently lost a significant amount of weight. They also may have post-pregnancy problems with excessive fat that is situated below the belly button. Depending on the amount of excess skin you have and the condition of your abdomen, your surgeon will determine the best procedure or procedures to meet your specific needs.
Avoid any vigorous exercise, heavy lifting, or the gym for 6 weeks after the surgery. Failure to do so will lead to loss of muscle repair, and abdominal bulging (throughout the entire abdomen, around the belly button, or in the upper or lower abdominal area), Although complications following Abdominoplasty are infrequent; the following may occur:
The risk of these specific complications is increased in patients with increased BMI and previous abdominal surgeries. If left untreated these complications may be fatal.
One of the possible complications after a tummy tuck is skin necrosis in the midline, as that has the poorest blood perfusion after a tummy tuck. If this happens, the management is to allow the area to heal and once fully healed, your SixSurgeon will then come back and perform a reconstruction using a tissue expander. This will be used to stretch the normal uninjured skin to allow for the reconstruction.

A patient after a tummy tuck, suffering from skin necrosis in the midline. This area will be treated conservatively and allowed to heal before a reconstruction is possible.

The necrotic area seen after it has completely healed. You also can see markings outlining the area of the skin that will be stretched out to help reconstruct the defect

Patient seen with a tissue expander in place, stretching the good skin

Abdominal wall defect reconstruction with tissue expansion. Patient is seen here shortly after reconstruction

A patient after a tummy tuck, suffering from skin necrosis in the midline. This area will be treated conservatively and allowed to heal before a reconstruction is possible.

The necrotic area seen after it has completely healed. You also can see markings outlining the area of the skin that will be stretched out to help reconstruct the defect

Patient seen with a tissue expander in place, stretching the good skin

Abdominal wall defect reconstruction with tissue expansion. Patient is seen here shortly after reconstruction