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Recovery Guide: What to Expect After a Tummy Tuck

Undergoing a tummy tuck , medically known as abdominoplasty , can be a transformative journey towards reclaiming your body confidence. However, the success of this cosmetic procedure doesn’t just rely on the surgery itself but significantly on the recovery process. Understanding what to expect after a tummy tuck and how to navigate the healing journey is crucial for ensuring the best possible outcomes.

Immediate Post-Operative Phase

The first 24 to 48 hours after surgery are critical. Patients typically spend this initial period under close medical supervision to manage pain and monitor for any complications. It’s common to experience discomfort, swelling, and fatigue. Drainage tubes may be placed at the surgical site to remove excess fluid, and medications will be provided to manage pain.

First Weeks of Recovery

The recovery timeline varies for each individual, but the first two weeks are often marked by significant healing. During this phase, it’s vital to follow your surgeon’s instructions diligently. Activities will be limited; lifting, straining, and strenuous exercise should be avoided to prevent stress on the incision line. Wearing a compression garment is usually recommended to reduce swelling and support the abdomen.

Managing Discomfort: Pain can be managed with prescribed medications. Swelling and bruising are normal and will gradually subside.

Activity: Gentle walks are encouraged to promote circulation and prevent blood clots. However, any form of intense activity should be postponed until your surgeon gives the go-ahead, typically after 6 to 8 weeks.

Diet and Nutrition

A healthy diet plays a crucial role in recovery. Hydration is key; drink plenty of water to help reduce swelling. Eating foods rich in vitamins, minerals, and proteins can facilitate tissue repair and healing. Avoiding salt can help minimize additional swelling.

Long-Term Healing

Over the months following surgery, the incision line will begin to heal, and scars will start to fade but may not completely disappear. Sensation in the area may initially be diminished but usually returns as nerves regenerate.

Scar Care: Follow your surgeon’s advice on scar care to ensure it heals as neatly as possible. This may include the use of silicone sheets or scar creams after the wound has fully closed.

Ensuring the Best Outcomes

Adherence to your surgeon’s post-operative care instructions is paramount. Keep all follow-up appointments to monitor your healing progress and address any concerns promptly.

Patient’s Role: Understanding that recovery takes time and allowing your body the rest it needs is essential. The final results of a tummy tuck can take several months to fully materialize as swelling decreases and the body adjusts to its new contours.

Recovery from a tummy tuck is a journey that requires patience, care, and close collaboration with your medical team. By setting realistic expectations, following a healthy lifestyle, and adhering to your surgeon’s guidance, you can navigate this journey smoothly and emerge with confidence in your new silhouette. Remember, every individual’s body responds differently to surgery, and thus, experiences may vary. Always consult with your surgeon for advice tailored to your specific situation

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Your Ultimate Tummy Tuck Recovery Guide

Recovery , Tummy Tuck

January 10, 2024 | 5 minute read

5 Minute Read: 

Undergoing a tummy tuck or abdominoplasty is a transformative journey toward a flatter, more sculpted abdomen and waist. This procedure’s success depends not solely on the skilled hands of a surgeon but also on your commitment to a thorough and mindful recovery.

This comprehensive guide will explore the various aspects of tummy tuck recovery while offering insights and tips to ensure a smooth healing process and optimal results.

Preparing for Tummy Tuck Recovery

Part of a meaningful recovery begins even before you undergo abdominoplasty .

• Educate yourself: Understanding the intricacies of the tummy tuck procedure, including potential risks and benefits, will equip you with the knowledge needed for a successful recovery.
• Pre-operative instructions: Follow your surgeon’s pre-operative guidelines, which may include lifestyle adjustments, changes in medication dosage, and dietary recommendations.
• The recovery area: Set up a comfortable area to rest and have everything you need at arm’s length.
• Having assistance: Arrange for someone to drive you to and from your procedure. Having a friend or family member stay with you for the first 24 to 48 hours of recovery is also highly beneficial.
• Reheatable meals: Pre-cook a week’s worth of well-balanced meals that you can easily reheat so you don’t have to prepare them while you recover or opt for a delivery service.
• Prescriptions: Pick up your prescribed pain medication before your surgery so you don’t have to make an extra stop.

Immediate Tummy Tuck Postoperative Care

The quality of your recovery will help determine the likelihood of experiencing complications and your satisfaction with your results.

• Follow your surgeon’s instructions: Adhering to your surgeon’s postoperative instructions is crucial. This includes managing pain with prescribed medications, wearing compression garments, and caring for incisions.
• Start walking early: Gentle walking, as advised by your surgeon, promotes blood circulation and reduces the risk of blood clots.

Managing Surgical Discomfort

After a tummy tuck , you can expect  some discomfort, which can be addressed in the following ways:

• Pain medication: Take prescribed pain medications as directed to manage discomfort. Consistent pain management is essential for a smooth recovery.
• Cold compresses: Applying cold compresses to the surgical area can help reduce swelling and provide relief.
• Complications: If unexpected concerns arise after the third day or pain increases after the third day of recovery, contact our office immediately.

Swelling and Bruising After Abdominoplasty

After your abdominoplasty, you will experience some swelling and bruising. The following tips can help these subside more quickly.

• Compression garments: Wear compression garments as instructed by your surgeon. These garments aid in healing by minimizing swelling, supporting your new contours, and maximizing skin resiliency.
• Elevate legs when resting: Elevating your legs while resting helps reduce swelling in the abdominal area.

Nutrition and Hydration

Eating a healthy diet and staying well-hydrated is essential to a successful recovery.

• Hydrate adequately: Proper hydration is essential for overall healing and skin elasticity. Drink water regularly to support recovery.
• Nutrient-rich diet: Consume a balanced diet rich in vitamins and minerals to promote optimal healing. Foods high in protein aid in tissue repair.

Caring for Your Surgical Incisions

A qualified plastic surgeon will provide you with directions on incision care.

• Follow wound care instructions: Adhere to your surgeon’s guidelines for cleaning and caring for incisions to help minimize the risk of infection and promote optimal scar healing.
• Avoid sun exposure: Shield incisions from direct sunlight, as exposure can lead to hyperpigmentation and increase the visibility of scars. Use sunscreen as directed by your surgeon.
• Silicone strips and scar creams: Get recommendations from your surgeon for scar creams and silicone strips to minimize scarring further.

Gradual Resumption of Activities

Following your surgeon’s instructions includes strictly keeping to their plan for when you should resume activities.

• Gradual return to normalcy: Return to daily activities gradually, according to your surgeon’s guidance. Walking is an excellent starting point.
• Avoid strenuous activities: Refrain from strenuous activities, heavy lifting, and intense exercises for the recommended duration (typically at least six weeks) to allow your body to heal.

Emotional Support and Well-being After Surgery

Surgery takes a toll on your body and your emotions. It is expected to feel extra-sensitive during the first week of recovery. Be sure to have a strong support system to help you through this time.

• Open communication: Maintain open communication with your support system, including friends, family, and medical team. Discuss any concerns or emotions you may be experiencing.
• Be patient: Understand that the recovery process takes time. Be patient with yourself and celebrate small milestones along the way.

Postoperative Follow-Up Appointments

The follow-up visits scheduled with your surgeon are imperative.

• Regular check-ups: Attend all scheduled follow-up appointments with your surgeon. These appointments allow for a thorough evaluation of your progress and help identify any potential issues.

Maintaining Your Tummy Tuck Results

After recovery, it’s still important to take care of yourself by maintaining a stable weight and protecting your scars so they continue to fade.

• Healthy lifestyle: Embrace a healthy lifestyle with regular exercise and a balanced diet to maintain the results of your tummy tuck.
• Sun protection: Continue to protect your abdominal area from sun exposure, as scars can become more sensitive to sunlight.

A successful tummy tuck recovery is a multi-faceted journey that requires commitment, patience, and adherence to medical guidance. By following the comprehensive steps outlined in this guide, individuals can confidently navigate the recovery process and embrace the transformative results of their tummy tuck.

Remember, each individual’s recovery is unique, so consult with your surgeon regularly and customize your approach based on your specific needs and progress.

Board-Certified Plastic Surgeon for Tummy Tucks in San Francisco

Dr. Kimberly Henry is a board-certified plastic surgeon offering abdominoplasty in the Bay Area plastic surgery. Call our San Francisco plastic surgery practice to schedule your tummy tuck consultation by calling (415) 997-0918 .

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Your six-month guide to planning a tummy tuck

• Daniel Kolder, MD | Camarillo, CA
• Tuesday, February 5, 2019

An abdominoplasty, better known as a tummy tuck , is a surgical procedure that requires careful planning and meticulous follow-up care for the best results. Knowing the steps to take before your abdominoplasty will ensure a better recovery process.

Ideally, you'll have several months in advance to prepare for your tummy tuck surgery. I recommend most individuals give themselves a full six months to prepare, giving them time to find the right surgeon, achieve or maintain their ideal weight and get a plan for aftercare in place.

Some people may not need the full six months of prep before their surgery, and that's okay. You'll still want to make sure that you've taken sufficient time to research, plan and prepare. The better prepared you are for the big day of surgery, the better your results will be. Use the information below as your guide to planning your tummy tuck.

4-6 months before surgery

As soon as you start thinking about a tummy tuck, it's time to get serious about your diet and exercise habits. Eating well, drinking more water and staying active should be your focal point. If you smoke, start the process of quitting and limit your alcohol intake if you drink. These two factors can affect the way your body heals and fights off infection. Stress management is also a good thing to implement as chronic stress can affect your health and immune response.

In this timeframe, start doing your research and locating plastic surgeons for consultations. Look for board-certified plastic surgeons with experience in the tummy tuck procedure and plenty of before and after photos of abdominoplasty patients on their website.

4 months before surgery

By this time, you should be closing in on your ideal weight and fitness level. This is going to help the surgeons you talk with to evaluate your candidacy for surgery and also puts you in a good position to recover quickly. Around 4 months before you want to have surgery, you should begin scheduling consultations and meeting with your top-rated plastic surgeons. In many markets, the best surgeons are booking out three to four months in advance, and sometimes even longer. During this time, you will need to decide on the best surgeon. You should feel comfortable discussing your goals, expectations and concerns, as well as feel confident that their recommendations align with what you envision.

3 months before surgery

During your third month of preparation, after you've selected a surgeon and booked surgery, you should be scheduling leave from work, making arrangements for child and animal care and setting up your support system to help with transportation and care during the post-surgery recovery phase. This is something you and your surgeon should discuss and prepare for. By now, you should completely quit smoking. You are continuing with your health and wellness regimen and hopefully feeling great about life and excited for the transformation ahead.

1 month before surgery

The last few weeks before your surgery should be used to stock up on supplies needed for recovery and finalizing the details of your procedure. Staying as comfortable as possible in the initial stage of recovery is going to be your ultimate goal for home care, so now is the time to begin assembling your supplies. Your surgeon should provide you with a list of supplies to buy. Some extra supplies that people have found to be useful and aid in the recovery process are:

• Extra pillows
• Comfortable clothing and underwear that is easy to remove
• Ice packs and over-the-counter medication for discomfort
• Compression clothing if prescribed

Create a meal prep plan to make and freeze food for later. Eliminating the worry of what to eat is going to reduce stress, keep you from grabbing unhealthy foods and help you maintain your new improved eating habits. On the day of surgery, dress comfortably and make sure you've followed the pre-surgery checklist your surgeon provided. You should have time to check in with your surgeon on the day of your procedure, so if you have any last-minute questions, make sure to bring those along too.

The views expressed in this blog are those of the author and do not necessarily reflect the opinions of the American Society of Plastic Surgeons.

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What You Need to Know About Tummy Tuck Recovery

• March 14, 2024

Are you considering a tummy tuck procedure?

If so, understanding the recovery process is crucial for a successful outcome. Your tummy tuck recovery journey plays a significant role in achieving the results you desire. Knowing what to expect and how to navigate the post-operative period can make a world of difference.

During the tummy tuck recovery phase, it’s essential to follow your surgeon’s instructions diligently. Proper care, rest, and patience are key elements in ensuring a smooth and comfortable recovery. By taking the necessary precautions and being mindful of your body’s signals, you can optimize your healing process and enjoy the transformative results of your tummy tuck surgery.

Preparing for Recovery

When it comes to tummy tuck recovery, preparation is key to a smooth and successful healing process. Here are some essential tips to help you get ready:

Follow your surgeon's instructions carefully

Your surgeon will provide you with customized guidelines to follow before and after the surgery. It’s crucial to adhere to these instructions for optimal results.

Arrange for assistance

You may need help with daily tasks during the initial stages of your recovery. Ensure you have someone available to assist you with activities like cooking, cleaning, and running errands.

Stock up on supplies

Before your surgery, make sure you have all the necessary supplies at home. This includes medications, loose and comfortable clothing, healthy snacks, and any other items recommended by your surgeon.

Create a restful recovery space

Designate a comfortable and quiet area in your home where you can rest and recuperate after the surgery. Having a peaceful environment can significantly aid in your recovery.

Stay hydrated and eat nutritious meals

Proper nutrition and hydration are essential for the healing process. Make sure to drink plenty of water and consume nutrient-rich foods to support your body’s recovery.

Plan for post-operative care

Understand what to expect in the days and weeks following your surgery. Knowing what to anticipate can help alleviate anxiety and ensure a smoother recovery journey.

By taking these proactive steps to prepare for your tummy tuck recovery, you can set yourself up for a more comfortable and successful healing experience.

Managing Discomfort

When it comes to tummy tuck recovery, managing discomfort is a crucial aspect of ensuring a smoother healing process. Here are some tips to help you navigate this phase effectively:

Pain Management

Your surgeon will prescribe pain medication to help alleviate any discomfort during the initial days post-surgery. It’s important to take your medication as directed to stay ahead of any potential pain.

Rest and Relaxation

Adequate rest is essential for your body to heal effectively. Make sure to limit physical activity and give yourself the time to relax and recuperate.

Use of Compression Garments

Wearing compression garments  as recommended by your surgeon can help reduce swelling and discomfort in the surgical area. These garments provide support and promote better healing.

Proper Wound Care

Follow your surgeon’s instructions diligently when it comes to wound care. Keeping the incision site clean and dry can prevent infections and aid in the healing process.

Monitor for Signs of Infection

It’s essential to keep an eye out for any signs of infection, such as increased redness, warmth, or drainage from the incision site. If you notice any concerning symptoms, contact your surgeon immediately.

Stay Hydrated

Drinking an adequate amount of water is essential for the recovery process. Hydration helps your body heal and rejuvenate, so make sure to keep a water bottle handy.

Follow-up Care

Attend all scheduled follow-up appointments with your surgeon to ensure that your recovery is progressing as expected. Your surgeon will monitor your healing process and address any concerns you may have.

Remember, managing discomfort during tummy tuck recovery is a temporary phase that will pave the way for a smoother and more comfortable healing journey.

Incision Care

When it comes to tummy tuck recovery, proper care of your incisions is crucial for minimizing the risk of complications and promoting healing. Here are some essential tips to ensure your incision care routine is on point:

Follow your surgeon's guidelines

Strictly adhere to the post-operative care instructions provided by your surgeon to promote proper healing and reduce the risk of infection.

Keep the incision area clean and dry

Gently clean the incision area with mild soap and water, pat it dry gently, and avoid exposing it to excess moisture.

Monitor for signs of infection

Keep an eye out for symptoms such as increased pain, redness, swelling, warmth, or drainage around the incision site, and promptly report any concerns to your surgeon.

Protect your incisions

Avoid activities that could put strain on your incisions, and follow your surgeon’s advice on when it’s safe to resume normal activities.

By prioritizing proper incision care during your tummy tuck recovery, you can help ensure a smoother healing process and optimize your results. And if you’re considering a tummy tuck in a location like Tijuana, be sure to discuss recovery tips specific to your situation with your surgeon.

Activity Restrictions

When it comes to tummy tuck recovery, it’s crucial to adhere to activity restrictions to ensure a smooth healing process. Your surgeon will provide specific guidelines, but here are some common restrictions to keep in mind:

• Avoid strenuous activities that could put strain on your abdominal muscles and incisions.
• Limit bending and lifting to prevent complications and promote proper healing.
• No heavy lifting or intense workouts until you get the green light from your surgeon.

Following these tips will help optimize your tummy tuck recovery and minimize the risk of complications. 

Monitoring Progress

When it comes to tummy tuck recovery, monitoring your progress is crucial to ensure that you are healing properly and on track for a smooth recovery. Here are some tips to help you keep an eye on how your body is responding:

• Follow-up appointments: Attend all scheduled follow-up appointments with your surgeon to assess your tummy tuck healing process and address any concerns promptly.
• Watch for signs of infection: Keep an eye out for symptoms such as excessive swelling, redness, warmth, or drainage at the incision site, as these could indicate an infection that needs immediate attention.
• Track your activity levels: Monitor your activity levels and ensure you are gradually increasing your movement as advised by your surgeon to prevent complications and promote proper healing.
• Take photos: Documenting your progress with photos can give you a visual representation of how your tummy tuck recovery is progressing over time.
• Communicate any changes: If you notice any unexpected changes or issues during your tummy tuck recovery, don’t hesitate to contact your surgeon for guidance and support.

Remember, everyone’s tummy tuck recovery journey is unique, so it’s essential to stay vigilant and communicate openly with your healthcare provider for personalized tips and tailored guidance, especially if you are considering a tummy tuck in Tijuana .

Ready to take the first step towards achieving the body you’ve always dreamed of? Schedule your consultation with Dr. Campos Leon at Lotus Med Group in Tijuana today! With his expertise and compassionate care, you’ll be guided through every step of your tummy tuck journey with confidence. Don’t wait any longer to transform your life – book your appointment now and embark on the path to a happier, more confident you.

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Your Tummy Tuck Journey From A to Z

For many of us, having a midsection that puffs out or protrudes can be a source of embarrassment. A flabby tummy affects the contours of our bodies and can make us look larger and even older than we really are. Many of us strive to achieve that smooth, flat tummy through exercise, diet, and by leading a generally healthy lifestyle.

But sometimes, these measures may not be enough to remove excess skin or stubborn fatty areas around the midsection. Factors such as age, heredity, childbirth, and weight loss can all contribute to a “paunch” in the mid- and lower abdomen that is difficult to remove. A tummy tuck can help address these concerns and get you the flat tummy you’ve always wanted.

What Is a Tummy Tuck?

Also referred to as an abdominoplasty, a tummy tuck is a procedure that removes excess fat and skin to tighten and reduce the abdominal area. A tummy tuck can reduce fat in the abdomen, tighten skin and muscles, and even remove stretch marks. This will lead to an overall smoother and flatter profile that falls more in line with the rest of your natural body contour.

Tummy tuck surgery is ideal for candidates who:

• Have concerns about the appearance of their midsection
• Have excess skin and fat that have not responded to other methods
• Have weak abdominal muscles from childbirth or other injuries
• Are in good physical health
• Have reached their ideal weight and been able to maintain it

How Is a Tummy Tuck Done?

A tummy tuck will typically incorporate a series of incisions—usually around the navel and between the belly button and pubic area—to remove the excess fat and tighten muscles. Dr. Hochstein may also use some form of liposuction to siphon some of the excess fat before redraping and tightening muscles and removing extra skin. The incisions are then closed together using sutures, stitches, or other adhesive methods.

Dr. Hochstein offers three options that each offer a different level of correction to the abdomen: a mini, full, and extended tummy tuck.

A mini tummy tuck focuses mostly on the lower abdominal area and can be ideal for women who have developed a stubborn pouch in the lower belly after pregnancy; a full tummy tuck focuses on the entire abdomen; an extended tummy tuck for patients with more severe symptoms.

Dr. Hochstein will also address weaknesses in the abdominal wall during a full and extended tummy tuck and tighten any muscles as needed. Excess skin and stretch marks will also be addressed in both procedures and removed as much as possible.

Tummy Tuck Consultation

If you are interested in undergoing a tummy tuck, you will first start with a consultation. Dr. Hochstein will discuss the procedure and work with you to come up with goals and listen to what you expect out of the procedure. You will be asked about your prior medical history, previous surgeries or procedures, and any current medications or supplements.

During the consultation, Dr. Hochstein will closely examine your midsection to pinpoint areas of concern and come up with a plan that will ensure the best likely outcome. This is a good time to ask as many questions as you’d like about the procedure, how it’s done, and what to expect during your recovery. Any risks that may arise from a tummy tuck will also be discussed.

Tummy Tuck Preparation

In the weeks before your tummy tuck surgery, you may need to undergo lab testing or a medical evaluation to ensure there are no complications. Certain medications or supplements may need to be stopped or adjusted, and any smoking needs to be stopped as well. Anti-inflammatory medications, such as aspirin and herbal supplements, should be avoided as they can increase bleeding during and after the procedure.

A tummy tuck can be performed as an outpatient procedure, but you will need some time to rest and recover. There will be some soreness after the surgery, especially in the first few hours and days. For most patients, it’s suggested to take at least two weeks off work and other routine activities for a quicker, easier recovery. It is important and required to have arrangements to be driven home and to have someone stay with you for 24 hours after the procedure is completed.

Tummy Tuck Recovery

After your tummy tuck is completed, Dr. Hochstein will provide a compression garment that goes around your midsection area that will help minimize pain and swelling. There will also be bandages and dressings applied to the incision areas. One or two Jackson Pratt drains will be inserted close to the hip area near your tummy tuck incision to remove fluids that build up after your surgery.

Dr. Hochstein will provide a pain pump in the days right after the surgery and prescribe oral medication to manage pain as you recover. He also offers lymphatic drainage, a type of therapeutic massage that helps reduce inflammation. These massages help get rid of excess liquid that often accumulates after surgery.

Full recovery after a tummy tuck will typically take about six to eight weeks. During this time, physical activity should be minimized or avoided. Dr. Hochstein will provide specific post-operative directions that should be followed after surgery for a quick recovery.

Are you ready for a tummy tuck? Find out more and schedule a consultation by calling our offices at 305-931-3338.

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My Tummy Tuck Journey: A Goodbye Letter to My Beautiful Wrinkly Stomach

You can listed to the podcast version of this article here .

Next week I’m going to have a tummy tuck. I feel that Part 1 of this journey is to say my goodbyes. As I write this letter, it does (in a way) feel completely vacuous. A few days ago my dearest friends lost their entire business in a massive fire here in Las Vegas. Also, my mother’s best friend died suddenly in a freak horse riding accident leaving behind her twelve year old daughter.

At the time I decided to write this goodbye letter to my tummy it was before the sudden emotional impact of loss. Sometimes life shows up with this kind of stark contrast to remind us that life is worth pursuing what is on the other side of fear.

My decision to have a tummy tuck is an empowered choice to impact my overall health. I’ve suffered from lower back pain and strain for so many years. So here goes…

Dear Beautiful Wrinkly Stomach,

You’ve housed 10 heartbeats, maybe 11, and only four made it to this world. You were a wonderful home for my babies, and for that I thank you. I am so grateful for our growth together over the last couple of decades from 200 pounds to 130 pounds and everything in between.

I was just 21 years old when you first made an impression on me.  The doctor described you as a deflated balloon – or a crumpled paper bag.  I knew you were different from other stomachs that bounced back after pregnancy. As those ab muscles separated due to diastasis recti , so did my connection with my body and ultimately my confidence. In truth, the disconnect was part of a much larger picture of never feeling like I was enough.

For the longest time I have felt deformed and I’ve felt ugly. So I’ve been hiding you for nearly 18 years. Long black camisole singlets kept you hidden, so did Spanxs. High-waisted pants and Bridget Jones style underpants have often saved the day. I have spent countless hours trying to figure out the best ways to dress you, flatten you, flatter you, and hide you.

I have also been very aware that spending so many moments worrying about this kind of thing is super silly because there are people out there in the world that are really suffering. As in real loss, shock, hardship, and pain. However, I am parting ways with you so I can step up at a higher level. To be clear, even if you stayed I could still do the same thing because I fully accept you, but my core needs strengthening.

It seems annoying to still harp on about this old story, but I was verbally abused about you by my first husband. He told me that no one could ever love me if I left him because of my stomach. Then I had to sheepishly explain you to my second husband. It was almost as if I was disclosing that a murder had happened in a house for sale. In truth, the emotional foundations were a lot more shaky than the physical structure of the building itself. In a normal, healthy and loving way Sean loves you no matter what. He once described you as “Google Ads” on a website. You know they are there, but you don’t tune in on them and let them distract you from the main content (sorry Google).

Tummy, you and I have been so fortunate to find a man that sees the soul of a situation and not the shallow version of reality.

Over the last few years I have really done so much inner work to love you. In truth you’re way worse in my head than you actually are on my 5 footish frame . I even posted about you on Instagram to show other women how to love their tummies too. If you read my book ( Dear Universe ) I talk a little bit about our journey together and how I would love to wear a bikini on a beach someday with or without you.

As the mother of three daughters and a Thomas it’s imperative to get to a space of self acceptance, because I never want my children to believe that are unworthy or not enough. Tummy, your powerful influence in my life has been a constant reminder of this.

But here’s the thing…I love you, but my back hurts. I love you but when I exercise I feel like I don’t play full out because of you. It’s time for you to leave me.

I’ve thought about this for a while and there’s an empowered solution – kind of like conscious uncoupling.

My painful path with eating disorders didn’t fix you, exercise, affirmations, a device called an “AbTronic” didn’t help, wraps, and other potions did diddly squat – but my mind made peace with you and I can see you for what you are.

You are my invitation to be my best self and try on a different version of who I can be in this body as a spiritual being.

I am making this decision from a space of empowered choice.

So goodbye beautiful wrinkly stomach. I love you. I see you. I’m ready for the next chapter of my body to carry me into my 40s, instead of me carrying others.

All My Love, Sarah Prout

If this letter triggers you in any way please know this was not my intention. This is my choice. You don’t have to take it personally, but that’s your choice too. If you’d like to send the vibes of love and healing energy my way for a successful operation that would be greatly appreciated. Big love, Sarah xo

ps. I’ll be posting Part 2 of my Tummy Tuck journey very soon.

Have you ordered your copy of Dear Universe yet? You’re going to LOVE it. Order from Amazon , Barnes & Noble , Target and all good bookstores.

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During a tummy tuck, excess skin and fat are removed from the abdomen. The skin is then draped back over the newly repositioned contours to create a smoother and more toned look.

A tummy tuck — also known as abdominoplasty — is a cosmetic surgical procedure to improve the shape and appearance of the abdomen.

During a tummy tuck, excess skin and fat are removed from the abdomen. Connective tissue in the abdomen (fascia) usually is tightened with sutures as well. The remaining skin is then repositioned to create a more toned look.

You might choose to have a tummy tuck if you have excess fat or skin around the area of your bellybutton or a weak lower abdominal wall. A tummy tuck can also boost your body image.

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Why it's done

There are a number of reasons you might have excess fat, poor elasticity of the skin or weakened connective tissue in your abdomen. These include:

• Significant changes in weight
• Abdominal surgery, such as a C-section
• Your natural body type

A tummy tuck can remove loose, excess skin and fat, and tighten weak fascia. A tummy tuck may also remove stretch marks and excess skin in the lower abdomen below the bellybutton. However, a tummy tuck won't correct stretch marks outside of this area.

If you've previously had a C-section, your plastic surgeon might be able to incorporate your existing C-section scar into your tummy tuck scar.

A tummy tuck can also be done in combination with other body contouring cosmetic procedures, such as breast surgery. If you've had fat removed from your abdomen (liposuction), you may decide to have a tummy tuck because liposuction removes tissue just under the skin and fat but not any excess skin.

A tummy tuck isn't for everyone. Your doctor might caution against a tummy tuck if you:

• Plan to lose a significant amount of weight
• Might consider pregnancy in the future
• Have a severe chronic condition, such as heart disease or diabetes
• Have a body mass index that's greater than 30
• Have had a previous abdominal surgery that caused significant scar tissue

A tummy tuck poses various risks, including:

• Fluid accumulation beneath the skin (seroma). Drainage tubes left in place after surgery can help reduce the risk of excess fluid. Your doctor might also remove fluid after surgery using a needle and syringe.
• Poor wound healing. Sometimes areas along the incision line heal poorly or begin to separate. You might be given antibiotics during and after surgery to prevent an infection.
• Unexpected scarring. The incision scar from a tummy tuck is permanent, but it's typically placed along the easily hidden bikini line. The length and visibility of the scar varies from person to person.
• Tissue damage. During a tummy tuck, fatty tissue deep within your skin in the abdominal area might get damaged or die. Smoking increases the risk of tissue damage. Depending on the size of the area, tissue might heal on its own or require a surgical touch-up procedure.
• Changes in skin sensation. During a tummy tuck, the repositioning of your abdominal tissues can affect the nerves in the abdominal area, and infrequently, in the upper thighs. You'll likely feel some reduced sensation or numbness. This usually diminishes in the months after the procedure.

Like any other type of major surgery, a tummy tuck poses a risk of bleeding, infection and an adverse reaction to anesthesia.

How you prepare

You'll talk to a plastic surgeon about a tummy tuck. During your first visit, your plastic surgeon will likely:

Review your medical history. Be prepared to answer questions about current and past medical conditions. Talk about any medications you're taking or have taken recently, as well as any surgeries you've had.

Tell your doctor if you are allergic to any medications. If your desire for a tummy tuck is related to weight loss, your doctor will likely ask detailed questions about your weight gain and loss.

• Do a physical exam. To determine your treatment options, the doctor will examine your abdomen. The doctor might also take pictures of your abdomen for your medical record.
• Discuss your expectations. Explain why you want a tummy tuck, and what you're hoping for in terms of appearance after the procedure. Make sure you understand the benefits and risks of the procedure, including scarring. Keep in mind that previous abdominal surgery might limit your results.

Before a tummy tuck you might also need to:

• Stop smoking. Smoking decreases blood flow in the skin and can slow the healing process. In addition, smoking increases the risk of tissue damage. If you smoke, your doctor will recommend that you stop smoking before surgery and during recovery.
• Avoid certain medications. You'll likely need to avoid taking aspirin, anti-inflammatory drugs and herbal supplements, which can increase bleeding.
• Maintain a stable weight. Ideally, you'll maintain a stable weight for at least 12 months before having a tummy tuck. If you're severely overweight, your doctor will recommend that you lose weight before the procedure. Significant weight loss after the procedure can diminish your results.
• Arrange for help during recovery. Make plans for someone to drive you home after you leave the hospital and stay with you for at least the first night of your recovery at home.

What you can expect

A tummy tuck is done in a hospital or an outpatient surgical facility. During a tummy tuck, you'll be under general anesthesia — which makes you completely unconscious and unable to feel pain. In some cases, you might be given a pain-relieving medication and be moderately sedated (partially asleep).

Before the procedure

There are a number of different procedures for a tummy tuck, depending on your goals and the extent of change you would like to see. During the typical tummy tuck, your plastic surgeon makes incisions to remove most of the skin and fat between your bellybutton and pubic hair in a horizontal oval or elliptical shape. Connective tissue (fascia) that lies over the abdominal muscles is then tightened with permanent sutures.

The amount of excess skin removed and the type of procedure you have will determine the shape and length of the incision. The incision above the pubic hair will be stitched together and will leave a scar that falls along the natural crease within the bikini line.

Your plastic surgeon will also reposition the skin around your bellybutton. Your bellybutton will be brought out through a small incision and sutured in its normal position.

During the procedure you might be given an antibiotic to prevent infection.

The procedure typically takes about two to three hours.

After the procedure

After a tummy tuck, your abdominal incision and bellybutton will likely be covered with surgical dressing. Small tubes might be placed along the incision site to drain any excess blood or fluid.

Members of your health care team will help you walk as early as the first day after a tummy tuck to help prevent the formation of blood clots.

You'll likely be given pain medication. It's normal to have swelling in the surgical area.

Drains might be left in place for several days after surgery. Your doctor or another member of your health care team will show you how to empty and care for your drains. You might need to continue taking an antibiotic as long as the drains are in place.

Your surgeon might also prescribe a blood-thinning medication for a short time after your tummy tuck.

You'll wear a supportive abdominal garment (abdominal binder) for about six weeks after your tummy tuck. This helps prevent fluid buildup and provides abdominal support while you heal. Your doctor will explain how to care for your scar.

For the first six weeks after a tummy tuck, you'll need to be careful when moving around. You'll also need to avoid positions that strain your incision line — such as quickly bending at the waist — to prevent the reopening of the wound.

You'll need to schedule regular follow-up visits. Ask your doctor how often you need to be seen.

By removing excess skin and fat and strengthening your abdominal wall, a tummy tuck can give your abdomen a more toned and slimmer appearance.

Tummy tuck results are usually long lasting if you maintain a stable weight.

Tummy tuck care at Mayo Clinic

• AskMayoExpert. Abdominoplasty. Mayo Clinic; 2021.
• Tummy tuck, abdominoplasty. American Society of Plastic Surgeons. https://www.plasticsurgery.org/cosmetic-procedures/tummy-tuck/recovery. Accessed Nov. 10, 2021.
• Neligan PC, et al., eds. Abdominoplasty procedures. In: Plastic Surgery. 4th ed. Elsevier; 2022. https://www.clinicalkey.com. Accessed Nov. 10, 2021.
• Tummy tuck guide. American Board of Cosmetic Surgery. https://www.americanboardcosmeticsurgery.org/procedure-learning-center/body/tummy-tuck-guide/. Accessed Nov. 10, 2021.
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Kristin Cavallari Shares Why She’s Considering Removing Her Breast Implants

Amid a social media debate over the effects of beauty tools on botox, kristin cavallari gets real about her experience with breast implants. .

Kristin Cavallari is coming clean about her perspective on plastic surgery.

Amid a debate among her social media followers about whether the use of a gua sha—a traditional Chinese beauty tool used to stimulate blood blow and reduce inflammation—negatively impacts Botox, the Laguna Beach alum got candid about her stance on cosmetic procedures. And when it comes to Botox specifically, she’s not a fan.  

“Something you’re injecting into your face to freeze your muscles cannot be good for you,” she said in her Sept. 11 Instagram story. “I don’t care what anybody says, that’s just common sense. But if you wanna get it, get it.”

But Kristin’s comments on the subject caused some discourse among her Instagram followers, with one user asking how she rationalizes the “foreign substance” that makes up her silicone implants. And the 37-year-old wanted to remain completely transparent.

“This is NOT to defend me getting my boobs done, but I did 8 years ago,” she wrote in her Instagram story. “I’ve taken my health up a notch and have even thought about taking them out. I sometimes wonder if my decision to get them done would be different today. Just is what it is.”

“I was completely against plastic surgery before I breast fed all 3 kids and my boobs were disgusting,” Kristen—who shares kids  Camden , 12,  Jaxon , 10, and  Saylor , 8, with ex  Jay Cutler —continued. “I’m not a proponent of plastic surgery, but I won’t lie to you, doing my boobs is one of the best things I’ve done to make myself feel better.”

The Very Cavallari star first revealed that she got breast implants in addition to a breast lift in June 2024 amid false rumors that she underwent tummy tuck surgery.

"I had my boobs done twice," she explained in a June episode of her  Let's Be Honest  podcast. "I got them done after I breastfed Jaxon—my second—and then I got pregnant with Saylor. And so, as soon as I was  done breastfeeding  Saylor, I was like I'm just gonna redo them just because they looked awful again."

"I said in an interview YEARS ago that I had a lift," she continued, "but I never once denied implants, ever."

In fact, the Uncommon James founder has always been so open about her experience with plastic surgery that she didn’t let any of the rumors get to her.

"Gonna take that as a compliment," she said, addressing the tummy tuck rumors. "I wish it was nice and tight when I was sitting too."

But Kristin isn’t the only celeb that has been transparent about her journey. Keep reading to see which celebs have spoken out about their own plastic surgery procedures.

Gypsy Rose Blanchard

Gypsy underwent a rhinoplasty and septoplasty (nose job) in April 2024, three months after she was released from prison (where she served seven years for her role in the murder of her mother Clauddine "Dee Dee" Blanchard ).

Caroline Stanbury

The Real Housewives of Dubai star publicly documented her November 2023 face lift and the recovery on social media.

"I wanted people to see how, when you come out, the scars and the cuts and what it really looks like," she e xclusively told E! News of the procedure. "I literally looked like I'd been in a car crash and the car had won, but five days later you're presentable. Ten days later I was in a restaurant completely fine."

As for why the Bravo star was so open about her face lift journey? As she noted, "Being on a reality TV show, obviously it's going to look weird if I come back next season looking 10 years younger, which I do, obviously."

Selena Gomez

The singer has said she has gotten Botox .

Brandi Glanville

The former Bravo star has been candid about her plastic surgery procedures in the past, including getting a nose job, having breast implants and dabbling with Botox and filler. And now, she's turned to CellSound's body sculpting treatment to tighten her stomach.

"I have actual abs," she told  People  in an interview published March 21. "I have lines on my stomach that I haven't had since before I got pregnant. I think any mother knows after kids the elasticity of your skin will never be the same."

Ariana Madix

Responding to an Instagram user who accused the Vanderpump Rules star of getting lip filler, Botox, jawline contouring with liposuction and eyelid surgery, Madix clapped back by confirming all of her past cosmetic procedures . 

“i’ll tell you what i’ve had!” she wrote on Instagram in July 2024. “you’re partially correct. tox in 11’s, outer brow, and my neck. ellevate for my neck in 2019 by @theneckdoctor minimal lip filler bc my face is too small to handle very much and filler in my chin. absolutely no filler anywhere else and def no bleph yet. hope this helps! i’ll keep yall posted if i do anything else.”

"I'm bravely sharing that I had a lower facelift and a couple other minor tweaks," Jill said in a June 4 Instagram video , with a black bandage wrapped around her head. "I had a fat transplant put into my hands because I hated my hands, and the worst part was the lipo coming out of my leg to fill my hands. Believe it or not, that's the most pain I've had."

The 60-year-old promised that she'll post  side-by-side photos of her transformation  once she heals, adding, "I just want to share my story and my journey."

Brittany Cartwright

The Valley star revealed she underwent facial liposuction before filming the new Bravo series.

"I had work done on my double chin. We call it the turkey gobbler, runs in my family," she said on the March 14 episode of  her When Reality Hits podcast. "No matter what I was going through, no matter how much weight I lost, I still felt I had something there."

Martha Stewart

After years of denying cosmetic procedures, the lifestyle expert recently confessed in the Feb. 8 episode of her eponymous podcast that she gets Botox, fillers and lasers to tighten her skin. "I don't think a lot about age," she explained, "but I don't want to look my age."

Tori Spelling

The Beverly Hills, 90210 star has spoken publicly about her nose job and her breast implants .

Sharon Osbourne

In addition to getting candid on using Ozempic for weight loss, the talk show host admitted that her 2021 facelift was "the worst thing that I ever did," explaining in December 2023, "I looked like Cyclops."

"I've never had any work-work done, but I went through a phase when I was smoking pot when I was really obsessed with getting facial injections," the "Born This Way" singer told radio host  Howard Stern in 2013. "I was going to this strip mall in Chicago in the back…Everybody was like, 'You are a nut job.'...I'm telling you, I wasn't exactly in the best frame of mind, and I would smoke a bunch of joints and have some drinks and I would be like, 'Oh, let's go see my girl' and we would drive to this strip mall and I would get shot up with a bunch of whatever, Juvéderm, and then leave."

She continued, "Now all the stuff is gone. Before I shot the 'Applause' video, [a photographer friend] was like, 'Gaga, I love you but if you don't stop injecting s--t in your face I'm going to just kill you.'"

Bethenny Frankel

The Real Housewives of New York star got breast implants in 2005, but removed them in 2008.

"Now I feel comfortable," she told Life & Style . "If there's something you're not comfortable with and you can correct it, great."

Olivia Colman

The Crown star revealed that she's a fan of Botox. "I've had loads," the 50-year-old told BBC Radio 2 .

In 2013,  The Talk  co-host revealed on the show that she got plastic surgery at the beginning of her career in order to make her eyes look bigger.

"And after I had it done, the ball did roll for me," she said. "And I wondered, did I give in to the man?"

She added, "I have to live with every decision that I've made. And it got me to where we are today. And I'm not going to look back."

Jamie Lee Curtis

"I've done it all," the actress told The Telegraph   in 2002. "I've had a little plastic surgery. I've had a little lipo. I've had a little Botox. And you know what? None of it works. None of it."

Jennifer Aniston

"I had [a deviated septum] fixed–best thing I ever did," the actress told People  in 2007. "I slept like a baby for the first time in years. As far as all the other [rumors], as boring as it sounds, it's still mine. All of it. Still mine."

NeNe Leakes

In 2010, the Real Housewives of Atlanta star revealed that she had had a nose job, a breast lift and liposuction.

"I'm very comfortable and confident in myself," she told People . "I just wanted a tune up."

Kim Zolciak

In 2015, the reality star called Dr. Lenny Hochstein her  "boob God" doctor for giving her perky breasts. Of course, the reality TV personality has been an open book about her other procedures , including a tummy tuck and lip injections.

The Real Housewives of Beverly Hills star had her lips injected with silicone at age 24. In 2010, she had some of the filler removed.

"I find it so interesting that it's become such a big thing because I can't tell you how many girls have done their lips. I feel like I'm a pioneer," she said on  Today in 2013. "I was one of the first ones to ever do it and be honest about it."She also said, "I would do it again. I never had a career before I had the lips so my lips have had their own career!"

Heidi Montag

In 2009, at just 23 years old, the Hills  star underwent a head-to-toe transformation, having 10 cosmetic procedures done in one day. In addition to Botox, chin reductions and a nose job, the reality star also got fat injections in her lips.

Iggy Azalea

The Aussie rapper said in the April 2015 issue of Vogue magazine that she got breast implants. "I did change something: Four months ago, I got bigger boobs! I'd thought about it my entire life," she revealed. 

In her memoir , Perfect Is Boring, the supermodel revealed that she went under the knife early in her career. "I had bones in my nose that were growing and itching," she wrote in her book. "I could breathe fine, but I added cosmetic surgery. I admit it! Fake hair, and I did my nose." 

Kim Kardashian

"I really, genuinely care about looking good," the SKKN founder told Allure for its August 2022 issue. "I probably care more than 90 percent of the people on this planet. It's not easy when you're a mom and you're exhausted at the end of the day or you're in school, and I'm all of the above. I do my beauty treatments usually late at night. After everyone's in bed, I'm doing laser treatments."

Kim revealed she's also gotten "a little bit of Botox," but hasn't dabbled with filler on her lips or cheeks, revealing, "No filler. Never filled either one, ever."

Kristin Cavallari

During an Instagram Stories Q&A on Aug. 23, the reality TV star didn't shy away from answering a fan's question about her boobs. "Gonna keep it real with y'all," Kristin began her response. "Got a lift after breast feeding all 3 kids."

While The Hills alum isn't opposed to cosmetic procedures, she admitted she's "never done" Botox.

"It's not for me. But I've seen it look amazing on some people," she wrote. "My concern is that we don't know the long term effects of it (and I don't mean 5-10 years, I mean like 20 years) and I think your face is muscle, so we need to work it out the same way we would any other muscle."

John Stamos

In his new memoir, If You Would Have Told Me , John opened up about feeling insecure with his appearance, which led him to get two nose jobs. "That nose," he wrote. "It bothers me." "My nose looks kind of pushed up like Peter Pan or something," he shared of the initial procedure. "So on my next hiatus, I have it redone by Michael Jackson's plastic surgeon."

The singer recently revealed she got a facelift.

"I'm a pop star that normally hides my face and doesn't lie about s--t," she said at the 5th annual Daytime Beauty Awards in Los Angeles on Oct. 1.. "I got an amazing face lift from Dr. Ben Talei. He is incredible. And he is doing so much good work—and not just for the pop stars of the world."

Nicki Minaj

The rapper revealed she recent went under the knife. "I had to get a breast reduction," she told Vogue  in a cover story published Nov. 9, "and actually I love it. I used to want a bigger butt, and now I look back and realize how silly that was."

Vanessa recently shared the cosmetic treatments she gets, telling  Page Six , "I'm due for  Botox . I don't do filler and I have so much full movement that there is no Botox at all."

When asked if she's thought about going under the knife, she replied, "That would be the one thing that I would probably put off for the very last thing. The technology now for lifting, sculpting, tightening, is incredible. And there's a machine for anything. I just got a microcurrent thing for your neck, it was called Forma and it's like a total package facial."

The Sex and the City alum opened up about why she receives cosmetic injectables. 

"I'm in my 60s now and I'm all about battling aging in every way I can," Kim told  The Sunday Times   in an interview published June 4. "There are fillers, Botox, there's so many different things that you can investigate and try and see if it's for you. It's not just a vanity thing."

The reality star underwent several cosmetic procedures over the years. In March 2023, she underwent breast and butt reduction surgery and got her facial fillers dissolved. The following May, as she celebrated her 35th birthday, she reflected on her previous look on Instagram, saying in a video, "I was looking at old pictures, you guys. That face was looking crazy."