The Jacobs Center for Cosmetic Surgery

Tummy Tuck

Abdominoplasty for the San Francisco Bay Area: Napa, Santa Rosa, Healdsburg, and More

A tummy tuck, also known as an abdominoplasty, is a procedure done to remove extra skin and fat from your midsection and restore a flat, toned, youthful contour. Dr. Eric Culbertson will perform a tummy tuck at the Bay Area's Jacobs Center by removing an ellipse of tissue from your lower abdomen, then tunneling up as far the rib cage and stretching that tissue to recreate a flat belly.

Abdominoplasty performed well can be customized to get the best possible results for each unique body. Fine touches, such as hiding the scar below your bikini line, tightening the abdominal wall, and liposuction to blend in the sides, allow each patient to get maximized results.*

The better the relationship between the patient and the surgeon, the better a procedure's outcome. The best results begin in the consultation phase. Bring your questions about a tummy tuck in the Bay Area to Dr. Eric Culbertson at The Jacobs Center, serving Santa Rosa, Napa, and beyond from Healdsburg (707) 473-0220 and San Francisco (415) 433-0303.

Variations on a tummy tuck in San Francisco include a full or partial (mini) abdominoplasty. Variations on a tummy tuck in San Francisco include a full or partial (mini) abdominoplasty.
*The Jacobs Center for Cosmetic Surgery offers two types of tummy tuck for San Francisco-area patients: full abdominoplasty and partial (or mini) abdominoplasty. A full abdominoplasty shapes the entire abdominal region, both above and below the belly button. This involves tightening abdominal muscles and removing excess skin. A partial (or mini) abdominoplasty is less extensive, used when changes are confined to the lower abdomen below the belly button. A smaller incision is used for a mini tummy tuck, making the downtime period shorter.*

At The Jacobs Center, we are also excited to bring the option of several newer techniques that improve upon the traditional tummy tuck. Many patients can avoid the cumbersome drains that are typically a standard part of the procedure when performed elsewhere. Liposuction and fat grafting in combination with your tummy tuck can provide a truly customized approach for each individual. Liposuction of the upper and lower back and hips, and shaping of your buttocks using your own fat in a natural way, can be performed at the same time to reshape your entire midsection and buttocks.

Tummy Tuck Details

A tummy tuck surgery is performed under general anesthesia. Specific procedure details depend on the amount of excess skin to be removed, the state of the abdominal wall, and other factors, all of which will be discussed during a consultation with Dr. Culbertson.

It may also be necessary for Dr. Culbertson to recreate the shape of your navel, since re-draping the skin may involve pulling it down and removing the section around the original belly-button.

The length of a tummy tuck scar is understandably a big concern for many patients. Careful planning allows us to obtain the shortest scar possible needed to achieve your desired outcome. This may be from one side to the other or just above the groin as in a "mini tummy tuck." By placing the scar beneath our patient's favorite pair of panties, we ensure that whatever length we need, the scar is well hidden.

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Is a Tummy Tuck Right for Me?

Weight fluctuations, age, and heredity can all result in a protuberant abdomen or loose sagging skin, both of which can resist diet and exercise. A tummy tuck in the Bay Area is a great operation for patients who struggle with stubborn fat and stretched-out skin in the midsection and desire a smoother and firmer profile. Understand that a tummy tuck is not a weight-loss tactic, as any fat removed is just enough for cosmetic reasons. That said, an abdominoplasty can better show off the results of a successful weight-loss effort, and patients with newly toned tummies should continue to eat well and exercise in order to best maintain their surgical results.

Patients who have had changes to their body after childbirth may see additional benefits in core and back strength from restoring the orientation of their splayed out six-pack muscles. For these patients, the tummy tuck is often combined with a rejuvenating breast procedure such as a combination of breast lift and/or breast augmentation as part of a "mommy makeover." Circumferential liposuction and fat grafting to restore shape to the buttocks can be performed at the same time for a 360-degree improvement.

Dr. Eric Culbertson
Dr. Eric Culbertson Associations

American Board of Plastic Surgery-certified surgeon for breast & body-focused procedures, Dr. Culbertson personally strives to achieve natural yet undeniable results that bolster one's self esteem and reinforce, rather than change, one's identity.

What to Expect After a Tummy Tuck

Patients are recommended to take seven to 10 days off of work after getting a tummy tuck. Use of newer, long-acting numbing medications allows the doctor to minimize the initial discomfort many patients have experienced in the past. Many patients can avoid the burden of drains, but if necessary you will be taught how to care for them. To promote circulation and minimize the risk of blood clots, all tummy tuck patients are instructed to start walking, even the night of surgery.

You'll keep clean via sponge bath for the first couple of days, but can start taking showers 48 hours after the operation.

Patients wear an abdominal binder snug but not tight to help give extra support and minimize swelling during the first two weeks. If required, drains are typically removed in five to seven days, and you can pick up the pace with activities starting two weeks in.* Activity is typically unrestricted by four to six weeks after a tummy tuck, though the exact timing varies from patient to patient. Any discomfort is typically well controlled with pain medication and a muscle relaxant. We are also excited to use a newer, long-acting local pain medication injected at the time of surgery to reduce your pain and dependence on narcotic pain medication. Medications also include a stool softener to counteract the constipating effects of the pain medication.

Other Body Contouring Options

A tummy tuck is not the only surgical option for people who want to deal with loose and sagging skin due to the effects of significant weight loss or the combination of genetics, time, and gravity. As noted above, a breast lift is a popular choice for women who find that their breasts have begun pointing downward instead of outward and upward.

Another common area where flabbiness can be addressed for a sleeker look is the upper arm. An arm lift removes excess skin and reshapes tissues to make the arm look firm, toned, and proportional.

Higher up, volume loss and shifting fat can create a new profile that causes the jawline to lose definition and leads to the formation of jowls. A facelift or neck lift are ideal for correcting this problem.

Dr. Culbertson and Dr. Stanley Jacobs work together for patients who want their face and body to reflect positive changes they’ve made in their life, whether it’s losing weight, deciding to address the signs of pregnancy and breastfeeding, or choosing to have their appearance reflect how they feel as opposed to their age.

Moving Forward

A tummy tuck can help to restore and build confidence in patients, especially those who've recently lost a lot of weight and find that they can't seem to shake some stubborn pockets of fat at their midsection. If you've been dieting and exercising and need a little more help to get that sleek look you're aiming for, or if you're ready to make a change to a tighter, more toned body for any reason, a Jacobs Center staffer is available to discuss tummy tuck surgery in the Bay Area. Call the Healdsburg office at 707.473.0220 or the San Francisco office at 415.433.0303.

* Patient Results May Vary

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