While there is no such thing as the "best tummy tuck surgeon in New York City," some surgeons will consistently do a better job than others. The best tummy tuck surgeons typically share many of the same habits and techniques. First off, they have all completed an ACGME residency in plastic surgery for several years, have passed both written and oral examinations (taken one year apart), and have become certified by the American Board of Plastic Surgery.
If you're ready to consult with one of the top tummy tuck surgeons in New York City, request a consultation using our online form, or call our office at (212) 249-4020 to schedule an appointment.
Tummy Tuck Before & After Photos
Individual results may vary.
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This 34-year-old woman came in asking for a tummy tuck and hernia repair. Dr. Sterry performed the operation at Mount Sinai Hospital in New York City. She was 5 feet 6 inches tall and 125 pounds. She developed a hernia after a previous C-section and needed to have her abdomin...
This is a 39 year old Manhattan woman who has given birth to twins, breast fed, and wanted to "get her body back" with a Mommy Makeover.
We decided to move forward with a tummy tuck, breast lift (without implants), and liposuction of the flank to enhance her waistline.
The operation t...
This is a 39 year old mother of two who thought it was time to "reset" her body. She had been on a very aggressive diet and exercise routine, but was unable to regain the slender figure she had before giving birth. None of her efforts helped to tighten her belly skin no...
This is a 38 year old mother who wanted a tummy tuck for years but says she always felt "guilty" about spending the money and the time on herself instead of her family. We came up with a plan to make this a very fast recovery and helped her figure out how she could make it hap...
This is a 37 year old woman who had two children and said she didn't feel "proud" anymore. She wanted another chance to have a physique she would be able to reveal at the beach without hesitation. There was also a belly button hernia that she wanted to have fixed to make...
So, what makes one tummy tuck come out better than another? Flattening the belly and creating a straight scar should be the bare minimum that a plastic surgeon can offer. The true goal should be to look better in a bikini!
At my practice in Manhattan, a flat tummy tuck result is only part of the equation. A great result starts with the creation of a methodical plan. The markings, anesthesia and pain control, surgical technique, and post-op care are all choreographed and rehearsed thousands of times before you become a patient. Most importantly, there is critical attention dedicated to creating a natural appearing belly button, so the rest of New York won't know you've had a tummy tuck.
A Better Tummy Tuck by Design
The first step in controlling the results of your tummy tuck is to design an incision that will be below the bikini line. I typically start by marking the borders of a bikini on the patient before the operation ever starts. With this done, I know the boundaries of where I am allowed to put my incision.
A "Bikini Ready" Tummy Tuck Scar
Where Is the Scar for a Tummy Tuck?
While I do take precautions to place the scar as low as possible, the overall quality of your scar is out of my control. There are a couple of little things we can do to help make a better scar, but your genetics will control whether it heals to a flat, pale, line or something more visually obvious. However, the tummy tuck scar is well-concealed by a bikini. That's a point I try to make to everybody. Only "dogs and lovers" will actually see this scar. Of course I want it to be clean, straight, and fade well. But no matter what, it's going to be under your bikini line, so no one in the "outside world" will know that you had this tummy tuck done — it's our secret.
Tummy Tuck Scar Evolution
What Kind of Anesthesia Do I Need for a Tummy Tuck?
Your experience as a patient is the ultimate test of our performance as an office. To that end, we try to use a better, more individualized approach to anesthesia. It is typically comprised of a combination of local anesthesia, nerve blocks, and sedation rather than general anesthesia for the overwhelming majority of patients. While we have the ability to perform general anesthesia, it is extremely unusual for my anesthesiologists to use it. That means you won't need to be intubated or get any gas anesthetics, so nausea and headaches are almost unheard of in the operating room or after. This also dramatically reduces the risk of complications like pneumonia, or blood clots.
Is a Tummy Tuck Painful? Not Anymore!
We are able to give you less anesthesia because I work with my anesthesiologist and give as much local anesthesia as possible so that he or she only has to use minimal amounts of narcotic and you have a smooth a transition. To that end, I started using a TAP (Transversus Abdominus Plane) block with a 72 hour local anesthetic called Exparel a few years ago. This helps not only during the operation, but the Exparel gives patients 3 days of pain relief after the operation is done. Since the first 3 or 4 days after abdominoplasty are the toughest part of the recovery, this has been a game changer in my practice and is a huge advantage over the old techniques. With less discomfort, patients are able to move more (to prevent clots) skip narcotics (avoids nausea and constipation) and recover faster with an overall better experience.
Does a Tummy Tuck Hurt More Than A C-Section?
A C-section is a much more invasive operation than a tummy tuck. The surgeon needs to split the muscles, open the uterus, remove the baby, and then put everything back together again. That being said, the vast majority of women tell me the tummy tuck is easier than a c-section. I have a video I made of a patient saying so on camera.
C-Section vs. Tummy Tuck Pain
Do I Need to Be Hospitalized for a Tummy Tuck?
As an added benefit of the anesthesia techniques described above, patients are able to walk out of my New York City office within an hour or two of their tummy tuck being completed. There are lots of studies that show people do better when they have ambulatory surgery as opposed to being admitted to the hospital. I would add, that the infection rate in the hospital hovers just below 4%, while the infection rate in office-based surgery facilities is 1/2400. We can also avoid the hassles (and expense) of a hospital admission. All this being said, I do have operating privileges at Mount Sinai Hospital and if you and your family are more comfortable, we can do the procedure in the main operating room there, or at the surgical center run by the Department of Surgery.
Will I Get a New Belly Button With a Tummy Tuck?
The bellybutton is the "crown jewel" of the abdominoplasty procedure. If it doesn't look natural, even the best tummy tuck can be obvious to the public. Therefore, I consider the umbilicus to be sacred. Once the abdomen is closed, it's time to bring the original bellybutton back out through the skin that's been pulled tight. It has to be located right smack in the middle, level with the top of the hips, and just the right size.
Belly Button Placement
Getting the umbilicus right is worth the 20 or so minutes it takes me. Some people ask me why my tummy tucks take longer than other surgeons', but I'm trying to do it right — this isn't McDonald's. Manhattan is a tough neighborhood, and if I do subpar work, my competition will exploit it happily.
In my before-and-after gallery, I hope you'll notice that my tummy tuck patients have very natural looking bellybuttons without the telltale quarter sized or "stitched" in appearance that you might find elsewhere.
Will I Need a Drain With My Tummy Tuck?
While I perform drainless tummy tucks on a regular basis, I also like to use some judgment and protect my patients from complications. My personal rule is that if there is no liposuction performed during the abdominoplasty, then I may use progressive tension sutures to close down the empty space below the skin and perform the operation without any drain at all. The caveat is that I find patients with drainless tucks tend to stay swollen a bit longer than those who had the drain in place. Again, New Yorkers are demanding consumers, and I need them to look good as fast as possible. In my mind, I'd rather have the drain for a few days and have a shorter overall recovery time, but I respect that some patients are "grossed out" by the drain and may actually make their decision on a surgeon based on that single issue.
For those patients who do have liposuction around the waistline with their tummy tuck (to create a more S-curve silhouette) I still use the progressive tension sutures, but I also leave a drain in place for 4-5 days. It is typically safe to remove a drain after that time and still avoid problems like fluid collections.
Tummy Tuck Before & After Photos
This patient, age 38, wanted her body back after having 3 children. Dr. Sterry performed abdominoplasty as part of a mommy makeover that also included breast augmentation. Visit his photo gallery for additional photos of this patient. Your results may vary.
Do I Need A Tummy Tuck?
Nobody "needs" abdominoplasty, but there is some evidence that a tummy tuck can make people happy! Abdominoplasty is the preferred remedy for patients who struggle with excess skin on the abdomen. This situation is typically the result of pregnancy, but it can also occur after weight loss or become more pronounced as we age. Although the surgery is not a weight loss procedure, it can flatten the tummy and reduce inches around the waist, especially when combined with liposuction. It also tightens weakened abdominal muscles, especially those that have become separated due to pregnancy (a condition called "diastasis recti" — see below). You might be a good candidate if you're bothered by any of the following:
Abdominal muscles that have been weakened by pregnancy or aging
A large abdomen that appears out of proportion with the rest of the body
Small amounts of unwanted fat deposits
Loose, sagging abdominal skin
If you've lost a significant amount of weight through bariatric surgery or from diet and exercise, a more significant procedure, called a lower body lift, might be a better fit for you. During your consultation, I can help you decide on the right course of action.
"I'm very happy that I did this and I'm very happy that I chose Dr. Sterry to perform my tummy tuck. He's meticulous, professional, honest and a superb surgeon."
The actual cost of the procedure depends on the extent of correction you need, whether you want to have liposuction incorporated into your tummy tuck, and the qualifications of your surgeon and surgical team, among other things. These variables prevent us from being able to quote actual prices without an in-person consultation.
What Is Diastasis Recti and How Do You Fix It?
Diastasis recti is a gap between the two sides of the rectus abdominis muscle which runs vertically down the anterior wall of the abdomen. Many women who have had children develop this condition because the abdominal muscles are stretched and separated to accommodate the growing baby and they fail to return to their original state. During a tummy tuck I tighten the separated abdominal muscles by pulling them together, closing the gap, and stitching them in place, creating an internal "corset." This results in a flatter abdomen and slimmer waist. You can learn more about fixing diastasis recti from this blog post.
How Exactly Is a Tummy Tuck Performed?
After we've created your custom surgical plan, I begin your procedure by carefully making a horizontal incision just within or above the pubic area.
The length of the incision, which extends outward toward the hip bones, depends on the amount of skin being removed. The more skin to be excised, the longer the incision. Next, I make a second smaller incision around the navel. This allows me to separate the bellybutton from the surface abdominal skin. The bellybutton remains in place and contrary to popular belief, it does not move. Undermining of the upper abdominal skin continues all the way to the rib cage.
At this point, the muscles of the abdominal wall are exposed. I repair the separated abdominal muscles (diastasis recti) with suture material that holds strength for 9 months, but will dissolve in 18 months, resulting in a slimmer, flatter midsection.
Next, the lax upper abdominal skin is pulled down to meet the pubic region and sutured in place. Finally, I use the skills and techniques referenced above to make a new opening for the bellybutton.
As I stated earlier, I typically operate out of my own surgical facility for unparalleled safety and convenience. My surgical center is fully staffed by a team of exceptionally trained operating room professionals, and your safety and satisfaction are our top priorities. We do a lot of abdominoplasties this way and I have even patented my own tummy tuck retractor. For patients who prefer it, I also operate at the prestigious Mount Sinai Hospital.
How Long Is Tummy Tuck Recovery?
Most people can return to work and non-strenuous activities 2 to 3 weeks after surgery. I've created a timeline you can reference for recovery milestones:
After your abdominoplasty here in NYC, you'll be taken to a recovery area. You may have a drain (as mentioned earlier) and your incision will be covered with a bandage. You'll also be wearing an elastic support garment while you heal.
Most patients cannot stand up perfectly straight immediately after surgery, which is normal. However, we encourage you to get out of bed regularly to improve blood flow and reduce the risk of certain complications. In the early phases of your recuperation, you should avoid straining, bending, and lifting anything more than a few pounds. Bruising and swelling will be at their most significant within a week of your surgery, after which they'll begin to improve on their own.
I typically remove your drain (if you have one) about 5 days after surgery. Most patients are back to work after about 12 to 16 days, unless they work physically demanding jobs that require more recovery time before resuming work. At the 6-week mark, most patients are asking me for permission to return to the gym and I allow them to begin any aerobic exercise they like. However, they should not strain or work their core with things like Pilates or sit ups until about 3 months post-op.
Any residual numbness and tightness dissipate on their own throughout the first few months after surgery. As time progresses, your incision line may go through several phases of being more prominent until about 9 months or so. To ensure a discreet scar, avoid sun exposure and apply silicone gel as the incision continues to heal.
Full results may not be appreciated until as much as 6 months after the procedure. That said, most of the photographs in our before and after gallery are 3 months post tummy tuck.
Tummy Tuck Recovery
Is a Mini Tummy Tuck Right for You?
About 10-12 years ago I went through a phase where I tried to do more mini tummy tucks. Every patient who comes in the door is asking for a "mini" - something and everyone wants the least invasive procedure they can have, so I went with it for a while. What I found was that I really was not so proud of some of those results. As time went by, I found myself limiting the folks I would consider a mini tummy tuck for to a very narrow group.
Currently, most of my mini tucks are performed for patients who basically have little more than a bad C-section scar. If there is truly loose skin below the belly button, a lot of those patients are better served with a full tummy tuck in my opinion. The difference is not such a dramatically longer scar, but the result is enormously better.
Full vs. Mini Tummy Tuck Comparison
Full Tummy Tuck
Mini Tummy Tuck
Tightens loose skin
Yes (above and below the navel)
Yes (below the navel only)
Repairs ab muscles
Yes (below the navel only)
Reshapes the navel
Removes C-section scar
Yes (creates a brand new scar)
Yes (creates a brand new scar)
Tightens loose skinFull Tummy Tuck Yes (above and below the navel)Mini Tummy Tuck Yes (below the navel only)
Repairs ab musclesFull Tummy Tuck YesMini Tummy Tuck No
Reshapes the navelFull Tummy Tuck YesMini Tummy Tuck Yes
Removes C-section scarFull Tummy Tuck Yes (creates a lower, finer scar)Mini Tummy Tuck Yes (creates a lower, finer scar)
Is it Safe to Have Liposuction and a Tummy Tuck at the Same Time?
Combining a tummy tuck with liposuction of the abdomen at the same time is a bit dangerous because the tummy skin and other tissues could lose their blood supply and this could cause trouble with wound healing. That said, many of us will combine a tummy tuck with liposuction of the flanks because the two procedures augment each other so nicely. The tummy tuck makes your abdomen flatter, but the liposuction is what gives you a beautiful hourglass waistline.
Learn more about Dr. Sterry and how he performs a better tummy tuck. Request a consultation using our online form or call our office at (212) 249-4020 to schedule your appointment.
Thomas Sterry, MD, is a board-certified New York City plastic surgeon with over a decade of experience. At his inviting, boutique-style practice in Manhattan, he focuses on each patient's unique needs and aesthetic goals so that he can provide the most attractive and natural-looking outcomes possible.