Abdominoplasty, or “tummy tuck” is a remarkable procedure that has changed the practice of body contouring surgery. Significant advances in the technique have occurred over the past 10 years, making the results even more dramatic, while also increasing the safety of the procedure. An important part of abdominoplasty is liposuction, itself one of the most frequently performed aesthetic surgery procedures in the United States. The advent of newer abdominoplasty techniques and its combination with liposculpture has increased the potential for obtaining very pleasing results.

Certain changes can occur in the abdomen and trunk as a result of pregnancy and weight loss. Stretching of the skin as well as the fascia, which binds the muscle layers of the abdominal wall often occurs along with excess fat deposition in the lower. These changes give the appearance of a protuberant abdomen, sometimes with overhanging skin. Even though a woman may be very near her ideal, the extra skin and loosened muscular support may still give the appearance of a “pot belly.” Diet and exercise may help reduce excess fatty tissue, but the laxity of the skin and fascia often prevent the abdomen from appearing youthful again.


A custom surgical plan is then formulated based on the patients’ exact needs. Computer imaging and patient education are other important steps needed before proceeding with surgery. Often, a combination of procedures is recommended to achieve the best results. Full abdominoplasty and liposuction often require observation in the hospital for a 24-hour period to ensure the best safety. At the same time, adequate pain control, antibiotics, and patient care can be administered, which maximizes the safety and comfort of our patients.

 

 Before and after photos of Dr.LoMonaco's tummy tuck procedures:


Case 1
This 65 year old underwent tummy tuck and breast lift plus liposuction. She was in excellent health and recovered quickly from surgery. Age is less important than health status when considering this type of surgery.

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Case 2
Before and after tummy tuck and liposuction of the hips, waist, and outer thighs. Note that some tightening of the upper thighs was also done.

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Case 3
42 year old patient after extended tummy tuck and liposuction. The scar is low and easily concealed by the bikini.

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Case 4
This 32 year old patient wanted an improved shape and removal of excess abdominal skin and fat. She had an extended tummy tuck plus liposuction to achieve her results.

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Case 5
This 32 year old woman underwent tummy tuck and liposuction. The liposuction helped reduce the size of her back rolls and also helped sculpt he waist.

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Case 6
40 year old patient after extended tummy tuck and liposuction. She lost some weight before and after surgery, which added to the result.

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Case 7
This young patient wanted to regain as much of her figure as possible after 2 pregnancies. She underwent a tummy tuck with minimal liposuction.

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Case 8
This 24 year old was unhappy with the appearance of her abdomen after pregnancy. She had a good improvement in her skin texture and abdominal shape after tummy tuck and liposuction.

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Case 9
This 42 year old patient had separation of the abdominal muscles and some loose skin after pregnancy, plus fat deposits on the hip. Tummy tuck with muscle tightening and liposuction greatly improved these problems.

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Case 10
42 year old patient with prior abdominal surgeries and scarring underwent tummy tuck, thigh lift, and liposuction. Note the improvement in skin texture of the abdomen and legs achieved by using the superficial fascial suspecsion (SFS) technique developed by Dr Ted Lockwood.

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Case 11
29 year old after tummy tuck and liposuction. The back and hips can be sculpted so that several inches can be removed from the waist measurement.

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Case 12
26 year old after tummy tuck and liposuction. Tightening of the abdominal uscles can be seen, and can narrow the waist and sculpt the entire abdomen in many patients.

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Case 13
Before and after extended tummy tuck, leg lift and liposuction
by Dr. Lomonaco. Note improved cellulite and skin texture
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Case 14
Before and after extended tummy tuck, leg lift and liposuction
by Dr. Lomonaco. Note improved cellulite and skin texture
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Case 15
Before and after extended tummy tuck, leg lift and liposuction
by Dr. Lomonaco. Note improved cellulite and skin texture
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Case 16
Before and after extended tummy tuck, leg lift and liposuction
by Dr. Lomonaco. Note improved cellulite and skin texture
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Case 17
This woman was concerned with a "pot belly" and loose skin of the upper abdomen.

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Case 18
This woman desired a more trim-appearing abdomen
She had a standard tummy tuck with tightening of the abdominal muscles and liposuction.


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Case 19
This 38 year old mother desired an improvement in the appearance of her abdomen with a minimal incision. A mini- tummy tuck and liposuction were done.

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Case 20
This patient underwent abdominoplasty and liposuction. The belly button as also reconstructed to provide a more pleasing shape. Liposuction on the back might have provided a more balanced result.


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Case 21
29 year old patient who had tummy tuck plus liposuction of the hipe, waist, and back.

 


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Case 22

Weight loss patient who had tummy tuck, liposuction and upper leg lift. An inner thigh lift is planned for the future.

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Case 23

Weight loss patient who had a tummy tuck and liposuction. Note improved skin texture and more sculpted look from muscle tightening.

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Case 24
Weight loss patient after tummy tuck.


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Case 25
Weight loss patient after tummy tuck, liposuction, and upper thigh lift. All surgery is done through one incision.


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Case 26
Weight loss patient after tummy tuck.

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Case 27
Patient before and after tummy tuck and liposuction of the abdomen, back, hips, and waist.

 


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Case 28
Before and after liposuction and tummy tuck


 


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Case 29
Before and after tummy tuck and liposuction. She had a lot of scarring from a previous abdominal surgery that was completely corrected.

 


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Case 30
Before and after tummy tuck and liposuction.


 


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Case 31
Weight loss patient after tummy tuck. Scars can be hidden beneath even very low-cut clothes.


 


 


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Case 32
Before and after tummy tuck, liposuction, and upper thigh lift. All surgery is done through one incision. After surgery, she went on a diet and exercise program and improved her results.

 


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Case 33
Before and after tummy tuck and liposuction. The patient also had a breast lift. Combined surgeries like these can safely be done provided a facility with good support and a supervised overnight stay is available.

 


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Case 34
Before and after tummy tuck and liposuction. Note tightening of skin and improved texture. Scars are easily hidden by underwear.

 


 


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John LoMonaco, MD, PA
1009 Missouri Street
Houston, Texas 77006

toll-free: 877.897.4221
phone: 713.526.5550
fax: 713.526.5563

www.drlomonaco.com
www.bodylifthouston.com
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