Tummy Tuck

Having children or losing a significant amount of weight often leave behind excess abdominal skin that remains even if you exercise and eat a healthy diet. Board-certified plastic surgeon Dr. Rocco Piazza performs tummy tuck and mini tummy tuck cosmetic surgery in Austin to help patients from San Antonio, Round Rock, and throughout Texas restore a flatter, more contoured stomach. These truly transformative procedures provide long-lasting results that are extremely natural looking.

Tummy Tuck Before & After Photos

Case: 1 of 9
Case: 1 of 9
Tummy Tuck Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 1 of 8

Case #82

This super-fit 43-year-old mother of two came to see Dr. Piazza for a tummy tuck at his Austin plastic surgery practice.  After two pregnancies—the second of which was a 9lbs baby—she sought a consultation regarding a tummy tuck procedure.  She is an avid runner and extremely active woman.  Despite this lifestyle, she was unabl... Read More
Tummy Tuck Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 2 of 8

Case #464

After having 3 beautiful children, this mom started to notice some excess skin and fullness to her abdomen that did not go away with diet and exercise. With desires of a tailored waistline, reduced adiposity of the mons pubis region and inner thighs, she scheduled a consult with Dr. Piazza to discuss body contouring procedures. During her con... Read More
Tummy Tuck Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 3 of 8

Case #520

Tummy Tuck Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 4 of 8

Case #518

Tummy Tuck Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 5 of 8

Case #478

Tummy Tuck Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 6 of 8

Case #482

This 67-year-old patient was interested in an abdominoplasty and liposuction as she was not happy with tummy appearance. She noticed she had extra skin, stretch marks and muscle separation. Ultimately, she desired to fit into her clothing without wearing Spanx. She scheduled a consultation with Dr. Piazza to address her concerns and see what... Read More
Tummy Tuck Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 7 of 8

Case #46

This is a 60-year-old women who lives in Austin, Texas was looking for an Austin plastic surgery office for a tummy tuck procedure  After many years of raising children and a time consuming career she was ready to do something for herself and her confidence. She spent many years working hard through diet and exercise to stay fit and heal... Read More
Tummy Tuck Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 8 of 8

Case #115

Carrying both of pregnancies way out in front of her, this young mother-of-two was left with a distorted tummy after delivery of her second child.  She met with Dr. Piazza to talk about the appearance of her tummy. He examined her to find that she had stretched-out crepe-like tummy skin, a significant separation of the abdominal muscles... Read More

Keep in mind that each patient is unique and your results may vary.

Your Personal Consultation

Women and men considering tummy tuck surgery meet with Dr. Piazza to discuss their concerns and aesthetic goals. During the consultation, he performs a physical exam to ensure that a tummy tuck is the best procedure to meet those goals. Because every patient’s case is unique, Dr. Piazza creates a customized surgical plan based on the exam and your discussion.

Meet Dr. Piazza

Board-certified plastic surgeon Dr. Rocco C. Piazza looks forward to meeting with you to help you discover how you can achieve your cosmetic goals and desires.

About Dr. Piazza Dr. Piazzas credentials Dr. Piazzas credentials

A Surgeon's Perspective

"Many of my tummy tuck patients come to see me with the desire to feel restored and reverse many of the changes that occurred to their body during pregnancy. It is my goal to make sure that each patient's goals and desires are met so that she feels restored and confident to be her best-self."

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Ideal Tummy Tuck Candidates

Most tummy tucks address three primary concerns, especially for women who have had children:

  • During the procedure, Dr. Piazza uses liposuction to reduce abdominal fat.
  • He also repairs the rectus abdominis muscles if they have become separated during pregnancy (diastasis recti repair).
  • He removes excess skin from the abdominal area.

The combination of these three procedures improves the appearance of the abdomen and provides a slim and toned midsection that looks great in a bathing suit. Even though a tummy tuck combined with liposuction reduces fat, it’s not a weight-loss procedure. Ideal tummy tuck candidates are in good overall health and are at or near their ideal weight.

Patients with a body mass index (BMI) of less than 30 can safely undergo a tummy tuck. Here’s a BMI calculator that can help you estimate your body fat.

Adult BMI Calculator

Your BMI is

  • Underweight (Below 18.5)
  • Normal (18.5 - 24.9)
  • Overweight (25.0 - 29.9)
  • Obese (30.0 and above)

Your weight ( pounds) is in the category for adults of your height ( feet, inches)

To learn more, visit the CDC's Healthy Weight website

Liposuction vs. Tummy Tuck: Do I Need a Tummy Tuck or Just Liposuction?

Liposuction is a great option for someone with firm, elastic skin whose primary concern is addressing extra fat in the midsection. I can sculpt this area with liposuction, and healthy, resilient skin will shrink to fit the new contours. Tummy tuck surgery is the right choice if you have excess, stretched skin and separated abdominal muscles, which is often the case after massive weight loss or pregnancy. Liposuction alone will not improve either of these conditions and would produce an unsatisfying result.

 Tummy TuckLiposuctionTummy Tuck With Liposuction
Lax Skin With No FatX
Excess Fat With No Lax SkinX
Excess Fat & Lax SkinX
Excess Fat With Muscle RepairX
Lax Skin With Muscle RepairX

Can I Still Get Pregnant After Tummy Tuck Surgery?

While it is possible to get pregnant after tummy tuck surgery, it is not recommended to have a tummy tuck if you’re planning on having more children. Additional pregnancies will once again stretch the skin and muscles, and could have a negative effect on your results.

Your Custom Tummy Tuck Surgery

Dr. Piazza begins your tummy tuck by creating an incision just above the pubic bone. This incision extends across the lower abdomen where the scar can be easily concealed by a bikini bottom. Dr. Piazza then tightens the abdominal muscles utilizing an advanced suturing technique and uses liposuction to sculpt a toned midsection. After that, he removes excess skin from the area.

Before closing the incision, Dr. Piazza repositions your belly button and ensures its appearance is aesthetically pleasing. Dr. Piazza believes that positioning the belly button correctly is one of the most important outcomes of the procedure because the belly button is so visible on the body. He sculpts the abdominal tissue around the belly button and plans the procedure so that the scar is concealed just inside the belly button. Learn more in this blog post.

A tummy tuck can take anywhere from 1 to 4 hours, depending on your specific concerns and your anatomy. During your consultation, Dr. Piazza can explain precisely what techniques he uses and answer any questions you may have.

Photo illustration showing tummy tuck and mini tummy tuck incision options

Mini Tummy Tuck

In a few Austin patients, Dr. Piazza determines that a full tummy tuck isn’t needed. When the area of loose skin and excess fat is confined completely below the belly button, a mini tummy tuck may be possible. The advantage of this technique is that Dr. Piazza can make a shorter incision and the belly button isn’t re-positioned. Additionally, the recovery time is a bit shorter. You can discuss this option during your consultation, but most patients need a full abdominoplasty.

Dr. Piazza has created a special mini tummy tuck technique called “The Skin Pinch™.” Designed to address excess fat and skin in the lower abdomen, this procedure is appropriate for patients who are seeking a flatter stomach but don’t require a traditional tummy tuck. Learn more about The Skin Pinch™ on our blog.

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Your Tummy Tuck Recovery & Results

Immediately after surgery, you’ll need someone to drive you home and stay with you for the first 24 hours. During that time:

  • Your abdomen will feel very tight and pretty sore.
  • You’ll need to carefully empty, monitor, and care for your surgical drains (see video).
  • It’s important to get up and walk around for 5 to 10 minutes about every 2 hours during the day.
  • Stay ahead of your discomfort by taking your prescription pain medication on time.
  • Pain medication can cause constipation, so drink lots of fluids and consider taking a stool softener.

You’ll have the opportunity to meet with Dr. Piazza at the following post-op milestones:

First week

  • Right drain and all incision dressings are removed at your post-op appointment within 5 to 7 days.
  • You’ll continue to be sore and won’t be able to stand completely upright.
  • You may still need pain medication during this period.
  • Continue gently walking 7 to 8 times each day to promote circulation and reduce the risk of blood clots.

Second week

  • Left drain is removed after 10 to 14 days at your second post-op appointment.
  • It should become easier to walk upright and you’ll notice much less swelling.
  • You may get the green light from Dr. Piazza to resume some low-impact exercises.

One month

  • Piazza will evaluate your incisions and start you on our tummy tuck scar protocol for optimal scar healing.
  • You should be feeling good and seeing a significant reduction in swelling.
  • You can stop wearing your compression garment, although some people may continue to wear it for support.

6 weeks

  • You will be cleared to resume your workout routine, but listen to your body and start slowly.

3 months

  • Most people have little to no swelling at this point, but some will experience intermittent swelling.
  • Scars continue to heal, and you will continue your scar protocol including sun protection.

6 months

  • At this appointment, we take your “after” photos, since most patients enjoy full results at this point.
  • Incisions will continue to fade over the course of a year.

After your 6-month appointment, you will be scheduled for annual follow-up appointments to document your results and make sure you’re happy and healthy.

Caring for Your Drain After a Tummy Tuck

Tummy Tuck at a Glance

Goal: To restore balance and shape to the tummy and waistline.

Procedure: This procedure focuses on reshaping the tummy by restoring the underlying anatomy. Dr. Piazza focuses primarily on repairing separated abdominal muscles (rectus diastasis), reshaping the belly button, and removing excess skin and fat from the lower tummy. Patients may benefit from liposuction to further sculpt the sides of the waist area also known as the flanks, love handles, or muffin top.

Anesthesia: General anesthesia
Procedure length: 2.5 to 3.5 hours

Aftercare: There are 2 incisions for a tummy tuck procedure. One incision is inside the belly button and the second is along the bikini line in the lower tummy. The lower incision will have one or two drains that are secured along the incision to minimize scarring. Both incisions will be closed with dissolvable sutures and covered with white Steri-Strips™. A compressive binder will be placed around the abdomen to keep the patient in a flexed or “beach-chair” position (even when upright) for the first 10 to 14 days.

Recovery: Ranges from 1 to 2 weeks on average. The right-side drain and all Steri-Strips will be removed 5 to 7 days after surgery. Swelling and tightness of the tummy can be expected for the first few weeks. Patients remain in a flexed or beach-chair position for the first 10 to 14 days even when upright. After approximately 10 days, most patients begin to stand more upright as the swelling and tightness have decreased. The second drain is removed 7 to 14 days after surgery.


  • Surgery
  • Day 5 to 7: Steri-Strip removal and right-side drain
  • Day 6 to 14: Removal of second drain
  • 2 weeks: Return to work and social activities
  • 3 months: 80% healed
  • 6 months: 90% healed
  • 1 year: 100% healed

Ready for a Flatter, Toned Abdomen?

At The Piazza Center, we believe that beautiful surgical results are enhanced by a healthy lifestyle. Our aim is to help you achieve your cosmetic goals and desires. If you would like to find out more information regarding tummy tuck surgery, you can request an in-person or virtual consultation online or call our office at (512) 551-1067.

Let's Talk Tummy Tuck

Dr. Piazza has helped hundreds of people to regain a slender waist and firm, flat abdomen after pregnancy or weight loss. He can help you, too. What do you have to lose (besides the muffin top)?

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Dr. Piazza Answers Common Questions

Can a tummy tuck be combined with other procedures?

Yes, it is possible to combine other procedures with a tummy tuck. I typically use liposuction to further enhance the results of the tummy tuck procedure by removing excess fat in specific areas of the midsection. Also, a lot of my Austin tummy tuck patients who have had children also have interest in correcting sagging breasts with a breast lift or restoring breast volume with breast augmentaton. By combining these procedures as part of a mommy makeover, a more comprehensive result is achievable.

How much weight do you lose with a tummy tuck?

Tummy tuck surgery is not a weight loss method; it is important for my patients to understand that this is a body contouring surgery aimed to create a smoother and firmer midsection. While weight loss after a tummy tuck isn’t significant for most patients, many can wear smaller pants and dresses.

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Find out what it's like to be a patient of The Piazza Center. Review the stories and "after" photos of some of the plastic surgery patients who've shared their experiences with us.

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Should I lose weight before a tummy tuck?

In general, I prefer my patients to be close to their ideal weight before their surgery, usually within 5 to 10 pounds of their goal weight. For your tummy tuck to be as successful as possible, it is important that you maintain a healthy, active lifestyle. For instance, exercising regularly and not smoking will help you recover faster from surgery. Each patient has their own unique story when they come in for a consultation, and I create a customized treatment plan based on our discussion.

Melissa Cady, Anesthesiologist

Delivering an Exceptional Anesthesia Experience for Our Patients

At The Piazza Center, our patients come first. We have listened to our patients and in an effort to reduce the uncertainty with the anesthesia experience, The Piazza Center has developed a collaborative relationship with Dr. Cady to deliver an exceptional anesthesia experience for patients like you.

“By far the best anesthesia experience I've ever had. Thank you!!”

Learn more about Dr. Cady, D.O. and The Piazza Center’s approach to taking the fear and stress out of anesthesia.

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How far in advance should I stop smoking before my procedure?

We tell our patients to abstain from all tobacco products for 4 weeks prior to surgery. This is critical for optimal safety, healing, and results. We want all of our patients to remain tobacco-free permanently after their surgery to prolong their results and their lives.

Is tummy tuck surgery safe?

Yes, tummy tuck surgery has a long record of safety when performed by a board-certified plastic surgeon. One of the more significant risks associated with tummy tuck surgery is seroma, or accumulation of fluid at the surgical site. We typically prevent this complication by placing surgical drains in the area for up to a week after surgery.

Does a tummy tuck help remove some stretch marks?

Usually, some stretch marks are removed during a tummy tuck. A full tummy tuck removes a significant amount of skin from the abdomen. Any stretch marks on that skin will be removed. Some people find that their remaining stretch marks are less noticeable after surgery when the skin is tighter.

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