Tummy Tuck - Abdominoplasty
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What is a tummy tuck?

An abdominoplasty, often known as the tummy tuck, will give you the tightened and toned SpaMedica Appabdominal look of your dreams. Offering a noticeable reduction in abdomen size, this procedure boasts removal of unwanted fat and skin coupled with a tightening of the abdominal wall muscles. More dramatic than traditional liposuction, this advanced procedure will help you achieve the sculpted silhouette you desire.

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A tummy tuck is a general cosmetic plastic surgery term used to describe a surgical procedure that may involve the removal of a segment of loose tummy skin and may be combined with central tummy muscle tightening, new belly button creation and/or adjunctive and associated liposuction of the hips and flanks or other body areas.  There are a number of different types of tummy tuck procedures, from extensive to “mini” tummy tucks where only a small amount of loose skin is removed. Toronto tummy tuck patients can be divided into a variety of different types of tummy or abdominal contour concerns and presentations. Patients may have minimal loose skin, with or without stretch marks and tight muscles, or a significant amount of excess fat and loose skin combined with loose tummy muscles or loose tummy muscles alone. (see figure 1) Therefore, when selecting a Toronto cosmetic plastic surgeon, Toronto tummy tuck patients should seek a cosmetic plastic surgeon with a wealth of experience in various techniques of tummy tuck surgery to ensure they get a customized and unique approach to abdominal contouring, based upon their presenting concerns and anatomy.  Toronto cosmetic surgeon Dr. Mulholland has been performing cosmetic tummy tucks for almost 20 years.  Dr. Mulholland has been a pioneer of many minimally-invasive tummy tuck-type procedures using advanced liposuction and synchronous skin-tightening technologies such as BodyTite™ and endoscopic, minimally-invasive techniques for the underlying muscle contouring. Dr. Mulholland can provide a customized tummy contouring procedure for his patients.

At SpaMedica, Dr. Stephen Mulholland and his cosmetic surgery personnel will help determine the best course of action to deliver your desired results. A full tummy tuck includes fat removal from the entire abdomen area, followed by stretching the skin tightly and tightening the muscles. This full procedure results in a toned, tight and flat abdominal appearance. Incision area is discreetly located in the lower section.

SpaMedica also offers patients the endoscopic tummy tuck procedure, which is very effective at tightening muscles in the abdomen area. Dr. Mulholland and his surgical team have extensive experience with endoscopic tummy tuck procedures, successfully treating numerous patients over the years.For a smaller scar, you may consider a partial tummy tuck, sometimes referred to as a mini-tummy tuck. This procedure works below the belly button to tighten and flatten the lower area of the tummy. If you want minimal scarring and targeted treatment, this partial procedure may be suitable for you.

Why you should choose Dr. Mulholland and SpaMedica for your tummy tuck

Quality and Experience

Dr. Mulholland has over 20 years of experience in tummy tuck surgery

Dr. Mulholland’s combination of advanced high-tech liposuction techniques (SmartLipo and BodyTite) have allowed him to offer patients mini tummy tucks

Mini tummy tucks require much less downtime and recovery compared to traditional tummy tucks


Dr. Mulholland has an excellent national and international reputation as a body contouring expert

He is known to combine energy-assisted lipo contouring techniques in combination with excisional techniques during tummy tucks. He can customize the type of abdominal contouring procedure to best suit patient needs and recovery time

 Training and Expertise

Dr. Mulholland trained at the University of Toronto, combined with a fellowship in advanced training in head and neck oncology and reconstructive craniofacial trauma

He learned reconstructive techniques of the abdomen and has applied it to his aesthetic contouring and tummy tuck practice

Dr. Mulholland will apply the least invasive abdominal contouring techniques to give patients the best possible outcomes

Quality Outcomes

Dr. Mulholland is often sought out by the media for his expertise on breast augmentation and plastic surgery

Dr. Mulholland’s work on past tummy tuck patients can be seen in multiple TV shows and before and after photos

Affordability and Payment Plan

Patients can have Medicard payment plans arranged for their procedure

Payment periods can be spread over 36, 60 and 72 months

Patients can have low interest rate payment plans and be approved in under 30 minutes

How is a tummy tuck performed?

Tummy tucks are generally a combination of removal of loose skin that can be mild to moderate in amount and laxity, as well as excess fat subcutaneous tissue of the anterior abdominal wall.  In general, a specific tummy tuck procedure is selected by Dr. Mulholland and his Toronto tummy tuck patients that fits the anatomical concerns and aesthetic goals of the patient, in addition to assuring optimal removal of extra loose skin without residual laxity or dog ears on the sides.  In general, the skin incision and the ultimate scar that results from the tummy tuck procedure is designed by both the patient and Dr. Mulholland.  On the day of the procedure, Dr. Mulholland has his tummy tuck patients bring in bikini and underwear bottoms they would like to wear that would hide the potential tummy tuck scar.

Before a Tummy Tuck in Toronto

Figure 1. Toronto Tummy tuck patients can present with a combination of anatomical and aesthetic concerns. There can be skin looseness and laxity with or without stretch marks. There may be extra lower or upper abdominal fat and the central tummy muscle (rectus abdominus) may be lax and spread apart or tight and together. The anatomical and aesthetic concerns and constellation will determine the specific kind of Tummy tuck Dr. Mulholland will design with and for his abdominal contour.


What are the different kinds of Tummy tucks that could be preformed?

There are a variety of tummy tuck approaches including the mini tummy tuck, the standard tummy tuck and an extended tummy tuck.  In general, the bigger the laxity of skin in the lower and upper abdomen and the more subcutaneous fat, the larger both the incision and the procedure tends to be.

A Mini Tummy Tuck incision can be hidden in almost any mini bikini, thong or underwear.  The mini tummy tuck is designed for small to modest removals of skin and can be combined with advanced modern liposuction techniques, such as SmartLipo and BodyTite to remove upper and mid-abdominal fat collections and fat collections on the sides and flanks. A mini tummy tuck will remove loose skin and will improve the appearance of the belly button without scars or having to create a new one. This advanced BodyTite Mini Tummy Tuck approach has been popularized by Dr. Mulholland and is ideal for a large number of Toronto abdominal and tummy contour patients.( Figure 2)

Toronto Tummy Tuck Incisions Diagram

Figure 2.  Toronto Tummy Tuck patients will often have more than one tummy tuck option with Dr. Mulholland, from less invasive with a smaller scar, to more extended versions of tummy tuck procedures for more significant laxity concerns. Tummy tuck scars and approaches can be very short “mini” incisions, which are about the length of a c-section scar, to very long extended tummy tuck belt lift scars for very extensive laxity and loose skin.

A more standard tummy tuck would have the mini tummy tuck scar and incision extended to the groin creases, but still kept within the hip bone pointers and easily hidden in underwear.  With more standard tummy tuck approaches, there is more loose skin and the elevation of the skin flaps tends to go up to and above the belly button, extending often up to the rib cage.  The standard tummy tuck will usually include the creation of a new belly button and is designed to get the optimal skin and soft tissue contours for patients with significant abdominal skin laxity, usually after bearing multiple children and pregnancies or after weight loss/weight gain. With a standard tummy tuck approach, there is the ability to contour and fashion a new belly button.

Dr. Mulholland has been a pioneer and innovator at achieving very natural belly button results and avoiding the generally undesirable circular belly button scars that most patients don’t like.  Dr. Mulholland deploys a specialized Brazilian-type belly button flap that leaves the belly button scar much less detectable and creates more of a visual “innie” than a circular scarred “innie”, or worse, an “outie” that can often be seen in less skilled before-and-after tummy tuck results.  In general with a standard, extended tummy tuck, the muscle may have been stretched and become lax, accounting for some of the abdominal bulge.  A flattening is achieved by suturing the two central tummy muscles, called the rectus abdominis, together.  This tightening of the tummy muscles provides an internal corset for the support and a flattening of the bulging abdomen that is due to weakening of the muscles, generally from bearing multiple children and stretching the abdominal muscles from weight loss and weight gain.  In the mini tummy tuck approach, generally the belly button is not addressed by direct surgery, there are no scars around the belly button and the belly button is improved in its appearance by a tightening of the skin above and below through a tiny super-pubic incision.

Both the Mini Tummy Tuck and Standard Tummy Tuck approach often will combine advanced modern liposuction techniques, such as SmartLipo(laser assisted liposuction) and BodyTite (radiofrequency-assisted liposuction), which can be performed on the hips, flanks and bra line to give a total, 360-degree truncal contour improvement.

The extended tummy tuck is generally for individuals who have had a tremendous amount of weight loss or weight gain, either from multiple childbearing or just genetic weight gain and weight loss.  In general, the loose lower abdominal skin is very floppy and hangs over the pubic region and the loose floppy skin extends out past the hip bones.  The Extended Tummy tuck incision is still kept just above the pubic area and up the groin crease, but now extends around the flanks to ensure all lax tissue, even on the sides of the flanks, is removed.  Again, in an extended tummy tuck a new belly button is created (an “innie”) and any muscle weakness is sutured together and tightened for an internal corset of support.  With extended tummy tucks, like standard tummy tucks and mini tummy tucks, it is common to combine advanced liposuction techniques such as SmartLipo™ and BodyTite™ to the bra line, hips and flanks to get 360-degree contour improvements.

Who is a candidate for a Tummy Tuck?

Good Toronto tummy tuck candidates are those individuals that have realistic expectations of the kind of skin tightening and tummy flattening outcomes that can be achieved.  Good Toronto tummy tuck candidates are also accepting of the scars, even though they are well placed, that have to be made in order to achieve tummy tuck results.  Good candidates for tummy tuck surgery also need to be medically well with no uncontrolled medical illness and are also accepting of the between one and three weeks of recovery required, depending on the type of tummy tuck selected.

What kind of anaesthetic is used for tummy tuck surgery?

Tummy tucks can be performed under local anaesthesia and oral sedation and can be performed in this fashion in conjunction with liposuction if the procedure selected is a mini tummy tuck and the aesthetic anatomical abnormalities are modest in nature. For the skin only Mini tummy tucks and modern liposuction, no general anesthesia or IV sedation is required, unless requested by the patient. For a Standard Tummy Tuck and Extended tummy tucks, where no mid-line muscle tightening is required, local anesthesia can also be performed. Once midline muscles need to be tightened, patients generally need to be relaxed and it is more common for intravenous sedation or general anaesthesia to be selected.

All Tummy tucks are performed in Dr. Mulholland’s government-certified Yorkville cosmetic Plastic Surgery Center. With 18 years of safety in performing tummy tuck surgery, Toronto tummy tuck patients can be sure that all aspects of their care in addition to the aesthetic outcome will be attended to by Dr. Mulholland and his SpaMedica Plastic Surgery team.  Mini and Standard tummy tuck patients may elect to go home, whereas many tummy tuck patients who come from out of town, or, those from in town and like additional care, can elect to stay overnight in Dr. Mulholland’s 24-hour certified overnight surgery center.

Is a Tummy Tuck painful?

The question of pain and discomfort following tummy tuck surgery really depends on the type of tummy tuck procedure that is selected.  In Mini tummy tucks, only skin is removed with no muscle tightening. The skin removal is usually combined with or without advanced modern liposuction techniques, such as SmartLipo™ or BodyTite™. Mini tummy tucks generally tend to be relatively comfortable in the post-operative course, because there has been no muscle tightening or muscle suturing performed.  Many Toronto Mini Tummy Tuck and Skin-only limited tummy tuck patients can go back to work after a few days.

More Standard and Extended Tummy Tuck patients, with belly button repositioning procedures do have muscle-tightening procedures performed for an internal corset of support, which is very essential for the aesthetic outcome.  Muscle suturing, manipulation and work comes with more pain and discomfort and, in general, most patients who have tummy tuck procedures with muscle tightening do have a moderate degree of pain and discomfort that is usually easily controlled by anti-inflammatories and narcotics and require two to three weeks off work and heavy activities to recover.

What are the contraindications to tummy tuck surgery?

Contraindications to tummy tuck surgery generally include patients who are unrealistic in the degree of outcome and aesthetic improvement that can be achieved or patients that are medically unwell or unaccepting of the post-operative recovery time that is required.

How long does the Tummy Tuck procedure take?

The operating time varies depending upon the specific type of tummy tuck planned and extent of the laxity and aging. For a Mini Tummy Tuck and Standard Tummy Tuck the operating time is generally one-and-a-half to two-and-a-half hours.  For more Extended tummy tucks and when advanced modern liposuction techniques such as SmartLipo™ or BodyTite™ radiofrequency-assisted liposuction are combined with a tummy tuck, procedure times may be two-and-a-half to three hours or more.  In general, local anaesthetic procedures, IV sedation or general anaesthesia procedures that are performed in less than six hours are very safe.  Dr. Mulholland has almost 20 years of high quality tummy tuck surgery and he is skilled, efficient and quick and his high-tech SpaMedica cosmetic plastic surgery facility deploy only the highest quality of anaesthesiologists as well as blood-thinning techniques pre- and post-operatively to ensure and minimize post-operative complications following your tummy tuck procedure.

How long is the recovery following a Tummy Tuck?

Mini Tummy Tuck recovery times are generally in the order of five to seven days and high-impact exercise can begin approximately four to six weeks following the procedure.  For Standard and Extended Tummy Tucks, where belly button recontouring and muscle tightening procedures are performed, the recovery is generally in the order of two to three weeks, with high-impact and aerobic exercise activity beginning six week post-operatively.

What will I look like immediately after my tummy tuck procedure?

Immediately after your tummy tuck procedure, your recovery will be in a contour compression garment.  The tummy tuck compression garment is important to re-establish the connection between your repositioned and tightened tummy skin and the underlying tummy muscles, the rectus abdominis, internal oblique muscle and external oblique muscle, as well as your flank muscles.  The compression garment should be worn 22 hours a day for three weeks. Then, it’s usually worn during the day for 12 hours and left off during the night for the next three weeks, for a total of six weeks of compression garmenting.  Initially, for the first few weeks after your tummy tuck surgery, you feel that your tummy and flanks may be more swollen than they were before the operation and this is due to the natural post-operative nature of swelling, edema and delayed lymphatic drainage.  Over a period of three to six weeks, the tummy flattens and the hip-flank contour improves and you’ll notice a very appreciable improvement in your contour.

Over eight to twelve weeks, your tummy and hip-flank contour will continue to improve, clothes will fit much better and lax skin will have been removed and muscle contour enhanced.  It is extremely common for there to be a small amount of fat just above your pubic scar that was transposed from the upper tummy down to just above the super-pubic area of your scar.  This small “muffin top” is unwanted fat from the upper tummy that cannot be removed via liposuction or excision at the time of the primary tummy tuck and, in general, this can be removed with a simple, small, ambulatory liposuction procedure, performed in less than one hour, but at one year post-operatively.After Toronto Tummy Tuck Procedure

Figure 3.  After 6 weeks following your tummy tuck procedure, Toronto Tummy Tuck patients can begin to see their flatter abdominal contour, tighter skin, nicer belly button and Bodytite™, SmartLipo hip and flank contour results

What kind of results can I expect following my tummy tuck surgery?

Dr. Mulholland has been a pioneer in the art and science of customized tummy tuck procedures for almost 20 years and will custom design a tummy tuck depending on what his Toronto tummy tuck patients present with.  Generally, you can expect to get excellent improvement in skin laxity and flank, waist, bra line and hip contouring following your tummy tuck procedures.  Dr. Mulholland will combine high-tech BodyTite radiofrequency-assisted lipo contouring and SmartLipo laser-assisted liposuction together with your mini, standard or extended tummy tuck incisional approach to get the best possible contour.  You get to work with Dr. Mulholland to select a procedure and incisional approach that works best for you and also the type of bathing suit and undergarment you can wear with complete scar camouflage.  Before-and-after results can be visualized in the before-and-after gallery here on the SpaMedica tummy tuck page and peer-to-peer patient description can also be viewed on Dr. Mulholland’s multiple tummy tuck TV appearances.

Post-operative scars following tummy tuck surgery can generally be hidden in the undergarments and can be planned for prior to the surgery.  Dr. Mulholland also offers high-tech laser scar reduction, which is complimentary, following your tummy tuck surgery, if the scars do not fade to white or if there is delayed fading or a hyperpigmentation or prolonged redness that occurs.  This post-operative scar management program is one of the many unique features of Dr. Mulholland’s successful tummy tuck practice.

Toronto Tummy Tuck Patient Before and After Photo


Figure 4.  This Toronto Tummy Tuck patient underwent an Extended Tummy tuck procedure with the removal of extensive loose skin, a new belly button was created as well the as all the loose tummy muscles were tightened. This Toronto Tummy tuck patient also had extended modern liposuction performed using the Bodytite™ for removal and contraction of her hips, and flanks. This patients story can be seen on Cityline on this content website page, watch this episode to find out more about this Toronto Tummy tucks patients results and experiences.

What are patients saying about their SpaMedica and Dr. Mulholland tummy tuck?

Toronto tummy tuck patients who have sought out Dr. Mulholland’s expertise in having their tummy tuck performed are generally very happy and ecstatic with their results.  His approach to circumferential, 360-degree contouring, combining advanced modern liposuction techniques such as BodyTite™ and SmartLipo™, that are performed on the bra line, flanks and back of hips and side flanks at the time of the tummy tuck, provide patients with an optimal 360-degree tummy, flank and truncal contour improvement so that they look much better in all summer wear, bathing wear, cocktail dresses and in and out of clothes.

Toronto Tummy Tuck Patient Before and After Photo 2


Figure 5.  This Toronto Tummy Tuck patient underwent a Dr. Mulholland 360 degree Tummy Tuck procedure with removal of loose skin and fat, muscle tightening, new belly button creation as well Bodytite™, Radiofrequency assisted liposuction and SmartLipo™, laser assisted liposuction of the flanks, hips, bra-line and rib cage area for circumferential aesthetic improvement.

How long will the results of my tummy tuck last?

A properly performed tummy tuck, as executed and delivered by Dr. Mulholland, should be a lifelong result.  The tummy skin will remain taut and flat and the energy-assisted BodyTite™, SmartLipo™ liposuction contouring will continue to look contoured, flat and shapely for the rest of your life (as long as you don’t gain significant weight and stay within 10 pounds of your surgical weight).  Your skin will undergo some natural aging degeneration, but your post-operative care program after your tummy tuck and liposuction will include techniques such as radiofrequency, non-invasive bulk heating techniques (Venus Freeze, BodyFX, Exilis, Velashape 3) that you get complimentary for four to six months following your tummy tuck and will educate you on how best to protect your investment and maintain the tightest possible skin.

What should I anticipate as a patient of a tummy tuck?

Your tummy tuck incision will be kept out of view, under the line of your swimsuit (just above the pubic area). All excess fat cells will be removed, followed by a tightening and pulling of your abdominal muscles to show off the toned appearance you seek. Often, patients have excess skin that will also be removed during this procedure.

Tummy tucks are significant procedures that require a recovery process that can take up to six weeks. All patients react and recover differently. You may return to normal activities and tasks after a full recovery has been made.

What are the details I should know about a tummy tuck?

If diet and exercise are not producing the results you seek in your abdominal region, you may be a candidate for a tummy tuck. However, tummy tucks produce the best results after a patient has performed a weight-loss regime since they help define and shape one’s figure.

Is there any maintenance required following my tummy tuck?

The fat that was removed during the tummy tuck and the excess skin that was removed will require no maintenance whatsoever.  However, some areas of your truncal skin, such as the bra line, the flanks and even the upper abdomen will tend to grow loose and lax as you age.  Dr. Mulholland provides all his tummy tuck and liposuction body contouring patients with a complimentary four-to-six month post-operative program where the highest-tech, modern, non-invasive radiofrequency and high-frequency focused ultrasound devices, such as the Venus Freeze, the Exilis®, the BodyFX, the Accent® and the UltraShape® HIFU-type Liposonix® treatments will ensure that your skin tone can remain taut, tight and any recurrent unwanted fat collections can be killed and managed non-surgically for the rest of your life.

How much will my tummy tuck procedure cost?

The total cost of your tummy tuck procedure will depend on the type of tummy tuck that is best suited for your anatomy and for your aesthetic contour goals and expectations.  There is a range in tummy tuck procedures from as low as $4,999 to as high as $7,999 for mini and standard tummy tucks without belly button and muscle tightening procedures.  You can also combine single- or multiple-site BodyTite radiofrequency-assisted liposuction or SmartLipo laser-assisted liposuction to the bra line, hips, flanks as well as other body sites in conjunction with your tummy tuck and receive cost-favourable, bundled procedural quotes.  The best way to find out the absolute cost of your customized and tailored tummy tuck and body contouring procedure is to see Dr. Mulholland in a cosmetic plastic surgery consultation.

Why choose SpaMedica and Dr. Mulholland for your tummy tuck procedure?

Toronto Tummy tuck patients who seek out Dr. Mulholland will receive a customized high tech tummy tuck plan that is tailored to their unique anatomy and aesthetic goals. Dr. Mulholland will often combine his tummy tucks with a total 360-degree body contouring using high tech liposuction technology that tightens skin while removing fat and this kind of tummy tuck surgery has been pioneered by Dr. Mulholland and is one of the more demanding body contouring procedures.  360 degree tummy tucks requires a degree of excellence, both in the deliver of the tummy tuck itself and then the non-excisional fat reduction-body contouring procedures to the flanks, bra line and hips.  Dr. Mulholland’s world-wide expertise in the innovation and development of BodyTite and SmartLipo combined with his expertise in Mini tummy tuck and Endoscopic and Standard tummy tuck procedures and belly button aesthetic restoration has made Dr. Mulholland one of the top body contouring plastic surgeons in Canada.

In addition, Dr. Mulholland’s plastic surgery management team; his patient coordinator, Lori Williams, his post-operative care nurse, Sharon Asensi, as well as the OR nursing team under the guidance of Noreen Benedicto and the pre-and post-operative experience make the recovery from your selected customized tummy tuck procedure both safe and focused on customer service.  Post-operatively, you will receive from Dr. Mulholland a four-to-six month post-operative program designed to reduce abdominoplasty scar colouration as well as optimized skin tightness and tone and body contour results.

How can I show Dr. Mulholland my concerns and see if I am a candidate?

Toronto tummy tuck patients should simply fill out the appointment request form or “ask a question” form and upload up to 3 photos for Dr. Mulholland to review.

How do I schedule a consultation with Dr. Mulholland for my tummy tuck?

Toronto tummy tuck patients interested in seeing Dr. Mulholland should simply click on the consultation e-mail form or call 877-695-2835 to talk to a customer service representative who can schedule a consultation with Dr. Mulholland now.  Call now to achieve an optimal tummy, flank and body contouring through a customized tummy tuck procedure with Dr. Mulholland today.

Read more about tummy tucks here.


Cosmetic Surgery and Laser Skin Care Spa:
66 Avenue Road Suite 4
Toronto, Ontario M5R 3N8
Tel: 1-877-695-2835