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 abdominal look of your dreams. It is a surgical procedure that removes unwanted fat and skin coupled with tightening of the abdominal wall muscles. 
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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.

For a smaller scar, you may consider a partial 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.

Before a Tummy Tuck in Toronto

Types of Tummy Tucks

There are a variety of 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.

Mini Tummy Tuck

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. 

Standard Tummy Tuck

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.

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. 

Extended Tummy Tuck

The extended 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 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.

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What kind of anaesthetic is used for surgery?

Tummy tucks can be performed under local anesthesia 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 anesthesia 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. 

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 anesthetic procedures, IV sedation or general anesthesia procedures that are performed in less than six hours are very safe. 

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.

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

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 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.

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 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