Board Certified
Plastic Surgeon
Since 1989

Tummy Tuck Expectations

It’s the beginning of another year and many men and women are thinking about how they will enhance their appearance. For many, their stomachs can be the problem area they want to focus on changing.  Unfortunately, our bodies often don’t always respond to diet, exercise and dramatic weight loss in the way we would like. The abdominal area is particularly vulnerable to pregnancy, childbirth and other stresses that put a lot of strain on your muscles and skin, which can leave you frustrated and dissatisfied with your figure.  When it comes to the abdominal region, the tummy tuck is a plastic surgery procedure that will tone and tighten that area of the body where diet and exercise alone could not.

The American Society of Plastic Surgeons, ASPS, defines the procedure, “A tummy tuck (also known as an abdominoplasty) is a cosmetic procedure that reshapes and flattens the abdominal area. It does so by removing excess fat and skin, as well as tightening the muscles in the abdominal region, the end goal being a tighter and firmer abdomen.”

Not all tummy tucks are alike.  Discussing overall aesthetic goals with Dr. Shlomo Widder of Widder Cosmetic & Plastic Surgery in Vienna, VA, will provide the opportunity to address all questions and concerns. Dr. Widder has been in practice for over 31 years and performed well over 1,000 patients.  His experience, technical skill, and aesthetic eye are critical for a good outcome.  The most performed tummy tucks are 1. Full Tummy Tuck and 2. Mini Tummy Tuck, though much less frequently chosen.  What is the difference?

Full tummy tucks are for patients that want to address the sections above and below their belly button, the full length of the abdominal wall. Patients who opt for a full tummy tuck often want to resolve general roundness and excess skin. Full tummy tucks present the most natural-looking outcome, and include a much firmer abdomen, narrower waist, nice belly button, improved body posture and are commonly associated with weight loss due to the muscles tightening that reduces the amount of food that can be consumed and sense of hunger.

Mini tummy tucks are for patients that are only concerned with “the belly pooch” or tiny bulge in the lower abdominal region.  Dr. Widder will remove excess lower abdominal skin, resulting in a firmer, smoother lower belly.

While these are the two most performed tummy tucks, only during a consultation with Dr. Widder, will it be determined if these procedures alone will provide the aesthetic goals desired?  Deciding which procedure is right for you will be contingent upon several factors that include; your desired results, overall skin quality, body type and location of excess skin on the body. The amount of excess skin will also determine which procedure is most appropriate. Finally, any scarring attained from a previous cosmetic procedure or surgery can determine which kind of tuck the patient qualifies for.

To schedule your consultation, call 703-506-0300.  Dr. Widder and staff look forward to working with you obtain your aesthetic goals.

2019 is “The New You Year”

What are the top New Year’s Resolutions?

Is it any surprise that the most common New Year’s resolution has to do with getting in shape?  Men and women both want tighter, firmer skin, a flatter, more toned stomach and more confidence within  our own skin.

The second most popular New Year’s Resolution is “Losing Weight.”  The effects of getting in shape can lead to weight loss, both minimal and significant.

If you’re one of the few that stick to their New Year’s resolutions to lose weight, get in better shape in order to build self-confidence and find that you still don’t feel good about yourself; Dr. Shlomo Widder is here to help.  He understands that no matter how hard you try, diet and exercise may not be enough to improve specific trouble areas on your body.

Dr. Widder has helped many patients with getting their confidence back with cosmetic surgeries such as; breast augmentation, butt lift and butt implants, liposuction, tummy tucks and more.  Call today to schedule your consultation with Dr. Widder.  Schedule before 2/28/19 and receive $300 credit towards your surgical procedure.

Happy Holidays

Wishing all of our patients and their family a Safe and Fun Holiday season. We are so thankful that you entrusted us with your cosmetic plastic surgery in 2018.  We also want to take a moment to thank all of our armed service men and women, police and firefighters that will not be able to celebrate with their families due to their commitment to protect and serve us. We thank you for your service and dedication.

We hope to see you again in 2019, even if it’s to stop in and say hi!

Take Advantage of Holiday Promotion

Have you been thinking about a New You for the New Year?  Wanting to have a little incentive to finally make that call to schedule your consultation?  Dr. Widder’s Holiday Promotion is just the boost you need as this promotion is only for a short time.

Save 5% off ANY surgical cosmetic procedure(s) to include; Tummy Tucks, Breast Augmentations, Liposuction, Butt or Calf Implants, Facial Procedures, etc.

Call to schedule your consultation 703-506-0300.  Procedures must be booked by December 31, 2018 to qualify for the 5% discount.

Widder Cosmetic & Plastic Surgery is conveniently located in Vienna for all patients in Northern Virginia, Washington DC and those traveling from other areas.

Umbilical Float Tummy Tuck

Q: Is it possible to support a full pregnancy after having an umbilical float tummy tuck, without belly button necrosis?

Front and side view pictures would have been very helpful. I have been in practice for over 30 years and performed an umbilical float tummy tuck on one patient only, out of well over 1,000 tummy tuck surgeries.

The ideal belly button location is one inch above the anterior iliac spine. When the location of the belly button is below that level, it is unnatural and unattractive. It is quite rare to have a high location of the belly button to justify the floating umbilical technique.

I would recommend that you discuss it again with your surgeon, or consult other experienced board-certified plastic surgeons who operate in an accredited surgery center for your safety. Most importantly, check the before and after pictures in the photo gallery, to make sure that they are numerous, consistent and attractive with a flat stomach, tight and youthful looking skin, nice belly button, improved body posture, and low scarring.

Recovery From Mini Tummy Tuck

Q: I know this is a hard question to answer. But, I’m looking for the most realistic answer. Should I expect to be laid up for 2–3 days? When can I shower?  And how should I expect to get around the house for the first few weeks after? Is there a general timeline of when I can expect to feel normal again (the new normal)?

Front and side view pictures would have been helpful. Before answering your question, I would like you to realize that mini tummy tuck is not very common procedure, especially if you have delivered children.  The more common surgery would be full tummy tuck.

Mini tummy tuck on a person who needs full tummy tuck is a regrettable compromise because it will eventually cause you to have the full tummy tuck surgery, later on, doubling the cost and recovery time. I hope that you consulted with an experienced board-certified plastic surgeon, who indeed judged you to be a good candidate for mini tummy tuck.

As far as recovery time, it depends if you are getting skin tightening only or, your muscles are tightened as well. The two options require pain medication for 2–3 days, and you should avoid driving during that period. Afterwards, you should avoid any physical activity for 2 weeks. But do not stay in bed; rather, walk and drink lots of fluids to avoid blood clots. Strenuous activity should be avoided for one month in case of skin surgery only, or 6 weeks for skin and muscles surgery.

Tummy Tuck & Lipo

Q: Can liposuction of the abdomen and tummy tuck be done at the same time? Is it safe?

Front and side view pictures would have been helpful to answer as it varies for each individual. Cosmetic surgery is purely elective (you do not have to have it); and as such, complication rates should be reduced to a minimum.

In my practice of over 30 years, I do not combine tummy tuckand liposuction of the abdomen, because of the significant increase in severe complication rates, including death.

In a recent article in the plastic surgery journal that was based on data from cosmetic surgery only insurance company, it was revealed the combining tummy tuck and lipo increase the severe complication rate 10 times higher than a tummy tuck alone!

In Florida, it is illegal to perform tummy tuck with lipo of over 1,000 CCs (small amount), after a government investigation revealed a significant increase of severe complication rate—including death—due to combining the two procedures!

So, as you can see: An ounce of prevention is better than a pound of cure!

Always consult with experienced board-certified plastic surgeons who operate in an accredited surgery center for your safety. Most importantly, check the “before & after” pictures in the photo gallery, make sure that they are numerous, consistent, and attractive with flat stomachs, tight and youthful looking skin, nice belly button, improved body posture, and low scarring.

To view real patient results for Tummy Tuck before & after photos, click here.

Full Tummy Tuck

Q: I’m scheduled to have a hybrid tummy tuck (short-scar/mini, floating umbilicus tummy tuck with flank liposuction) in 10 days. I’m starting to get nervous that my surgeon hasn’t chosen the right operation for me. Should I be getting a full tummy tuck? I’m 5’7?, extremely athletic with minimal body fat, and 120 pounds. I’ve had four pregnancies, but have gained very little weight in each one. I don’t seem to have much skin laxity, though there’s some when I bend over and suck in my abdominal muscles.

Thanks for posting your pictures. In my previous response to your question, I suggested that you consult with other experienced board-certified plastic surgeons. Now that you posted your pictures and detailed your surgical plan, I can tell you that it will be in your best interest to consult with other surgeons.

I have been in practice for over 30 years and performed tummy tuck surgeries on well over 1,000 patients.  From observing your pictures, I can tell you that you have a good reason to be nervous about your surgeon’s plan for you.  You should seek better options.

There is only one procedure that will give you the flat stomach, tight and youthful looking skin, nice belly button, and nice posture. That procedure is full tummy tuck—and anything less will be a regrettable compromise that will make you unhappy, and eventually require a full tummy tuck, thus doubling cost and recovery time. If you will have the floating belly button procedure, your belly button will have to be reconstructed in order to make it look natural and attractive.

So, consult with experienced board-certified plastic surgeons who operate in an accredited surgery center for your safety. Most importantly, check the “before & after” pictures in the photo gallery; make sure that they are numerous, consistent, and attractive, with the above-mentioned features and low scarring.

Belly Button Bleeding After Tummy Tuck

Q: Belly button bleeding after drainage taking off. I’m only a week post-operation (tummy tuck). They took my drainage off this Wednesday because the drainage slowed. But today I noticed my belly button bleeding. Is this normal?! My surgeon’s office isn’t open on weekends. What should I do?

Posting front pictures of your abdomen would have been helpful. Your best mode of action would be to contact your surgeon directly, either by phone (I give my cell phone number to all my patients to contact me in case of situations like yours) or through an answering service.

Most likely, it is unrelated to the drain removal. It is probably a result of stitch granuloma, which can be treated with:

  • hydrogen peroxide on a cotton swab, with

  • Bacitracin ointment and gauze,

  • twice a day

Until you can visit the office. However, it will be most prudent to discuss it with your surgeon.

Abdominal Protrusion After Tummy Tuck

Q: I’m 7 months post-op. My stomach is still big with a lot of fullness—what is causing this? The doctor did not mark me in room standing up. He marked me in the operating room while I was laying down. Is this why I have excess fat and why my stomach isn’t flat? (Also, I? have balls in the incision area where the doctor gave me steroid shots.)

Thanks for posting your before and after pictures, and sorry for your sub-optimal result .

From observing your pictures, indeed the stomach is protruding excessively. However, the cause can be due to the following:

  1. The surgeon tightened only the skin and not the muscles.

  2. The surgeon tightened the muscles, but due to excessive fat intra-peritoneally, for your own safety, he could not flatten the stomach, to avoid breathing difficulty after surgery.

    (In my practice, I ask the tummy tuck patients during the first consultation to lie on their back flat. If the stomach is still protruding while flat, I notify the patients that for their own safety, I will not be able to tighten the muscles optimally, which will result in a stomach that is not totally flat.)

  3. The surgeon tightened the muscles optimally, but you were too active after surgery  and stretched the muscles during repair, which resulted in the protrusion.

    Lie flat on your back. If the stomach is flat, surgical re-tightening of the muscle surgically will help. If the stomach is protruding, you need to lose weight.

I would recommend reading the book “Sugar busters”, which will educate you about eating low Glycemic food and losing weight. I give this book to all my overweight patients.

Always consult with experienced, board-certified plastic surgeons who operate in an accredited surgery center for your safety. Most importantly, check the before and after pictures in the photo gallery; make sure that they are numerous, consistent, and attractive, with flat stomachs, nice belly buttons, improved body posture, and low scarring.

The Tummy Tuck Nutrition Plan

Dr. Shlomo Widder, “The D.C. Butt Doctor,” says that surgery isn’t the only component to looking your best.  In a consultation with Dr. Widder, the topic of nutrition and general health is often a significant part of the conversation.  He insists that not even plastic surgery can mask the effects of poor dietary habits and that combining healthy eating with his procedures is the most effective way to achieve and maintain great results.

tummy tuck nutrition

When a patient consults with him about tummy tuck, Dr. Widder doesn’t speak solely about the details of the surgery.  He discusses the two main ways that the body controls appetite and the physiology of the way fat is produced by the body.  He may discuss general information about previous cases relevant to the current situation.  For example, he once performed the tummy tuck procedure on two different men who, after following Dr. Widder’s dietary recommendations, both lost 30 pounds.  He emphasizes, however, that dramatic and positive outcomes like these don’t come by merely “going on a diet” for a limited time, but by giving your entire diet and lifestyle a complete, healthy overhaul.

A true diet has nothing to do with partaking in fads or short-term changes, Dr. Widder explains.  It is the spectrum of foods eaten by an individual over time.  A good diet requires a commitment for the long haul.  Widder recommends choosing low glycemic index foods and directs patients to the book Sugar Busters to help them on the journey to better food choices and better health.  He will continue the discussion if other poor health habits seem to exist.  If Dr. Widder can inspire a smoker to kick the habit, he feels even better about that opportunity to promote health and well-being.

Plastic surgery can be a quick fix for someone looking for specific physical changes.  However, it can’t reverse a lifetime of unhealthful living.  Only after changing a bad diet and other bad health habits can a patient reap the full scope of the rewards possible.  Dr. Widder does his best to make his patients extremely happy by working to achieve the beautifully sculpted bodies they desire.  The dietary and additional health information he provides is key to helping patients maintain their great plastic surgery results for life.

Dr. Shlomo Widder, known as the “The D.C. Butt Doctor,” is the only surgeon in the Washington, D.C./Northern Virginia area offering buttock implants and has made it his mission to help each patient achieve the very best behind.  Contact Widder Cosmetic and Plastic Surgery at 703-506-0300.

About Widder Cosmetic & Plastic Surgery:

Dr. Widder is a member of the American Society of Plastic Surgeons (ASPS) and the American Society of Aesthetic Plastic Surgery (ASAPS).  The surgery center is accredited by the American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF).  He serves the Northern Virginia area, WashingtonD.C. metropolitan area and beyond.  He has performed plastic and cosmetic surgery for over 25 years.

Services include Facial Implants, Facelift, Botox and Facial Fillers, cheek, chin, and eyelids surgery, Liposuction, Breast Augmentation, Breast Lift, and Breast Reduction, Rhinoplasty, Otoplasty Ear Tuck, Pectoral Implants, Calf Implants, and Gynecomastia Surgery.  Widder Cosmetic & Plastic Surgery is the only area plastic surgery center offering Buttock Implants. For more information about “The D.C. Butt Doctor,” visit: http://www.widderplasticsurgery.com.

Plastic Surgery Implications for Weight Loss | Tummy Tuck and Liposuction

Weight Loss and Plastic Surgery

A welcome side effect of plastic surgery is that many people who have a tummy tuck or liposuction experience additional weight loss.  Dr. Shlomo Widder discusses this natural phenomenon and why it is important to maintain healthy eating habits post surgery.

Q: How does the tummy tuck procedure result in weight loss?

The reason you lose weight after a tummy tuck is that the procedure is not only a tightening of the abdominal skin but also tightening of the abdominal muscles. When you tighten the muscles, you increase the pressure on the stomach, and that in turn sends a message to the brain that says, “Stop filling me up.  Stop eating.”  That’s how patients lose weight.

I always tell my patients about that; it is part of my initial talk.  I tell them that hunger is managed in two ways.  One is a chemical, which involves sugar.  When the blood sugar goes down, you feel hungry and you eat.  The other is mechanical.  When the stomach is empty, it starts contracting and you might hear all those gurgling noises.  It is saying to the brain, “I’m empty – Fill me up.”  The stomach has special cells that measure pressure, but the brain is not so sophisticated as to tell the difference between pressure from food in the stomach or pressure from the outside.  So we can fool the brain by adding pressure from the outside by tightening the muscles.

I just did a tummy tuck for a military guy.  He told me that he was constantly hungry.  He was in good shape – trim and muscular – but he hadn’t reached what he physically wanted to achieve.  His stomach muscles were loose from lifting heavy weights.  Sometimes men, due to heavy lifting, rip the attachments of the abdominal muscles and it causes this problem.  For some women, a similar thing can happen when they have children.  The pregnancy stretches the abdominals and laxity of the muscles result.  If the muscles are loose, they just extend outward when you eat.  You don’t feel satisfied, so it is easy to keep on eating.  After his tummy tuck surgery, this man I mentioned, felt full and much less hungry.  He’s already lost 10 to 15 pounds and he’s achieved his weight goal.

Q: What will occur if you get liposuction or another procedure that encourages weight loss, and then continue a habit of overeating?

It depends on the surgical technique used.  When my patients have liposuction, I tell them that they have to lose, at least, the same amount of weight that I remove from them.  If they don’t lose that amount of weight, any new fat gained can go into those sections where I did not do the liposuction.

In order to do effective liposuction, you really have to enter with the suctioning cannula from many different directions in order to remove as many fat cells as possible.  For this reason, I take a very aggressive approach and go from multiple directions.  If a surgeon goes from only one or two entries, fat cells will be left between the tracks of the cannula, the tube that is used to aspirate the fat.  Each fat cell is able to store more fat by increasing its size by 50%.  So if you leave a lot of fat cells, two to three months after the procedure, it may look as if nothing was done.  But if you go from multiple directions and are very aggressive with the fat cells removal, the number of fat cells that remain will be reduced dramatically.  Then, no fat or very little can go in those areas in the future.  However, it can go elsewhere. If a patient keeps overeating in the same fashion as before, since the fat can’t go into the liposuction area, it might go to the shoulders, face, butt, breasts, and so on. So the secret really is for me to do a very thorough removal of the fat cells and for the patient to lose the same amount of weight that was removed by the liposuction.

 Q: If a person has a tummy tuck or liposuction, how long before he or she can take on an exercise regimen?  Are there exercises you recommend in addition to a shift in dietary lifestyle? 

 For liposuction, I limit their exercise for two weeks, and then for the following two weeks, they can increase exercise in a gradual fashion. On the first week back, they can exercise at a 25% capacity of what they did before.  The following week, I advise they go to 50% of their former activity level.  Then one month after the surgery, they are free of any limitation.  For a tummy tuck, they have to wait six weeks before any physical activity or lifting.  Then as with the liposuction, they can gradually return to normal activity over a two week period.  After two months, they are back to full speed.

The main type of exercise I recommend is cardiovascular, or aerobic.  Any type of cardio can get you in good shape.  It could be a stationary bike, it could be a treadmill –all of those machines at the gym are good.  The key is to put forth at least 20 minutes of constant effort during which the heart rate is raised to two-thirds of maximal capacity.  Do this, and you’ll be burning fat and lose weight.

For a free consultation and 5% off any surgical procedure, schedule an appointment on our website! http://www.widderplasticsurgery.com/contact.php

*Individual results are not guaranteed and may vary from person to person. Images may contain models.