Board Certified
Plastic Surgeon
Since 1989

What is a tummy tuck?

Thinking about getting a tummy tuck? If you’ve been wondering “what is a tummy tuck,” you’ve come to the right place. We sat down with Plastic Surgeon Dr. Shlomo Widder to get the full scoop on tummy tucks.

tummy tuck

Q&A with Dr. Shlomo Widder

Read the Q&A with Dr. Shlomo Widder as he answers questions like “what is a tummy tuck” and beyond.

Q: What is a tummy tuck?

A: A tummy tuck is a cosmetic surgery procedure that helps to create a slim abdomen appearance.

There are several factors that cause the tummy to appear pudgy or saggy. Sometimes, it’s due to weight fluctuation, pregnancy, or even genetics. Although core exercises can greatly improve the abdomen, it may not be enough to achieve the chiseled form you want. During tummy tuck surgery, sophisticated tightening techniques will be used to remove excess skin and unwanted fat, as well as muscle tightening for a slender figure. However, prior to your procedure, Dr. Widder will sit with you to discuss all your cosmetic concerns and desires to create a treatment plan that will yield the best results possible.

Click here to view some incredible before and after photos, like the one below.

tummy tuck, what is a tummy tuck

Q: What happens during a tummy tuck? What can patients expect?

A: There are two approaches to a full tummy tuck. They are:

  1. Skin Tightening Only
  2. Skin and Muscle Tightening

I do literally only the skin and muscle tightening variety. After having children, during pregnancy, both the muscle and the skin are getting stretched, so you need to remove the excess skin and bring the muscles back together. You have to do what we call “plication” to tighten them back up. And there are also different techniques in that regard.

I use permanent sutures and I run them continuously from north to south. Then, if necessary, I also stitch them horizontally, in the lower and upper abdomen. Why? Because a baby is 3-dimensional. During pregnancy, the stretching of the muscle is sometimes in three dimensions. That’s why you need to tighten it sideways, from north to south, horizontally, and up and down. Not many doctors do the horizontal stitching; I’m one of the few who do horizontal. I use it quite frequently.

tummy tuck, what is a tummy tuck

Here’s how it works: After completing tightening the muscles, I pull the skin all the way up to the ribs, to the costal margin. And then I bend it, flex it, and pull the skin down as much as possible. The goal is to bring the hole of the bellybutton all the way down to the pubic area so the patient doesn’t have a scar in the middle of their lower abdomen. And then I do quilting sutures, meaning I put multiple dissolving sutures all the way from the ribs to the groin area and the pubic area. The purpose of this is to combat fluid buildup.

An important part of the muscles tightening, I stitch it to the pubic bone to prevent unwanted tissue bulge. Unfortunately, I’ve seen a lot of tummy tucks where this technique is not used, and it results in the patient’s pubic area bulging out, almost like a man’s crotch. Women do not want this and find it very unattractive.

Once I stitch the skin to the pre pubic fascia, I find out the location of the bellybutton and mark it, cut a hole, and remove the fat as well. Then I stitch the bellybutton to the new location, to the new hole in the skin. That’s the new bellybutton – the way it’s being seen when the patients stand up!

Once I’m done with the bellybutton, I then completely stitch the skin to the groin and pubic area. I use very strong dissolving sutures between the fascia of the skin and the fascia of the groin and pubic area. Then I stitch the skin with dissolvable sutures under the skin – little subcutaneous stitching – so no sutures need to be removed. It’s very nice. The patients love it.

Q: What is a drainless tummy tuck?

A: My tummy tucks are what we call “drainless” tummy tucks. There is no drain, and that’s very attractive because not many doctors are doing it. A lot of patients love the idea of a no-drain tummy tuck.

If you don’t drain or quilt stitch the skin during a tummy tuck, there’s fluid buildup. As the fluid is building up, it separates the skin from the muscle underneath and can actually compromise the patient’s circulation. It’s also very uncomfortable! Imagine walking with jiggling fluid in your belly. It’s very uncomfortable and it’s painful.

So the old technique was the drained tummy tuck with a catheter, to deal with that fluid buildup. The new technique – which more and more people are doing – is the drainless tummy tuck, often referred to as the stiches quilting tummy tuck.

tummy tuck, what is a tummy tuck

Q: Is there anything a patient can do to ensure they get the best results from this procedure?

A: Well, losing weight is important, because then I can tighten the abdomen optimally. If the patient is overweight and there is a lot of fat inside the belly, then I cannot tighten them as much as I would like to.

Here’s what happens if you tighten too much: the fat gets pushed up into the diaphragm and into the lungs, and the patient can’t breathe.

The way I determine how much to tighten is with the anesthesia machine. I take a look at the anesthesia machine and look at the pressure the machine has to exert to push air into the lungs. When it reaches a certain level, I don’t tighten anymore. Usually the way I do it is 25 centimeters of water pressure. When that pressure is reached, I don’t tighten the patient anymore and that’s the endpoint.

Q: How do you know if you’re a good candidate for a tummy tuck?

A: The best candidates for tummy tuck surgery are people in good health, who are at or at least near their desired weight. Keep in mind that tummy tucks are not meant as major weight loss surgeries like bypass. Tummy tucks are meant to help tone and shape the midsection. Here are a few signs you may be a good candidate for a tummy tuck:

  • Excessive skin around the bellybutton
  • Weakened abdominal wall muscles
  • Sagging or loose skin on the abdomen
  • BMI below 35

The most common reasons I see people coming in for tummy tucks are wanting to tone the tummy after significant weight loss or childbearing. Those are the most common reasons people do it.

Q: So tummy tucks are more for toning than weight loss?

A: Exactly. A tummy tuck is not really a weight reduction surgery. A weight reduction surgery is more things like bypass surgery, lap band, things of that nature. Tummy tucks are mainly to improve the patient’s appearance, self-esteem, confidence, and attractiveness. As a side benefit, they can also lose weight. Now, obviously, they have to pay attention to what they eat. I always tell them, “Pay attention to your body.” So if the patient feel there is too much in their stomach, they should stop eating. If they continue to eat, they will gain weight. So if they pay attention to the pressure in the stomach and they stop eating when they feel full, they will lose weight.

Obviously,  there are some people who are obsessed with eating, and they will gain weight. However, even though they gain weight, their results are still phenomenal.

There was a patient I’d done surgery on about 3-4 years ago. I removed about 20 pounds of skin and fat from her body – can you imagine? Twenty pounds! And she looks fantastic. If you see the pictures, you won’t believe your eyes. She’s still flat. But she gained weight and so she came to me and we are now planning to do liposuction. But the stomach is still phenomenal – flat, totally flat.

tummy tuck, what is a tummy tuck

Q: How do your patients tend to feel after a tummy tuck?

It’s amazing. I’m telling you, it’s just like a miracle what happens to these people. They look fantastic and their confidence soars. In French, we call it “joie de vivre.” You know what this means? A joy of living. Yes, they definitely know how to enjoy life; they have the joie de vivre.

tummy tuck, what is a tummy tuck


Q: Do men get tummy tucks?

A: Absolutely! While most of my tummy tuck patients are women, we do have men come in from time to time. Because, you know, men want to look good, too! So it’s just as helpful to them.

I’ve seen a lot of men who do excessive heavy lifting come in for tummy tucks. Sometimes when men do a lot of heavy lifting without protective gear – like a protective leather belt – there is separation of the muscle, like in pregnancy. I recently had a male patient come in for a tummy tuck for that exact reason. Obviously, he didn’t have children or a history of significant weight loss. When I asked him if he did heavy lifting in his youth, he said yes. And that was the reason he had a need for the surgery.

Q: Other than improved appearance, what are the benefits of a tummy tuck?

A: There are quite a few benefits. For example, the posture improves. They stand up straight. Plus, it takes off pressure from the lower back. So think about your lower back; by standing up straight, that reduces the strain on your lower back. Also, by tightening the abdominal muscles, it helps to stabilize the back. So it’s very helpful for the back overall.

I had one patient who spent thousands and thousands of dollars on a chiropractor and CAT scans because of her lower back pain. Once she had the tummy tuck, she didn’t need to see the chiropractor anymore; the pain disappeared. It was incredible.

Another benefit is weight loss. When you tighten those muscles, you can’t eat too much food, because it fills you up excessively. Eat too much and you’ll feel sluggish and uncomfortable. That’s what happens after a tummy tuck: patients don’t eat as much and they don’t feel as hungry.

We get hungry in two ways: one is chemical, the sugar level. Your sugar levels drop in the bloodstream, making you feel hungry. The other way we get hungry is mechanical, meaning the pressure in the stomach. In the stomach we have special nerve cells called baroreceptors. These baroreceptors measure pressure. When the pressure is high, they tell the brain, “Stop filling me up! I’m full.” When the pressure is low, they tell the brain, “Fill me up. I’m hungry!” The brain is not sophisticated enough to tell the difference between pressure from food or pressure from muscle tightening. So we basically fool the brain when we tighten the muscle; the brain simply thinks we get full faster. Then the patient doesn’t eat as much anymore and they lose weight.

I had one patient who lost 55 pounds after her tummy tuck procedure. She came in and we didn’t recognize her! We thought she had come in for another surgery, but she had just come in for a follow-up. The results were truly amazing.

Q: How long does tummy tuck surgery take?

A: Tummy tucks are outpatient procedures. The surgery itself varies from patient to patient, according to the amount of skin and fat, and the amount of muscle laxity. It typically ranges from 3.5 hours to 4 hours, although the longest one I’ve ever done took about 6 hours. It’s not a very long surgery, and it’s very safe. But again, it does vary from one patient to another.

Q: What is recovery like after a tummy tuck?

A: Tummy tuck recovery differs from person to person and really depends on what that specific patient is doing. If you have a desk job, you can usually return to work after one week. If it’s something more taxing, it takes 6-8 weeks to return to work.

For example, let’s say you’re a cook. At work, you have to lift up bowls, boxes, and containers of food and supplies. I would simply tell you, “Have someone else do it for you during your recovery.” Because that’s the most important thing: recovering well. It’s a big investment in yourself and you don’t want to mess it up by stretching the muscle and then losing the flatness.

Q: What are the typical restrictions during tummy tuck recovery?

A: Restrictions tend to all relate to movement. For example, typical restrictions include no sex for 6 weeks and no working out at the gym for 6-8 weeks. However, you can go to work, but going to work also varies according to your personal threshold for pain tolerance. I had patients who went back to work after 3 to 4 days, and I also had patients who went back to work after 2-3 weeks. However, the majority – the average – is about a week.

I have also noticed that patients who own their own business tend to return to work sooner than patients who do not.

tummy tuck, what is a tummy tuck

Q: Is this a procedure that requires maintenance?

A: No, once the tummy tuck is done, you don’t need maintenance or any other surgeries to keep it looking good. The only exception is if you get pregnant again – then you might have to redo a tummy tuck.

I had a patient who got a tummy tuck and looked so good, and she didn’t opt for tubal ligation and got pregnant, so I had to redo her tummy tuck. Obviously it was a while later, but that’s one of the possibilities of maintenance.

The other one is a need for liposuction. Now, only 10 percent of my patients who have tummy tucks request liposuction, because many of them lose weight and they’re very happy with the way they look. If they want additional help and thinning of the skin, then you can do the liposuction. I usually wait 2-3 months for their weight to stabilize and then I will do liposuction and a redo tummy tuck for them.

Q: Are there any medical conditions that might disqualify someone for a tummy tuck?

A: Well, one of the criteria for doing the surgery or accepting the patient for surgery is their BMI, which is Body Mass Index. My limit is 35, so if the patient’s BMI is over 35, I recommend to them to lose weight. BMI is just a recommendation because if most of the fat is in the stomach, then I don’t recommend the surgery.

I always check the patient’s stomach before making a final recommendation. If the stomach is flat, they’re an excellent candidate for the surgery. If the stomach is bulging, that means they have too much fat inside the stomach, and I won’t be able to tighten them optimally.

If you have any medical issues, you must be cleared by your family doctor or your specialist, whether that’s a cardiologist, neurologist, endocrinologist, or whatever you may need. Safety is our No. 1 priority here, so we take this very seriously.

The home page of our website says “Quality is our niche, beauty is our forte, and safety is our priority.” Safety really is our #1 consideration. We have to make sure that the patient will be safe.

If they have any risk – diabetes, asthma – they must be cleared for surgery by their doctors.

Also, every patient over the age of 45 must be cleared by their internist. As you get older, the risk of complications does increase, and you don’t want to take the risk of having any complications.

Cosmetic surgery, you want to have it; you don’t need to have it. It’s not like you have appendicitis and need surgery immediately. Surgeries like that, you have to have. On the other hand, cosmetic surgery is something you want to have, so you want to reduce the risk and complication rate to a minimum.

That’s why, for example, I won’t do a tummy tuck with breast augmentation. Some doctors do it, but I will not do it. Why? Because they are painful operations and the patient lies in bed and doesn’t wanna move. They don’t drink because they’re afraid to go to the bathroom – and then they get blood clots.

There were also studies showing that if you do tummy tuck with other procedures, especially liposuction – it can be dangerous. There are some doctors that do tummy tuck and liposuction at the same time. I don’t, because there was a recent study in the Plastic Surgery Journal about this exact thing. The data was obtained from insurance companies that only cover cosmetic surgery cases. They revealed that combining tummy tuck and liposuction increased the severe complication rate 10 times higher than tummy tuck alone.

In Florida it’s illegal to do tummy tuck and liposuction over 1000 CCs. Under 1000 CCs, it’s okay, but beyond 1000 CCs it’s forbidden by law. The reason is that there were too many complications and deaths from that combination.

If you do tummy tuck with another procedure, the risk increases as well, though not as much – about 2-3 times higher. So that’s the reason I won’t do tummy tuck with breast augmentation.

Now, if you do tummy tuck and breast lift, that’s okay, because breast lift is not painful. If you do tummy tuck and eyelid surgery, that’s okay because that’s not painful.

The additional limiting factor in my practice is the surgery time, so I don’t do anything over 6 hours. Why? Because by the anesthesia society recommendation, surgery over 6 hours increases the complication rate significantly. Again, safety is our #1 priority and I’m committed to keeping all of our patients safe.

Schedule a Consultation with Dr. Shlomo Widder for Your Tummy Tuck

Are you ready to get your confidence back and look amazing? Schedule a consultation for a tummy tuck with Dr. Shlomo Widder today by calling 703-506-0300 or contacting him online.

tummy tuck, what is a tummy tuck

What is a tummy tuck? | Widder Cosmetic & Plastic Surgery Center – Vienna, VA

Kim Kardashian Sparks Interest in Buttock Augmentation

Kim Kardashian, Jennifer Lopez, and Beyoncé are celebrities who Dr. Shlomo Widder hears mentioned often during consultations.  Patients of the “DC Butt Doctor” have sought buttock augmentation in record numbers this year, and daily inquiries are on the rise.  Many are expressing interest in achieving a look similar to one of those stars with the famous posteriors.

kim-jen-beyonce spark interest in butt augmentation

While some patients even express interest in surgery to emulate the buttock size and shape of Nicki Minaj, Dr. Widder counsels patients that although her look is fine for her role as an entertainer, her buttock implants fall outside the range of normal body proportions.  For the most long-lasting, positive results without later complication, Dr. Widder prefers to work within a more natural buttock implant size range.

The goal for each of Dr. Widder’s cosmetic procedures is to deliver a result that is natural-looking and in line with the patient’s personal aspirations.  To that end, he focuses on listening intently to each patient’s needs and desires during the consultation.  Because each person is unique and has specific goals, there is no churning out look-alikes at Widder Cosmetic and Plastic Surgery Center.

Dr. Widder reflects that most patients want their buttocks to appear full on top, then to have a projection in the middle, and to complete the look with lateral fullness.  Others aren’t seeking fullness on the sides of the buttocks.  These preferences help dictate whether he will place the implants closer to or farther away from the midline.  For a tight, muscular look, they are placed closer to the midline, or the crack between the butt cheeks.  When placed farther laterally from the midline, a curvier, more feminine look is achieved.

Dr. Widder’s goal is to help women and men make their butts the very best.  Dr. Widder is the only plastic surgeon in the Washington, D.C./Northern Virginia area who offers buttock implants.

About Widder Cosmetic & Plastic Surgery:

For more than 25 years, Dr. Shlomo Widder has served Northern Virginia, the Washington D.C. metropolitan area, and beyond.  He is a member of the American Society of Plastic Surgeons and the American Society of Aesthetic Plastic Surgery, and his surgery center is accredited by the AAAASF.  Prospective patients are invited to visit the beautiful 3,300 square foot facility for a free consultation.  In addition to Buttock Implants, services include Breast Augmentation, Breast Reduction and Breast Lift, Liposuction, Rhinoplasty, Face Lift, Facial Implants, cheek, chin, and eyelids surgery, Otoplasty Ear Tuck, Pectoral Implants, Calf Implants, Gynecomastia Surgery, Facial Fillers, and Botox.

For more information about the “D.C. Butt Doctor,” visit

Botox Do’s and Don’ts

Botox injections are among the most popular cosmetic procedures available, and Dr. Shlomo Widder is committed to helping people have a Botox experience that keeps them both safe and looking natural.

Many people aren’t aware of the different choices among Botox procedures, which can lead to patients making choices that do not suit their needs.

Dr. Widder seeks to equip all patients with the knowledge they need while making decisions about Botox and other cosmetic procedures.

Botox Virginia

Botox, correctly injected, creates a positive interplay between facial muscles, thus producing its hallmark reduction in wrinkles.  However, injection mishaps are possible.  Injections too low on the forehead can produce a droopy brow due to temporary paralysis of all the forehead muscles.

This occurs because a small trauma and a bit of fluid results from each injection.  Gravity carries the Botox and fluid down from the injection site.  As it sinks too low, the “overdone” look is the result.  It is also possible to wind up with the unnatural “surprised” look from incorrect Botox injection.

Another aspect of Botox injections for patients to consider is how often to undergo the procedure.  According to Dr. Widder, the Botox effect may last up to eight months, though three or four months is average.  He recommends that most people repeat Botox treatments every three months.  After a recurring regimen every three months for about two years, the need for repeat treatments will generally be reduced to every 10 months to a year.

Though the word Botox comes from the scientific name Botulinum Toxin, it is quite safewhen used properly.  While 5,000 units of Botox are considered lethal, the average cosmetic procedure uses only 100 units.  In addition to giving patients the right look, Dr. Widder is adamant about keeping all his Botox injections well within the margins of safety.

About Widder Cosmetic & Plastic Surgery:

For more than 25 years, Dr. Shlomo Widder has served Northern Virginia, the Washington D.C. metropolitan area, and beyond.  He is a member of the American Society of Plastic Surgeons and the American Society of Aesthetic Plastic Surgery, and his surgery center is accredited by the AAAASF.  Prospective patients are invited to visit the beautiful 3,300 square foot facility for a free consultation.  Known as the “D.C. Butt Doctor,” he is the only plastic surgeon in the area who offers buttock implants. Other services include Breast Augmentation, Breast Reduction and Breast Lift, Liposuction, Rhinoplasty, Face Lift, Facial Implants, cheek, chin, and eyelids surgery, Otoplasty Ear Tuck, Pectoral Implants, Calf Implants, Gynecomastia Surgery, Facial Fillers, and Botox.

For more information about the “D.C. Butt Doctor,” visit

How To Choose the Best Butt Size

My patients have many questions about butt implant sizes. In fact, it is one of the first and most common questions when someone is considering butt augmentation. In this interview, Dr. Widder discusses his butt implant technique and the process he uses for helping patients decide on a size that is right for them.

buttock painting

565cc is a good size, and so far that’s the biggest I have used. It is also the most popular size in my practice.  The company I work with can make them bigger, but those are much more expensive because they’re custom made.  Most of the plastic surgeons in America use smaller implants than the ones I use because many of them create the pocket under the muscle or inside the muscle – submuscular or intramuscular.  They are limited as far as size.  One of the advantages of my subfascial technique – placing the implant on top of the muscle and under the fascia – is that it allows for a much larger implant.  I can go bigger than what I use, but the cost may be intimidating for some potential patients.  The 565cc is “off the shelf” and the company has a lot of them.  The price is reasonable.  If you go with the custom made, the bigger the implant, the more expensive it becomes. It also takes 2 -4 weeks to deliver, whereas the other implants are readily available.  In the future, if people request bigger size implants, it will also become an off-the-shelf item and the price will come down.

Another factor is that if you go with an implant that is too heavy, it can cause sagginess.  Breasts, when they’re heavy, will droop.  This can also happen with the butt.  Some people don’t think about the long term and just want to have the immediate result and enjoy it.  That’s fine.  I adapt to the needs and desires of the person, but I do let each patient know about that possibility of sagging.

Q: Can you predict by a person’s body type or other factors how large of a butt implant is likely to cause eventual sagging?  How do you advise them?

Certain tell-tale signs can help you assess the situation.  For example, if a patient already has stretch marks, it’s a sign that the skin may not be resilient enough.  If they already have sagginess, that is another indication.  Contributing factors may include diet and less activity as we age.  Mainly, sagginess is due to loss of muscle.  The envelope – which is the skin – becomes too big.  In this case, if you place the implant too low, you make the sagginess worse.  So my approach is to discuss and choose the right implant size based on these factors.  I also take care to keep the implant high enough so it lifts up the skin and doesn’t droop and worsen the sagginess.  My goal is to create a long-lasting, very attractive butt that is proportionate with the rest of the body.

 Q: Is there anything patients can do, for example with diet or exercise, that can help prevent sagging?

Not really.  It’s basically genetic.  There’s not much you can do about the elasticity of the skin.  You can hydrate yourself well, but that is a minor thing that in the larger scheme doesn’t make a great deal of difference.  What people can do is exercise and increase the size of the muscle, but that’s tough.  Many people don’t have the time or energy.  The main thing I do is to focus on the technical aspect of the procedure.  I stay up high with the implant and don’t place it too close to the crease.  I had one patient who was considering going with a bigger implant than I recommended to her.  I told her that she could experience early sagginess or even wound dehiscence – separation of the wound causing problematic healing.  Eventually, she agreed with me and had a smaller implant.  We chose a good size that was not excessive.

So, that’s how I approach it.  It’s similar to what happened recently with another patient – a woman who is 68 years old.  We used a nicely sized implant and stayed up high.  It gave her the projection and tightened the skin.  Her skin in that area now looks like the skin of a 30-year-old woman.  The extra skin by the crease was pulled up, and now, she  has very little redundancy.  A bigger implant might have pulled the skin up more, but then she might have had eventual sagginess.  There has to be  a certain balance.

Q: Are patients generally happy with the size of the implants they have chosen?

Whenever I have a consultation, we discuss sizes and the possibility of going larger than the standard, if they like.  I also let them know the pros and cons of going larger and that it would be more expensive.  It’s ultimately their decision. So far, no one has asked for bigger than the 565cc. They might have thought about it , but did not ask for it.  A few felt after the fact that the buttock implants were too small , but they eventually accepted and like the size.   Two of my patient who were unhappy with the size initially, took a vacation to South Beach and got so many compliments that they came back happy and the size issue did not come up again.

To find out more about butt implants visit the Widder Plastic Surgery website and also check out the before and after pictures. For a free consultation, call 703-506-0300 and let us know you read this article!

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:

What Type of Face Lifts Are Possible?

The American Society of Plastic Surgeons (ASPS) reported in 2012 that the number of facial rejuvenation procedures grew more than any other minimally-invasive cosmetic procedure for that year.  The level of interest isn’t surprising – enhancements for the face have long been a focus for beauty-seekers.  Because facial procedures show no signs of decreasing in popularity, Northern Virginia’s premier plastic surgeon, Dr. Shlomo Widder, shared some choices in facial surgery for this article.


MACS facelift surgery and Restylane injections are both prominent among the possibilities for achieving your personal ideal facial features.  Dr. Widder uses the Maximal Access Cranial Suspension technique (MACS) for natural-looking facelift results that last.  When the face sags due to aging, the fat of the face and the skin can be lifted back up to its youthful position.  Depressions and concave areas are tightened and filled by the natural facial fat in by this MACS lift technique.  Because this natural and viable fatty tissue,  with good circulation from the face itself, is used in the procedure, patients can look forward to a successful facelift and a positive, rejuvenated appearance.

Dr. Widder also favors the use of Restylane (hyaluronic acid) injections to fill the nasolabial fold and other facial depressions  The substance is sure to stay in place, but for a limited time.  In general, Restylane injections last 6 to 8 months.  If repeated after 3 months, Restylane may last up to 18 months.

While many doctors use fat injections for facial rejuvenation, Dr. Widder is clear about the problems that may arise from the use of fat injection.  He has long stated that fat injections for buttock enhancement often disappears not long after the procedure; it is also not a reliable and is inconsistent method even when smaller amounts of fat are used for the face.  Because fat injection is a surgery that entails downtime due to bruising and swelling and also has a high level of unreliability, Widder does not recommend it.

Among patients who have experienced both Restylane and fat injections, Dr. Widder says, most prefer the confidence they have in Restylane.  With Restylane, patients who are going to an important event or traveling can do so right after a treatment.  While theoretically, the fat injection may last forever if the fat survives, and that is a big “if.”  Patients generally prefer the assurance and predictability of Restylane, fortified by the lack of downtime that fat injection requires.

The face makes the first impression more than ever in this age of the internet.  For many women, it is important to take extra measures to make sure they look good all the time in person and online.  Today, even a Facebook profile image is worth a thousand words and Dr. Widder makes it his business to keep his patients looking great.

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:

Upper Arm Lift Trend in Plastic Surgery

In this interview, Dr. Widder talks about the growing trend in upper arm lift plastic surgery. Careful consideration should be given to this procedure since there is a visible scar that will remain once the surgery is complete.

Michelle Obama and Jennifer Aniston's arms

Q: According to the American Society of Plastic Surgeons (ASPS), upper arm lifts for women have increased by an amazing 4,378 percent over the past 10 years.  What do you make of this current trend in cosmetic surgery?

Yes, our beauty ideals do change.  Many female celebrities are going for more sculpted shapes.  Jennifer Aniston and Kelly Ripa come to mind, and First Lady Michelle Obama has very solid upper arms.  Women see this and it inspires them to go for the same kind of look.  Not everyone manages to work out hard enough to achieve that sculpted look, so we, cosmetic surgeons can help.  The ASPS reported that only 300 U.S. women had upper arm procedures in the year 2000.  That went up to 15,000 in 2012.  It really is a huge change.

Q: Do you have any words of caution to offer for the many women who are following this trend?

Yes, I do.  The upper arm lift is called brachioplasty.  The procedure generally requires sometimes liposuction, or sometimes a surgical procedure during which loose skin is removed from the back of the arms. Liposuction requires only a few small incisions, however, in order to perform brachioplasty, you need to make an incision that extends from the elbow all the way to the armpit.  It leaves a visible scar that won’t go away completely.  When women are watching the fashion models on the runways in their sleeveless fashions and want to achieve a similar look, they should take time to consider this condition of the upper arm lift procedure.  It is a fine decision should a woman choose to do it, but only after the pros and cons are weighed carefully.

Q: Do you think that your being located in the Washington D.C. area indicates you will see more upper arm lifts in your practice because of a “Michelle Obama effect?”

I definitely do expect to continue to see an increase in upper arm lifts.  And yes, there is a bit more awareness of people in the political world in this area, but honestly, Michelle Obama is an international figure who is noted for her style, and the statistics show that this trend is being seen all over.  I like to keep up with the needs of my patients, so I am happy to offer the upper arm lift procedure.  Meanwhile, breast augmentation is also very much an important part of my practice.  The ASPS recently named breast augmentation the top plastic surgery procedure done in 2012.  Of course, I will continue to perform and specialize most of all in the buttock implant surgery because I am the only one in the area who does it.  People have come to trust my work with this procedure and will travel to work with me.

Dr. Shlomo Widder, the “D.C. Butt Doctor,” offers premium services to fit every cosmetic surgery need in Northern Virginia, the Washington, D.C. metropolitan area, and beyond.  As the only plastic surgery center in the area offering buttock implants, other services include rhinoplasty, facelift, facial implants, otoplasty ear tuck, Botox and facial fillers, cheek, chin, and eyelids surgery, liposuction, breast lift, breast augmentation, breast reduction, gynecomastia surgery, pectoral implants, and calf implants.  Consultations are free of charge.

To find out more about the Widder Cosmetic & Plastic Surgery Center, stop by during office hours: 9 – 5pm, Mon – Fri, or visit our website at:

Facial Options in Cosmetic Surgery

There are many options available for Facial procedures. Some, like fat injections, involve significant healing time while others, such as Restylane injections, require no recovery period at all. Dr. Widder describes the pros and cons of these procedures as well as other options such as the MACS facelift surgery technique.

face lift options


Q: You’ve said before that fat injection is not a good plan for buttock enhancement. 

It’s not reliable – it doesn’t stay in the butt due to the injection of large quantities of fat without blood supply.  I only do implants for the butt.  I was going to start doing fat injections for the butt a few years ago, then this happened:  I purchased all the equipment, but then I started getting patients for butt implants who had had the fat injection before by other plastic surgeons and it all or almost all disappeared.  It was a moment of truth.  I started to think about it and I saw more patients coming in with the same situation.  I decided not to do it.  I can’t sell my patients on that extensive and expensive procedure knowing it will last only 6-12 months and then after that, they’re back to their original shape.  I just couldn’t do it.

Q: Fat injection is also used for the face.  Have you had better success with that?

The purpose of fat injection for the face is to fill up concavities or depressions.  Unfortunately, it is not very reliable even in those smaller amounts.  It is being done extensively on the face, but it doesn’t always last.  I use the “MACS” facelift technique, which stands for Maximal Access Cranial Suspension.  Through this technique, I lift up the fat of the face that has descended from its youthful and natural position and I bring it up to where it belongs.  So with my facelift, I don’t really need to do a fat injection.

If you bring up the fatty tissue that has moved downward due to aging and gravity – if you move it up to areas where the patient has concavities and depressions, it fills them up.  That’s viable tissue. It has good circulation and there’s no risk of losing the fat.  So, my facelift is very effective without fat injection.

Q: Are there other instances where you might use fat injection for the face other than during a facelift? 

Yes, I sometimes do it as a separate procedure.  For example, I might use it as an injection into the nasolabial fold.  As we age, the nasolabial fold gets deeper because the cheeks descend and overlap the fold or the crease.  If a patient is not ready for a facelift personally or financially, there are different options.  You can use fat injections, or you can use a filler like Restylane.

Restylane (hyaluronic acid) lasts 6 to 8 months.  If you repeat it after 3 months, it might last 18 months. So, it lasts for a limited period of time.  The fat, on the other hand, if it survives, will last forever.  So I tell my patients about those two options. The fat is not very reliable – it might survive, it might not.  The Restylane will stay there, but for a limited amount of time.  So they think about it and make up their mind.

So far, most of my patients prefer Restylane.  They like assurance.  They might have a party or some other event to go to and they want to look good.  For example, I have a patient who is going abroad to visit family and she wants to show up looking great.  She came to have the Restylane because there’s no bruising and no downtime.  Fat injection is surgery.  You have bruising, you have swelling, and you have downtime.

Q: How do you perform a fat injection procedure?

I obtain fat from another area of the body.  I can get it from the abdomen or the inner or outer thighs, for example.  It is done with a cannula- a special blunt metal tube so you’re not causing too much trauma and bleeding.  With that instrument, I go into the area and aspirate the fat. Next, the fat is “distilled – ” blood, fluids, and other elements are separated out before the fat is injected with a thin blunt cannula to the area that needs it.  It can be injected into the upper eyelids, the tear trough, the nasolabial fold, and also the jowl area. Fat injection can be good at smoothing the jowls.  It fills out the notch and the jawline becomes more defined.

Why is fat injection more invasive than using Restylane?    

Well, you have to take the fat from somewhere and inject it. You have to use a  cannula that injures the tissue.  With Restylane, you use a very small needle, 30 gauge.  For fat injection, I use a 2 mm cannula to inject it, but,  Obviously, you, still, will have trauma to the area.  Restylane is a natural material that we have in our bodies, so the body doesn’t react to it.  With fat injection, the body doesn’t react to the live fat, but it reacts to the blood and to the ruptured fat cells as foreign bodies.  There can be inflammation and swelling and some discomfort.  Restylane is a very simple and ready-to-go injection.  You can literally go to a party after Restylane.  You can’t do that after fat injection because you are swollen and bruised.

Another issue with fat injections is that if you gain weight, the area can get lumpy.  You can wind up with too much of the good stuff.  But most of the time, I would say, 70-80% disappears, and maybe 20-30% will survive.

I take the time to give patients all of the information so they understand all of the consequences and what it all means.  I have to be honest and truthful.   I can’t talk about fat injection as if it’s a panacea because it’s not.  Restylane has its benefits, and with fat injection, if the fat survives, it’s nice.

To learn more about facelifts using Restylane or fat injection contact Dr. Widder at Widder Cosmetic and Plastic Surgery which servers the greater D.C. and Northern Virginia area. Visit Or call: (703) 506-0300

Common Butt Implant Questions and Answers

In this interview, Dr. Widder answers some of the common questions people have about butt implants including the prevalence of implants among men, the number of operations he has performed, types of implants and techniques.

butt implant Q&A

Q: About how many butt augmentations do you do a year for women?

It’s becoming more and more popular.  I’ve done hundreds of buttock augmentation procedures in over ten years.  I’d say that since January I’ve done an average of 1 or 2 a week, about 6 to 8 in a month, so that’s anywhere from 70 to a hundred annually.

Q: How many butt implants have you done for men?  

I haven’t done many for men.  A handful.  Most of the patients are obviously women.  Through the years, I’ve probably done butt augmentation on between 5 and 10 men, but in that same time, there were hundreds for women.

Q: Does the kind of implant you use differ for men and for women?

No, I use the same shape implant for men and women. So far I have had positive feedback from the men. They all liked the results.  You’d think there would be a difference in the buttock implant needs for men and for women, but there’s really not much of a difference.

The difference between men and women is the muscularity.  There is the muscular component and the pelvis tends to be a little wider in women than in men, but as far as the actual buttocks, they look almost the same. In my experience, I didn’t have any objection from either men or women for using this type of implant.

Q: What kind of implants do you favor for buttock augmentation?

There are two types of implants – one is the oval round and it has a kind of gradual spread of the silicone from top to bottom.  Then you have the oval bubble, where most of the silicone is concentrated at the bottom of the implant.  It gives the person a kind of bump or protrusion at the lower buttock and flatness at the upper buttock.  I don’t like that shape.

The shape I like is the oval round shape because it’s the most anatomical.  There are doctors who are also using the round shape, but I don’t think the round shape is natural.  If you look at the shape of the butt, male or female, it’s oblong.  It goes all the way from the posterior iliac crest down to the crease. It’s not round; it’s more elongated.  If you want to create a funny-looking butt then you can use around one.  If someone wants the round type I just say I don’t feel comfortable doing it.  Moreover, the round implant isn’t really right anatomically and you can feel it.  I used round implants many, many years ago when I was just starting out and I used the method of placing implants under the muscle.  The problem with that is that the implant can’t be very big and it can’t go all the way down towards the crease because it will hurt the sciatic nerve.  The implants have to stay high up and it doesn’t look natural – it looks like a bubble on top of the butt.

The biggest compliment I get today from my patients is that my work looks natural.  People can’t see that anything was done.  People tell me, “They think I was born like this.”  Whether it’s a butt or facelift or the breasts, to me that’s the biggest compliment I can get professionally.  You can see that some buttock surgery creates butts that are too round and big and unnatural.  If a patient wants that, they can go to somebody else.  I want to feel good about what I’m doing.  I want to help people to have fun in life, to look acceptable to both men and women, and to not be looked at as strange human beings.  If someone wants to have a very natural, beautiful butt – the nice shape I call the “Arabian horse butt” – then I’m their doctor.

Q: How many techniques are there for buttock augmentation and which do you currently use?

There are different anatomical areas where the implant can be placed.  You can put it under the fascia, in the muscle, or under the muscle.  I use the subfascial method.  In my opinion, that is the best way of doing it because it is a natural plane.  If you go under the muscle, you are limited to a very small implant.  If you go intramuscular, you can place a bigger implant, but not as big as what I’m doing.    The biggest I’ve done  565 cc. The implants manufacturer offers larger implants as custom made, but the cost is much higher.  You wouldn’t be able to put in such a big implant with the intramuscular technique.  The intramuscular is also more painful. Recovery is more difficult and there are more complications because you have ha igher risk of  bleeding.  With my method, there are very little bleeding problems that can occur.  So, I think the subfascial method is the best.

Q: Are more men becoming interested in buttock augmentation surgery?

 The Internet is the great equalizer.  Everyone can see it and they can decide if they want to do it or not. I had a man call me the other day from Ohio who wants to do it.  Then on the other hand, for every one call from a man I get 10 or 15 from women.  So interested men are still a minority, but they’re out there.  If a man wants the surgery, the information is out there and they can definitely approach me.

Widder Cosmetic & Plastic Surgery Center provides butt implant surgery for both men and women. Come by during office hours: 9 – 5pm, Mon – Fri, or visit our website at: Office Phone: 703.506.0300.

What is Labioplasty and Why Do Women Choose It?

Dr. Widder discusses new trends in plastic surgery and labioplasty is a growing area of interest for many women. A detailed description of the procedure and variations in approach are presented.


Q: Doctors generally go to additional seminars and meetings to learn new techniques and to maintain Board Certification.  What have you studied in recent meetings?

I usually maintain my Continuing Medical Education (CME) by taking a written test.  Recently, however, I went to a week-long meeting in New York because I wanted to learn about labioplasty.

Q: What is the labioplasty procedure?

Labioplasty is becoming a very hot procedure.  Women are asking for it.  I wanted to learn more about it.  Basically, labioplasty changes the appearance of parts of the vulva, mainly the labia minora and/or labia majora.

There are two procedures for labioplasty of the labia minora – the Wedge and the Trim.  You can remove a wedge and suture the two ends together, or you can just trim the excess and close the wound.

Q: What are some of the reasons a woman might choose labioplasty?

For certain women, after having children, the labia minora hangs down and is unattractive.  It might even protrude out from underwear or a bikini.  Most of these cases are post child delivery, but some women, even without delivery, have large labia minora.  It is rare, but there are also children and teenagers who have this problem.  Unusually large labia can occur as a congenital anomaly.  The aging process can also cause the condition.

Q: How do these procedures, the Wedge and the Trim, work?

During the Wedge procedure, a triangular shaped piece of the labia minora is cut away. The triangle that is cut, goes from the outer edge of each of the labia minora, and the tip of the triangle goes toward the bottom near the mucosa or the inner layer of the vagina.  So, it is cut like a triangle and then the wound is closed in layers.  The Trim method involves literally just trimming off of the excess labial tissue.

One of the presenters from South America spoke about one of the challenges with the Wedge procedure.  Some women are unhappy with having a dark color of the labia. This can happen with women of any race.  For this presenter, a common complaint from her patients has been both large labia minora and significant dark pigmentation.  The Wedge procedure leaves pigment on the leftover labia.  So this presenter chooses to use the Trim method.  She just trims the excessive labia minora and gets rid of all the pigmented tissue.  That is the advantage of the trim.  The advantage of the Wedge is that the scar is much shorter.  For certain patients, that’s important.  It was good to learn that you can mix and match the procedure to the priorities of the patient.

Now there is also the clitoral hood which connects to the labia minora.  Whenever you do labioplasty on the labia minora you have to extend the incision up into the clitoral hood.  Redundant skin can also reside there and if you don’t take care of it, the clitoris protrudes.  They recommend taking a lateral wedge also from the clitoral hood and tightening the skin in the area.

Then you have the labia majora which is a whole different procedure.  With aging, sometimes women lose volume in the labia majora and the skin becomes redundant.  For that, usually what is done is a crescent excision to remove excess.  Many patients also have the fat injection to plump them up.

Q: Do you currently perform labioplasty?

No, I haven’t yet offered these procedures.  I  have given something of a lift in the course of a tummy tuck.  In some cases, it isn’t enough during a tummy tuck to only pull the abdominal skin down, but you also have to pull the pubic skin up.  That corrects the whole droopy section which involves the vagina.  In more significant cases, you really have to have a separate procedure.

At the meeting in New York, I learned about several other more specialized procedures.  There is the clitoral lift and G-Spot enlargement.  There is also tightening of the vagina, during which an incision is made and the muscle is tightened.  Those presentations were interesting, but I won’t provide those particular procedures.  I specialize in aesthetic, not function.

In the coming months, I plan to travel to study with two doctors – one in Boston and another who practices in both New York and Los Angeles – both of whom are very good doctors and provide labioplasty regularly.  Only when I feel very well-versed in basic labioplasty, will I will begin to offer it as a service to my patients.  I am looking forward to visiting with them and learning more.

To learn more about labioplasty or other cosmetic procedures contact Widder Cosmetic and Plastic Surgery in Northern Virginia for a free consultation: Or call: (703) 506-0300

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!

Plastic Surgery Stories From Northern Virginia

Our interview today reveals plastic surgery stories following successful patient outcomes. Plastic surgery testimonials come in many forms, from letters of appreciation, fruit trees and even body art! Follow our blog for weekly insights and feel free to suggest topics or questions you would like answered.

Q: When do you normally see a patient for follow up?

Just after having the surgery, the patient stays in the recovery room for about an hour, then they go home. I call them at home that same night to make sure everything is all right and to answer any questions they might have.  Then, as a rule, every patient comes back in the very next day. I see them that following day to make sure there are no complications and that everything is going according to plan.  I change the dressing and again, answer any questions that may have come up.

Q: Do you have additional follow up after that?

I keep following up.  After the first follow-up visit, I will see them again after three or four days, then in another three or four days, and then in a week. We have another visit a month later, then three months after that.  That’s typically the end of the follow-up.  After that time, the patient can always call if anything comes up, or if they want to pursue another procedure, which is very common in my practice. When they see the power of change and are happy, they often want to do something else.

Q: Do you have any stories that stand out for you about patients who have come back to give you positive feedback?

One of the funniest stories was of a patient who lost a tremendous amount of weight.  She had come in initially for abdominoplasty, commonly called a tummy tuck, and then later came in to do a breast lift with implants because, after the significant weight loss, her breasts had lost volume.  So I did the surgery on her and after the healing process she was so happy that she took a topless picture of herself and wrote across her breasts on the photo, “Thank you, Dr. Widder!”  I still have that picture of her with the writing on the wall, so to speak.  It was especially funny because this was a very serious woman with a distinguished occupation.  It was great that she had the humor to do something like that because she was so happy.

thankyou breast note

Another patient who had a tummy tuck lost 44 pounds after the procedure. She came in a year later and nobody recognized her.  We thought she was someone coming in for a new consultation. She had lost such a huge amount of weight just from the tummy tuck and was quite pleased.

Q: Would you like to share any more success stories?

I once had a male patient who, when he first came in, looked like he could have been seven or eight months pregnant.  I did a tummy tuck on him.  I also told him about learning a new nutritional approach through the Sugar Busters book, so we approached his weight loss from both the chemical and the mechanical angles.  He lost 30 pounds in one month.  Another patient whose story is similar has a wife who says she can’t stand him anymore!  Apparently, he has a new habit of standing in front of the mirror admiring himself all day long.

I also did a butt augmentation recently on a woman in her sixties.  Now she’s dating a guy in his forties.  He doesn’t know that she had the butt augmentation, and he thinks she’s got the sexiest butt in town.

Many patients have gotten in touch to show and tell their success stories like these. It’s common that a patient will write a letter or send a gift.  Last week I did a butt augmentation for a patient who’d had fat injection previously that didn’t work.  She was so happy.  She knows that I’m a vegan so she sent me a huge fruit tree with cantaloupe, strawberries, and all kinds of other fruits.  It was a very nice token of appreciation.

Visit the Widder Cosmetic & Plastic Surgery Center during office hours: 9:00 – 5:00 p.m., Monday – Friday, or contact us today!  We have a mobile-friendly plastic surgery site!

Popular Plastic Surgery Procedures and a Fat Injection Warning

The Widder Cosmetic & Plastic Surgery Team is pleased to present the first in a series of personal interviews with Dr. Widder himself. Our goal is to share the deep knowledge and personal insights of one of the East Coast’s leading plastic surgeons. These interviews are unscripted and only lightly edited in order to share Dr. Widder’s ideas in his own voice and style.

These interviews feature Dr. Widder’s experience and insights directly with men and women who are considering plastic surgery for the first time or are looking to explore a higher level of care and quality results. Subscribe to our blog for weekly insights and feel free to suggest topics or questions you would like answered!

Q: What are some of the most popular cosmetic surgery procedures done today?

Well, I can give you the generic procedures – the most common in the U.S. It is a little different with my practice nowadays because I developed this niche surgery which is the buttock augmentation as a specialty which is becoming more and more of my practice.  The most common procedures in America nowadays are liposuction, breast augmentation, and tummy tuck – abdominoplasty.   In my practice, because of my emphasis on buttock augmentation, butt implants, I’m doing more and more. Tomorrow, I’m doing one or two. I’m also doing a tummy tuck tomorrow, which is a long case. I limit my surgery to eight hours.

As I said, liposuction and breast augmentation are the most common.  Then you have the whole gamut of other procedures like tummy tuck, rhinoplasty, and eyelid surgery – very, very common.

Q: Who comes to you for these procedures?

All ages, all economic positions or income levels, all races – I have Vietnamese, I have Korean, I have Chinese, I have American, obviously, I have Hispanics – a lot of people from South America, I have African Americans, so it’s kind of a mix.

Q: What got you interested in the butt augmentation operation?

Well you know, buttock augmentation, like breast augmentation is a sex symbol. The butt and the breasts are the most sexual symbols that we have. So breast augmentation is very common. Now butt augmentation is coming into vogue because of women like Kim Kardashian and Jennifer Lopez. I noticed that trend ten years ago. But it wasn’t as popular as nowadays.

What became popular first wasn’t the butt implant, but the fat injection – the Brazilian butt lift. The problem with it is it doesn’t last. It lasts for maybe six months or about year, and it disappears.  I mean, think about it – it’s illogical.  If you put in such a large amount of fat without circulation, without blood supply, how can it survive? So life proves it. It disappears after about six to twelve months.  Tomorrow I’m doing one where she had the fat injection and it disappeared, and now she’s coming to do the implants. Last week I did one who had the same situation. In the last year, I had eleven or twelve patients who came in for butt implants who’d had fat injections.  So obviously if they came to see me, it didn’t work.  I don’t believe in the fat injection in that quantity. There is a place for fat injection, but not in the butt. You can have fat injections to the face in small amounts.  It can survive.  But, not with 500 or 600cc of fat.  There’s no way in the world. When I did the operations, I could see it was almost completely gone.  There were just a few pockets of fat that survived.

So to answer the question, I understood that in society there is a need for such a procedure and not too many surgeons did it.  One of the reasons it wasn’t a very common procedure is that the technique wasn’t a good one.  In the old days when I started doing butt implants, I used to put them under the muscle. When you put them under the muscle, you can’t go all the way down.  You had to put them only on the upper part of the buttock because if you go under the lower muscle, you have the sciatic nerve.  It could cause severe damage to the patient.  So the implant was very small, it was just on the upper buttock, so it gave you a kind of bubble butt, you know? And it was very painful because it was under the muscle. Then one day about five or six years ago, I went to the international conference of the American Society for Aesthetic Plastic Surgery (ASAPS).  Here comes Doctor Jose Abel Peña from Mexico City and he showed the nicest butt that I’ve seen.  So I went to see him – I went to visit him for about a week and learned his technique.  After that, it’s all history.  That’s why it is becoming more common because the results are better.

Q: Do you think more people will find out about the fat injections not working and go with butt implants?

That is my hope, because fat injection is impractical.  In my experience it is not going to survive.  They are claiming that 50-70% of the fat remains. I don’t know if it’s true for every case, but I’ve seen twelve patients in the last year alone where it almost completely disappeared.  One of the patients paid $26,000 to do it.  Then she came to me and had the butt implants.  She’s very happy now.


To find out more about the Widder Cosmetic & Plastic Surgery Center stop by during office hours: 9 – 5pm, Mon – Fri, or visit our website at:

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