Tummy Tuck (Abdominoplasty)

An abdominoplasty is a very popular procedure at the Straith Clinic.  Also known as a tummy tuck, this procedure is performed to remove excess abdominal skin and to tighten the muscles.  Most commonly, women who have had children and/or have stretch marks are those who choose to have a tummy tuck.  However, recently, because of the increase in popularity of weight loss procedures, a new population of patients who have had massive weight loss are requiring skin removal.

Patients travel from West Bloomfield, Dearborn and Detroit for a tummy tuck by plastic surgeon Dr. Sabbagh. After a tummy tuck surgery your midsection will appear slimmer and tauter. Oftentimes, patients feel much more comfortable showing off their midsections, even in swimwear.

Traditional Tummy Tuck vs. No Drain Tummy Tuck


Traditionally, the abdominoplasty involves elevation of the abdominal skin off of the muscles, which are then tightened. The skin is pulled down, and the extra skin is removed. And at this point, drains are placed between the skin layer and the muscle layer to collect fluid which occurs from swelling.  This technique results in tension on the incision which may increase scar formation.

A new technique, which is called the” Progressive Tension Sutures” has eliminated the necessity for drains after an abdominoplasty. This technique involves the elevation of skin and muscle tightening.  At this time, the skin is slowly advanced downwards and sutured back to the muscle covering which closes off the space that was created by elevating the skin. This also fixes the flaps into position and distributes the tension over the entire abdomen, rather than at the lower abdominal incision. Not only does this eliminate the need for drains, it diminishes tension on the incision which can minimize scarring. Patients are generally much happier with this procedure because they do not have to deal with the drain tubes, which generally will be in place for one to two weeks and can become fairly uncomfortable. The no-drain technique also diminishes the likelihood of a postoperative seroma, by eliminating the space where the fluid can collect.

Who is a Candidate for Tummy Tuck Surgery?

Individuals can develop a loose or sagging abdomen due to many factors, including aging, pregnancy, prior surgery, and fluctuations in weight. If you are unhappy with your protruding or sagging abdomen, a tummy tuck may be able to benefit you. Those who are at a weight plateau and have realistic expectations are often happiest with their results. It is important that patients do not smoke prior to or after their procedure, as it can cause complications.

What to Expect

  • Anesthesia – Usually local with IV sedation. General anesthesia is used if surgery is performed in a hospital setting
  • Length of Surgery – 2 to 3 hours
  • In/Outpatient – A tummy tuck is generally an outpatient procedure in our accredited on-site surgery center. In-patient may be required for certain patients.
  • Recovery – Generally, full social and employment activities can be resumed approximately two to three weeks after surgery.  Strenuous exercise and activities such as sports are restricted for approximately six weeks and may be increased gradually every day.  The healing process and your occupation may cause the length of time to vary.
  • Fading of Scars – Several months to one year
  • Duration of Results – Results may last several years, but gravity, aging, and weight changes may affect the result. Results vary.

Click here to see more Tummy Tuck before & after images

Procedure Performed by Dr. Sabbagh

The Procedure

For the surgery, an incision is made within an area hidden by a bikini type swimsuit. The excess skin and fat of the lower abdomen are excised and the muscle tightened. The operation includes repositioning the navel to its previous position. Any weakness of the abdominal wall will be repaired at the same time.

Tummy Tuck Recovery

Generally, after an abdominoplasty, with or without drains, the patient is fairly sedentary for the first week. After the first week of tummy tuck recovery, most patients can resume normal light activities. Some patients are able to resume light work and also driving short distances.

Having my surgeries were the best decision of my life. I feel great about myself everyday. Dr Sabbagh is the best doctor and I highly recommend him. Thank you.


What are the Risks?

No surgical procedure is risk-free and that includes cosmetic surgery like arm lift surgery. During your consultation with Dr. Sabbagh, he will review the risks so you can make an educated decision.

Frequently asked questions about tummy tuck surgery

What type of tummy tuck techniques are available?

The different kinds of tummy tuck techniques available are the traditional tummy tuck that involves a drain, a mini tummy tuck which has shorter incisions and only has incision at the pubic area. In addition to the full and mini, Straith also offers the no-drain tummy tuck technique, for a more comfortable recovery.

Who is an ideal candidate for a tummy tuck?

The ideal candidate for a tummy tuck would be a patient with loose abdominal skin, which could be someone post pregnancy or someone who had recently lost quite a bit of weight. Regardless of the cause of the loose skin and abdomen muscles, the patient should already have a healthy lifestyle in place for the best possible long-term results and a firm stomach.

Does tummy tuck leave scars?

Like any surgical procedure, a tummy tuck will have visible incision sites that will heal and fade over time. The main scar will be a horizontal incision, either just at the pubic area and possibly extend to the sides. These scars will lighten and fad over time with the proper care. Otherwise, they will be easily hidden with undergarments, pants or swimwear.

How much does a tummy tuck cost?

For a tummy tuck cost estimate, it will be necessary to see Dr. Sabbagh for a consultation to get a good idea of what will need to be done to help you achieve a lean exterior. The cost could depend on the extent of the surgery, this could mean the amount of excess skin removal or tightening. Please contact our office to set up a consultation with Dr. Sabbagh to determine your personalized tummy tuck cost near Birmingham.

What can I expect from tummy tuck surgery?

A tummy tuck can provide a flank enhancement, a flat abdominal wall, and a tighter looking profile. With a flat stomach, you may also experience tighter skin and reduced stretch marks. Depending on the method used, your recovery may include the use of a drain to help manage swelling and fluid buildup.

Does a tummy tuck hurt?

A tummy tuck will be performed under local anesthesia with an IV sedation. General anesthesia is used if Tummy Tuck is performed in a hospital. After surgery, some feelings of tightness may occur due to limited anterior skin and surgically tightening the skin and muscles. When Dr. Straith performs a tummy tuck, we will also tighten abdomen muscles for a smoother tummy contour, which could also cause feelings of tightness.

What happens if I gain weight after tummy tuck surgery?

If you were to gain unwanted fat and develop waistline problems, the results from a tummy tuck (a trim abdomen) could potentially be reversed. This is because the excess skin that was once stretched and then trimmed, would be stretched yet again. In order to be considered a candidate for another abdominal muscle repair or abdominal contour shaping, you will have to see Dr. Straith for a consultation to assess the situation.

Is a tummy tuck same as liposuction?

The short answer to this is no. While both procedures provide some level of body contouring, liposuction focuses more on fat removal while tummy tuck focuses on excess skin removal. Excess fat removal or the removal of fatty deposits have a better result on someone who has good skin elasticity.

How will pregnancy affect tummy tuck results?

If you have a pregnancy occur after a tummy tuck, this could cause a weak abdominal contour and stretched or lax skin. Much like weight gain, this has the potential to reverse tummy tuck results.

With an established track record of over 80 years, board certified plastic surgeons, an accredited facility, and thousands of satisfied patients throughout Dearborn, metro Detroit, Michigan and the U.S., the Straith Clinic has earned an excellent reputation for cosmetic surgery of the face and body.

Call us today at 248-270-5272 or send us an email to schedule a consultation during which you can discuss our facial and body services and tour our facility, including our on-site operating facility.