Tummy Tucka flatter, firmer midsection

Am I a Good Candidate?

The best candidates are healthy adults at or near a stable weight who are bothered by loose abdominal skin, stubborn lower-belly fullness, or a midsection that stays soft and protruding despite consistent effort. Many are mothers whose bodies changed with pregnancy, and many have lost a substantial amount of weight and are left with skin that will not shrink back.

Timing matters. If you are planning future pregnancies, it is usually wise to wait, since carrying another child can undo a muscle repair. The same is true if you intend to lose a large amount of weight, which is best done before surgery rather than after. Non-smokers, or those willing to stop well before and after the procedure, tend to heal more reliably. None of this is a checklist you pass or fail on your own. In a private consultation, Dr. Lenny will look at your health, your goals, and your anatomy and tell you candidly whether a tummy tuck is the right move or whether something less involved would serve you better.

How Dr. Lenny Approaches the Procedure

Dr. Roudner has been operating in Coral Gables since he founded the Aesthetic Surgery Center in 1989, and his reputation rests on natural, proportional results and an unhurried, personal manner. That philosophy carries into body work as much as the breast surgery he is best known for. The aim is a stomach that looks like it belongs to you, flatter and firmer without appearing pulled or artificial.

The Procedure and Anesthesia

A tummy tuck is performed under anesthesia, with the specific type reviewed and decided with you beforehand based on your health and the extent of the work. Dr. Roudner makes a horizontal incision low across the lower abdomen, positioned so the resulting scar can be concealed by clothing. Through that incision he tightens separated muscle, removes excess skin and fat, and, when needed, repositions the navel so it sits naturally on the flatter contour.

How long surgery takes depends on how much correction is involved and whether it is combined with liposuction or other procedures. When the work is complete, the incisions are closed and dressed, a compression garment is applied to support the abdomen, and in most cases a small drain is placed beneath the skin to clear fluid as you heal. You will go home with clear, written instructions rather than guesswork.

Recovery and the Results to Expect

Expect the first week or two to be the most restrictive. Swelling, tightness, bruising, and soreness are normal and managed with medication, and the compression garment stays on to limit swelling and support the repair. You will walk slightly bent at first and should avoid strenuous activity and heavy lifting until Dr. Roudner clears you. Most patients arrange time away from work and help at home for the early days, then return to light routines within a few weeks and to fuller activity gradually over the weeks that follow. Your exact timeline depends on your body and the extent of surgery, and Dr. Lenny sets those expectations with you directly.

The results are considered long-lasting. Once the swelling settles over the weeks and months that follow, the abdomen looks flatter and feels firmer, and the muscle repair restores tone that exercise alone could not. Substantial weight gain or a later pregnancy can diminish the outcome, which is why timing the surgery well is part of getting a result that holds. The scar is permanent but placed low, and it fades over time.

Frequently asked questions