710 Park Avenue, New York, NY

The Art & Artistry of Tummy Tuck

Abdominal bulge, lax skin, stretch marks, and excess fat can all result from pregnancy and weight loss. In most cases, no amount of exercise or diet can sufficiently resolve these changes. While quite common following several pregnancies, after twin pregnancy, heavy weight-gain pregnancy, or large birth weight babies, laxity and bulge of the tummy can also frequently be seen after a single pregnancy with even modest weight gain.

Dr. Kolker truly listens to your wishes and goals. He is gentle in his approach, honest in his assessment, and unequivocally clear in his vision. He has an impeccable aesthetic eye, undoubtedly attributed to both his artistic background and very own sense of what is beautiful.A.H. / New York City
View Before & After Gallery

View Dr. Kolker's tummy tuck gallery. These before and after photos will assist you in understanding your various options and enable you to set realistic goals for your own surgical outcome.

  • Tummy Tuck NYC
    Tummy Tuck New York City
  • Tummy Tuck Surgeon NYC
    Tummy Tuck Surgeon New York City & Manhattan
  • Best Tummy Tuck NYC
    Best Tummy Tuck New York City

A tummy tuck, or abdominoplasty, is the surgical process by which the separated abdominal muscles can be repaired, excess skin can be removed, and regional fat can be reduced, resulting in a firmer, flatter, more youthful, and more beautiful midsection contour. Quite a bit more than merely excising skin and fat, an abdominoplasty is an exceptionally sculptural, artistic endeavor that requires a combination of deep understanding of the anatomy and aesthetic vision to achieve the most gorgeous results.

Tummy Tuck Surgery with Dr. Kolker

Tummy Tuck Surgeon

Tummy tuck surgery is truly an artistic process, and one that takes into consideration all aspects of the fundamental elements of an aesthetic, attractive, natural waist and tummy contour. Made somewhat commonplace by the popularity of abdominoplasty, the delicacy and skill that are required to achieve the best tummy tuck result cannot be overstated. With a profound interest in advancing both the artistry and science of abdominoplasty surgery, Dr. Kolker has published his aesthetic technical approach to tummy tuck surgery in the article entitled "Improving aesthetics and safety in abdominoplasty with broad subcostal perforator preservation and contouring with liposuction" in the May 2008 issue of the peer-reviewed scientific journal, Annals of Plastic Surgery.

Additionally, to attain the most beautiful results, a tummy tuck should not be performed when an individual is significantly overweight. It is not a "quick fix"; rather, it is a procedure that must be both individualized and time-tailored. To both assure the best cosmetic outcome and maximize safety, the very best tummy tuck results can be accomplished in women who are at, or close to, their ideal weight before surgery.

No two individuals' anatomy and desires are the same, just as no two surgeons are the same. The plastic surgeon you choose to perform your tummy tuck surgery is of utmost importance. What distinguishes care by New York City tummy tuck surgeon, Dr. Kolker and his team is comprehensive:

  • Exceptional artistry, technical skill, finesse, and experience,
  • The highest certification, accreditation, and safety standards,
  • A true appreciation of beautiful, natural, and proportional body aesthetics,
  • A passionate approach to achieving the most attractive results that can be striking yet subtle, and
  • A relationship between patient, surgeon, and staff that is extremely warm, intimate, calming and comfortable.

From your first visit to his office in Manhattan, New York City, to the preparation phase, during the perioperative period, and throughout your recovery, you will experience Dr. Kolker's attentiveness, thoughtfulness, meticulous attention to detail, caring, and warmth. The first visit is an opportunity for Dr. Kolker to listen to and to understand your desires, to examine and evaluate your physical requirements, to thoroughly inform you about the procedure or alternative treatments, to review and answer questions, and to acquaint you with our very special, professional, compassionate and caring staff.

Tummy Tuck

Dr. Kolker's Message to Those Considering Abdominoplasty

An abdominoplasty can restore a more youthful silhouette to the waist and tummy, remove excess skin and unwanted fat, and firm the core, but is also considerably more: a tummy tuck can return the midsection to pre-pregnancy proportion and beauty, and can have a truly dramatic effect on physical well-being, self-assurance, and confidence.Dr. Adam Kolker

Planning Your Tummy Tuck

The best tummy tuck results can be achieved when you are at or close to an ideal body weight. A comfortable, sustainable weight plateau that can be maintained with a balanced diet and regular, never excessive, exercise is the best point at which to elect abdominoplasty. The best tummy tuck candidates will have:

  • Excess skin of the abdomen
  • Localized excess fat of the anterior abdomen and flanks
  • Weak or bulging abdominal contour
  • Diastasis recti (midline separation of the abdominal muscles)
  • A body weight within 10% of ideal, or BMI around 25

Tummy tuck procedures can remove excess skin, reduce excess fat by direct excision and liposuction techniques, firm, flatten, and restore abdominal muscle contour, and restore a youthful, natural and proportional aesthetic midsection. The degree of skin excess, fat, and bulge will differ in every individual, and there are a variety of techniques available for their correction:

  • Mini abdominoplasty - a mini tummy tuck treats the region limited below the belly button and above the pubic area, and is ideal for isolated excess in this region
  • Modified abdominoplasty - a modified tummy tuck corrects both limited anterior skin and fat excess as well as the entire diastasis recti
  • Classical abdominoplasty - a full tummy tuck can remove more significant skin and localized fat excess, repairs diastasis recti, and rejuvenates and "re-insets" the umbilicus (belly button)
  • Lipoabdominoplasty - tummy tuck in conjunction with liposuction, which provides for additional regional contouring (including flanks and hips) as well as improved shaping and sculpting of the midline abdominal contour

Before & After Gallery

View Before & After Gallery

View Dr. Kolker's tummy tuck gallery. These before and after photos will assist you in understanding your various options and enable you to set realistic goals for your own surgical outcome.

  • Tummy Tuck Before and After Photos
    Tummy Tuck Before and After Photos
  • Tummy Tuck Before and After Photos
    Tummy Tuck Before and After Photos
  • Tummy Tuck Before and After Photos
    Tummy Tuck Before and After Photos

Hear From Dr. Kolker's Patients

Dr. Kolker truly listens to your wishes and goals. He is gentle in his approach, honest in his assessment, and unequivocally clear in his vision. He has an impeccable aesthetic eye, undoubtedly attributed to both his artistic background and very own sense of what is beautiful.A.H. / New York City

Preparing for Tummy Tuck Surgery

As a rule, Dr. Kolker's approach to tummy tuck and abdominal contouring after pregnancy or weight loss is that of a "team effort": safety and aesthetics are maximized when you undertake a balanced, healthy diet and lifestyle choices along with a regimen of exercise and strength training, whereupon he will then firm, flatten, contour and sculpt to achieve the most beautiful results. In general, Dr. Kolker uses body mass index (BMI, a metric that estimates body fat and safety profiles based on height and weight) to assist in the determination of candidacy for surgery. An ideal BMI is reached at or below 25 kg/m2 both safety and anticipated cosmetic results are maximal. A BMI above 27.5 kg/m2 is a contraindication to surgery.

Lab work is obtained two weeks before your surgery. You will also visit the office again to review preoperative and postoperative instructions, and receive prescriptions for postop medications.

The Abdominoplasty Procedure

In Dr. Kolker's fully accredited surgical facility located on Park Avenue in Manhattan, New York City, tummy tuck surgery is performed under general anesthesia. The office-based surgery suite is accredited by the AAAASF (American Association for the Accreditation of Ambulatory Surgery Facilities) and conforms to and exceeds the most stringent requirements for ambulatory surgery safety. The anesthesiologists are board-certified specialists from the Department of Anesthesia at the Mount Sinai Medical Center. The procedure duration is approximately three hours.

Most abdominoplasty procedures utilize a horizontal incision above the pubic line that is made only as long as the skin-excess requires, generally within the confines of the hip bones. While a C-section-length incision can be used as access for the repair of diastasis recti, it is not sufficient to remove excess skin. The position of the resulting incision is maintained as low as possible, and most can easily cover it with regular underwear or a bikini. When a mini tummy tuck is performed, the excess skin and fat above the pubic region and of the lower tummy is removed, and the procedure completed. When diastasis recti and more pronounced skin and fat excess are present, this incision also provides access to the abdominal wall musculature. If a hernia is present, the hernia is isolated and reduced, and hernia repair is performed. The repair of the diastasis recti is carried out as a "long plication", fixing the separation of the rectus muscles from the xiphoid (breast bone) all the way down to the pubic bone, effectively flattening and narrowing the midsection. When excess skin is mild or moderate, a modified abdominoplasty is performed, without any incision at or around the native belly button. With moderate and severe excess, a classical procedure involves resetting the umbilicus, providing for a maximal tightening and flattening of the anterior abdominal contour. Dr. Kolker favors liposuction with tummy tuck in many cases to maximize the aesthetic, sculptural contours of the abdomen. Additionally, Dr. Kolker uses the On-Q local anesthesia delivery system, which is placed at the time of surgery and maintained for approximately four days thereafter, which minimizes any postoperative discomfort.

Recovery

Following your tummy tuck in Manhattan at Dr. Kolker's office, you will be cared for in our recovery room by our licensed registered nurse, who will closely monitor you and attend to all comforts. Two closed suction drain tubes are used in most cases which remain in place for approximately seven days. No compressive binders are used. You will be discharged home the next morning with a friend or relative.

New York City Tummy Tuck Surgeon, Dr. Adam Kolker recommends taking two weeks off from work and strenuous activity, however on a select basis, return at 8 to 10 days may be possible. Resumption of light activities and lifting of light children begins at 7 to 10 days. As all sutures are dissolvable and placed beneath the skin surface, suture removal is not required. Swelling is generally present for approximately two weeks after tummy tuck, resolves substantially at six weeks, and final shape is reached approximately 12 weeks after abdominoplasty.

Exercise after Tummy Tuck

Light exercise (elliptical, walking, treadmill) can be resumed around 10 to 12 days, and more vigorous exercise resumes at four weeks (core strengthening exercise can be restarted after approximately six weeks).

Aftercare

Dr. Kolker will see you several times during the first two weeks postop at his office in NYC, and then periodically throughout the first year. He will advise you on the timing of return to exercise and unrestricted activity, and will always be available to answer any questions or discuss any matters regarding recuperation and activities following the procedure.

How do I determine the best abdominoplasty technique for me?

Dr. Kolker's website and a number of web-based resources can be very informative regarding the "basics" of tummy tuck surgery. These are not, however, a substitute for a proper, comprehensive discussion and physical examination with a board-certified plastic surgeon who is well-versed and experienced in the varied abdominoplasty techniques. In consideration of your specific physical needs, and your particular goals, Dr. Kolker will formulate a treatment plan, and advise you regarding the best tummy tuck procedure for you. No two tummy tucks are the same, and an abdominoplasty is much more than just removing excess skin and fat. To attain the safest and the most beautiful outcomes, it requires personalization, artistry, experience, delicacy, and adherence to the highest standards of certification and accreditation, and the tummy tuck surgeon you choose truly makes a difference. As a leading plastic surgeon with years of experience producing beautiful, natural-looking results, Dr. Kolker has achieved renown amongst his patients for providing some of the best tummy tuck surgery NYC has to offer. We invite you to schedule a consultation to discuss your tummy tuck with Dr. Kolker, and look forward to warmly welcoming you to our practice.

Schedule a Consultation With Dr. Kolker

Please Call Us at 212-744-3900

Or Click Here to Schedule A Consultation » Click Here »