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Body · Skin removal & muscle repair

Tummy Tuck

When loose skin and separated muscles are what stand between you and a flat, strong midsection, exercise alone won’t get there. A tummy tuck removes the excess, repairs the core and restores a contour that holds.

  • Awake optionLocal anesthesia for appropriate candidates
  • SurgicalPerformed by Dr. Khan
  • About an hourConsultation fees are currently waived
  • Sugar Land, TXServing Greater Houston

About the procedure

A tummy tuck (abdominoplasty) removes excess skin and fat from the abdomen and, when needed, repairs abdominal muscles that have separated along the midline. The result is a flatter, firmer midsection and, for many patients, a core that feels stronger and more stable. It is most often chosen after pregnancy or significant weight loss, when the skin and muscle have stretched past the point of recovering on their own.

Dr. Khan treats a tummy tuck as both a functional and an aesthetic operation. She assesses the degree of muscle separation, how much skin can be removed and where the scar will sit, then recommends the technique, from a mini tummy tuck to a circumferential approach, that fits your anatomy rather than a one-size plan.

What it addresses

  • Loose, hanging abdominal skin after pregnancy or weight loss
  • Separated abdominal muscles (diastasis recti) and a bulge that core work doesn’t flatten
  • Stretch marks on the skin below the navel
  • Fat that sits with the loose skin and can be removed at the same time
  • Laxity that wraps around to the flanks and lower back
  • A waistline that has lost its definition

What it doesn't do

  • A tummy tuck is not a weight-loss procedure. It works best once your weight has been stable for several months.
  • It leaves a permanent scar across the lower abdomen. The trade is loose skin and separated muscle for a line that fades but never fully disappears.
  • It only removes stretch marks on the skin that is excised, usually below the navel. Stretch marks above that may remain.

Tummy tuck techniques

Tummy tuck techniques explained.

01

Full abdominoplasty

Addresses the whole abdomen from the ribs to the pubic area, with muscle repair, removal of significant excess skin and repositioning of the navel. It is the most common choice when laxity and diastasis affect the full midsection.

02

Mini tummy tuck

Focuses on loose skin and mild laxity below the navel, with a shorter incision and less tissue removal. It suits patients without meaningful muscle separation higher up, and for appropriate candidates it may be performed awake with the tumescent technique.

03

Extended abdominoplasty

Carries the incision further to include the hips and lower back, for laxity that wraps around the sides. It is often combined with liposuction of the surrounding areas.

04

Circumferential abdominoplasty (body lift)

Treats the abdomen, flanks and lower back together in a 360-degree approach, most often after major weight loss when loose skin extends all the way around the torso. Renuvion skin tightening may be added where extra firming is appropriate.

The Empowered approach

How Dr. Khan approaches a tummy tuck

She evaluates function as well as appearance. Muscle separation is measured and, when present, repaired with internal sutures that bring the muscles back to the midline, which supports the core as well as flattening the abdomen. Skin removal and liposuction of the flanks are planned around that repair so the waist reads as one continuous shape.

The scar gets careful attention. She plans the incision low enough to sit beneath underwear and swimwear, closes in layers to keep tension off the skin edge, and reviews scar care with you after surgery. For patients combining a tummy tuck with breast surgery or other contouring, she sequences everything as part of a single plan.

Anesthesia for a tummy tuck

Tummy tuck surgery is typically performed under general anesthesia, particularly when abdominal muscle repair is part of the procedure. For appropriate candidates having a limited-scope mini tummy tuck, an awake approach using the tumescent technique may be an option.

The right choice depends on the scope of your procedure, your medical history and your comfort. Dr. Khan reviews the options at consultation and recommends the approach that fits your plan.

How awake surgery works
Dr. Saiqa Khan, MD, FACS, founder of Empowered Plastic Surgery in Sugar Land, Texas
Saiqa Khan, MD, FACS Board-certified by the American Board of Surgery · Fellow, American College of Surgeons · Plastic and Reconstructive Surgery Fellowship, Beth Israel Lahey Health · Plastic Surgery Research Fellowship, Harvard Medical School / Massachusetts General Hospital Every tummy tuck plan begins with Dr. Khan examining you in person and explaining what is realistic for your anatomy. Meet Dr. Khan Her published research

Who it may suit

You may be a candidate if…

  • You have loose abdominal skin, separated muscles or both, and they haven’t responded to diet and exercise.
  • Your weight is stable and you are not planning further significant weight loss.
  • You are not planning a future pregnancy, since pregnancy can stretch the repaired muscles again.
  • You are in good general health and don’t smoke, or are willing to stop before and after surgery.
  • You may be a candidate if these apply, and Dr. Khan confirms candidacy in person after assessing your skin, muscle separation and medical history.

Candidacy is confirmed at your consultation, after an examination and a review of your medical history.

Editorial silhouette of a back and shoulders in neutral light Model

What to expect

  1. 01

    Consultation

    About an hour with Dr. Khan to discuss what bothers you about your abdomen, measure muscle separation and skin laxity, and decide which technique fits and whether liposuction or other procedures belong in the plan.

  2. 02

    Preparation

    Pre-operative instructions, lab work as needed, arranging help at home for the first week or two, and planning time away from work and lifting.

  3. 03

    Surgery

    Through a low horizontal incision, the muscles are repaired if needed, excess skin and fat are removed, the navel is repositioned in a full tummy tuck, and the incision is closed in layers. The anesthesia plan is confirmed with you beforehand.

  4. 04

    Recovery and follow-up

    You walk slightly bent at first and wear a compression garment while swelling settles. Activity returns in stages at scheduled visits, and established surgical patients have a direct way to reach Dr. Khan after hours.

Recovery

Healing takes time, and it varies.

The first phase means rest, short walks, no lifting and a compression garment. Light activity and desk work return first, usually within a couple of weeks, followed by gentle cardio, and finally full exercise and core work later in recovery as Dr. Khan clears each step. Patients with muscle repair tend to feel tightness through the abdomen for several weeks as the repair settles.

Swelling resolves gradually, so the final contour takes months to appear. The scar looks red and raised at first and typically fades over twelve to eighteen months. Dr. Khan may recommend silicone sheets or other scar care to support that process.

Planning your recovery

Risks and limitations

What you should know before deciding.

Every surgery carries risk. These are the ones most relevant to this procedure; Dr. Khan reviews your personal risk profile and the alternatives with you before anything is scheduled.

  • A visible scar across the lower abdomen that may widen, thicken or take longer than expected to fade
  • Wound-healing problems, particularly at the center of the incision or around the navel
  • Infection, bleeding, fluid accumulation (seroma) or blood clots
  • Numbness or altered sensation of the abdominal skin, which can be lasting
  • Asymmetry, contour irregularities, dog-ears at the ends of the incision or residual laxity
  • Reactions to anesthesia and risks specific to the anesthesia approach chosen
  • Recurrence of muscle separation or laxity after a later pregnancy or weight change

Before & after

Before & after results.

Before-and-after photographs for tummy tuck are not currently featured on this page. Explore the patient gallery to view available results, or ask to see cases like yours at your consultation.

Every photograph in the gallery is one of Dr. Khan's own patients, shared with consent. Individual results vary.

FAQ

Tummy Tuck questions

Every answer here is general information. Your own plan, risks and recovery are discussed in person at your consultation.

Can a tummy tuck fix diastasis recti?

Yes, muscle repair is a standard part of a full tummy tuck when the abdominal muscles have separated. Dr. Khan brings the muscles back together along the midline with internal sutures, which flattens the bulge and gives the core better support. Some patients also notice improvement in posture or lower back strain, though that varies. A later pregnancy or significant weight gain can stretch the repair again.

Tummy tuck or liposuction: which do I need?

Liposuction removes fat but does nothing for loose skin or separated muscles. A tummy tuck removes the skin and repairs the muscle, and can include liposuction of the flanks for a smoother waist. If your skin snaps back well and fat is the main issue, liposuction alone may be enough. If the skin hangs or you have a midline bulge, a tummy tuck is the operation that addresses it. Dr. Khan examines both at consultation.

Where will the tummy tuck scar be?

The main incision runs horizontally across the lower abdomen, generally from hip to hip in a full tummy tuck and shorter in a mini, placed low enough to sit beneath underwear and swimwear. A full tummy tuck also leaves a small scar around the navel. Scars are permanent, but they fade considerably over twelve to eighteen months with good scar care.

Can a mini tummy tuck be done awake?

For appropriate candidates, yes. A limited-scope mini tummy tuck that does not involve muscle repair may be performed awake using the tumescent technique. A full tummy tuck with muscle repair is typically done under general anesthesia. Dr. Khan reviews which approach fits your plan and your health history.

How long is tummy tuck recovery?

Plan on roughly two weeks before desk work and light activity feel comfortable, with a gradual return to exercise over the following weeks and core work last. You will need help at home at first, and lifting is restricted for several weeks. Final results continue to develop over several months as swelling resolves.

Can I combine a tummy tuck with other procedures?

Often, yes. Liposuction of the waist and flanks is the most common addition. Many patients combine a tummy tuck with a breast lift or augmentation as part of a mommy makeover, and patients after major weight loss sometimes pair it with an arm lift or thigh lift. Whether to combine or stage depends on the total scope and your recovery.

Request a consultation

Talk through tummy tuck with Dr. Khan.

Consultation fees are currently waived. Plan on about an hour with Dr. Khan, in person in Sugar Land or virtually, to talk through goals, candidacy and the approach that fits you.

Book a Consultation Online Request a Consultation

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Call (281) 716-3224 · Mon–Fri 9 AM–5 PM · Sugar Land, Texas · Virtual consultations available