Case #1690 · Beverly Hills, CA
Tummy Tuck
Drag the handle to compare. Click anywhere to jump.
Additional views
This 33-year-old patient from Beverly Hills, CA had substantial weight loss that resulted in excess skin in the abdomen area that diet and exercise alone could not address. Dr. Cassileth performed a tummy tuck to tighten tightens and removed excess skin and fat, revealing a flatt
Continued care
Recommended aftercare, skincare, and MedSpa services for Tummy Tuck.
- Abdominal binder continuously for 6 weeks
- Walking bent forward at the waist for the first week to protect the muscle repair
- Drains typically removed at days 5–10
- Hyperbaric oxygen therapy when recommended — improves perfusion at the closure
- Medical-grade silicone sheeting along the hip-to-hip incision
- SkinCeuticals C E Ferulic for scar healing
- SPF 50+ on the scar for 18 months
- Body hydration protocol on the new abdominal contour
- Laser or microneedling along the abdominal scar after 3 months
- Indiba radiofrequency for skin tightening
- Lymphatic drainage starting week 2
- Skincare
Combined silicone and tightening regimen applied daily to newly redraped tissue.
Skin retraction after weight loss responds well to consistent topical support.
- MedSpa
Radiofrequency tightening (Indiba) layered into the recovery program through month 3.
Post-weight-loss patients typically benefit from active tissue tightening.
- Skincare
Aggressive sun protection on incision lines through the first 12 months.
Younger skin pigments scars more reliably under sun exposure.
Why this approach
The decisions that shaped this surgical plan.
- Major weight loss changes the surgical plan, incisions are placed to manage the specific redundancy patterns left behind, not a textbook ideal.
Pre-op preparation
What to do before surgery. Specific to this case.
- Aspirin, ibuprofen, vitamin E, and fish oil discontinued 14 days pre-op to reduce bruising risk. Acetaminophen is allowed.
- Full nicotine cessation 6 weeks pre- and post-op. This includes vapes and nicotine replacement products; the constriction effect is the same.
- Stage essentials at hip height, phone charger, water, medications, snacks, to limit reaching and bending in the first week.
- Confirm a driver for surgery day and a companion who can stay through the first night.
Recovery timeline
Milestones specific to this case. Individual recovery varies.
- Day 1–7
Rest, hydration, and short ambulation. Most patients are off prescription pain medication by day 4.
- Week 2
Walking distance doubles. Showering rules relax. Compression garments transition to the long-wear schedule.
- Week 4
Return to most low-impact activity. Scar massage, compression, and skincare protocols pick up.
- Week 6
Most physical restrictions lift. Return to strength training, full-impact cardio, and overhead lifting.
- Month 3
Shape is 80–90 percent of final. Scars are still pink and will continue to lighten through month 12.
- Month 6
Tissue tightening completes. Any planned refinement (e.g. revision lipectomy) is timed for this window.
