Tone and Tighten Your Figure with Tummy Tuck Surgery

Dr. Peter Fisher performs tummy tuck surgery at his San Antonio, TX, practice to help you achieve a toned, lean midsection.

Many people who are otherwise healthy need a little extra help achieving a desirable midsection profile. Those who have lost significant weight or women who have had multiple pregnancies may do dozens of crunches and abdominal exercises a day, and still find it impossible to lose all the excess fat and skin around their midsections. For those who wish to achieve a sleeker, more defined look to the waist and tummy, I offer the surgical option of some form of tummy tuck.

  1. Full Tummy Tuck ( Abdominoplasty) This is the most common procedure performed for patients seeking improvement for their abdominal contour, this being excess skin and underlying fascia (muscle) weakness. This is often accompanied by excess abdominal and flank fat. The umbilicus (belly button) is always repositioned (translocated) in full abdominoplasty. The final incision is low over the pubis, which is lifted if needed and then curves upward along the groin crease as far as necessary to remove any pleats (dog ear) that may be present. I will also try to accommodate the patient's wishes by placing the incision where they would like, if feasible.
  2. Circumferential Abdominoplasty. The same as a full tummy tuck other than the incision going all the way around the back to get rid of unwanted excess skin of the back.
  3. Mini-abdominoplasty. This is done rarely as there are only a very few indications to do it. Less skin is removed and an umbilical slide is done (the belly button is not translocated but rather transected from the muscle and re-sutured to the muscle fascia lower down on the abdomen. Muscle tightening is always done and any liposuction that is needed.
  4. Endoscopic Abdominoplasty. This has even fewer indications than a mini-abdominoplasty. These are weak muscle fascia, usually with excess fat and NO excess skin. A small incision is made in the supra-pubic region and belly button and the underlying muscle fascia tightened. Any fat suctioning is also then done.

Pre-operative instructions.

During the consultation I will assess the patient’s height, weight, age, the amount of excess skin and fat, and the condition of the underlying muscles. It is with this information that I can best recommend which tummy tuck procedure is appropriate for each patient. The procedures range from liposuction alone, endoscopic tummy tuck (rarely performed), mini-tummy tuck, full tummy tuck and lastly, circumferential abdominoplasty (incision all the way around the trunk).

It is essential to stop all kinds of female hormones at least two weeks prior to any surgery. These include BCP’s and any other estrogen and progesterone combination pre and post menopausal. Other medications to stop include all non-steroidal anti-inflammatory meds and vitamin E.


When a tummy tuck is performed, liposuction of the abdomen and surrounding truncal areas is almost always necessary to improve body contour. This is included in the tummy tuck price package. Brazilian buttock lift (bbl)(fat injections to enhance the buttocks) can be done at the same time, although I prefer to do this prior to the tummy tuck, especially if there is a lot of abdominal fat. Tightening and or repair of the abdominal muscles/fascia is always done with all the different types of tummy tuck.

Post-operative course.

The procedure is done under a general anesthetic, usually with an overnight stay in the hospital and sometimes being on an out-patient bases. With the recent introduction of a new long acting (72 hours) local anesthetic, patients are recovering more rapidly with less pain than they used to.

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Dr. Fisher has been available to answer all of my questions and provide me with not only professional medical expertise, but also a much appreciated level of personal empathy. I would 100% recommend Dr. Fisher to anyone who is considering plastic surgery.



San Antonio Office

7950 Floyd Curl Dr
Ste 1009
San Antonio, TX 78229

Open Today 8:30am - 5:00pm


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