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San Diego and La Jolla Tummy Tuck (Abdominoplasty) Specialist
Dr. Tom Pousti


» Testimonials
» Risks and Complications
»Pre-op/Post-op instructions
» Pregnancy After Tummy Tuck
» Hernia Repair Aftercare Guidelines
» Liposuction vs. Tummy Tuck
View Before & After Photos

Dr. Tom Pousti is a highly skilled tummy tuck (abdominoplasty) specialist who serves the greater San Diego area where he can see San Diego and La Jolla tummy tuck patients. In the paragraphs below, Dr. Pousti describes the abdominoplasty procedure. He has helped many patients achieve a more attractive and shapely profile. Dr. Pousti’s patients who have undergone bariatric surgery or massive weight loss benefit from abdominoplasty surgery to remove the excess skin that weighs the patient down.






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“It’s all thanks to Dr. Pousti and everyone there!”


Mommy Makeover Patient Just 6-Weeks Post-Op


Muscle Plication During Abdominoplasty


Revision Tummy Tuck with Muscle Plication and Use of PICO Dressing


Abdominal Wall Plication During Tummy Tuck Surgery


Tummy Tuck Surgery


Progressive Tension Relieving Suture Technique


Drain Removal After Tummy Tuck Surgery





Abdominoplasty, also known as the “tummy tuck,” is an operation performed to remove excess fatty tissue and skin folds in the mid and lower abdominal region and to tighten up the abdominal wall.

When women have had children, the lining of the abdominal muscles can rip and the abdomen can develop a bulge. Men sometimes have tummy tucks too if they suffer from excess abdominal skin and fat.

There are several types of abdominoplasty or tummy tuck procedures including:

These procedures range from minor removal of hanging skin (a mini-tummy tuck) to a major abdominoplasty where the entire abdomen is tightened. It is designed to remove only as much excess skin and fatty tissue as is practical and safe. Stretch marks, where possible, will be removed along with the excess skin. However, stretch marks on the remaining abdominal skin cannot be removed.


The Mini Tummy Tuck is for contour problems without as much loose skin as a standard abdominoplasty. An Extended Tummy Tuck is for extensive loose skin and fatty tissue of the abdominal area. The extended abdominoplasty, regular abdominoplasty and the mini-abdominoplasty procedures can include the following:

  • Liposuction of the surrounding areas.
  • Skin excision – (limited for the mini tummy tuck).
  • Tightening of the lower and upper parts of the abdominal rectus muscles

Dr. Pousti recommends having an after surgery care giver for at least 24 hours.

Before / After Abdominoplasty


mommy makeover
” I’m feeling so wonderful now and just want to thank you again for everything!”

The Surgical Procedure

The procedure takes approximately 3 hours to complete. Markings are performed the evening prior or the morning of surgery. Care is taken to give you the results you are looking for.

After weight loss or pregnancy, in most cases the abdominal wall muscles are separated. Even with diet and exercise, the muscles are unable to retract. Repairing the muscles brings the waist in for more desirable results.

Before pictures

Some patients decided to get an intricate tattoo to cover the scar from their surgery!


Tummy Tuck Post-Op


African American Patient After Tummy Tuck Surgery Procedure

Watch Dr. Pousti Perform Abdominal Muscle Repair On Patient

Watch Dr. Pousti Perform Tummy Tuck / Abdominoplasty Procedure On Patient

Watch Patient Testimonial of Tummy Tuck Procedure & Patient Markings

Markings are carefully drawn out in a sterile fashion.

Muscle laxity from post-weight loss or pregnancy

Muscles are brought together to create the desirable waistline.

Watch 26 year old Los Angeles abdominoplasty procedure video


Patient Experience After Tummy Tuck Procedure Requiring Overnight Hospital Stay

What To Expect After Surgery

You are restricted to bed for 2 to 3 days with periods of walking. You will be “hunched over” significantly for the first week and slowly will be able to stand up straight. Coughing, laughing, sneezing or anything that exerts the abdominal muscles will produce discomfort. Positioning yourself when sleeping — you will either need to sleep in a recliner or place pillows under your legs when lying in bed to keep your body in an “L” formation.


weight loss
Patient 5 Weeks After Abdominoplasty Surgery

Tummy Tuck

“If you want an amazing plastic surgeon….you better contact Dr. Pousti. The man who made all my dreams come true, believes in me and constantly reiterates how beautiful I am….Can you find that in a doctor????”

Resumption Of Physical Activities

Driving- 2 – 4 weeks
Sports- 2 – 4 weeks
Sexual activity- 2 – 4 weeks
Travel- 2 weeks
Social and work activities- 2 to 4 weeks

Belly Button Before Tummy Tuck

Belly Button After Tummy Tuck

Patient Testimonial:

Firstly I would like to state that I just had my mommy makeover last week 4/13/17. I’ll be talking about my time leading up to surgery, the day of surgery, and my recovery so far! Leading up to surgery, I could not have asked for a better experience from Dr. Pousti and his team! Any question, or concern I had was answered immediately. They are all really a dream team! Upon coming into a doctors office, I like to get a feel for the atmosphere. You can tell a lot about the doctor… from their staff. Literally his entire staff is incredibly kind, and so happy! I immediately felt at ease and comfortable. I knew that this was the doctor that I wanted to perform my surgery! You have to be cautious when choosing a doctor. This is something you cannot cut corners on, after all, it is your body and health we are talking about here! On the day of surgery I was super excited! I didn’t have one nervous bone in my body! The staff in the OR were all wonderful, the anesthesiologist was so sweet… and before I knew it the surgery was done and I was in recovery.

Recovery so far has been cake! The hardest part was the very first day. I was pretty nauseous due to all the anesthesia, and pain killers, and I had a difficult time getting comfortable. I didn’t have to hire a nurse… I am blessed and so lucky to have had my mom, aunt, husband, and dad help in my recovery. I believe that your quality of life and surrounding environment truly determines how well your recovery process will be. Doctor also does a house call!! How rare is that to find a doctor that takes the time to come to your house and make sure everything is going smoothly!? Him and his wife are the sweetest people! They genuinely care about their patients!

I ended up getting comfortable in a recliner and I’ve been sleeping in that since day 2! Next to my recliner I have a TV tray with water, meds, chapstick, and my barometer for deep breathing. I used a LOT of pillows to keep me comfortable through the night. Drinking water and electrolytes is essential to recovery. As for my kids… they stayed pretty busy and they knew not to try and climb on me cause “mommy has big owies”… you MUST take time to let your body heal. Take it easy, do NOT pick up the kids or babies, until the doctor says it’s okay! You don’t want to risk opening up and of your incisions and causing any infections!

Day by day I feel better and better! I’m still walking bent over with a walker to protect my incision. I just got back from my first post Op appointment and I couldn’t be happier! I got my pain pump and drains removed! I was pretty stressed about this part more than anything else! But Dr. Pousti is wonderful and the drains were out in no time! It’s literally 5 seconds of some stinging and it’s really not that bad. It’s like ripping off tape. I didn’t want the area numbed I just wanted the drains out! I promise it’s not bad without the numbing!

So ya! My journey so far with Dr. Pousti and his team… especially his nurse Vanessa… has been sooooo AMAZING! Like I said, I couldn’t be happier, or feel more blessed to have such an amazing team! Thank you so much Doctor!

Patient Testimonial:

Dr. Tom Pousti is absolutely THE BEST plastic surgeon in San Diego. He is very caring and honest!! His entire staff are so nice and helpful. I highly recommend his services to anyone. I’m so glad I picked Dr. Pousti. Thank you for having that love for your work. Thank you for taking the time out of your busy schedule to visit my house and bought me a beautiful flowers! I love my new tummy!!!

Patient Testimonial:

My motivation for getting this surgery began long before I had my son. Growing up I had always struggled with my weight. In high school I was over 200lbs and was always so self conscious of my appearance. At the age of 16 I realized that my weight could cause me serious health issues that would affect me long term and I decided to make a change. I started with my diet and taking long walks. That turned into a lifestyle dedicated to my health and over a year and half I was able to loose 60lbs. Although I was happy and proud to have lost all the weight and be much healthier, I wasn’t happy with how I looked with my clothes off. My tummy had extra loose skin that no amount of exercise could help, so I just hid i with fitted undershirts or spanx to hold things in place. It was a constant reminder of my past and always affected my self esteem. A few years later at the age of 24 I became pregnant and gave birth to a healthy baby boy.

Throughout my pregnancy I gained about 50lbs. After breast feeding and loosing most of the weight I gained through the pregnancy my insecurities about my body became even worse. I avoided any situations where I felt I could be exposed physically. I wouldn’t go to pool parties, the beach, or dating. The thought of exposing myself gave me anxiety and I would alienate myself because I how I felt. I realized that I couldn’t hide forever. Doing this surgery would improve my confidence and I turn would make not only my life better but my son would never know the insecurities that I’ve dealt with my whole life. Day before surgery: went in to Dr. Pousti’s office for my marking and to review goal pictures. Confirmed with at home nurse to be picked up from surgery and brought home.

Day of surgery: arrived at the surgery center bright and early. Met the nurses and anesthesiologist that would be taking care of me. Reviewed all of the info and got ready for Doc to arrive. Once Dr. pousti arrived we retouched the markings and reviewed more goal photos. Then we were off to the OR. I was put to sleep quickly and comfortably and only remember waking up in recovery. All of my concerns were well taken care off the staff made me very comfortable. Once I was ready to go home the nurse scheduled to pick me up and stay with me for the next 24 hours brought me home got me in bed and got me on my medication routine. She helped me to the bathroom and with my deep breathing and leg exercises. She educated my roommate on how to take care of me and left written notes and her phone number of any questions arose.

Day 2: the major discomfort were my breast. It wasn’t pain just pressure which made it difficult for me to inhale deeply. It took some time to adjust but by the end of the evening the discomfort and pressure in my chest was mostly gone.

Day 3: feeling good. Pain is still under control and able to eat small amount of semi solid food. Walked around The house a bit and even went outside to get some sunlight to help my mood. It helped and I am feeling good.

Day 4: pain is under control and I feel good! I was expecting unbearable pain and complete helplessness but I am doing really well. I’ve been taking my meds on schedule and pain hasn’t been an issue. So far I am happy with this decision and look forward to healing and seeing the new me.

If I had to choose a few words to describe Dr. Pousti (and I wasn’t allowed to say amazing, since everyone does) I would say he’s warm and inviting, intuitive, and professional. All of my experiences with Dr. P and his staff were friendly, inviting, and pleasant. Not once did I feel uncomfortable or judged. I felt like we were all working on my goals not like I was just another patient. Dr. P even came by my home after surgery with his wife to check on me and bought beautiful flowers! Who does that?!?! Dr. Pousti is amazing and truly cares about the people that he takes care of his patients.

Patient Testimonial

I had surgery with Dr. Pousti 3 months ago and I could not be any happier with my results. From my consultation appointment to my 3 month follow up, I have been treated with the utmost care and kindness from Dr. Pousti and his staff. I had researched and met with several surgeons and I knew the moment I met with Dr. Pousti that he was the person I trusted to do my surgery. After having two kids, I had alot of loose skin on my stomach and all of the exercising I did would never change that. Dr. Pousti said that he believed that I would have excellent results from a tummy tuck and he was right! I never imagined that my stomach could be so flat!! This has been a life changing experience and I could not imagine having done this with any other doctor.
Thank you,
Corona , California

Tummy Tuck Recovery Without a Tummy Ache

You may choose to recover from your Tummy Tuck with the On-Q Pain Relief Pump now being offered at Dr. Pousti’s San Diego surgical suite. The On-Q pain relief pump is a revolutionary non-narcotic pain relief system. The On-Q pump slowly and continually releases local anesthetic to the surgical site, which numbs the pain at the place of discomfort. The On-Q pump dispenses the correct amount of pain medication for up to 5 days. The On-Q pump aids the healing process by speeding up the amount of time you are off your feet and it keeps your head clear without the side effects of narcotic pain medications.

Learn more about On-Q Pain Relief »

Dr. Pousti has treated many San Diego and La Jolla tummy tuck patients. It is common for Dr. Pousti’s San Diego and La Jolla breast augmentation and liposuction patients to choose to have these procedures performed in combination with tummy tuck.

In addition to tummy tuck and other body contouring procedures, Dr.Pousti performs facial procedures including facelift and rhinoplasty. Please visit the facelift and rhinoplasty pages of this website to learn more about these procedures and how Dr. Pousti has helped many San Diego and La Jolla facelift an
d rhinoplasty patients.

Click here to learn more about San Diego Cosmetic Surgeon, Dr. Tom Pousti. To schedule your cosmetic surgery consultation in our San Diego office, call (619) 466-8851 or email appointments@pousti.com.

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Medically reviewed by Tom Pousti, MD, FACS, and written by The Pousti Plastic Surgery Team.

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Complimentary Consultation with Dr. Pousti
Consultation with Dr. Pousti


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Pousti Plastic Surgery of San Diego
8851 Center Drive, Suite 300
La Mesa, California 91942
Phone: (619) 466-8851 or Email
Dr. Tom Pousti is a San Diego and La Jolla Plastic Surgery specialist. He has provided plastic surgery treatments to many San Diego and La Jolla facelift, tummy tuck, liposuction, breast augmentation, and rhinoplasty patients. His office is located in San Diego, serving the La Jolla, Riverside, Inland Empire and Temecula areas. Disclaimer

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