An abdominoplasty is also frequently referred to as a tummy tuck. It is a plastic surgery procedure used to flatten the abdomen by removing excess skin and fat. The procedure frequently includes tightening the underlying muscles. Depending on the type of tummy tuck performed, the belly button may be re-positioned. Additionally, liposuction is used to reduce excess volume and improve the overall result.

Dr. Horowitz and Dr. Nichter have been performing abdominoplasty surgery for over 23 years. They offer several types of tummy tuck techniques ranging from a minor skin tightening procedure to an extended tummy tuck. Many of the men we see at our Newport Beach plastic surgery office have experienced major weight loss and are now left with loose skin, which cannot be improved through diet and exercise.


Men with excess skin, with our without excess fat around the abdomen, which does not respond to diet and exercise. Individuals must be in good health and medically qualified to have an extensive surgery of this nature.

Abdominoplasty candidates may have a combination of the following characteristics:

  • Excess abdominal skin which may sag
  • A disproportionate or protruding abdomen
  • Weakened or separated abdominal muscles
  • Excess fat concentrated in the abdomen
  • Stretch marks on the abdomen

Other tummy tuck patients may recently have lost a lot of weight and need to have excess skin and tissue removed. Many women choose to have an abdominoplasty following pregnancy. Older patients may be candidates for a tummy tuck due to reduced skin elasticity.



Ideal for patients who have a small amount of redundant skin on the stomach due weight loss. The procedure does not remove fat or tighten abdominal muscles. A small horizontal incision is placed on the lowest area of the abdomen, so it is hidden when wearing underwear/boxers/swim trunks. The length of the incision depends on how far the loose skin extends.


Candidates for a mini-tummy tuck are usually slender fit men who have have excess skin and fat located on their lower abdomen. This type of tummy tuck flattens the stomach below the belly button. It can include a combination of skin removal, fat removal with liposuction, and muscle tightening. The incision is handled the same way as mentioned above in the skin tightening procedure.


This is the most frequently performed tummy tuck at our Newport Beach plastic surgery practice. It is ideal for men with weakened abdominal muscles, as well as excess skin and fat located both above AND below the belly button. A horizontal incision is placed between the hips along with an incision around the belly button. The belly button is repositioned after the stomach has been tightened. This type of tummy tuck tightens all of the abdominal skin and muscles.


Massive weight loss patients are often times candidates for this type of tummy tuck, because they are left with loose sagging skin extending to and sometimes beyond the hips. To address the extended excess skin, a much longer horizontal incision is made across the lower abdomen extending beyond the hips on both sides. If the hip area is not addressed, the result will be less than ideal, because the remaining loose skin towards the hip area will look worse when the abdomen is flattened. It is important to not choose a lesser tummy tuck than what is needed in order to avoid a longer excision. This will only result in a poor result you will not be happy with.

Most tummy tucks performed by Dr. Horowitz and Dr. Nichter are done so under general anesthesia at our Newport Beach outpatient surgery center located just a few miles from our office. In some situations, a mini tummy tuck can be performed using a local anesthetic with I.V. sedation. Skin tightening tummy tucks can usually be performed under local anesthesia in our office. Although rare, an extended tummy tucks may require a short hospitalization stay. This will be discussed in further detail during the consultation.


Additional procedures which may enhance your tummy tuck result include:

  • Liposuction
  • Gynecomastia

For more information or to schedule a consultation with tummy tuck experts Dr. Horowitz or Dr. Nichter, fill out the request form or call our office (949) 565-2121



You will need someone with you around the clock for the first 24-48 hours after surgery and up to 5 days of intermittent care after that. If you do not have someone who can care for you or you want to keep your surgery private, our staff can provide you names/numbers of post-surgery care centers or in-home nurse care.

When you arrive home following surgery, you will feel groggy and tired from the anesthesia. Since you have not eaten for many hours, it is a good idea to drink some Gatorade and have crackers or toast. If you are still hungry, a smoothie or soup may satisfy you.


It is important to stay hydrated following surgery, especially if you had liposuction. Drink Gatorade often.


You will be walking in a bent over position to avoid tension on the incision. After the first week, each day you will slowly be able to move out of this position.


Strenuous activity, lifting 10 pounds or more, must be avoided for 6 weeks. Do not resume working out until your surgeon has given you the ok. It can take up to three months to feel back to yourself after a standard or extended tummy tuck. You may feel tired and worn out for several weeks.


Most people return to work and regular daily activities 2 weeks after surgery. If your job requires strenuous physical activity, you will need to take up to 6 weeks off or ask your employer to adjust your job duties so you can return sooner. We can provide you with a medical note, which does not indicate you had a plastic surgery procedure.


Pain is a part of the healing process after abdominoplasty surgery. Our surgeons use a long-lasting local anesthetic solution at the time of surgery which decreases pain for 3-4 days post surgery. is preferable to older pain pump technology.


We want you to move around starting the day of surgery to prevent blood clots. Wearing the provided TED stockings at all times, except while washing, is mandatory. This is another important measure for avoiding clotting issues.


Redness is normal and will go away over time. Scarring can take one year or longer to soften and fade. The good news about scars is that they only get better with time.