Tummy tuck surgery, medically known as abdominoplasty, is a procedure designed to restore a flatter, firmer abdomen by addressing excess skin, weakened abdominal muscles, and localized fat deposits.
At Jacobson Cosmetic Surgery in Lincoln, Nebraska, Dr. Jacobson performs tummy tuck surgery to help patients achieve a smoother abdominal contour and improved waistline definition when diet and exercise alone are not enough.
Pregnancy, significant weight loss, aging, and weight fluctuations can stretch the abdominal skin and weaken the underlying muscles. These changes can lead to loose skin, abdominal bulging, and loss of core contour.
Tummy tuck surgery addresses these concerns through three essential components:
- Repairing separated abdominal muscles (diastasis recti)
- Removing loose or excess abdominal skin
- Refining surrounding areas with liposuction when appropriate
By addressing the abdomen in all of its layers, abdominoplasty restores structure to the abdominal wall and creates a smoother, more balanced silhouette.
Many patients find that after surgery their clothing fits better and they feel more confident and comfortable in their bodies.
What Does a Tummy Tuck Treat?
A tummy tuck in Lincoln, Nebraska can improve several common concerns affecting the abdomen. While exercise can strengthen muscles and reduce fat, it cannot repair muscle separation or remove excess skin. Surgical correction is often necessary to restore a firm abdominal contour.
Common reasons include
- Loose or sagging abdominal skin
- Stretch marks located on excess lower abdominal skin
- Diastasis recti (separated abdominal muscles)
- Persistent abdominal bulging or protrusion
- Excess skin following pregnancy or weight loss
What Is Diastasis Recti?
Diastasis recti is a separation of the abdominal muscles that commonly occurs after pregnancy or significant weight changes. Correcting diastasis recti is one of the key structural benefits of abdominoplasty.
Understanding Muscle Separation
When the muscles of the abdominal wall separate, the abdomen can appear to protrude outward even in patients who maintain a healthy weight and active lifestyle.
During tummy tuck surgery, Dr. Jacobson repairs the abdominal muscles using internal sutures. This repair restores strength to the abdominal wall and improves core contour.
Dr. Jacobson’s Anatomy-Based Approach to Tummy Tuck Surgery
At Jacobson Cosmetic Surgery, tummy tuck procedures are designed to restore both the structure and aesthetic appearance of the abdomen.
This detailed evaluation allows for a customized surgical plan designed to create natural, balanced results.
In many cases, liposuction is incorporated during surgery to refine surrounding areas and create smooth transitions along the waistline and flanks.
During consultation, Dr. Jacobson evaluates:
01
Skin elasticity and degree of laxity
Assessing how much excess skin is present and where it is concentrated.
02
The presence and severity of muscle separation
Evaluating diastasis recti to plan the internal muscle repair.
03
Distribution of fat in the abdomen and flanks
Mapping areas for liposuction refinement if needed.
04
Overall body proportions and silhouette
Considering the full figure to create natural, balanced results.
Types of Tummy Tuck Procedures
Not every patient requires the same approach to abdominoplasty. The surgical technique selected depends on the degree of skin laxity, muscle separation, and abdominal contour.
Mild Laxity
Mini Tummy Tuck
A mini abdominoplasty may be recommended for patients with mild skin laxity limited primarily to the lower abdomen.
- Uses a shorter incision
- Focuses on the area below the belly button
- Typically does not require repositioning of the navel
Best suited for patients with mild lower abdominal skin excess.
Most Common
Full Tummy Tuck
A full tummy tuck is the most common and comprehensive approach for patients with moderate to significant abdominal laxity.
- Loose abdominal skin
- Muscle separation (diastasis recti)
- Excess fat deposits
- A horizontal incision is placed low on the abdomen just above the pubic hairline
- The abdominal skin is elevated to access the muscles
- The abdominal muscles are repaired and tightened
- Excess skin is removed
- The belly button is repositioned through a natural opening
Creates a flat, smooth abdominal contour and strengthens the abdominal wall.
Flank Extension
Extended Tummy Tuck
For patients with skin laxity extending toward the flanks, an extended abdominoplasty may be recommended.
- Extends the incision slightly beyond the hip bones
- Allows removal of excess skin from the sides of the abdomen
- Improves contour of the waistline
Often helpful for patients who have experienced significant weight loss or more extensive skin laxity.
Massive Weight Loss (>100lb)
Patients who have experienced massive weight loss (>100lb) may develop loose skin around the entire torso. These patients may sometimes benefit from a circumferential body lift, which addresses skin laxity around the abdomen, flanks, and back.
While this more extensive procedure is not performed at Jacobson Cosmetic Surgery in Lincoln, Dr. Jacobson can provide referrals to excellent surgeons who specialize in advanced post-weight-loss body contouring procedures.
The Tummy Tuck Procedure
Most tummy tuck procedures at Jacobson Cosmetic Surgery are performed as outpatient surgeries, allowing patients to return home the same day.
The final incision is placed low on the abdomen so it can typically be concealed by underwear or swimwear.
01
Elevation
The abdominal skin is elevated to access underlying structures.
02
Muscle Repair
Abdominal muscles are tightened using internal sutures.
03
Skin Removal
Excess skin is removed for a smoother contour.
04
Liposuction
Liposuction may refine surrounding areas when appropriate.
05
Navel
The belly button is repositioned when necessary.
Advanced Pain Control with Exparel®
Because tummy tuck surgery involves repair of the abdominal muscles, patients commonly experience tightness in the abdominal wall during the early recovery period.
To improve comfort after surgery, Dr. Jacobson utilizes Exparel®, a long-acting local anesthetic injected during the procedure.
Exparel provides extended pain control for up to 72 hours after surgery, significantly reducing discomfort during the early healing phase.
Who Is a Good Candidate for a Tummy Tuck?
A consultation with Dr. Jacobson will determine whether abdominoplasty is the most appropriate procedure for your goals.
You may be a good candidate for tummy tuck surgery if you:
- Are in generally good health
- Are a non-smoker
- Are near your ideal body weight
- Are bothered by loose abdominal skin or muscle separation
- Have realistic expectations about surgical outcomes
Tummy Tuck Recovery & Downtime
Recovery after implant removal varies depending on whether additional procedures are performed.
Post-Surgery
Immediate Care
Abdominal binder placed; JP drains for fluid management
~1 Week
Drains Removed
Drains removed in office; transition to compression Faja
Weeks 2–4
Light Activities
Compression garment supports healing; light activity resumes
Weeks 4–6+
Return to Activity
Gradual return to exercise; cleared at postop visit
Immediate Postoperative Care
After surgery, patients are placed in an abdominal binder to support the surgical area and reduce swelling.
Patients will also have two JP drains, which help collect fluid during the early healing period. These drains are typically removed in the office approximately one week after surgery.
JP Drains — ~1 Week
Two JP drains collect fluid during early healing.
Removed in office approximately one week after surgery.
Compression Faja
Once drains are removed, patients transition into a medical compression garment (Faja), provided as part of the surgical package.
- Support the abdominal repair
- Reduce swelling
- Encourage optimal skin contraction
- Improve comfort during healing
Activity Restrictions
Typical recovery guidelines include:
- Light walking shortly after surgery
- Avoid strenuous exercise for approximately 4–6 weeks
- Avoid heavy lifting until cleared by Dr. Jacobson
Following these restrictions allows the abdominal tissues and muscles to heal properly.
The “Taco” Rule
One of the most important things patients should remember during early recovery is to stay slightly bent at the waist.
We often tell patients, “If you remember nothing else, remember to be bent like a taco.”
Remaining slightly bent forward helps:
- Reduce tension on the incision
- Protect the muscle repair
- Allow the incision to heal with minimal tension
Some patients choose to use a walker for the first few days as a reminder to maintain this position. Wedge pillows can also help maintain this position while sleeping.
Complimentary Postoperative Lymphatic Massage
At Jacobson Cosmetic Surgery, we incorporate postoperative manual lymphatic drainage (MLD) as part of the recovery process.
All surgical patients receive a postoperative lymphatic massage with Via Medical Massage, a trusted partner experienced in post-surgical recovery care.
Lymphatic massage helps:
- Reduce swelling
- Improve fluid drainage
- Decrease discomfort and tightness
- Support smoother healing of tissues
Because of the benefits we have seen in our patients, the first lymphatic massage is included in the surgical package.
Long-Term Results
You will notice a flatter abdomen immediately after surgery, although swelling will gradually improve over time.
Final results typically develop over several months as swelling resolves and tissues settle.
The tummy tuck scar is permanent but strategically placed low on the abdomen so it can typically be hidden beneath clothing or swimwear.
The focus is on achieving:
- A flatter abdomen
- A smoother waistline
- Improved core contour
- Balanced body proportions
Body Before & After Gallery
“Natural Results —
Never Overdone.”
Dr. Jacobson’s goal with abdominoplasty is to restore natural abdominal proportions and core support.
The focus is on achieving:
- A flatter abdomen
- A smoother waistline
- Improved core contour
- Balanced body proportions
Results are designed to appear natural, refined, and harmonious with the rest of the body.
Why Choose Dr. Jacobson for a Tummy Tuck?
- Expertise in aesthetic body contouring
- Personalized surgical planning based on anatomy
- Advanced pain control with Exparel®
- Liposuction integration for refined contour
- Postoperative lymphatic massage included in recovery
- Concierge-level care from consultation through recovery
Tummy Tuck FAQs
How much does a tummy tuck cost in Lincoln, Nebraska?
The cost of tummy tuck surgery varies depending on the complexity of the procedure, the amount of skin laxity present, and whether liposuction is included as part of your surgical plan. During your consultation at Jacobson Cosmetic Surgery, Dr. Jacobson will perform a detailed evaluation and create a personalized treatment plan with individualized pricing.
In general, a traditional tummy tuck typically ranges from approximately $10,000–12,000 and usually involves about 3–4 hours in the operating room.
A more comprehensive approach combining a tummy tuck with Lipo 360 — addressing the abdomen, waistline, flanks, and back for full torso contouring — is typically a 5–6 hour surgery and generally ranges from $15,000–16,000 on average.
Pricing includes multiple factors such as:
- Surgeon fees
- Operating room and anesthesia costs
- Postoperative garments and supplies
- Follow-up care and recovery visits
We also offer financing options through third-party financing companies, including Cherry and PatientFi, and the outpatient surgery center accepts these payment plans as well to help make surgery more accessible for patients.
How long is recovery after tummy tuck surgery?
Recovery after tummy tuck surgery is a process, and it is important to give your body time to heal properly. Swelling, tightness, soreness, and fatigue are all normal parts of recovery during the first several weeks after surgery.
Most patients at Jacobson Cosmetic Surgery take approximately 10–14 days away from work for their initial recovery period. After that, many patients are able to return to work on light duty or resume lower-demand daily activities, although energy levels are still typically reduced during the first month as the body dedicates significant energy toward healing.
For the first 10–14 days, most patients benefit from having assistance at home with children, pets, errands, household responsibilities, and general daily activities. During this early recovery phase, patients are walking slightly bent at the waist to protect the incision and minimize tension on the repair.
By around 2 weeks postop, most patients are independently performing normal activities of daily living, but fatigue and swelling can still fluctuate for several weeks afterward. Strenuous exercise, core workouts, and heavy lifting are typically restricted for approximately 4–6 weeks depending on healing progress and the extent of surgery performed.
While everyone heals differently, most patients feel significantly more functional after the first 10–14 days and gradually return to regular routines over the following several weeks, with some lingering fatigue and swelling being completely normal during the healing process.
Will a tummy tuck remove stretch marks?
A tummy tuck can improve or remove some stretch marks, but it depends on where they are located on the abdomen.
Stretch marks are essentially an area of damaged or thinned dermis (the deeper layer of the skin), often resulting from pregnancy, weight fluctuations, or rapid stretching of the skin over time. During a tummy tuck, the excess lower abdominal skin is surgically removed — meaning any stretch marks located within that skin are removed as well.
In most patients, this includes stretch marks located below the belly button, since that is typically the portion of skin excised during surgery.
Stretch marks located above the belly button are usually not completely removed, but they are often repositioned lower on the abdomen as the upper abdominal skin is pulled downward during the tummy tuck. As a result, many patients notice improvement in the overall appearance and location of their stretch marks even if they are not entirely eliminated.
At Jacobson Cosmetic Surgery, Dr. Jacobson will evaluate your skin quality, stretch marks, and abdominal anatomy during consultation to help determine what improvements you can realistically expect from tummy tuck surgery.
Will my tummy tuck scar be visible?
This is one of the most common questions we receive during tummy tuck consultations at Jacobson Cosmetic Surgery — and understandably so.
A tummy tuck does require a lower abdominal incision, but Dr. Jessica Jacobson takes meticulous measurements during surgery to ensure the scar is positioned as low as possible along the bikini line so it can typically remain well concealed beneath underwear, lingerie, swimsuits, and most clothing styles.
Because a tummy tuck incision is naturally a high-tension closure — which is necessary to achieve the flattest and tightest abdominal contour possible — postoperative care plays a very important role in how the scar ultimately heals. During the early recovery period, patients are instructed to remain slightly bent at the waist (often jokingly described as walking “like a taco”) to reduce tension and pulling on the incision line. This helps prevent the scar from migrating upward over time and may also help minimize widening or thickened (hypertrophic) scar formation.
Dr. Jacobson also utilizes specialized internal closure techniques designed to support optimal scar healing. She uses absorbable INSORB® staples placed underneath the skin to help distribute tension away from the surface of the incision. These deep dermal staples can support thinner, more refined scar healing and often help the incision mature into a fine, pencil-thin line over time.
At JCS, we are also very proactive about scar management after surgery. Patients receive guidance on the use of medical-grade silicone scar gel and silicone scar tape, both of which have been extensively researched and shown to help scars heal flatter, softer, and less noticeable over time.
While every patient heals differently depending on genetics, skin type, and aftercare, meticulous surgical technique combined with proper postoperative scar care can make a significant difference in the final appearance of your tummy tuck scar.
In short: yes — tummy tuck scars are designed to heal very low and are typically well hidden beneath bikini bottoms and swimwear once healed.
Can liposuction be combined with a tummy tuck?
Yes — and in modern body contouring surgery, liposuction is very commonly and safely combined with a tummy tuck to create a more sculpted, feminine result.
Historically, there was concern that performing liposuction at the same time as an abdominoplasty could compromise blood supply to the abdominal skin and increase healing complications. While protecting the blood supply is still extremely important in every tummy tuck procedure, surgical techniques, technology, and safety protocols have evolved significantly over time.
Today, when performed thoughtfully and by an experienced surgeon, liposuction can safely be incorporated with tummy tuck surgery to enhance contour, improve waist definition, and create smoother transitions throughout the torso. In fact, combining the two procedures often leads to a much more natural and aesthetically pleasing result compared to a tummy tuck alone.
At Jacobson Cosmetic Surgery, all of our tummy tuck procedures include VASER liposuction for high-definition sculpting. This allows Dr. Jacobson to contour not only the front of the abdomen, but also the waistline, flanks, and surrounding areas to accentuate the body’s natural curves and feminine anatomy.
Without liposuction, a tummy tuck can sometimes leave the abdomen appearing flat but boxy or rectangular, what many patients describe as a “window shade” or even “SpongeBob”-type appearance to the torso. Strategic liposuction helps avoid this by creating shape, narrowing the waist, and blending the abdomen seamlessly into the hips and back.
In short: yes, liposuction and tummy tuck surgery are not only compatible, but often work best together to achieve the tightest, smoothest, and most sculpted overall result.
Serving Lincoln and Surrounding Nebraska Communities
Jacobson Cosmetic Surgery proudly provides tummy tuck surgery for patients throughout Lincoln, Omaha, Grand Island, Kearney, and across Nebraska. Many patients travel to our Lincoln practice for Dr. Jacobson’s personalized surgical approach and concierge-level care.
Related Procedures
Patients considering a tummy tuck may also be interested in these complementary procedures:
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