Tummy Tuck

At our practice in Rochester, tummy tuck surgery, technically called abdominoplasty, is a very popular option with Syracuse and Buffalo, NY patients who want a slimmer, flatter abdomen free from sagging tummy skin. Women who want a flatter abdomen after having children are the most common tummy tuck patients, but men who have lost weight also come to the Quatela Center for Plastic Surgery for tummy tuck surgery.

Women and men from nearby New York cities as well as out of state travel to our practice to have Dr. William Koenig or Dr. Emese Kalnoki perform their surgeries. Both Dr. Koenig and Dr. Kalnoki are board-certified plastic surgeons and body contouring specialists, and have more than 30 years of combined experience performing tummy tuck procedures. Request a consultation using our online form to meet personally with Dr. Koenig or Dr. Kalnoki, or call our office at (585) 244-1000 to schedule an appointment

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What Is a Tummy Tuck?

Abdominal skin stretched by pregnancy or large weight gain often will not return to its former state after childbirth or weight loss. Men and women who undergo weight loss surgery, such as a gastric bypass, will typically have excess skin that hangs in rolls over the waist. Exercise and making changes to your diet won't help tighten the skin or repair stretched abdominal muscles. A tummy tuck removes excess skin and repairs abdominal muscles, if necessary, resulting in a contoured midsection. The procedure is often combined with liposuction, which removes excess fat for a more sculpted waist and flanks. Women who have finished having children may also want cosmetic breast surgery as part of a Mommy Makeover.

Dr. William J. Koenig Dr. William J. Koenig

William J. Koenig, M.D.

Specializes in Breast & Body Procedures

A board-certified plastic surgeon, Dr. Koenig's experience and gentle bedside manner help put patients at ease and build an uncommon level of trust. He meticulously customizes each procedure, and sculpts beautiful results that consistently exceed his patients' expectations.

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Dr. Emese Kalnoki Dr. Emese Kalnoki

Emese Kalnoki, M.D.

Specializes in Body Contouring & Breast Procedures

A talented artist and board-certified plastic surgeon, Dr. Kalnoki specializes in plastic surgery after weight loss or pregnancy and other body contouring procedures. As a woman, Dr. Kalnoki brings a unique perspective to the Quatela Center for Plastic Surgery.

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Ideal Tummy Tuck Candidates

If you're self-conscious about having excess abdominal skin and avoid wearing a bikini or, if you're a man, taking your shirt off in public, a tummy tuck performed by Dr. Koenig or Dr. Kalnoki is an excellent option. You should be in good overall health and have reasonable expectations about the results. The procedure is particularly beneficial if you've given birth and don't plan to have additional children or if you've lost a significant amount of weight and have excess skin.

Your Consultation

The consultation is your opportunity to meet your surgeon, discuss your concerns about your appearance, and ask questions about the potential benefits of having a tummy tuck. Dr. Koenig or Dr. Kalnoki reviews your medical history and current medications, and performs a physical examination.

After listening to you describe your short and long-term aesthetic goals, your surgeon may recommend an abdominoplasty, a different procedure, or combining the tummy tuck with other cosmetic surgery. Before-and-after photos of our recent tummy tuck patients help you visualize the procedure's potential results. After an open and honest discussion, Dr. Koenig or Dr. Kalnoki create a customized treatment plan and a member of our team will quote a specific cost of the tummy tuck before you leave.

Choosing the Right Plastic Surgeon

Dr. William Koenig is a double board-certified plastic surgeon with nearly 25 years of experience and has performed over 1,000 abdominoplasty procedures. Dr. Kalnoki is a highly trained, board-certified plastic surgeon specializing in body contouring procedures. Both surgeons are known for producing results that look natural and meet the patient's unique needs, using advanced surgical techniques honed throughout his career.

Preparing for Your Tummy Tuck

A nurse reviews with you detailed pre- and post-operative abdominoplasty instructions and it is important that you carefully read through these instructions. Please do not hesitate to contact the Quatela Center for Plastic Surgery if you have any questions. To assist in ensuring a safe procedure, and a smooth recovery, please keep the following points in mind:

  1. Arrange for a ride home from the Lindsay House Surgery Center after your procedure.
  2. Pick up prescriptions and over-the-counter medicines before the day of surgery.
  3. Get help with light chores because you'll be sore and tired for several days.
  4. Have reading materials, the TV remote, and extra pillows near your bed.
  5. Put all important phone numbers and emergency information in an easy-to-find location.
  6. Decide ahead of time what you want to tell friends and co-workers about your surgery.
  7. Always take the recommended time off work to heal, usually 2 weeks for a tummy tuck.
  8. Put your follow-up appointments on your calendar and attend each appointment with your surgeon.
  9. Relax; this is the most important thing you can do for a stress-free recovery period.

Your Procedure

Our surgeons use general anesthesia during a tummy tuck and the procedure generally takes 2 to 4 hours. Their expertise and training in various surgical techniques allows them to tailor the procedure to your needs.

Dr. Koenig and Dr. Kalnoki begin by making a vertical incision from hip to hip just above the pubic bone. A full tummy tuck involves repositioning the belly button, so our surgeons make an incision around the navel and down to connect with the vertical incision. Then they remove excess skin and fat. Liposuction is a common part of a tummy tuck, with Dr. Koenig and Dr. Kalnoki using it to sculpt and shape the abdomen. A full tummy tuck also includes tightening the abdominal muscles. Before closing the incisions, your surgeon pulls the underlying tissue tight.

A mini-abdominoplasty, or mini tummy tuck, involves a shorter incision, similar to that of a Caesarean section. Dr. Koenig and Dr. Kalnoki still remove excess skin and fat and tighten the layer of skin just below the belly button. A mini tummy tuck is best for patients seeking the majority of correction below the belly button.

Diagram of the five steps of a Tummy Tuck procedure

For patients who have lost a significant amount of weight, such as after a gastric bypass, our surgeons may perform what's called a belt lift. In addition to tightening the abdomen, they also lift the outside of the thighs and the buttocks. Your surgeon discusses all of your body contouring options during your consultation.

During this procedure, not only is the abdomen tightened, but the lateral thighs and the buttocks are lifted as well. During your consultation, your surgeon discusses all of the abdominoplasty options and which one would work best for your situation.

Reverse Tummy Tuck

Tummy tuck surgery is one of the most popular procedures for Dr. Koenig and Dr. Kalnoki. The procedure yields extremely effective results for candidates with loose skin and/or muscle separation in the lower abdomen. However, for patients who are seeking repair of their upper abdomen, a traditional tummy tuck may potentially not address their specific area of concern.

A reverse tummy tuck is an excellent option for those seeking improvement of skin laxity and/or muscle correction in the upper abdomen to create a smoother, tighter appearance. The incision is placed across the inframammary fold, or breast crease, which allows it to be easily hidden by a bra or two‐piece bikini. With scarring being a chief concern for many potential patients, Dr. Koenig and Dr. Kalnoki both find that the majority of their patients are highly satisfied with their results after surgery.

After pregnancy or drastic weight loss, patients often seek a combination of breast augmentation with or without a lift and a reverse tummy tuck. One benefit of combining these procedures is that the same incision can be used for both thereby minimizing scarring.

Most patients are able to return to work and normal activities one week after surgery. Patients typically have mild to moderate pain immediately after surgery but report that it typically decreases significantly after the first few days.

If you are interested in learning more about this state‐of‐the‐art treatment option from Dr. Koenig or Dr. Kalnoki, please contact our office at 585.244.1000.


Patients each recover at their own pace, but there are some general guidelines that are useful to keep in mind. Most tummy tuck patients need up to two weeks for the initial recovery. Expect bruising and swelling in the abdominal area, which should resolve gradually during the recovery process. Dr. Koenig or Dr. Kalnoki prescribe medication to help you remain comfortable. A pain pump is used for most patients. The drainage tubes inserted during the procedure remain in place for 4 to 5 days before your surgeon removes them at a follow‐up appointment. Also, a specialized tight-fitting garment that helps you heal is worn for several weeks.

Expect to return to work after a week or two, but you shouldn't resume vigorous exercise for six weeks. Initially, the results are difficult to notice because of swelling. The full results may take up to six to eight months to see. Dr. Koenig and Dr. Kalnoki both attempt to make abdominoplasty incisions low enough that the resulting scar is easily concealed when wearing even a low-cut bikini bottom. Additionally, we offer embrace®, an advanced scar therapy that specifically helps healing and reduces the appearance of surgical scars. Over-the-counter creams and oils are also available for scar treatment.

Frequently Asked Questions

Below are answers to some of the questions our surgeons hear most frequently about tummy tuck surgery.

What are the risks of a tummy tuck?

Abdominoplasty performed by a highly trained and experienced plastic surgeons such as Dr. Koenig and Dr. Kalnoki is considered an extremely safe and effective procedure. As with any surgical procedure, complications can occur. Some of these include bleeding, infection, scarring, blood clots, and fluid collection.

Where is the surgery performed?

Our surgeons perform all of their procedures at the Lindsay House Surgery Center, the Quatela Center for Plastic Surgery's private, on-site operating facility.

What happens if I get pregnant after a tummy tuck procedure?

We recommend getting a tummy tuck only after you've decided not to have more children. During a tummy tuck, your surgeon tightens the skin and abdominal muscle fascia (both of which stretch during pregnancy). A pregnancy after having a tummy tuck likely will undo much of the improvement achieved with the surgery.

How long does a tummy tuck last?

The results from a tummy tuck procedure should last indefinitely as long as you maintain a relatively healthy lifestyle that includes regular exercise and a nutritious diet. Gaining a significant amount of weight after the procedure can compromise the results.

What procedures can be combined with a tummy tuck?

Procedures that can be combined with a tummy tuck are liposuction and cosmetic breast surgery, such as breast augmentation with a lift. Combining these procedures is often referred to as a Mommy Makeover.

What are the tummy tuck options?

The different types of tummy tucks are:

  • Mini tummy tuck — allows for a short incision and tightens the abdomen below the belly button
  • Full abdominoplasty — tightens the entire abdomen
  • Extended abdominoplasty — tightens the abdomen and flanks
  • Belt lift — tightens the entire torso circumferentially. This procedure is usually performed on patients who have lost a great deal of weight, often through gastric bypass surgery.

Will stretch marks be removed by a tummy tuck?

Stretch marks on the lower part of the abdomen below the belly button will be included in the section of skin that is removed. If you have stretch marks higher on the abdomen, they won't be removed. Because the procedure tightens that skin, the appearance of those stretch marks usually improves.

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Quatela Center
for Plastic Surgery

The Quatela Center's reputation as one of New York's finest cosmetic plastic surgery practices attracts patients to Rochester from throughout the state. Choose one of the locations below for driving directions to our practice.

Contact Us

The Lindsay House

973 East Avenue
Rochester, NY 14607
Phone: (585) 244-1000

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