Patients often lose many inches and go down several sizes, but typically do not lose much weight as a result of a tummy tuck. Most of my patients report a weight loss of less than five pounds, but the real difference is in their size and contour. View dozens of before and after images to see what kind of change can be achieved. When viewing before and after images, pay close attention to waist dimensions. Some plastic surgeons pay very close attention to making the waist smaller and tighter. Others, it seems, do not. Some patients lose more weight in the weeks and months after surgery as they are inspired to do more to stay fit and healthy. The satisfaction patients experience is not from a number on the scale, but the new ability to wear form fitting clothing, to tuck in a shirt or to wear a swimsuit with confidence. It is quite amazing to see some before and after photographs where men and women have literally been transformed and learn that the weight loss has been fairly insignificant. While on the topic of weight,. people who are close to their ideal weight typically receive the best results from body contouring surgery. Surgery does things that weight loss and working out cannot do, likewise, being fit and eating a healthy diet can provide health benefits that plastic surgery cannot provide.The following are a few things that can distinguish some surgeons from others1) Graduating from a top tier medical school at the top of their class. 2) Membership in Alpha Omega Alpha. This is the medical honors society. Alpha Omega Alpha is to medicine what Phi Beta Kappa is to undergraduate universities3) Formal surgical training from prestigious medical universities. The minimum number of years of surgical training for plastic surgeons to be board certified is five years. Some physicians have as many as ten years of formal surgical training. There simply is no substitute for stelar academic and practical surgical training. 4) Very experienced surgeons with meticulous surgical technique and natural looking outcomes will have photgraphic evidence of their work. Patients should be able to view many photos of the surgery of interest, photgraphed from three different perspectives all with similar lighting, distance from the camera and croppingThe elite experience extends beyond the surgeon to the facility, and the surgical team. You should be able to see the surgical theater and know who else will be in the OR with you during surgery. The Joint Commission (JCAHO) is an organization that provides certification to hospital OR's. The Joint Commission and AAAASF are two of the organizations that can provide certification to surgical suites. Some plastic surgeons elect to have their surgery centers dually certified.The anesthesia experience is critical to a safe and comfortable surgical experience. A board certified anesthesiologist can administer general or MAC anesthesia. My preference is to have a board-certified anesthesiologist at the bedside of my patients for the duration of surgery.Plastic surgeons who cater to high profile individuals who place a high value on privacy will have a private first floor entrance and exit so patients never need to be in a public lobby or elevator for pre-operative or post operative visits.