For the majority of American Board of Plastic Surgery certified doctors, the tummy tuck is a bread and butter operation, even if their practices are not just cosmetically centered. However, there have been a lot of advancements that make tummy tuck results better than they were just 20 years ago. Here are a few highlights: 1. Using progressive tension sutures (PTS). These allow optimum tightening of the skin and simultaneously eliminate the need for drains. Any surgeon who says you need a drain for a tummy tuck is stuck in the early 2000's. 2. Using liposuction to reduce the fat load and/or sculpt the abdomen. Any surgeon who says it's dangerous to perform liposuction of the abdomen (or any other body part) and also perform a tummy tuck is also not keeping up with modern scientifically proven techniques. 3. Using anticoagulants after surgery to protect the patients from deep venous thrombosis (DVT) and pulmonary emboli (PE). Tummy tucks have been raised to the next level in aesthetic precision, and this increases operative time to an operation that already has a higher than average rate of these dangerous complications (1/5000 for DVT, 1/10000 for PE). The use of specific heparin fragment anticoagulants like Fondaparinux after surgery for up to 5 days reduces that risk to virtually zero without increasing the risk of significant bleeding. 4. Scar placement. This one may be a little difficult to understand, but it has to do with the belly button and how much 'extra skin' a prospective patient has. There has been a persistent and erroneous belief that the hole created while separating the skin of the abdomen from the belly button needs to be removed in order to prevent another scar in addition to the long transverse incision, the hallmark of a tummy tuck. This belief is the basis for tummy tuck incisions being too high, the creation of the 'floating belly button' tummy tuck, the use of a 'mini tuck' when a full tuck was necessary, or patients being told they aren't candidates for a tummy tuck. It's all wrong thinking and leaves patients with the wrong operation or a scar that is unaesthetically too high. Instead, the hole should virtually be ignored and the placement of the long scar should be very, very low. This leads to a scar that sits in the conceptual border between the belly, and pubis centrally, and the belly and thigh laterally. The hole is simply closed vertically, and becomes visually difficult to see. The choice is simple: either have a long scar that's too high and will forever be visible, or placement of the long scar low (where it virtually disappears, even when naked) and a small midline vertical scar that can be seen in public with notice. OK, there you go with the talking points. Go find some surgeons to consult with!