Hello TummyTucked, thank you for your question regarding the size difference you can expect after a tummy tuck. A tummy tuck, or abdominoplasty, is designed to remove excess skin and fat from the abdominal area, as well as tighten the underlying muscles. This procedure typically results in a noticeable reduction in waist and belly size. However, the exact amount of size change can vary depending on several factors. The primary factors that influence the extent of size reduction include the amount of excess skin and fat present before surgery, the degree of muscle laxity, and the overall body composition. Patients who have significant amounts of loose skin and fat, particularly after substantial weight loss or multiple pregnancies, tend to see more dramatic changes. On average, patients can expect to lose several inches from their waistline after a tummy tuck. The exact number of inches can vary widely, but many patients report a reduction of 2-4 inches or more. Additionally, the tightening of the abdominal muscles can contribute to a flatter and more toned appearance, further enhancing the overall contour of the waist and belly. It's important to note that while a tummy tuck can significantly improve the shape and size of your abdomen, maintaining these results requires a commitment to a healthy lifestyle, including regular exercise and a balanced diet. The procedure is not a substitute for weight loss, but rather a way to address stubborn areas that do not respond to diet and exercise. Your surgeon will be able to provide you with a more accurate estimate of the size change you can expect based on your individual anatomy and surgical plan. Be sure to discuss your goals and expectations with your surgeon during your consultation to ensure you have a clear understanding of the potential outcomes. Good luck with your upcoming surgery. I hope I’ve answered your question regarding the expected size difference after a tummy tuck. Sincerely, J. Timothy Katzen, MD, FASMBS, FICS