Why do the majority of results for woman whom get tummy tucks end up with a square looking torso?

Why do the majority of results for woman whom get tummy tucks end up with a square looking torso?

Doctor Answers 12

Getting an hour glass figure with tummy tuck

That is an excellent question.  The short answer is that if the tummy tuck is designed properly a narrower waist and an hour-glass figure can be achieved with a tummy tuck procedure.  The combination of liposuction, muscle tightening, and the way the skin removal is designed will all help create a more feminine hour-glass type waistline.  Take a look at the before and after photos on my tummy tuck website for some examples of this.

All the best,

Dr. Remus Repta

Scottsdale Plastic Surgeon
4.9 out of 5 stars 165 reviews

Why Do Some Tummy Tuck Pictures Show A Square Appearing Torso?

A tummy tuck without liposuction is like a bicycle without tires.  Modern tummy tucks done by excellent Board Certified plastic surgeons get rid of excess skin, create attractive belly buttons and tighten separated abdominal muscles, but the process of shortening the abdominal skin and subcutaneous tissue vertically leads to pushing that tissue out laterally leading to a square appearance.  

Liposuction of the waist and lumbar roll at the same time as a tummy tuck improve the chances of a hourglass figure.  However, in individuals with a short torso, i.e. the bottom of the rib cage being close to the iliac crest, in my experience need a liposuction laterally along with the tummy tuck, and then a second stage liposuction to clear away residual fat and scar tissue that forms after the initial liposuction.  

Tummy Tuck Waist Contours


Thank you for your question. Tummy Tuck results depend on the anatomy that a person begins with, as well as the Plastic Surgeon's technique.  Just like other types of doctors, cosmetic surgeons have areas that they specialize in. Not every plastic surgeon is proficient in performing tummy tucks, so it’s key that you find someone who has a lot of experience and performs them on a regular basis. Talk with your Plastic Surgeon about your desired look and how they can best help you achieve it.

Take care

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 179 reviews

Tummy Tuck

Thank you for your question.  The key to getting a good contour in a tummy tuck is by combining aggressive liposuction of the abdomen as well as the flank. Liposuction of the flanks is critical to creating contour. The muscle plication is also a key element to providing a flatter and firmer abdomen. Hope that helps. Good luck. 

Arun Rao, MD
Tucson Plastic Surgeon
5.0 out of 5 stars 17 reviews

Waist Shape after Tummy Tuck

The reason you may see very few defined waists may be where you are looking. This procedure is the third most common cosmetic body procedure done by non plastic surgeons, behind breast augmentation and liposuction. When done properly by an expert plastic surgeon, an excellent shape should be produced by use of proper muscle plication and liposuction.

Robert T. Buchanan, MD
Highlands Plastic Surgeon
5.0 out of 5 stars 6 reviews

Shapely countour

Post abdominoplasty, the midsection usually has an hourglass configuration because of the muscle corsett and the skin tightening. The shape can be optimized with breast surgery and/of liposuction to other areas such as the flanks or mid back and usually heals with remarkably pleasing transformation. 

Larry C. Leverett, MD, FACS
Phoenix Plastic Surgeon
4.7 out of 5 stars 18 reviews

Hour glass shape

The objective  when doing a tummy tuck is to make the body contour as good as anatomically possible. Extra skin, residual fat deposits along the flanks and muscle separation  are the three anatomic hurdles to achieving the hourglass shape. Different patients have different degrees of each of these. A combination of tummy tuck with diastasis recti  repair  and liposuction of the flanks generally improves all these issues, and creates an hourglass shape. Many patients often do not incorporate some component of the treatment plan due to concerns over cost or  recovery time. Unfortunately, they may not get the best shape possible. 

Prashant Soni, MD
Danbury Plastic Surgeon
5.0 out of 5 stars 12 reviews

Square looking torso after tummy tuck

Hi and thanks for your question. Usually the waist shape improves after tummy tuck. In some cases liposuction in flanks is needed.


Hector Milla, MD
Mexico Plastic Surgeon
4.5 out of 5 stars 34 reviews

Square torso

Thank you for your question.  Most of my patients end up with a hour glass shape after abdominoplasty/tummy tuck, however, if the patient is still fairly heavy, they may not end up with a small of a waist as someone who is closer to their ideal weight. 

Best Wishes!

Jamie Moenster, DO
Tucson Plastic Surgeon
5.0 out of 5 stars 38 reviews

Tummy tucks and a square looking torso?

Results depend upon pre-procedure anatomy and upon surgical technique.  In the many tummy tuck patients I've cared for over the years, I've never encountered this complaint.  Your observation is insightful, but consider expanding your search of results to operators who achieve outcomes better aligned with your own aesthetic preferences.

Steve Laverson, MD
San Diego Plastic Surgeon
4.9 out of 5 stars 46 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.