Experience the MPSG difference

Extended Tummy Tuck in Indianapolis & Carmel, IN

Address loose skin across the abdomen and flanks with an extended tummy tuck designed for more comprehensive contouring after major weight loss.

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Personalized Breast Implant Surgery with Dr. John Aker and Dr. Di Beckman—Breast Implants Designed Around Your Shape, Proportions, and Goals

Whether you want to restore fullness or enhance your proportions, breast augmentation can be tailored to your desired outcome and unique anatomy. At My Plastic Surgery Group, Dr. John Aker and Dr. Di Beckman provide personalized breast augmentation for patients in Carmel, Indianapolis, and throughout Central Indiana.

From implant selection to surgical technique, your procedure is carefully planned around you. Options include our Hidden Scar Breast Augmentation technique, which avoids an incision on the breast, as well as the inframammary fold approach.

What Is Breast Augmentation?

Breast augmentation is a surgical procedure that uses implants to increase breast volume. It can enhance small breasts, replace volume lost after pregnancy or weight changes, improve breast proportions, and improve symmetry.

Because every patient is different, your surgeon will consider your breast and chest measurements, existing tissue, skin, lifestyle, and cosmetic goals when developing your treatment plan.

Who Is a Candidate for Breast Augmentation?

Breast augmentation candidates must be in good general health, have fully developed breasts, and have realistic expectations for the procedure’s outcome. Since pregnancy and breastfeeding can affect breast size and shape, patients often choose to wait until their family is complete to undergo this surgery to avoid compromising their results and a potential need for a revision procedure.

If breast sagging is a concern, implants alone may not provide the result you are looking for. In those cases, your surgeon may recommend a breast lift or discuss combining a lift with augmentation.

A consultation with one of our surgeons is the best way to find out if you are a candidate. In addition to learning about what you want to achieve, answering any questions you may have, and performing an examination, your surgeon will review your health history and medications to determine if breast augmentation is the right option for you.

Unique Approach

Why Choose MPSG for Your Extended Tummy Tuck

At My Plastic Surgery Group, we take a personalized approach to circumferential tummy tuck surgery, helping patients achieve smoother, more balanced body contours following pregnancy, significant weight loss, or changes in skin elasticity over time. Unlike a traditional tummy tuck that focuses primarily on the front of the abdomen, a circumferential tummy tuck treats the entire midsection, including the abdomen, flanks, and lower back, for more comprehensive contouring results.

Our surgeons prioritize individualized surgical planning, thoughtful incision placement, and natural looking contouring while supporting patients through every stage of the recovery process.

Combination Procedures

Extended Tummy Tuck Before & After Results

Explore extended tummy tuck before-and-after photos showing broader removal of loose skin across the abdomen and flanks for patients seeking more comprehensive contour improvement after significant weight loss.

Patient A • Age 74

Actual Patient | Carmel, IN | Deep Plane Facelift | 6M Post-Op

Patient B • Age 65

Actual Patient | Carmel, IN | Facelift + Neck Lift | 12M Post-Op

Patient C • Age 53

Actual Patient | Carmel, IN | Facelift + Neck Lift | 12M Post-Op

Questions & Answers with Dr. Aker

What is the difference between a standard tummy tuck and a circumferential tummy tuck?

A standard tummy tuck focuses on improving the front of the abdomen by removing excess skin, tightening abdominal muscles, and creating a flatter stomach contour. A circumferential tummy tuck, also known as a body lift or 360 tummy tuck, extends around the waistline to address the abdomen, flanks, hips, and lower back for more comprehensive body contouring. This approach is often recommended for patients after major weight loss or for those seeking a more complete transformation of the midsection and waist.

Does a circumferential tummy tuck lift the back and buttocks?

Yes. A circumferential tummy tuck or lower body lift can improve the appearance of the lower back, outer thighs, and buttocks in addition to the abdomen. By removing excess skin and tightening tissue around the entire waistline, the procedure can create a natural lifting effect to the buttocks and improve overall body contour. The goal is to achieve a smoother, more balanced transition from the front, sides, and back for a more complete and proportional result.

What is recovery like after a circumferential tummy tuck?

Recovery after a circumferential tummy tuck or lower body lift is typically longer than recovery from a standard tummy tuck because the procedure addresses the entire midsection, including the abdomen, flanks, and lower back. Most patients require additional time for swelling, soreness, and mobility to improve before returning to normal activities. Our team provides detailed recovery instructions, close post-operative follow-up, and structured recovery planning to help patients heal as safely, comfortably, and smoothly as possible throughout the process.

How extensive is scarring after a circumferential tummy tuck?

A circumferential tummy tuck scar extends around the lower torso to address the abdomen, flanks, hips, and lower back. While the incision is more extensive than a standard tummy tuck, it is carefully placed low enough to be concealed beneath most underwear, swimwear, and clothing. Our approach prioritizes strategic incision placement, meticulous surgical technique, and post-operative scar care to help optimize healing and support the best possible scar appearance over time.

Do I need to stop smoking or vaping before a circumferential tummy tuck?

Yes. Smoking, vaping, and all nicotine products must be stopped before a circumferential tummy tuck or lower body lift. Nicotine significantly decreases blood flow and oxygen supply to healing tissues, which increases the risk of poor wound healing, infection, skin loss, delayed recovery, and more noticeable scarring after surgery. Because a circumferential tummy tuck involves a larger incision and more extensive healing, avoiding nicotine is especially important for patient safety and optimal results. Patients are typically required to remain nicotine-free for several weeks before and after surgery as directed by their surgeon.

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The Specifics

Tummy Tuck Procedure Details

The Goal of a Tummy Tuck

A circumferential tummy tuck, also referred to as a 360 tummy tuck or lower body lift, is a more comprehensive body contouring procedure designed to address excess skin and tissue around the abdomen, waistline, flanks, and lower back. Unlike a traditional tummy tuck that focuses primarily on the front of the abdomen, a circumferential approach improves contour around the entire lower torso for more balanced, circumferential refinement.

Many patients seek circumferential tummy tuck surgery following pregnancy, significant weight loss, or changes in skin elasticity when excess skin and tissue extend beyond the abdomen to the hips, flanks, or lower back. This procedure may help improve body contour, waistline definition, clothing fit, and overall body proportion while creating a smoother transition between the abdomen, waist, and lower body.

Depending on the patient’s anatomy and surgical plan, a circumferential tummy tuck may also provide improvement in the appearance of the outer thighs and buttocks through circumferential skin tightening and contouring techniques. Our surgeons focus on natural looking body contouring results with individualized treatment planning and thoughtful incision placement.

Good Tummy Tuck Candidates

Good candidates for a 360 tummy tuck, also known as a circumferential tummy tuck or lower body lift, are patients with excess skin and tissue around the entire waistline, including the abdomen, flanks, hips, and lower back. This procedure is especially common after significant weight loss or pregnancy when loose skin cannot be improved through diet and exercise alone. Ideal candidates are typically at or near a stable goal weight, in good overall health, and looking for more comprehensive body contouring results. During your consultation, your surgeon will evaluate your anatomy, skin quality, and goals to determine whether a 360 tummy tuck is the best approach for your transformation.

Common Concerns Addressed by Circumferential Tummy Tuck Surgery

A circumferential tummy tuck may help improve concerns such as:

Excess abdominal skin
Loose skin extending around the waistline or lower back
Skin laxity following pregnancy or weight loss
Lower body contour imbalance
Difficulty with clothing fit
Circumferential skin excess
Stretching of the abdominal wall

Recovery & Surgical Planning

Because circumferential tummy tuck surgery addresses multiple areas of the lower body simultaneously, recovery is generally more extensive than a standard tummy tuck procedure. Temporary swelling, tightness, activity restrictions, and compression garments are expected during the healing process.

Our team provides detailed postoperative guidance and individualized recovery planning designed to support patient comfort, healing, and long-term contour results.

The Cost of an Extended Tummy Tuck

Circumferential tummy tuck pricing typically ranges from $17,000–$22,000 depending on surgical complexity, anatomy, and individualized treatment planning. A consultation is required to provide a customized surgical quote.

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Discuss an Extended Tummy Tuck With Our Surgeons

Visit My Plastic Surgery Group in Carmel to learn whether an extended tummy tuck can address excess skin across your abdomen and sides. We welcome patients from Indianapolis, Westfield, Fishers, Zionsville, and across Central Indiana.

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Breast Augmentation FAQs

How much does breast augmentation cost in Indianapolis?

The price of breast enhancement in the Indianapolis area varies based on the specifics of the procedure. When determining total breast augmentation cost, we factor in the cost of the implants, the specific techniques utilized, the total time required to complete the procedure, and many other aspects of the surgery. A detailed cost estimate will be provided during your consultation once your surgical plan has been created.

Financing is available through Cherry, CareCredit, and PatientFi for qualified patients.

What is “rippling”?

It is common to feel a slight “crinkly” sensation along the breast fold where the implant comes closest to the surface. In very slender women, there may be visible wrinkling on the skin surface. It is more commonly observed with saline than with silicone gel implants and can occur in different areas of the breast.

Is over-the-muscle or under-the-muscle breast implant placement better?

The breast implant pocket can be either directly behind the breast tissue or behind the pectoral muscle which is behind the breast tissue. Dr. Aker prefers to place the implant behind the pectoral muscle to give the upper breast a more natural slope and graceful appearance.

Will breast augmentation improve sagging breasts?

While limited breast sagging is frequently corrected by breast augmentation, a breast lift may be required for greater degrees of drooping.

What are the most common complications after breast augmentation?

A common short-term issue is temporary changes in nipple sensation. A temporary tight sensation in the armpit may also occur when the endoscopic technique is performed.

Breast implants are not considered lifetime devices and may need to be replaced after 10 to 15 years. Regular follow-up with your surgeon can help monitor your implants and address any issues if they occur.

How do I choose the right breast implant size?

Choosing the right implant size depends on your body proportions and desired outcome. We guide you through the process to ensure a natural, balanced result.

What is the difference between silicone and saline implants?

Silicone implants are filled with a cohesive silicone gel, while saline implants are filled with sterile salt water. We help you select the option that best fits your goals and anatomy during your consultation.

Is it possible to combine breast augmentation with other procedures?

Absolutely. Breast augmentation surgery is frequently combined with tummy tuck surgery or breast lift surgery for a “mommy makeover” to address pregnancy-related changes in breast and body contours.

Do saline implants last longer than gel implants?

The failure rate over time is about the same.

Could I lose nipple sensation after my breast augmentation?

It is very unlikely to permanently lose sensation. It is common to have temporary increased or decreased sensation.

If I gain weight, will my implants look different?

This varies from woman to woman. Some women experience significant changes in breast size with weight fluctuations, while others notice very little change.

I’ve heard my implants might “settle”. What does that mean?

Shortly after surgery, the implants tend to “ride high” due to spasm of the muscle. Over the weeks following surgery, the muscle and breast tissue relax, allowing the implant to descend into a more natural position. This process is called “settling”.

How soon will I be able to return to work?

For less physical job requirements, patients can usually return to work after 3–5 days, while those with more physically demanding jobs may need 5–7 days.

Will my breast implants interfere with a mammogram?

Women with breast implants can continue to have routine mammograms. Because implants can make some breast tissue more difficult to see, additional views or special imaging techniques may be used to obtain a thorough examination. Be sure to let the mammography facility know that you have breast implants when scheduling your appointment so they can plan accordingly.

Will my scars be noticeable after my surgery?

If the endoscopic technique is used, there will be no scar on the breast at all. With the inframammary approach, there will be visible scars in the crease under the breast, though they fade significantly over time.

Can I breastfeed after I have breast augmentation surgery?

Many women are able to breastfeed after breast augmentation. However, it is not possible to predict with certainty how breastfeeding will be affected. Your surgeon can discuss this with you in more detail based on your procedure and future plans for pregnancy and breastfeeding.

Explore Breast Augmentation Options at Our Carmel,
IN Plastic Surgery Practice

If you are considering breast augmentation surgery in Indiana, contact MPSG to schedule a consultation with Dr. John Aker or Dr. Di Beckman at our Carmel office to discuss implant type, size, profile, placement, and incision options. We proudly serve patients from Indianapolis and throughout Central Indiana, including Westfield, Fishers, and Zionsville.