Experience the MPSG difference

Tummy Tuck in Indianapolis & Carmel, IN

Restore a flatter, firmer abdomen by removing excess skin and tightening weakened abdominal muscles after pregnancy or 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 Tummy Tuck

“When discussing tummy tuck surgery, I often tell patients, 'You're going to hate me during recovery, but you'll love me later.' The reason is simple: I want to create the best result possible. To achieve a firm, smooth abdominal contour, I tighten the abdominal wall as much as safely possible, and then remove excess skin. This can leave patients feeling very snug during the early stages of recovery. While that tightness can be challenging at first, it is often what helps create the long-term improvement patients are seeking. I also try to place the scar low to fit within the lines of a swimsuit, elevate the pubic area to blend in with the tight tummy, and make the belly button look as natural as possible. I believe it is important to set realistic expectations, explain the recovery process thoroughly, and help patients understand that the temporary discomfort is part of the journey toward their final result.”

- Dr. John Aker

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“A tummy tuck can be a transformative procedure for patients who have experienced pregnancy, significant weight loss, or changes related to aging. During your consultation, we'll discuss your concerns and develop a treatment plan tailored specifically to you. I am committed to patients feeling confident in their bodies.”

- Dr. Di Beckman

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Combination Procedures

Tummy Tuck Before & After Results

Explore tummy tuck before-and-after photos showing improvements in excess abdominal skin, weakened or separated muscles, and midsection contour after pregnancy, aging, or significant weight loss.

Questions & Answers with Dr. Aker

The Specifics

Tummy Tuck Procedure Details

Tummy Tuck Process

An abdominoplasty is a plastic surgery technique commonly referred to as tummy tuck surgery. During an abdominoplasty, skin and tummy fat are removed from the mid and lower abdomen as upper abdominal skin is pulled downward. The muscular wall is repaired by pulling the abdominal muscles tightly back together, thereby narrowing the waistline and strengthening the abdominal wall. As the upper skin is pulled taut downward, a new opening is created for the navel, which has been preserved throughout this procedure. Oftentimes, it is necessary to place drains in the abdominal cavity which will stay in place throughout a portion of the tummy tuck recovery period. Recently, however, our surgeons have perfected a new technique that doesn’t require drains at all. Whether or not you are a candidate for our “drainless” abdominoplasty (tummy tuck) will be decided by the physician on an individual basis.

Good Tummy Tuck Candidates

Anyone who desires an improvement in the contour of their abdomen, and who is in reasonably good health is a candidate. Disease processes by themselves rarely contraindicate abdominoplasty. However, uncontrolled diabetes, hypertension, or other chronic illnesses may delay our decision to proceed until those illnesses are adequately treated. Those with a body mass index of greater than 35 should hesitate to undergo this procedure before they lose significant weight. Greater than 40 BMI suggests dangerous or morbid obesity. Those patients should be under the care of a weight loss physician or bariatrician. A BMI of 25 is a fair body mass index to aim for if one wants the best result obtainable. To check your body mass index, look it up on Google. There are charts available. Online BMI calculators are plentiful. There you enter your height and weight to obtain this information.

Tummy Tuck Recovery

Tummy tuck, or abdominoplasty, recovery is also something you will want to consider when making your decision. You should expect to stay in the hospital for at least 23 hours following tummy tuck surgery. It is unrealistic to expect you will be able to return to work any sooner than one week after your surgery. Ideally, you would take two weeks to rest and recover. Because the skin is pulled so tight, your posture will be affected the first few days following surgery. You may walk slightly bent over for 7-10 days but will notice with each passing day that you are able to stand up a bit straighter than the day before. A low-grade fever is not uncommon in the first few days after surgery and usually improves with deep breathing exercises. Any drains you might have will be concealed under your clothes and will be removed in our office 1-2 weeks after surgery. There will be daily progress, but you must be patient! Although results are impressive early on, they will continue to improve as swelling subsides over 12-16 weeks. After many years of performing this procedure, we know that each person recovers slightly differently and at different rates of speed. Tummy tuck or abdominoplasty results usually last for years if your weight remains stable. We are committed to treating each patient as an individual and will discuss those individual concerns regarding your recovery during your consultation.

Tummy Tuck Decision

The decision to have elective surgery is, in one major way, more difficult than a decision to have surgery for an illness. Elective surgery is not immediately necessary to save a life or limb. It is more of a long-term quality-of-life issue. Therefore, many of us will feel the weight of the decision in a special way; are we asking for trouble? Are we tempting God? There are many and varied ways that patients get through this decision. It helps greatly to talk with those whom you trust; loved ones, close friends, your plastic surgeon, and your family doctor. Not all will come off on the side of proceeding with the surgery, but all are worth listening to. Opinions from acquaintances, coworkers, or those with an agenda other than your well-being are not worth considering on the other hand. The decision process will be lonely unless you let those who truly care for you participate by being heard. Made in this way, your plastic surgeon has never seen a wrong decision. Ultimately, the decision is yours, of course.

Tummy Tuck Healing

Healing, like preparation for surgery, is in three parts: physical, emotional and spiritual. The parts overlap in most patients. In most patients, the course is marked by steady but uneven progress in all 3 areas.

Physical healing involves pain resolution, mobility, and return to normal activities. Swelling is as much or more of an impediment to this process as is pain. Most patients do take narcotic pain medication such as hydrocodone in the 1st week postoperatively. Most patients say they dealt with swelling tissues for several more weeks postoperatively. Those patients who physically heal fastest are those who work diligently at increasing their activity level every day and who get professional or family member massages regularly as well.
Emotional healing seems to take less time than physical healing for most patients. It seems to involve a mental acceptance that discomfort and contour irregularities are normal parts of the healing process. Focusing on things and people outside of the physical healing process seems to help. Concentration on slow, regular breathing is helpful as well. When you are breathing in a slow, deliberate fashion, your mind tends to understand the body’s needs for oxygen and calm in good measured doses. Long walks seem to help not only with mobility, but tend to resolve swelling more rapidly and are meditative in nature. Many of us believe walking is as good for the mind as it is for the body.

The Cost of a Tummy Tuck

The cost of a tummy tuck will depend on several factors. The price can be affected by body type, type of technique performed, surgical complications, and even allergies. Find out more by scheduling a consultation.

Standard tummy tuck pricing typically ranges from $11,000–$22,000 depending on surgical complexity, anatomy, and individualized treatment planning. A consultation is required to provide a customized surgical quote.

Extended Tummy Tuck

An extended tummy tuck addresses loose skin and excess tissue across a wider portion of the midsection than a traditional tummy tuck. In addition to improving the abdomen, the procedure extends around the hips and flanks to create a smoother transition between the stomach, waist, and sides. It may be appropriate for patients who have experienced significant weight loss or have excess skin that continues beyond the front of the abdomen. Because an extended tummy tuck involves a longer incision and more extensive correction, the procedure is customized around each patient’s anatomy and goals.

Mini Tummy Tuck

A mini tummy tuck is a less extensive option for patients whose concerns are primarily limited to the area below the belly button. The procedure removes a smaller amount of loose skin and may address mild lower abdominal muscle laxity while generally requiring a shorter incision than a full tummy tuck. It is best suited for patients who are near their goal weight and do not need significant correction across the upper abdomen. A mini tummy tuck is not simply a smaller version of the same operation, and it is not appropriate for every patient.

Get Started with MPSG

Plan Your Tummy Tuck Consultation

Consult with the surgeons at My Plastic Surgery Group in Carmel about a tummy tuck plan based on your anatomy and goals. Patients visit us from Indianapolis, Westfield, Fishers, Zionsville, and throughout Central Indiana.

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.