MidAmerica Plastic Surgery: Ryan Diederich, MD
4955 South State Route 159 #1
Glen Carbon, IL 62034
(618) 288-7855
Monday & Wednesday: 7 a.m.–5:30 p.m.
Tuesday & Thursday: 8 a.m.–5 p.m.
Friday: 8 a.m.–12 p.m.

The Spa at MidAmerica Plastic Surgery
4955 South State Route 159 #1
Glen Carbon, IL 62034
(618) 307-6233
Monday–Tuesday: 8 a.m.–5 p.m.
Wednesday–Thursday: 8 a.m.–7 p.m.
Friday: 8 a.m.–4 p.m.

Drainless Tummy Tuck

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Having a flatter, toned stomach can seem unattainable if your skin is stretched after losing weight. Even exercise and dieting aren’t enough to produce visible changes. That’s why many women and men choose to undergo abdominoplasty, often called a tummy tuck, at our practice outside St. Louis, MO. Tummy tuck surgery can restore confidence in your body after having children, or losing a significant amount of weight. At MidAmerica Plastic Surgery, Dr. Ryan Diederich is a board-certified plastic surgeon who combines experience and advanced training with a friendly personality to create a positive experience for patients.

Tummy Tuck Before & After Photos

Tummy tuck results can vary considerably depending on a variety of factors, including your age, height, and weight. Below we have included several image galleries of MidAmerica Plastic Surgery tummy tuck patients that show before and after photos of their results.

What is a tummy tuck?

A tummy tuck surgically removes excess fat and skin from the abdomen and tightens abdominal muscles that may have separated during pregnancy. This can create an abdominal profile that is smoother and firmer. Tummy tucks are not a substitute for weight loss through diet, exercise, or surgical means.

Who may benefit from a tummy tuck?

There are many reasons people come to see us about tummy tucks, including:

  • After pregnancy, often as part of a Mommy Makeover.
  • After weight gain or loss, whether it be through diet and exercise or procedures such as gastric bypass or gastric banding.
  • Following other surgical procedures.
  • As a result of aging.

What are the types of tummy tuck?

The tummy tuck procedure can be divided into four major types:


  • Mini tummy tuck: This procedure is for those with a minimal laxity of the abdomen. It only addresses some of the laxity below the belly button.
  • Full tummy tuck: Perhaps the most common procedure and often the procedure of choice after pregnancy. All skin and stretch marks below the belly button are removed, the rectus muscles (6-pack muscles) are re-approximated in the middle if they have separated, and we remove as much tissue as possible.
  • Fleur-de-lis abdominoplasty: This is a type of tummy tuck that leaves a vertical scar. Because a vertical scar is created we are able to tighten both in the vertical direction but also side to side. This procedure is used primarily if you already have a vertical scar or sometimes in massive weight loss patients.

How is Dr. Diederich’s technique different from many others?

Dr. Diederich works hard to provide the latest techniques and innovations which has led him to the progressive tension abdominoplasty. This technique utilizes sutures to limit the tension in any one location of the surgical area while closing any space that has the potential for fluid accumulation. Dr. Diederich has refined this technique using rows of progressive tension to evenly distribute the tension across the abdomen.

The results? Tighter, flatter tummies than ever before with a statistically significant decreased rate of hematoma, seroma, wound breakdown, and complications!

Before Tummy Tuck Surgery

  • Get lab testing or a medical evaluation, as needed.
  • Take certain medications or adjust your current medications, as recommended.
  • Stop smoking well in advance of your surgery.
  • Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding (if OK with your primary care physician. If you cannot stop please let us know).
  • Get your pre- and post-surgery checklist.
  • Pick up your prescriptions so they are ready on surgery day.

The Day of Surgery

  • Completed as an outpatient or with hospital stay depending on your particular needs.
  • Nothing to eat or drink the day of surgery.
  • You will need someone to drive you home and stay with you for the first 24 hours.

After Tummy Tuck Surgery

Recovery varies from patient to patient and depends on the extent of the procedure, your overall health, and other factors. If your job involves mostly office and administrative work, you can usually return to work within 2 to 3 weeks of your surgery. Your time off work may be extended for another 3 to 4 weeks if you have a physically demanding job. You should avoid lifting anything heavier than 20 pounds for the first 6 weeks following your procedure.

Seek medical attention immediately if you have any of the following:

  • Shortness of breath
  • Chest pains or unusual heartbeats

Possible Tummy Tuck Complications

As with any procedure there are risks. Fortunately, with tummy tuck, these risks are minimal. These include but are not limited to:

  • Unfavorable scarring
  • Bleeding (hematoma)
  • Infection
  • Asymmetry
  • Poor healing of incisions
  • Anesthesia risks
  • Fluid accumulation
  • Blood clots
  • Pain, which may persist
  • Deep vein thrombosis, cardiac and pulmonary complications
  • Possibility of revision surgery
  • Pregnancy, weight loss and menopause may influence the appearance of your body over the course of your lifetime.

For more information see the American Society of Plastic Surgery topic Tummy Tuck

Board-Certified Plastic Surgeon Dr. Ryan Diederich

Dr. Diederich is a Southern Illinois native realizing his dream of giving back to the community. He helps patients feel and look their best with his surgical skills and compassionate care.

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Common Questions

Can I combine a tummy tuck with abdominal liposuction?

Some abdominal liposuction can be completed at the same time, however, only in certain areas. It is safe to do liposuction in other body areas at the same time.

In many cases, we can also combine a tummy tuck with other procedures that help contour and shape your body. This combination of procedures, known as a Mommy Makeover, is customized to suit your specific goals. Mommy Makeovers often include a tummy tuck, breast augmentation with a breast lift, and liposuction for the arms or legs.

Will I need drains with a tummy tuck?

Thanks to progressive tension abdominoplasty, Dr. Diederich rarely uses drains with this tummy tuck technique.

How long after a tummy tuck can I work out?

During your initial phase of recovery, light walking around the house is encouraged. As you gradually heal, you may be able to increase your walking distance. You should be able to resume your regular exercise routine in about 6 weeks or at a time advised by your doctor.

Southern Illinois residents considering tummy tuck surgery find our Maryville location more convenient than driving into St. Louis for the procedure. We invite you to request a consultation with Dr. Diederich or give us a call at (618) 288-7855 to schedule an appointment. A $100 consultation fee will be collected to reserve your appointment.

*This article is intended as a guideline only. This is not intended as medical advice. There are no guarantees written or implied from the information presented here. Only a consultation can provide an appropriate evaluation and discussion regarding any procedure. Refer to your physician for medical decision making and advice.