Loose, excess skin
Removes abdominal skin that sags or overhangs after pregnancy, significant weight loss, or aging.
Sieveking/Plastic Surgery/Tummy Tuck
Tummy Tuck in Nashville
Muscle Repair · Refined Contour · Concealed Incision
If pregnancy, significant weight loss, or the passage of time has changed the way your abdomen looks and feels — and diet and exercise have not been enough to reclaim that contour — a tummy tuck may be the most direct and durable solution available.
A smoother, stronger abdomen. Tailored to your body. Designed to look authentically yours.
Excess skin removed. Muscles repaired. A midsection restored, not resurfaced.
Abdominoplasty removes excess, lax skin and fat from the abdomen and, when diastasis recti is present, repairs the underlying rectus abdominis muscles by suturing them back to the midline. Diastasis recti — the separation of the vertical abdominal muscles that frequently follows pregnancy — produces a rounded or protruding lower abdomen even in patients at a healthy weight. No amount of core exercise corrects the separation once it has occurred.
A tummy tuck is not a weight-loss procedure, and it is not a substitute for a healthy lifestyle. The ideal candidate is at or near their goal weight, with stable weight maintained for several months; patients planning future pregnancies are generally advised to wait. Dr. Sieveking builds every surgical plan around your anatomy and your goals, with the conservative artistry he has refined over 25 years — results designed to look natural, proportionate, and authentically yours.
The approach
Finding the right approach for your anatomy.
Not every abdominoplasty is the same. Dr. Sieveking tailors the surgical approach to each patient’s degree of skin laxity, extent of muscle separation, and overall abdominal anatomy — which is why the consultation begins with a thorough examination, not a template. Three variants cover the spectrum, and a thorough consultation confirms which is right for your anatomy and timing.
Full abdominoplasty — the most comprehensive approach and the most commonly performed at the practice. A low horizontal incision, placed carefully within the bikini line, allows Dr. Sieveking to remove a substantial amount of excess skin, repair the full length of the separated muscles, and reposition the navel to a natural location. Best suited for significant laxity above and below the navel.
Modified abdominoplasty — the middle ground between the full and mini approaches, tailored to patients with moderate laxity or those who need some degree of muscle repair but not the full scope of a traditional abdominoplasty. Whether the navel requires repositioning is determined at consultation, based on each patient’s specific anatomy.
Mini abdominoplasty — a shorter incision targeting only the area below the navel, which is not repositioned. Appropriate for patients near their goal weight with mild lower-abdominal skin laxity and little or no muscle separation above the navel. Candidacy is confirmed at your consultation.
Target concerns for a tummy tuck.
A surgical answer to the abdominal changes that diet and exercise alone cannot correct.
Diastasis recti
Repairs the muscle separation that produces a rounded, protruding abdomen even at a healthy weight.
Lower-abdominal fullness
Addresses localized fat that resists diet and exercise, combined with liposuction where appropriate.
Weakened abdominal wall
Restores core support where contour irregularity or a persistent structural pouch resists exercise.
Core weakness
Corrects the loss of core function and persistent fullness that muscle separation leaves behind.
Lower-abdominal stretch marks
Stretch marks on skin that is excised are removed with it, though not the primary objective.
Why choose this procedure
Benefits that begin at the foundation.
A tummy tuck offers improvements patients can see and improvements they can feel — structural changes no amount of diet or exercise can achieve on its own.
-
Restored core strength
Many patients notice meaningful improvement in core function and reduced lower back discomfort in the months following surgery.
-
A flatter, firmer profile
A flatter, firmer abdominal profile that no amount of diet or exercise can achieve once structural changes have occurred.
-
Discreet scar placement
A result tailored to your anatomy, with scars placed as low and discreetly as possible within the bikini line.
-
Tailored to your anatomy
Every surgical plan is built around your anatomy and your goals, with results designed to look natural, proportionate, and authentically yours.
-
Renewed confidence
Renewed confidence in clothing and daily life, with a silhouette that reflects your commitment to yourself.
-
Durable, structural results
Results are long-lasting when weight remains stable and no future pregnancies occur — the repairs are structural, not superficial.
For patients considering a broader transformation, a tummy tuck is also a foundational element of a mommy makeover, combining abdominal contouring with breast surgery in a single surgical setting.
Before & after
Individual results vary. Discuss your goals and candidacy at your consultation.
Selected results
Elegant results, designed around the individual.
Tummy tuck cases are included in our full results archive — each pair represents a single patient photographed at the same angle, light, and camera.
The journey from consultation to lasting result.
01
Consultation
A thorough, unhurried evaluation
The consultation is a thorough, unhurried evaluation of your abdominal anatomy, skin quality, degree of muscle separation, weight history, and overall health. Dr. Sieveking discusses realistic expectations for each variant, explains incision placement, and outlines whether combining liposuction would enhance your results. You leave with a clear, personalized surgical plan and a full understanding of what recovery requires and what your results can realistically look like — including honest guidance on timing if weight stability or future pregnancy plans suggest waiting.
02
Procedure
In the on-site accredited surgical center
A tummy tuck at Sieveking Plastic Surgery is performed under general anesthesia in the practice’s brand-new, on-site, accredited surgical center in Franklin. The procedure typically takes 2–4 hours, depending on the extent of the approach — full, modified, or mini — and whether it is combined with additional techniques such as liposuction. Working through a low incision placed within the bikini line, Dr. Sieveking removes the excess skin, repairs the separated muscles, and repositions the navel to a natural location where the variant calls for it.
03
Recovery
Measured, well-supported healing
Most patients take 1–2 weeks away from work and daily responsibilities. Drains are placed during surgery to prevent fluid accumulation and are typically removed within 1–2 weeks. A compression garment is worn for several weeks to support healing and help the tissues conform to their new contour. Light walking is encouraged from the first day; more strenuous activity is gradually reintroduced over 6–8 weeks. Swelling resolves progressively as the tissues settle, with the care team guiding each stage.
04
Results
A contour that lasts
Swelling resolves progressively, and the final contour becomes fully apparent at 3–6 months. The incision matures and fades significantly over 12–18 months, concealed within the bikini line. Because the operation repairs structure — the muscle wall itself, not merely the surface — results are long-lasting when weight remains stable and no future pregnancies occur. The removed skin does not return, and maintaining a healthy lifestyle protects the investment over time, with follow-up visits tracking healing at every stage.
Why Sieveking
Meet Dr. Sieveking
Structure, in experienced hands.
Stanford-trained. Triple board-certified (including The American Board of Wound Management, ABWM) plastic surgeon.
Dr. Nicholas Sieveking is a Stanford-trained, triple board-certified (including The American Board of Wound Management, ABWM) plastic surgeon with more than 25 years of experience and a post-residency fellowship under the legendary Ivo Pitanguy in Brazil. He has been recognized multiple times as Best Plastic Surgeon in Nashville and is known throughout Middle Tennessee for safe, conservative, natural-looking results.
At Sieveking Plastic Surgery, your tummy tuck is performed in a brand-new, on-site, accredited surgical center, with every detail of your care overseen by Dr. Sieveking personally — from the first examination through the final follow-up visit, at one address.
The practice serves patients throughout Franklin, Brentwood, and greater Nashville from 1200 Old Hillsboro Road in Franklin, offering a level of surgical expertise and individualized care built around each patient’s anatomy, goals, and timing.
Investment
Cost of a tummy tuck.
The cost of a tummy tuck at Sieveking Plastic Surgery reflects the full scope of your care: Dr. Sieveking’s surgical expertise, the use of an on-site accredited surgical center, anesthesia, and comprehensive pre- and post-operative support. Pricing varies based on the variant performed, whether liposuction is combined, and the complexity of your individual anatomy.
A personalized cost estimate is provided at your consultation, where pricing is reviewed transparently so patients understand exactly what their plan includes. Financing options are available for qualified patients, and HSA and FSA funds are accepted where eligible.
Questions, answered.
The questions most prospective patients ask before booking a consultation.
-
Good candidates are adults in good overall health who are at or near their goal weight, have maintained a stable weight for several months, and are not planning future pregnancies. Smokers must stop well in advance of surgery, as nicotine significantly impairs wound healing. A consultation with Dr. Sieveking is required to confirm candidacy and determine which variant — full, modified, or mini — is appropriate for your anatomy.
-
Most patients return to desk work within 1–2 weeks of tummy tuck surgery. Strenuous activity is restricted for 6–8 weeks while the muscle repair gains strength. Drains are typically removed within 1–2 weeks, and a compression garment is worn for several weeks to support healing. Swelling continues to resolve over 3–6 months, at which point the final result is fully visible.
-
A tummy tuck does leave a scar, but Dr. Sieveking places the incision as low as possible so that it falls within the bikini line and is easily concealed by underwear or swimwear. Scars mature and fade significantly over 12–18 months. For most patients, the improvement in abdominal contour is well worth a line that clothing conceals in daily life.
-
Yes. A tummy tuck is frequently combined with liposuction to refine the flanks and waist, and it is a core component of a mommy makeover when combined with breast procedures. Dr. Sieveking will discuss which combinations are safe and appropriate for your goals at your consultation, so the full plan is understood before any surgical date is set.
-
No. A tummy tuck removes excess skin and repairs muscle separation; it is not designed to produce significant weight loss and is not a substitute for a healthy lifestyle. Patients should be at or near their goal weight, held stable for several months before surgery, for the best and most lasting results. Candidacy and timing are confirmed at consultation.
-
Results are long-lasting when weight remains stable and no future pregnancies occur. The structural repairs to the abdominal wall are durable, and the removed skin does not return. Maintaining a healthy lifestyle — stable weight, regular activity — protects your investment over time, and follow-up visits with Dr. Sieveking track the result as it matures.
More in Plastic Surgery.
Facial Sculpting
Begin your journey
Start your tummy tuck journey at Sieveking Plastic Surgery in Franklin, TN.
If you are ready to restore a flatter, firmer abdomen and want results that look natural and proportionate to your body, the next step is a personal consultation with Dr. Sieveking. Serving patients throughout Franklin, Brentwood, and greater Nashville, Sieveking Plastic Surgery offers surgical expertise and individualized care — with consultation, surgery in the on-site accredited surgical center, and every follow-up at 1200 Old Hillsboro Road. Take the first step toward a silhouette that reflects who you are.
1200 Old Hillsboro Road, B2 · Franklin, Tennessee
Mon–Thu 9–4:30 · Fri by appointment