Body Surgery
A standard tummy tuck flattens the front of your abdomen — but what about the flanks, lower back, and the curve of your waist? The hourglass tummy tuck addresses all of it in one operation.
An hourglass tummy tuck combines a traditional tummy tuck with circumferential liposuction (lipo 360) to create both a flat abdomen and a sculpted, narrow waistline in one procedure. While a standard tummy tuck addresses only the front of the abdomen, the hourglass approach contours the flanks, lower back, and bra-roll area at the same time — producing the defined, curvy silhouette many patients are seeking.
The terminology is marketing-driven. Clinically, an hourglass tummy tuck is an abdominoplasty with circumferential liposuction added. The value of the term is that it sets clear expectations: you are not buying a flat front alone — you are buying a sculpted full midsection.
| Procedure | What It Addresses | Result Profile |
|---|---|---|
| Standard Tummy Tuck | Excess skin + muscle separation on front of abdomen | Flat abdomen, but flanks/back unchanged |
| Lipo 360 Alone | Fat removal from full midsection | Slimmer waistline, but no skin removal |
| Hourglass Tummy Tuck | Both — skin/muscle on front + circumferential fat removal | Flat abdomen AND defined, narrow waist |
For patients who only have skin laxity in front, a standard tummy tuck is appropriate. For patients with stubborn fat but minimal skin laxity, lipo 360 alone may be enough. The hourglass approach is for the large group of patients who have both — and would be left with an unbalanced silhouette by either single procedure.
If you are still actively losing weight on a GLP-1 medication or planning a future pregnancy, surgery is usually best deferred. Future pregnancy can stretch the repaired abdominal wall, and ongoing weight loss changes the surface area of skin that needs to be removed.
At consultation, what matters is not the marketing label but the surgical plan: skin removal, muscle repair, circumferential lipo, and any additional procedures (breast, BBL, high-def etching). The label follows the plan, not the other way around.
Combined surgical cost is higher than tummy tuck or lipo 360 alone — typical range $14,000-$22,000+ in Miami, depending on extent, additional procedures, and your specific anatomy. Final pricing is provided after consultation.
We accept CareCredit, Cherry, and PatientFi to help spread the cost into fixed monthly payments. Each provider uses different underwriting criteria, so most patients qualify with at least one. Learn more on our Insurance & Financing page.
Book a consultation with Dr. Gevork Tatarian in Coral Gables. We'll evaluate your skin, fat distribution, and muscle separation, then walk you through which combination of procedures actually fits your goals — and which ones don't.
