Tummy Tuck (Abdominoplasty)

Dr. Ryan Neinstein performs a full spectrum of abdominoplasty procedures — full, extended, circumferential, and reverse tummy tuck — each combined as standard with VASER Lipo 360 for comprehensive torso sculpting. Multi-vector diastasis recti repair (correction of abdominal muscle separation) is a core element of the technique. Exparel long-acting local anaesthetic is used to minimise post-operative pain. A concierge recovery package including hotel accommodation and private nursing is available for out-of-town and international patients.

Tummy tuck surgery (abdominoplasty) at Neinstein Plastic Surgery in Midtown Manhattan is distinguished by its integration with VASER Lipo 360 as a standard combined procedure — not an optional add-on. Dr. Neinstein's operative approach begins with VASER ultrasound-assisted liposuction of the entire circumferential torso, addressing the abdomen, flanks, lower back, and waist prior to the abdominoplasty itself. This sequencing allows precise fat reduction across all torso zones before the skin is tightened, creating a more sculpted and proportionate result than abdominoplasty alone. The diastasis recti repair — correction of the separation of the paired rectus abdominis muscles at the linea alba — is performed through multi-vector plication using permanent sutures, addressing not only the straightforward midline repair but also the directional vectors of muscle tension that contribute to the natural hourglass waist contour. This multi-vector approach is reported to produce a more naturalwaist definition than simple linear plication. The practice offers four abdominoplasty variants: the full tummy tuck for patients with significant lower abdominal skin excess and prominent muscle separation; the extended abdominoplasty that carries the skin excision laterally around the flanks to address lateral thigh and hip skin laxity; the circumferential (belt) lipectomy for post-massive-weight-loss patients requiring a complete lower body lift; and the reverse abdominoplasty for patients with upper abdominal skin laxity that cannot be adequately addressed by a standard infraumbilical approach. Tummy tuck revision surgery is also performed for patients with unsatisfactory results from prior abdominoplasty at other providers, addressing scar positioning, contour irregularities, umbilicoplasty revision, and residual skin excess. Post-operative pain management uses Exparel (liposomal bupivacaine) injected intraoperatively into the abdominal wall musculature, providing up to 72–96 hours of sustained local anaesthetic effect that substantially reduces narcotic analgesic requirements during the initial recovery period. For patients travelling from outside New York City, the practice coordinates a concierge recovery package that includes hotel accommodation near the surgical centre and private nursing care for the immediate post-operative period, allowing out-of-town patients to recover in a supervised environment before returning home.