Sit-ups or Surgery? How to Treat Your Tummy

September 29, 2012

Many of my patients have the same problem area: the tummy. No matter how many sit-ups or abdominal exercises they do, they just can’t seem to get rid of weight around the middle. For these men and women, plastic surgery procedures such as liposuction and tummy tuck in Seattle can be an effective solution.

Tummy Tuck

A tummy tuck (sometimes referred to as an “internal corset”) creates a flatter midsection by removing excess skin and fat and tightening the abdominal muscles. This procedure is particularly beneficial for people who have diastasis, or separation of the abdominal muscles. Diastasis is commonly seen in women who have had children, because the skin and muscles are severely stretched during pregnancy. When this occurs, the muscle tension cannot be restored through exercise.

Tummy tuck surgery can be customized to achieve the level of correction necessary. In most cases, an incision is made from hip bone to hip bone, but the scar can be easily hidden under clothing. Most of my patients find this procedure to be very rewarding.


Liposuction is a method of fat removal that uses a hollow tube called a cannula to suck out fat cells. At my practice, I use a special type of liposuction known as Power Assisted Liposuction (PAL). This method uses a vibrating cannula to loosen fat cells and make fat removal easier. Liposuction is best for individuals who are in good shape but who want to spot-treat certain areas such as the hips, thighs or flanks. With a healthful diet and regular exercise, the results of liposuction can be long lasting.

Written by: Wandra Miles, M.D

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