
Many people dream of achieving a smoother, flatter abdomen but are often told they must lose weight before becoming eligible for a tummy tuck. For those with a higher BMI, that can feel discouraging, especially when consistent diet and exercise haven’t produced the desired results. Board-certified plastic surgeon Dr. Christian Arroyo offers specialized tummy tuck procedures designed to deliver beautiful, natural-looking results while prioritizing your safety and comfort. His advanced techniques make transformative body contouring possible for qualified patients with a higher BMI. In this blog, we’ll explore how a plus-size tummy tuck works, what makes it safe, and what you can expect before and after surgery.
Understanding the Plus-Size Tummy Tuck
A plus-size tummy tuck, or high-BMI abdominoplasty, is a customized surgical procedure designed for patients with a body mass index of 35 or above who want to remove excess fat and skin while tightening stretched abdominal muscles. Traditional surgical guidelines once excluded patients above a certain BMI, but advancements in surgical safety and anesthesia have made this procedure a safe and life-changing option for many individuals who were previously told no.
Dr. Arroyo approaches every tummy tuck with respect for each patient’s anatomy and health. His meticulous planning and focus on safety ensure results that are both natural and achieved under the highest surgical standards.
Safety Always Comes First
At Arroyo Plastic Surgery, all procedures are performed in an AAAASF-accredited surgical center that meets rigorous national standards for equipment, staff, and patient care. Dr. Arroyo also utilizes Total Intravenous Anesthesia (TIVA), a modern technique that typically reduces postoperative grogginess and allows patients to breathe independently during surgery.
- Key safety measures include:
- Accredited, fully equipped operating facility
- Anesthesia tailored to each patient’s health needs
- Comprehensive pre-surgical evaluations to ensure readiness
By assessing each patient individually rather than by BMI alone, Dr. Arroyo maintains the highest level of safety and comfort for every tummy tuck candidate.
Incision Design and Contouring Considerations
Incision placement for a plus-size tummy tuck is carefully customized for both aesthetics and comfort. Dr. Arroyo designs the incision low across the abdomen so it can be easily concealed beneath underwear or swimwear. If there is significant excess tissue, the incision may be extended slightly to achieve the smoothest contour possible while tightening the underlying muscles for a stronger, flatter core.
During surgery, his approach typically includes:
- Low, discreet incision placement for a natural appearance
- Extension of the incision when needed for complete tissue removal
- Muscle tightening to improve support and posture
- Liposuction to sculpt and refine the waistline
This combination approach allows for comprehensive contouring that enhances your natural shape while creating a more balanced, confident profile.
Confidence Beyond the Contour
The benefits of a plus-size tummy tuck extend well beyond the physical. Many patients report feeling lighter, more comfortable in their clothing, and more motivated to maintain a healthy lifestyle. Removing heavy folds of skin can also improve mobility, reduce chafing and irritation, and make everyday activities more enjoyable.
When your body begins to reflect how hard you’ve worked to care for yourself, that renewed confidence can be life-changing. Dr. Arroyo’s compassionate, individualized approach ensures results that enhance both how you look and how you feel.
Partner with a Surgeon Who Puts You First
With Dr. Arroyo, you’re choosing a board-certified plastic surgeon known throughout Texas for his artistry, precision, and commitment to patient care. From consultation to recovery, Dr. Arroyo and his team provide an unhurried, supportive experience focused on safety, comfort, and results. To learn more or schedule your consultation, contact Arroyo Plastic Surgery in Houston today.

