The Tummy Tuck Quote That’s Half of Ours: What You’re Actually Paying For

Greyscale editorial photograph for a tummy tuck cost essay by Frank Agullo, MD, FACS.

I received a quote from a surgeon in Mexico less than half of ours from a patient this week. She was not haggling; she simply wanted to know where the difference lay. She was right to ask, however, and deserved a real answer, not a defensive one.

The Numbers and the Content

Our price for a tummy tuck begins at $16,000 and extends to $26,000, genuinely all-inclusive: surgeon’s fee, facility fee, anesthesia, garments, and the preoperative and postoperative package, SinEcch for bruising, Skinuva scar cream, a skin moisturizer, and Exparel for extended pain relief, among other items. In addition to every session of drainage therapy and postoperative examination, we include, if necessary, even a BBL cushion. The sole exception is that you must claim your prescriptions.

When you see a quote that is half of that price, something in that list is lacking. It is time to ask what is there. How do all these quotes vary so much?

Why the Number Isn’t the Same Everywhere

Location differs, and overhead in one city versus another. One factor is how much a surgeon is in demand and indeed how complicated the specific case is; this takes into account combinations and expected time. There is a wide difference.

The Type of Tuck Changes the Math

The calculation changes with the kind of tuck. Mini tummy tuck patients do not have as much loose skin. It is a quicker operation and involves a C-section or equivalent incision length being determined, while the excision of surplus tissue within a standard abdominoplasty requires more effort and skill. The incision of an extended tummy tuck extends as far as the hips where the abdominal fold begins to extend over the buttocks. The full circumferential procedure, however, for overall looseness with a sag, is the longest and most comprehensive of the four, adding an increasingly large charge depending on the duration.

Where the Real Savings Show Up

These actual savings can be gained during an abdominal tuck with liposuction combined with a mommy makeover. In this particular case, each operation is included under a single fee in one cost-effective payment; this also allows for just one dosage of anesthesia.

The tummy tuck alone dictates the time for recovery whether combined with other procedures or not. From the time of surgery to return to activity takes up to two weeks and up to six weeks before the patient, as shown above, resumes heavy exercise, even with an additional procedure combined.

How Patients Actually Pay for This

PatientFi, AlphaEon, Cherry, CareCredit, or financing directly through the practice, as well as the major credit cards, cash, or financing through an outside bank, are all accepted, so terms of payment for the surgery ahead can work around whatever schedule you need.

The Part I Actually Want to Warn You About

However, this one piece of warning will suffice to warn you of a risk. I perform abdominoplasty revisions on numerous patients every year, after operations previously completed elsewhere, at times across borders in countries such as Mexico which charge less than what it takes. The price of rectifying a botched abdominoplasty can go beyond anything the original surgery charged, while the outcome usually cannot surpass what could have been achieved if it were done correctly the first time.

Check what has been cut in a quote that seems too good to be true: the surgeon’s training, the facility’s certifications, or the anesthesia used. A deal that demands a revision later, on top of the financial and health cost of that revision, is not a bargain at all.

Why I Price It This Way

As a Mayo Clinic fellowship-trained, double board-certified plastic surgeon and a Castle Connolly Top Doctor for thirteen consecutive years, I would rather be transparent about what’s in the number than let a patient find out what’s missing after the fact. An exact quote can only be given after a consultation, but the starting range and what’s included in it are not a secret. For the complete breakdown, see the full guide on agulloplasticsurgery.com.

Ready to Talk?

Bring your quote. I’ll tell you exactly what’s different about ours.

Call (915) 590-7900, text 1-866-814-0038, or book online at agulloplasticsurgery.com/appointments. #StayBeautiful

@RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook.


  • Full guide on agulloplasticsurgery.com: “What a Tummy Tuck Actually Costs in El Paso (And What Moves the Number)” (canonical)
  • Med spa side on swplasticsurgery.com: “What a Tummy Tuck Costs at Southwest Plastic Surgery” (link once live)

Lie Down, Now Stand Up: Why Your Tummy Tuck Did Not Hold, and the Revision That Will

Black and white editorial photo of a tummy tuck revision patient standing in profile before a gold antique mirror, hands framing her waist. Tummy tuck revision editorial by Dr. Frank Agullo, MD, FACS.

“From your photos, it seems that you still have abdominal wall laxity, and when you lay down, this looks like it’s corrected. It also seems like you still have some excess subcutaneous fat between the skin and the muscle.”

That is me, on a virtual consultation last week, reading two photos a patient sent through my tummy tuck revision page. She had her tummy tuck a few years ago in another city. Standing, the abdomen still pushes forward. Lying down, flat.

She asked me if her first surgery failed. Not exactly. It stopped short.

The Part Nobody Repaired

Here is what I told her next, word for word:

“I see patients like you routinely, where the diastasis was repaired, that’s just the separation between the rectus muscles. But during pregnancy, or when patients gain weight and then lose it, the fascia is stretched throughout the abdomen, not just between the rectus muscles.”

The first surgeon fixed the midline. The stretch was everywhere. That is the whole story of most revision consultations, and it is why the bulge survives a technically successful operation.

She had also been working her core for two years on a trainer’s advice. “Performing core exercises will strengthen the muscle, but will not tighten the fascia.” I have written about that trap before, the sit up lie. Revision patients are its most frustrated victims, because they already did everything right once.

The Retightening

“That’s why I often recommend performing a triple plication, where I plicate from the sternum to the pubis, bringing together the fascia of the rectus, and I also plicate the obliques to the lateral edge of the rectus. This is called a triple plication, which in essence creates an internal corset, or waist trainer.”

Regular readers know my analogy for the triple plication. If you look at any waist trainer at any store, you’ll see that there are multiple seams in the waist trainer. Essentially, most surgeons are just making a waist trainer with one seam, versus using multiple seams, in this case three, to bring in the waistline.

In a revision, those two extra seams retighten the fascia the first operation never touched, laterally over the obliques, and they add something the patient did not have even on her best day after the first surgery: a waistline.

The triple plication is something I have published on. I can’t take the credit for inventing it, as it is something the Brazilian plastic surgeons described many years ago. But somehow, a lot of plastic surgeons did not implement it into their procedures. I’ve been performing it for more than seventeen years, which is exactly how long revision patients have been finding their way to my office after one-seam operations.

The Fat, the Skin, the Scar

Remember the second finding in her photos, the excess subcutaneous fat between the skin and the muscle. The wall repair alone does not fix that. All my tummy tucks include liposuction, especially of the anterior abdomen, waistline, and lower back, and I often combine it with Renuvion J-Plasma for skin tightening. A scar that healed wide or rides too high gets revised in the same operation.

So the revision is really three corrections in one: retighten the wall, remove the residual fat, and improve the scar.

Recovery, Second Time Around

Patients brace for a worse recovery than the first surgery. Then I tell them my numbers. I use Exparel injected into what we call a TAP block, which numbs the area for three days, and I’m happy to say that fifty percent of my patients experience no pain whatsoever. Most patients recover in two weeks to get back to normal activity, and six weeks for exercise, running, jumping, and heavy lifting.

Patients do feel a tighter abdomen after surgery. This time it stays tight standing up, which is the entire point.

The Two-Photo Test

Standing, then lying down. If the bulge disappears when you lie flat, the wall is the likely problem, and a wall problem has a surgical answer. If it does not disappear, the answer may be liposuction, or skin, or something else, and I will tell you which.

I trained at the Mayo Clinic and I teach plastic surgery at Texas Tech. Revisions are where that training earns its keep, because the first operation already spent the easy options.

Ready to Talk?

If your tummy tuck left you flatter lying down than standing up, send me the photos. Call (915) 590-7900, text 1-866-814-0038, or book online. #StayBeautiful

@RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook.


Companion reads: the clinical revision guide on agulloplasticsurgery.com, and the practice overview at swplasticsurgery.com.