Fat & Loose Skin
Stubborn belly fat and loose skin diet and exercise won't fix.
FlexTuck at our Maryland clinic pairs FlexSculpt liposuction with a tummy tuck to clear stubborn fat and loose skin for a flatter, snatched waist in one visit.
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Thousands
Body contouring procedures done
100,000+
Procedures Nationwide
10+
Years in aesthetics & surgery
Visit our Maryland clinic for your consultation and follow-up care. Patients like scheduling their visits at the Gaithersburg facility, with easy parking and simple access on the commute.
FlexTuck is Goals' body contouring procedure that pairs FlexSculpt liposuction with a tummy tuck in one visit. It clears stubborn fat and loose skin, tightens the waist, and can repair separated muscles, for a flatter, more sculpted midsection.
We assess your fat, loose skin, and any muscle separation, talk through anesthesia options, and plan your FlexTuck at our Maryland clinic.
FlexSculpt clears stubborn fat, then loose skin comes off and the waist is tightened, with muscle repair if needed.
You wear a compression garment to help healing. Most people are back to normal activity in about 7 to 10 days, with swelling easing over several weeks.
FlexTuck fits people with stubborn belly fat, loose skin, or muscle separation that diet and exercise can't fix, who want a flatter waist in everyday Maryland life.
Stubborn belly fat and loose skin diet and exercise won't fix.
Changes after pregnancy or weight loss, including separated abdominal muscles (diastasis recti).
Wanting a snatched, sculpted waist, not just a flat front.
In good general health and at a stable weight for lasting results.
Real transformations from real patients.


Real patients of Goals, published with written consent. Photographs are not retouched or AI-generated. Individual results vary — these images show outcomes for these patients and are not a guarantee of your own.
Work it out
Runs in your browser. Nothing is sent to us and nothing is saved — a height and a weight are your business.
BMI is one measure among several and it says nothing about how you are built. Surgeons weigh it alongside your health and your goals; it does not decide anything on its own.
Skilled surgeons experienced in body contouring.
Credentials differ by surgeon and are listed in full on each surgeon's page.
Knowing how technique, sculpting, anesthesia, and recovery differ helps you make an informed choice about your midsection in Maryland.
| FlexTuck | Traditional Tummy Tuck | |
|---|---|---|
| Technique | FlexTuckLipo plus skin removal in one. | Traditional Tummy TuckSkin and fat removed surgically. |
| Sculpting | FlexTuckContours the waist, not just flat. | Traditional Tummy TuckFlattens, less definition. |
| Anesthesia | FlexTuckLocal or general, your choice. | Traditional Tummy TuckGeneral. |
| Scars | FlexTuckLow, discreet, hidden under underwear. | Traditional Tummy TuckLow abdominal incision. |
| Recovery | FlexTuckOften faster, about 7 to 10 days. | Traditional Tummy TuckLonger, several weeks. |
Steps to a Flatter Waist.
Meet our team to review your fat, skin, and muscle, talk through your goals, and get a clear surgical plan.
Schedule your procedure and get clear pre-op guidance, so you know exactly how to prepare before your day at our MD clinic.
A pre-op check and any needed tests confirm you're ready.
FlexSculpt clears the fat, then loose skin comes off and the waist is tightened, under local or general anesthesia.
You wear a compression garment and rest. Soreness and swelling ease over the first couple of weeks.
We check your healing at follow-up, and your flatter, sculpted waist settles over the months ahead.
FlexTuck fits people with stubborn belly fat, loose skin, or muscle separation that diet and exercise can't fix, who want a flatter waist in everyday Maryland life.
A flatter, tighter, more toned abdomen.
A snatched, defined waistline, not just flat.
Loose skin removed and separated muscles repaired.
Renewed confidence in your shape in everyday Maryland life.
A lasting result at a stable weight.
Our Maryland clinic takes a safety-first approach, pairing careful screening and anesthesia planning with clear pre- and post-op guidance. Standardized surgical protocols across the network keep every FlexTuck consistent and predictable at each stage of your care.
Thorough health screening and anesthesia planning before every procedure.
Consistent surgical methods and planning for safe, predictable results.
Clear pre- and post-op support with easy access to the MD team.
Final cost depends on your treatment areas and any muscle repair. It's confirmed at consultation and fixed at booking.
Your quote is locked in at the booking stage, unchanged.
Fully clear: no hidden fees, everything spelled out in the contract.
Prices shown are starting prices and depend on the number of areas treated. Final pricing is confirmed at your consultation. Cosmetic procedures are not covered by insurance.
Work it out
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An estimate, not a quote. It divides the starting price over the months you choose and assumes no interest. Goals works with several lenders and your rate, term and approval are settled with them — the financing page has the detail, and your price is confirmed at consultation.
A handy Gaithersburg clinic with easy parking and simple access for your commute.
FlexSculpt liposuction plus skin removal in one visit for a sculpted, defined waist.
Post-op checks and aftercare, with easy in-person follow-up at our Maryland clinic.
A skilled team with deep experience in body contouring and FlexTuck.
Flexible scheduling, including possible weekend or evening slots at select times.
Thousands of successful procedures across the network.
Two C-sections left me with a pooch and loose skin nothing fixed. FlexTuck gave me an actual waist again. The lipo part made such a difference to the shape.
I liked not being fully under. Recovery beat my sister's tummy tuck. Back to light work in a week, stomach is flat.
They repaired my ab muscles too, which I didn't know I needed. Core feels stronger and my waist is snatched. Wish I'd done it sooner.
Testimonials reflect individual experiences. Results vary by patient.
A defined curve, which is the whole point of the combination. A plain tummy tuck flattens the front but tends to leave the sides straight, so you can end up flat but not shaped. The FlexSculpt liposuction step sculpts fat from the flanks and waist first, creating an inward curve before the skin is removed over the new contour, which is what turns a flat stomach into a snatched, defined waist. If an hourglass shape rather than just a flat panel is what you're after, that sculpting stage is what delivers it.
A good amount, though there's an honest ceiling. FlexTuck removes stubborn fat with liposuction and takes out loose skin, which handles most mild-to-moderate cases well. If you have a very large apron of hanging skin after major weight loss, a full tummy tuck may remove more than FlexTuck is built for. The exam tells you which fits.
Partly, and often noticeably. Stretch marks on the loose skin below the navel go with it when removed, and that's where most sit. Marks above usually stay, though they can soften as the skin tightens. The C-section shelf, that overhang above an old scar, is exactly the loose skin and fat FlexTuck addresses, and the old scar is often tidied in.
If you choose the awake, local route, the area is fully numbed, so you feel pressure and movement rather than pain. Most describe it as tugging and a bit of vibration, not sharp discomfort, and many like talking with the team and skipping the grogginess of going under. If you'd rather not be aware of it, general anesthesia is there too.
Light movement starts right away, walking around the house keeps circulation up from day one. Most people are back to desk work within 7 to 10 days. Real exercise waits longer: you avoid strenuous workouts until your surgeon clears you, usually a few weeks in. If your FlexTuck included muscle repair, core work waits until it has healed.
No, and it's worth being clear about that. FlexTuck shapes and tightens the midsection, removing stubborn fat and loose skin and repairing muscle, but the scale barely moves, since what comes off weighs little next to the visual change. It works best when you're already at or near a stable goal weight rather than using it to get there, and if you're still actively losing a lot of weight, the honest advice is usually to get closer to goal first so the result lasts. Think of it as reshaping, not weight loss.
The most useful thing to understand about FlexTuck before anything else is that midsection surgery isn't one operation but a spectrum, and getting placed on the right tier matters more than any single technique. At the lighter end is liposuction alone, which clears stubborn fat but does nothing for loose skin or separated muscle. At the heavier end is a full traditional tummy tuck, built to remove a large apron of hanging skin after major weight loss, with general anesthesia and a several-week recovery.
Here's the honest version most pages skip. FlexTuck is the sweet spot when you have stubborn belly fat plus mild-to-moderate loose skin, often with some muscle separation, the classic picture after pregnancy or a moderate weight loss. It removes the fat, takes out the loose skin, sculpts the waist, and repairs the muscle wall in one visit, and for that profile it beats both liposuction alone (which would leave the skin) and a full tummy tuck (which is more than you need).
But it has an honest ceiling. If you're carrying a very large apron of hanging skin after major weight loss, a full traditional tummy tuck may remove more than FlexTuck is built for, and a good surgeon will tell you that plainly rather than sell you the branded procedure. At the other end, if your only issue is fat with firm, elastic skin, FlexSculpt liposuction alone might be all you need. The exam exists to sort exactly this, and being placed honestly is worth more than being sold the middle option by default.
This is the part that separates FlexTuck from a standard tummy tuck, and it's worth understanding because it's the whole reason to choose the combination. A traditional tummy tuck focuses on removing skin and tightening muscle, which flattens the front but does little to shape the sides, so you can end up flat yet still straight up and down.
FlexTuck starts with FlexSculpt liposuction to clear stubborn fat from the abdomen and flanks first, sculpting an inward curve at the waist, and only then removes the loosened skin over that new shape. By contouring first and removing skin second, it sidesteps the slightly flat, boxy look that skin removal alone can leave. That's the difference between a stomach that's simply flatter and a midsection that reads as genuinely shaped, and it's why patients specifically seek out the combination rather than a tuck on its own. You can read more about the sculpting technique on our FlexSculpt in Maryland page.
FlexTuck is built for people with a mix of concerns that diet and exercise can't fix: stubborn belly fat, loose or hanging skin, and often some abdominal muscle separation. Many are parents whose bodies changed after pregnancy, or people who've lost a significant amount of weight and are left with skin and a softened waistline that won't firm up on its own.
The best candidates are in good general health, at or near a stable weight, and hold realistic expectations. If you're planning future pregnancies or still actively losing a lot of weight, it's usually wiser to wait, since those changes can stretch the skin and muscle again and affect the result. An honest consultation is where this gets decided, and if liposuction alone or a full tummy tuck genuinely suits you better, your surgeon says so plainly rather than pushing FlexTuck as a one-size-fits-all answer.
One of the most valuable parts of FlexTuck for many patients is abdominal muscle repair. During pregnancy, the vertical muscles of the abdomen can split apart, a condition called diastasis recti, which leaves a stubborn bulge and a weakened core that no amount of crunches will fully fix.
When it's needed, FlexTuck includes stitching these separated muscles back together as part of the procedure, and repairing the muscle wall does more than improve how you look: it tightens the core, sharpens waist definition, and can bring back some of the strength and support that separation takes away. Not everyone needs it, so it's judged individually at your Maryland consultation, where your surgeon checks for separation by examining how your abdomen moves and explains whether including it will improve your result.
FlexTuck can be done under local or general anesthesia, and this is a genuine choice made with your surgeon rather than a fixed rule. Local anesthesia keeps you awake and comfortable and tends to mean a smoother, faster recovery with fewer of the effects that come with going fully under, and for many FlexTuck patients that awake option is a big part of the appeal. If you choose it, the area is fully numbed, so you feel pressure and movement, tugging and a bit of vibration rather than sharp discomfort. Many patients like talking with the team and skipping the grogginess.
That said, more involved cases or simple personal preference may make general anesthesia the better call, and it's fully available. The right choice depends on the extent of the work, your medical history, and your comfort, and your surgeon walks through both routes during planning so nothing about your anesthesia is a surprise on the day.
On the day, the area is prepped and your chosen anesthesia is given, then the surgeon starts with FlexSculpt liposuction, clearing stubborn fat and shaping the waist and flanks to set the underlying contour. This sculpting stage is what sets FlexTuck apart from a standard tummy tuck, and it establishes the definition you'll see in the final result.
Next, loose and excess skin comes off and the abdomen is tightened, with muscle repair done at this stage if you need it. The incision sits low and discreet, placed so underwear or swimwear covers it, and the flank sculpting uses only tiny access points rather than a long incision. The whole procedure is planned and done in one visit, and because it's built to be minimally invasive, most people head home the same day to start recovery.
Recovery is one of FlexTuck's biggest draws, since it's generally faster than a traditional tummy tuck. The first several days bring soreness and swelling, handled with prescribed medication and a compression garment that supports the healing tissue and helps shape the result, with rest the priority early on and gentle movement around the house to keep circulation up. Most people are back to normal light activities within about 7 to 10 days, planning their time off around how physical their work is.
Swelling comes down noticeably over roughly 3 to 6 weeks, and you skip strenuous exercise until your surgeon clears you, with core work waiting until any muscle repair has healed. The final sculpted shape keeps refining over the following months as the last of the swelling fades and the tissue settles into its new contour.
Like any procedure that removes skin, FlexTuck does leave a scar, and being upfront about that is part of an honest decision. The incision sits low on the abdomen, placed discreetly so it hides beneath underwear or a swimsuit, and in the early months it can look firm and pink, then steadily softens and fades over the year and beyond, especially when you follow your aftercare and keep it out of the sun.
For the great majority of patients it's a straightforward trade: a low, concealable scar in exchange for a flatter, sculpted midsection and, often, a repaired core. There's a bonus for many post-pregnancy patients, too, since stretch marks on the loose skin below the navel go with it when that skin is removed, and an old C-section shelf is exactly the loose skin and fat FlexTuck addresses. Your surgeon shows you where the incision will fall in your case at the consultation, so you have a clear, realistic picture before you decide.
FlexTuck results are built to last. The fat removed with FlexSculpt doesn't come back in the treated areas, the excess skin is gone, and any repaired muscle stays tightened, so what you're left with is a flatter, more defined midsection that looks shaped rather than simply flat, which many patients describe as finally having a waist again.
As with any body contouring procedure, your result is best protected by a stable weight and healthy habits, since a big weight gain or a future pregnancy can stretch the skin and muscle again and affect the outcome, which is why timing matters and why the candidacy conversation asks about future pregnancies. To see the kind of transformations our patients get, our Before & After gallery shows real results.
Because FlexTuck already covers the midsection so thoroughly, some patients choose to fold in nearby contouring, flanks, back, or bra line, for a 360 result while recovering only once, which is decided case by case based on how much total work is planned and how long you'd be under.
For post-pregnancy patients it often overlaps with the goals of a Mommy Makeover in Maryland, adding breast work under one recovery. And if you're weighing whether FlexTuck is the right tier for you at all, it's worth comparing directly against a full Tummy Tuck in Maryland, which removes more skin for larger cases, so your surgeon can place you honestly on the spectrum rather than defaulting to the branded option. Whether to combine anything, or step up to a full tuck, is decided at the consultation, never assumed.
Cost is one of the first questions, and the honest answer is that the FlexTuck cost in Maryland depends on your treatment areas, whether muscle repair is included, and how much skin and fat is addressed. Rather than quote a figure that might not fit you, we confirm your cost at consultation and fix it at booking, so there are no surprises and no hidden fees. For anyone who'd rather spread the cost, flexible payment plans and financing are available to those who qualify.
Because a planned procedure like this feels calmer when the money side is sorted ahead, your team walks you through the whole picture at consultation, including how any muscle repair or added contouring affects the total, and when you compare quotes around Maryland, check that each covers the same scope, anesthesia, the garment, and follow-ups, so you're weighing like for like rather than a headline number.
FlexTuck is planned, done, and followed up in one place, which is easier when that place is genuinely reachable. The Gaithersburg clinic sits just off Interstate 270 in Montgomery County, an easy drive from Rockville, Silver Spring, Bethesda, Frederick, and Columbia, and often a shorter trip for Washington-area patients than crossing the city, with parking on site and the Shady Grove Metro station a short ride away. Because FlexTuck can be done awake, you'll want a driver on the day itself, though not for the consultation or follow-ups, and your records travel with you across the Goals network.
A phone question is answered by someone reading your actual plan. Most people start with an online consultation, describing what bothers them and getting a straight read on whether liposuction alone, FlexTuck, or a full tummy tuck fits their midsection, and you can explore the full local menu on the Gaithersburg location page. If you've been weighing a tummy tuck with liposuction in Maryland as a way to finally get a flat, sculpted waist, an honest conversation will tell you far more than another year of wondering ever will.
Flextuck sits in the middle on purpose: it pairs FlexSculpt liposuction with skin removal and, where needed, muscle repair, delivering tummy-tuck results with a genuinely sculpted waist and, for many people, a faster recovery, without the heaviest version of surgery. This guide is built around placing you correctly on that spectrum, because the honest answer for a mild-to-moderate case is different from the honest answer for a large skin apron, and knowing which is yours is what a good consultation settles. It's what most people mean when they search for a tummy tuck with liposuction in Maryland.
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Whether you are considering FlexTuck, FlexSculpt liposuction, or another body procedure, our Maryland team is ready to build a safe, realistic plan for you.
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