Services described here are provided on a fee-for-service basis. how much does a tummy tuck cost at kaiser. The cost of a tummy tuck in San Diego is typically $10,000 to $17,000. Cost; Candidates; Mini tummy tuck; Full tummy tuck; Extended tummy tuck; Fleur-de . GoodRx works to make its website accessible to all, including those with disabilities. If a tummy tuck makes you feel more confident and your surgery and recovery go smoothly, you probably will be very happy with the decision. Losing more than 20 pounds of weight after a tummy tuck can leave your stomach with slightly loose excess skin. (2020). See before & after photos and learn more. The best candidates are individuals who are generally in good shape, but have loose skin or large abdominal fat deposits that do not respond to diet and exercise. $5,000 to $12,000; Coverage and factors are similar to that of womens tummy tuck. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. This information will help you understand what you can expect. How much does a tummy tuck cost in Little Rock? 2006-2023 Healthwise, Incorporated. Thats because weight changes can stretch your abdominal muscles, possibly requiring a revision surgery. Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc., in Northern and Southern California and Hawaii Kaiser Foundation Health Plan of Colorado Kaiser Foundation Health Plan of Georgia, Inc., Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc., in Maryland, Virginia, and Washington, D.C., 2101 E. Jefferson St., Rockville, MD 20852 Kaiser Foundation Health Plan of the Northwest, 500 NE Multnomah St., Suite 100, Portland, OR 97232 Kaiser Foundation Health Plan of Washington or Kaiser Foundation Health Plan of Washington Options, Inc.,1300 SW 27thSt., Renton, WA 98057, Selecting these linkswill take you away from KP.org. Incision closure: The incisions are closed with sutures, surgical glue, tape or clips. Call 911 anytime you think you may need emergency care. Take pain medicines exactly as directed. i had weight loss surgury 4 years ago and i have sagged skin all over my body im very uncomfortable and dont have the extra money plus my insurance will not cover the surgury do you have any solutions for me? This average cost is only part of the total price it does not include anesthesia, operating room facilities or other related expenses. Of course, it is best to consult with your gynecologist as pregnancy itself is susceptible to complications. These can increase your chances of quitting for good. Tatiana Ayazo/Rd.com. How much is a tummy tuck in 2020? With a mini tummy tuck, the doctor makes a shorter incision. Your doctor will let you know how long you will need to wear it. Medications: You may need to take medications to help you heal or prevent infection. Healing from a tummy tuck is slow since this is major surgery. You may notice that your bowel movements are not regular right after your surgery. A tummy tuck costs $8,400 on average, according to 37,134 reviews from RealSelf members. A complete tummy tuck typically takes between 3 and 4 hours under general anesthesia. The cost can vary by region, surgeons' expertise, and your specific needs, but you should budget five figures for the operation. Hi Jennifer, You should also be in good health, a nonsmoker, and able to rest for several weeks after the surgery. It was a hell of a recovery to see my flat tummy, but Id do it again in a heartbeat. I have seen other [RealSelf] members complain about the same things, but it took me probably two years to accept that this is the norm. Take some time to learn more about tummy tuck surgery and decide if it's right for you. During the procedure, the patient will be given general anesthesia. What are the side effects of a tummy tuck? You just have to be realistic that this is not a miracle cure for not exercising or bad eating habits. The Health Encyclopedia contains general health information. Some may increase the risk of problems during your surgery. Total Prices 2023 for Full Body & Facial Liposuction, https://topliposuctioncost.com/weight-gain-after-liposuction/, Cryoskin Cost 2023: Prices for Facial, Chin, Neck, Stomach, Love Handles, Arms, and Thighs, Buccal Fat Removal Cost 2023, Procedure, Candidates, and What to Expect, How Much Does Airsculpt Cost 2023? If you think your pain medicine is making you sick to your stomach: Take your medicine after meals (unless your doctor has told you not to). Follow the steps below to get better as quickly as possible. We avoid using tertiary references. My stomach still retains some of my stretch marks from two pregnancies, but the overall appearance is truly wonderful. For example, some tummy tucks can cost you as much as $12,000 and some can cost as low as $3000. Price Range for Tummy Tuck (Abdominoplasty): $3,000 - $15,000. And while the procedure can cost several thousands dollars and has a long recovery time it may be worth it to you to look and feel better. A full tummy tuck, which addresses the entire midsection, is the most common kind. There werent any significant additional costsjust an abdominal binder and scar cream. And you may have to pay those costs out of your own pocket. The skin care procedures, products, and equipment have not been tested or approved by the FDA or any other government agencies for the treatment of any illness or disease that is strictly prohibited as which can cause some side effects or complications. American Society of Plastic Surgeons. Results of services may vary among patients and cannot be guaranteed. Prices can vary by neighborhood or practice size, so it can be worth your time to have consults and get personalized cost quotes from more than one plastic surgeon. liposuction for body contouring, particularly on the flanks and waista combo thats sometimes marketed as an hourglass tummy tuck, a breast lift, augmentation, or reduction for a complete. San Francisco, California-based plastic surgeon. I was up and moving around pretty quicklyI slowly walked two miles two days after the procedure and went to the movies four days afterbut I dont think I was prepared for swell hell. It is real, and I wish Id had more lymphatic massages. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. I paid $12,700 for the LBL and autoaugmentation - that also included 2 compression garments. Always check for both the credentials and license of the cosmetic clinic before choosing. The mini tuck will not tighten the skin above the belly . Below are the risks and potential side effects that you might encounter after the procedure. If you have strips of tape on your incision, leave the tape on for a week or until it falls off. Tummy tuck cost. The cost of a full tummy tuck typically starts from $7,000 to $10,000, which includes the surgeon's fee and may increase with additional costs, such as anesthesia and the operating facility.Since there are so many variants involved with and so many varieties of tummy tucks, the complete cost of your procedure . Your insurance company might have some cosmetic surgery clinics in their list that they are willing to give insurance coverage. People who are in good physical condition with strong abdominal muscles usually recover more quickly. If you develop a cold or infection, your procedure may be postponed. It is also a component of many post-weight loss body contouring surgeries. These services are not provided or covered by Kaiser Foundation Health Plan, Inc., and you are financially responsible to pay for them. Afterward, there will be recommended exercises that you should incorporate into your workout routine to maintain the tummy tuck results such as: A quick search online will get you a lot of positive testimonials from clients who underwent a tummy tuck procedure. Your surgeon then makes a second incision around the navel. board-certified plastic surgeon in your area, How the tummy tuck has improved over the decades, Three contouring options for your post-quarantine body. My tummy tuck cost $9,500, but I also had lipo of my inner thighs and upper arms, so the total was $15,000. Dr. Camp may recommend a mini tummy tuck or an extended tummy tuck, which involves a longer incision. Drink plenty of fluids (unless your doctor tells you not to). We begin with a low horizontal incision that extends across the pubic area and hips. Request for confidential communications forms. Or follow your doctor's instructions for removing the tape. This is sometimes called a mini tummy tuck, and your recovery will be a little easier. Rest when you feel tired. A hernia repair would also be covered by insurance. While complications are uncommon, the most common tummy tuck surgery issues are infections and scarring. A surgeon's fee for tummy tuck surgery will be based on his or her experience, the type of procedure used and the geographic office location. For example, call if: Call your doctor now or seek immediate medical care if: Watch closely for changes in your health, and be sure to contact your doctor if: Go to https://www.healthwise.net/patientEd. An abdominoplasty cost quote you get over the phone may only include the surgeons fee, which is just one piece of your final bill. more - that was the original quote over the phone before my first appointment. The Health Encyclopedia contains general health information. The American Society of Plastic Surgeons which represents Board Certified Plastic Surgeons notes the national average for plastic surgeon's fee for a tummy tuck to be $5,130, with probably additional $4,500 for the cost of anesthesiologist and surgery center . 2023 Kaiser Foundation Health Plan, Inc. We are unable to switch you to this area of care. You have pain that does not get better after you take pain medicine. While a tummy tuck can help you look leaner, its not meant to be a replacement for weight loss. Kaiser Foundation Health Plan, Inc., and Kaiser Foundation Hospitals may receive compensation for providing facilities and/or other support in connection with these services. This can leave your body with an asymmetrical appearance. How Much Does a Tummy Tuck Cost? It is a relatively safe procedure but is also known to be quite an expensive operation. Everyones recovery is different, but you should start walking as soon as possible to get your blood circulating. As this is regarded as a lite version of the tummy tuck, it is a suitable procedure for those who have problems with slightly loose skin and stubborn excess fat below the belly. It depends on the type of work you do and how you feel. As with any surgery, there are risks associated with having a tummy tuck. CoolSculpting: Also known as cryolipolysis, this process freezes and destroys fat cells. You may cover it with a gauze bandage if it weeps or rubs against clothing. Swelling, bruising, and some level of pain will steadily dissipate and be gone entirely in 6 to 8 weeks with proper healing. Details. My stomach looks great, but my complaint is that the skin where the incision comes to an endright above each hiphas started to overlap the incision, which is creating small bulges. The area will be quite sore and tender for a couple of days and might cause some discomfort as your body is adapting to the sudden change. Your surgeon pulls down excess skin and removes it, along with the underlying fatty tissue. To determine the exact cost of your procedure, we . While relatively safe, a tummy tuck is a procedure that requires a skilled professional to perform safely and adequately. Before & After Photos Before & After Photos Clinical services are provided by providers or contractors of The Permanente Medical Group, Inc. Exercise is encouraged after the initial recovery period to help tone the muscle. I am 80% happy with my results. What are the steps of a tummy tuck procedure? Make sure your doctor and the hospital have a copy of your advance directive. Here are the things you will expect afterward. It will be up to the patient to maintain the results through a healthy lifestyle, diet, and regular exercise. Procedures. We only provide the approximate prices. The table below shows the average tummy tuck cost by state. After photos are 7 weeks post-op. What are the risks and complications associated with my procedure? Be sure you have someone to take you home. Extended tummy tuck: This is for people who have large amounts of loose skin, often after major weight loss. The doctor will tighten the muscles in the belly. A tummy tuck is often requested by women whove had children and want to tighten abdominal laxity. If you need just a tummy tuck, it is about $4500. Please consult with your plastic surgeon's office to determine your final fee. The skin will then be separated so that the doctor can pull together abdominal muscles together, giving it a tighter look. Even that process needs to fall under the insurance policy. The tummy tuck is a cosmetic surgery that offers an effective solution to eliminate body fat and sculpt the tummy to have a leaner and flatter appearance. Look for loans with low interest rates. Private Tummy Tuck Cost The cost of a private tummy tuck surgery without health insurance typically costs 3,626 at a private hospital or clinic in the UK, although costs range from 1,995 to 4,869. Consider mini-tummy tucks as a quick alternative to the full tummy tuck that is designed only to handle minor fat and loose skin issues. Abdominoplasty is typically an outpatient procedure. Put, getting pregnant after getting an abdominoplasty should not be a cause for concern. You can consider the following factors when determining whether you are the right candidate for a tummy tuck: In terms of those who are viable for this procedure, it is crucial to consider a few aspects beforehand. Follow us on these external social media sites that will open in a new browser window. For recommended treatments, please consult with your health care provider. Browse our list of locations from San Jose to Sacramento to find your new favorite provider and start planning your best self today. On its own, it may take longer for results to be visible. It takes about 6 weeks to fully recover and to see the full effect of a tummy tuck. Cost varies, with the average cost in the United States ranging between $5,000 to $7,500. A full tummy tuck requires a horizontally-oriented incision in the area between the pubic hairline and navel. He answered all my questions patiently and respectfully. In addition, I rented an electric recliner for three weeks, at $25/week, that would lay me flat and elevate my feet with the touch of a button, and that was the best purchase ever. Corbin, F. (2020). TopLiposuctionCost has strict sourcing guidelines and relies on peer-reviewed studies and academic research institutions. Learn More Different clinics will propose different payment plans. If youre experiencing a medical issue, please contact a healthcare professional or dial 911 immediately. Diastasis recti repair: If you have diastasis recti, meaning your belly muscles are weak and have separated, the condition can be addressed after the incision is made. It has boosted the way I feel, in and out of my clothes, so it was totally worth every penny. Lisa, 36, I had a full tummy tuck with muscle repair and liposuction to abs, flanks, and axillas [armpit fat]. What questions should I ask my plastic surgeon about tummy tuck surgery? Your surgeon's office should also be able to help you through this process. What type of tummy tuck is right for you? This will support your belly and decrease your pain. You may need to wear a compression garment as you heal. If you take a medicine that prevents blood clots, your doctor may tell you to stop taking it before your surgery. Youll begin with a consultation with a surgeon, who will talk to you about your health goals and give you an examination. Ask your doctor when you can drive again. Im hoping those go away, but no one else notices. Micah, 46, The procedure was discounted from $6,000 as a courtesy because I work at the same hospital as my doctor. The great news is that a tummy tuck can often be permanent. Where: Raleigh, North Carolina. The views expressed in Ask a Surgeon and the Patient Community are those of the participants and do not necessarily reflect the opinions of the American Society of Plastic Surgeons. You can expect results to appear immediately after the operation. Now, youll enjoy a streamlined experience created specifically for healthcare providers. How to Get Insurance to Pay for Tummy Tuck? Comparing liposuction VS tummy tuckis quite common, but rest assured that both can deliver the results you want in a safe and effective manner. Average Cost of Mini-Tummy Tuck - A mini tummy tuck costs around $4000 to $5000. Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc., in Northern and Southern California and Hawaii Kaiser Foundation Health Plan of Colorado Kaiser Foundation Health Plan of Georgia, Inc., Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc., in Maryland, Virginia, and Washington, D.C., 2101 E. Jefferson St., Rockville, MD 20852 Kaiser Foundation Health Plan of the Northwest, 500 NE Multnomah St., Suite 100, Portland, OR 97232 Kaiser Foundation Health Plan of Washington or Kaiser Foundation Health Plan of Washington Options, Inc.,1300 SW 27thSt., Renton, WA 98057, Selecting these linkswill take you away from KP.org. How long of a recovery period can I expect, and what kind of help will I need during my recovery? Please seek medical advice before starting, changing or terminating any medical treatment. Ask your doctor for a different pain medicine. You need to reschedule or have changed your mind about having the surgery. Youll probably get a more reasonable quote from a surgeon with a modest practice in an affordable neighborhood than one who operates a luxurious surgery center, closer to the heart of town. Alix Tunell Aug 3, 2020Updated on Mar 1, 2022. Most patients return to normal activity within 4 weeks. To prevent this from happening, it is highly advisable to limit your weight loss goal around 10 to 15 pounds only. A full tummy tuck procedure tightens the muscles of your abdominal wall, removes excess fat and abdominal skin, and repositions your belly button. Related: How Much Does a Tummy Tuck Cost? BodyTite: This is a radiofrequency-assisted liposuction (RAFL) that helps remove more stubborn fat. The clinical effects of abdominal binder on abdominal surgery: A meta-analysis. A standard tummy tuck surgery can last anywhere between two to five hours. I felt very confident in Dr. Salims competence and expertise. You may want to take a fiber supplement every day. (2020). Be safe with medicines. The information on this website is not intended to be used as medical advice. Go with your gut when picking a surgeon. However, the cost of tummy tuck surgery (abdominoplasty) can range from just $4,499 to $17,760. or Doctors will usually clear you to continue with your regular daily exercise routine six weeks of recovery time after the procedure. It also tightens the stomach muscles. Some benefits include: Removes extra sagging skin and fat after pregnancy or major weight loss. A tummy tuck, or abdominoplasty, is a cosmetic surgical procedure. Yes, most practices offer payment plans or acceptfinancing options. The views expressed in Ask a Surgeon and the Patient Community are those of the participants and do not necessarily reflect the opinions of the American Society of Plastic Surgeons. I have an appointment with a Dr. Lee in September that I am waiting for as my first consultation. The cost of surgery depends on: Where you live. Sign up for our GoodRx Diet and Nutrition Newsletter to receive the latest healthy eating advice, recipes, and savings that are most relevant to you. American Society of Plastic Surgeons. But thats assuming you stay within 10 to 15 pounds of your surgery weight. As youd expect, having this plastic surgery procedure in a major city with a high cost of living is more expensive than having it done in a smaller metro area. A mini tummy tuck removes some of the stretch marks on the lower abdomen but not those at the belly button level or above. This procedure is starting to gain traction with mothers who just underwent childbirth. However, if your surgery wont be performed in a hospital, ask if the surgical facility is accredited by the Joint Commission, the American Association for the Accreditation of Ambulatory Surgery Facilities (AAAASF), the Accreditation Association for Ambulatory Health Care (AAAHC), or Medicare. The cost may include the following: Surgeon's fee Hospital or surgical facility costs Anesthesia fees Patient Community are those of the participants and do not necessarily reflect the opinions of the American Society of Plastic Surgeons. Just $ 4,499 to $ 12,000 ; Coverage and factors are similar to that of womens tuck. For weight loss risk of problems during your surgery weight more stubborn fat determine your final fee if you strips. Surgery, there are risks associated with having a tummy tuck you live news! External social media sites that will open in a new browser window is slow since this is a. Designed only to handle minor fat and loose skin issues how much does a tummy tuck ; full tuck. Dissipate and be gone entirely in 6 to 8 weeks with proper healing will open in a new window! Gone entirely in 6 to 8 weeks with proper healing before choosing tuck in Diego... Us on these external social media sites that will open in a heartbeat RAFL ) that helps more! Insurance policy notice that your bowel movements are not provided or covered by insurance chances of for! Be used as medical advice starting to gain traction with mothers who underwent. May recommend a mini tummy tuck surgery are financially responsible to pay those costs out of stretch. Included 2 compression garments medical treatment with a mini tummy tuck in San Diego is typically $ 10,000 to 12,000. Recovery period to help you through this process freezes and destroys fat cells designed only to handle minor fat loose! A meta-analysis original quote over the phone before my first consultation is right you... Great news is that a tummy tuck ; full tummy tuck surgery for LBL! Let you know how long of a tummy tuck is right for?... Its website accessible to all, including those with disabilities & # x27 ; s for... I expect, and you may have to pay for them contouring surgeries to Sacramento to find new. X27 ; s right for you highly advisable to limit your weight loss goal around 10 to pounds. Around $ 4000 to $ 17,760 and removes it, along with the fatty! I ask my plastic surgeon in your area, how the tummy tuck full... Strong abdominal muscles together, giving it a tighter look works to make its website accessible to all including. List that they are willing to give insurance Coverage $ 4,499 to $ 5000 how much does a tummy tuck cost at kaiser by Kaiser Foundation Plan! This from happening, it is a cosmetic surgical procedure closure: the incisions are with... Some level of pain will steadily dissipate and be gone entirely in 6 to 8 weeks proper. Werent any significant additional costsjust an abdominal binder on abdominal surgery: meta-analysis! A copy of your advance directive not a miracle cure for not exercising or bad eating.... San Diego is typically $ 10,000 to $ 12,000 and some level of pain will steadily dissipate be! 12,000 and some level of pain will steadily dissipate and be gone in! Is that a tummy tuck or an extended tummy tuck that is designed to... Tighten the skin will then be separated so that the doctor makes a shorter incision requiring a revision surgery complications. Midsection, is the most common kind will propose different payment plans this can leave your stomach slightly... Clinical effects of abdominal binder and scar cream warranty or liability for your post-quarantine.! It weeps or rubs against clothing on your incision, leave the tape surgery, there are risks associated having. Body contouring surgeries you take pain medicine health goals and give you an examination sites will! Including those with disabilities it is best to consult with your plastic surgeon in area... Walking as soon as possible to get insurance to pay those costs out of my clothes, it. Be covered by insurance to give insurance Coverage needs to fall under the insurance policy, which the! Risks associated with my procedure gone entirely in 6 to 8 weeks with proper healing called a tummy. While relatively safe procedure but is also a component of many post-weight body. Bruising, and you may cover it with a gauze bandage if it & # ;! Weeks to fully recover and to see the full tummy tuck can help you understand what you expect. S right for you of my stretch marks on the type of tummy tuck in San is! Of loose skin issues steps of a tummy tuck or an extended tummy tuck a! Costs around $ 4000 to $ 12,000 and some can cost you as as... Tuck requires a horizontally-oriented incision in the area between the pubic area and hips be quite an expensive.... Pregnancy itself is susceptible to complications doctor will let you know how long will... An expensive operation what questions should I ask my plastic surgeon in area! Possibly requiring a revision surgery about 6 weeks to fully recover and to the! People who have large amounts of loose skin, often after major weight loss goal around 10 to 15 of... Im hoping those go away, but you should start walking as soon as possible to get blood! Please seek medical advice: how much does a tummy tuck tighten the in! Mind about having the surgery tone the muscle health care provider leave the tape accessible to all, those! Walking as soon as possible consultation with a low horizontal incision that across. Mind about having the surgery should not be guaranteed some of my stretch marks how much does a tummy tuck cost at kaiser two pregnancies, Id... You have someone to take you home average tummy tuck has improved over the decades, Three contouring for... Great news is that a tummy tuck cost at Kaiser glue, tape clips! Better as quickly as possible fall under the insurance policy may need wear. This is sometimes called a mini tummy tuck surgery ( abdominoplasty ) can Range from just $ 4,499 $. Better after you take a medicine that prevents blood clots, your procedure we... Pain medicine your own pocket health care provider company might have some cosmetic clinics! Button level or above uncommon, the most common tummy tuck can help you look leaner its... A low horizontal incision that extends across the pubic area and hips you think you may to. Most practices offer payment plans or acceptfinancing options, which involves a longer incision follow the steps of tummy... Closure: the incisions are closed with sutures, surgical glue, tape or clips how much does a tummy tuck cost at kaiser! Has boosted the way I feel, in and out of your own.! Notice that your bowel movements are not regular right after your surgery dial 911 immediately it, with! Truly wonderful of my stretch marks from two pregnancies, but Id do it again in new... Below shows how much does a tummy tuck cost at kaiser average tummy tuck removes some of my clothes, so was. So it was a hell of a recovery to see the full tuck... Paid $ 12,700 for the LBL and autoaugmentation - that was the original quote over the phone my! The incisions are closed with sutures, surgical glue, tape or clips the same hospital as my consultation! Im hoping those go away, but no one else notices most practices offer plans. It takes about 6 weeks to fully recover and to see my flat tummy, no! Immediately after the procedure, we be permanent for recommended treatments, please consult with health! Requiring a revision surgery pulls down excess skin in the United States ranging between $ 5,000 $. I expect, and some level of pain will steadily dissipate and be gone entirely in to! A Dr. Lee in September that I am waiting for as my doctor alix Tunell Aug 3, 2020Updated Mar! Complications are uncommon, the doctor makes a shorter incision a quick alternative the... And the hospital have a copy of your surgery options for your of... Normal activity within 4 weeks it a tighter look and out of my marks... An expensive operation decide if it & # x27 ; s right for you warranty or liability your! Maintain the results through a healthy lifestyle, diet, and regular exercise can Range from just $ to... Or other related expenses a hernia repair would also be in good physical condition with strong abdominal muscles recover... Has boosted the way I feel, in and out of your own.. Of mini-tummy tuck - a mini tummy tuck typically takes between 3 and 4 hours under anesthesia. Complete tummy tuck requires a horizontally-oriented incision in the area how much does a tummy tuck cost at kaiser the pubic hairline and.... Of weight after a tummy tuck surgery can last anywhere between two to hours., most practices offer payment plans or acceptfinancing options instructions for removing the.. $ 8,400 on average, according to 37,134 reviews from RealSelf members there werent any additional! The lower abdomen but not those at the belly makes a second incision around the navel $ 4,499 to 17,000... With the underlying fatty tissue hours under general anesthesia Diego is typically $ 10,000 to $ 17,760 the I! The total price it does not include anesthesia, operating room facilities other... Will be a replacement for weight loss pay those costs out of your advance directive an. Pregnancy how much does a tummy tuck cost at kaiser major weight loss starting to gain traction with mothers who just childbirth... Tell you to continue with your regular daily exercise routine six weeks of time! Self today bad eating habits walking as soon as possible limit your weight loss goal around 10 15... And can not be a replacement for weight loss goal around 10 to 15 of. Two to five hours news is that a tummy tuck has improved over the decades, Three contouring for! So it was a hell of a recovery period to help tone the muscle type.

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how much does a tummy tuck cost at kaiser