Double Board-Certified Plastic Surgeon Franklin, TN Serving Nashville & Brentwood English & Spanish Consultations 615-988-9686
DOUBLE BOARD-CERTIFIED · ABPS · ABS FRANKLIN, TN · NASHVILLE · COOL SPRINGS ABDOMINOPLASTY · 360 VASER · RENUVION · BBL
The System

What the Procedure Includes

Total Body Restoration is a coordinated system — not a menu of add-ons. Four components work together, each solving a problem the others can't, so the abdomen, waist, back, and silhouette move as one.

VECTRA 3D · Real Patients · Before & After

Where the Change Happens

Two real patients of Dr. Ramirez Gavidia, scanned before and after surgery. Choose a body type, switch views, and watch the morph.

Before surgery, VECTRA 3D scan After surgery, VECTRA 3D scan
Before

Interactive VECTRA 3D — real patients of Dr. Ramirez Gavidia, scanned before and after surgery. Individual results vary.

FOUNDATION
Structure & Skin

Abdominoplasty

Repairs separated abdominal muscles (diastasis recti), removes excess skin, and re-drapes the abdominal wall through a refined, low incision. This is the structural foundation — the only component that addresses true skin laxity and muscle separation.

DEFINITION
Waist Taper

360° VASER Sculpting

Ultrasound-assisted contouring of the flanks, waist, upper abdomen, and back — a full circumferential pass. This is what turns a flat front into a tapered, dimensional waistline instead of a "smaller block."

SKIN RESPONSE
Edge Refinement

Renuvion (J-Plasma)

Helium-plasma energy used when appropriate to support skin remodeling and tighten edges after sculpting. Not a substitute for skin excision in severe laxity — a refinement layer that sharpens transitions and contraction in selected patients.

SHAPE
When Indicated

Structural Fat Grafting (BBL)

Fat harvested during sculpting is refined and placed strategically to restore proportion and lift — architecture, not inflation. Used when indicated to balance the silhouette, never simply to add size.

Why "Circumferential" Matters

  • A traditional tummy tuck treats the front. Untreated flanks and back leave a visible "step-off" from every other angle.
  • Treating the abdomen, waist, and back in one plan removes that segmented look.
  • The waist taper — the thing most patients actually want — lives on the sides and back, not the front.
  • One coordinated session means one recovery, one anesthetic, and transitions planned as a whole.
In the Operating Room

How the Components Are Sequenced

Order matters. Each step sets up the next so that fat is harvested cleanly, skin is tightened after sculpting, and grafting is placed into a finished contour.

STEP 01
Harvest & Carve

360° VASER First

Circumferential sculpting emulsifies and removes fat from flanks, waist, and back — establishing the taper and yielding graft-quality fat through a closed system.

STEP 02
Repair & Re-drape

Abdominoplasty

Muscle repair for diastasis, removal of excess skin, and re-draping of the abdominal wall through a refined low incision — the structural correction VASER cannot make.

STEP 03
Tighten & Place

Renuvion + Grafting

Renuvion supports skin contraction where appropriate; refined fat is grafted to restore proportion and lift into an already-finished contour.

Is This For You

Who the Circumferential System Fits

The best candidates are looking for a proportional, sculpted result from every angle — not just a flatter front. Planning is always anatomy-driven.

Often a Strong Fit

  • Post-pregnancy changes: muscle separation, loose skin, and a widened waistline.
  • Stubborn flank and back fullness that dieting and front-only procedures leave behind.
  • Patients at or near a stable weight who want circumferential taper, not just reduction.
  • Anyone who has been told "a tummy tuck alone won't give you the waist you want."

We May Recommend Sequencing or Alternatives

  • Significant pending weight loss — we often optimize with medical wellness (GLP-1) first.
  • Minimal skin laxity, where 360 VASER + Renuvion alone may achieve the goal.
  • Health factors that favor staging the system across more than one session.
Recovery Architecture

Structured Recovery Protocol

A circumferential procedure deserves a structured recovery. Many patients begin in-office massage within 1–3 days postop — guided by specialists to reduce inflammation and support smoother early contour.

Early In-Office Massage (1–3 Days)

  • Designed to reduce early swelling and inflammatory congestion.
  • Supports contour smoothing during the most dynamic healing window.
  • Helps monitor garment fit, symmetry, and early fluid patterns.
  • Part of a "system," not an afterthought.

Timing and frequency depend on the components performed and individual healing.

Advanced Pain Control (Narcotic-Sparing)

  • Surgeon-performed TAP block placed during surgery — not just anesthesia.
  • Multimodal protocol designed to minimize opioid use for most patients.
  • Better early mobility, less nausea, smoother recovery experience.
  • Aligned with modern safety-forward recovery standards.

Medication plans vary by patient history and procedure type.

Watch the Work

Circumferential Cases — In His Own Words

Real cases. Real planning. Dr. Ramirez Gavidia walks through the circumferential system, the candidacy, and the results.

Surgery Table → 2 Months Post-Op360° Tummy Tuck + VASER + BBL + J-Plasma
IG
A Tummy Tuck Is Not Just the FrontCircumferential Candidacy Explained
IG

More procedure walkthroughs on YouTube @RG_Plastic_Surgery.

Explore

Explore the Components & Related Systems

Each component of the circumferential system has its own dedicated page — plus related pathways in the Body Architecture system.

Franklin, TN circumferential body contouring with systems-based planning — serving Nashville, Brentwood & Cool Springs patients.

FAQ

Total Body Restoration FAQs

Clear answers based on anatomy, structural planning, and recovery systems.

What is a circumferential (belt) abdominoplasty?
It treats the torso as one continuous structure rather than the front alone. Abdominoplasty corrects the abdominal wall and skin, while 360° VASER sculpts the flanks, waist, and back — so the waist taper reads from every angle, not just head-on.
Do I need all four components?
No. The system is modular. Abdominoplasty addresses skin laxity and muscle separation; 360 VASER builds the taper; Renuvion supports skin tightening when appropriate; and structural fat grafting is used only when indicated. Your anatomy and goals determine which components apply.
Do I need abdominoplasty or can 360 VASER sculpting be enough?
It depends on skin laxity, abdominal wall changes, and goals. 360 VASER can refine contour and definition; abdominoplasty addresses significant laxity and muscle separation. Your plan is chosen based on anatomy — not trends.
How does Renuvion help with skin tightening?
Renuvion is used when appropriate to support skin remodeling and edge refinement. It's not a substitute for skin excision in severe laxity, but it can enhance definition and contraction in selected patients.
What is the difference between BBL and structural fat grafting?
"BBL" describes fat transfer to improve buttock shape. Structural fat grafting emphasizes strategic placement, proportion, and transitions — focusing on lift and natural shape rather than excessive size. It's architecture, not inflation.
Is this the same as a Mommy Makeover?
Total Body Restoration is our systems-based approach to abdominal restoration and full-torso contouring — the pathway many patients searching "Mommy Makeover" are looking for. Breast procedures are planned separately through Structural Breast Architecture.
How soon can I start post-op massage, and why does it matter?
Many patients begin in-office massage within 1–3 days postop when appropriate. Early guided therapy can reduce inflammation, support contour smoothing, and help us monitor symmetry and early fluid patterns.
How do you control pain without narcotics for most patients?
We use a multimodal approach designed to minimize opioid use. A key differentiator is a surgeon-performed TAP block placed during surgery, combined with a tailored medication strategy based on procedure type and patient history.

Disclaimer: This page is for educational purposes only and does not replace an in-person medical evaluation.