Dr. Kenneth Hughes, MD in Los Angeles produces another very flat tummy tuck result. Dr. Hughes precisely plicates the abdominal wall fascia to tighten the abdominal wall and fix any defects. He also frequently repairs hernias at the same time. He also dissects higher on the abdominal wall to recruit more tissue so that more tissue can be removed. Upper abdominal fullness due to inadequate upper abdominal plication, inadequate superior dissection of the abdominal flap, or a combination of both.