
"I get home from work and my back doesn't hurt and I'm not exhausted so I can actually do things and play with my kids. I've cleaned and reorganized my home and lost another 30 pounds without trying just because I come home with energy and want to do things."
-46 year old Tummy Tuck Patient of Dr. Kate Impastato
"I put on a dress I haven't worn in years because it was fitted around the abdomen. When I came out of the bathroom the way my husband looked at me brought us both to tears. He's always loved me just the way I am, so he was hesitant about surgery. Yet, the newfound confidence and how I carry myself since the procedure is undeniable. This surgery has truly transformed my life.."
- Patient of Dr. Kate Impastato

Tummy Tuck
Real Tummy Tuck Before and After Results in Vancouver WA
All photos show real patients treated by Dr. Kate Impastato, board-certified plastic surgeon at Evergreen Plastic Surgery in Vancouver, Washington.
You're worth it.
Age: 42
Procedure: Tummy Tuck (aka Abdominoplasty)
Surgeon: Dr. Kate Impastato
Location: Vancouver, WA
This amazing 42-year-old mother of two underwent a Tummy Tuck (aka Abdominoplasty). She does literally everything she can for everyone around her. She works, volunteers, coaches, takes care of her neighbors and friends...you name it she does it! She was really anxious to undergo surgery especially an elective one. She has a low pain tolerance and had never had any surgery done before. She was worried about the down time, the pain, the risks, etc but ultimately decided she wanted to do this for herself. She had a very large diastasis (separation in her abdominal muscles) from having two really big kids. Now that that is repaired she can strengthen her core again!
She did great postoperatively. Her drains were removed at two weeks postoperatively. She works from home so was able to start work again a week after surgery. She took 6 weeks off from exercising and is back to competitive sports now! She is super excited about the adorable bathing suits she just picked out (thank you for sending me photos!!!) It is fun joining in the celebration.
Age: 46
Procedure: Tummy Tuck (aka Abdominoplasty)
& Breast Lift
Surgeon: Dr. Kate Impastato
Location: Vancouver, WA near Portland, OR
This inspiring 46 year old mother raised two brilliant, strong daughters—and with the love and support of her husband finally was ready to take a moment to take care of herself. After years of putting her family first, she committed to her health, lost weight through consistent diet and exercise, but was still feeling uncomfortable in her own body.
She chose to have a tummy tuck (with muscle repair) and a breast lift to restore her shape and feel more confident in her skin. It has been great getting to know her and her husband and only hope to meet their incredible powerhouse daughters one of these days!
Age: 45
Procedure: Tummy Tuck (aka Abdominoplasty)
Surgeon: Dr. Kate Impastato
Location: Vancouver, WA
One year ago, this incredible 45-year-old mom chose to finally do something for herself. After pregnancy, she was left with rectus diastasis (separation of the abdominal muscles), loose skin, and stretch marks that prevented her abdomen from returning to its pre-baby shape — even after losing the weight and working hard to stay healthy.
Through tummy tuck surgery (abdominoplasty) with muscle repair, we were able to restore the abdominal wall and remove the excess skin that no amount of exercise can correct. Now one year later, she is doing beautifully. Strong, vibrant, intelligent, and truly stunning — she continues to grow into a confidence that reflects the amazing person she has always been.
Motherhood and perimenopause can change our bodies in powerful ways that are not always within our control. Sometimes choosing to care for yourself is part of honoring that journey.
Age: 37
Procedure: Tummy Tuck (aka Abdominoplasty)
Surgeon: Dr. Kate Impastato
Location: Vancouver, WA
This incredible 37-year-old mother of four is 1 year postop following a Tummy Tuck (aka Abdominoplasty). Standing at less than five feet tall, she faced the aftermath of carrying four large babies, resulting in a significant rectus diastasis. (abdominal muscles separate allowing the abdomen to protrude more than normal). After work she often wanted to just sit and rest. Her back hurt and she never had energy to clean her own home or play with her kids. During our one year postop visit she shared the impact surgery has had on her life. While still working her full time labor intensive job she gets home and still feels energetic. She has cleaned out and reorganized her entire home and has enough energy to play with her kids. She shared that she has a completely new life she hadn't dreamed of! She has been able to lose another 30 lbs without trying just because she doesn't hurt or feel completely exhausted at the end of the day. I am so proud of her and thankful to have gotten to be a part of her life.
I appreciate her dedication to encouraging other women to prioritize self-care. Her recommendation for other women is to make sure you have a lot of support to help with children during your recovery but not to delay because at a year out she can't believe what she has accomplished.
Age: 40
Procedure: Tummy Tuck (aka Abdominoplasty)
Surgeon: Dr. Kate Impastato
Location: Vancouver, WA
This incredible 40-year-old mother of three is redefining self-care and embracing her transformation! A year after Tummy Tuck (aka Abdominoplasty), she's radiating confidence like never before. She was able to quit using any nicotine for over two months prior to surgery and hasn’t restarted!
Quitting all nicotine is a testament to just how tough this lady is, I am so impressed by her dedication to choosing to make healthy life choices and so thankful for commitment to our community- despite raising a family she is finding time to complete another degree to help others in our community! She is an amazing lady!
Age: 33
Procedure: Tummy Tuck (aka Abdominoplasty)
Surgeon: Dr. Kate Impastato
Location: Vancouver, WA
This 33-year-old mom of two had already put in the work — she lost 35 pounds and was committed to taking care of her body. But despite that, she continued to struggle with excess skin and abdominal muscle separation (diastasis recti), and even simple things like house cleaning would leave her with lower back pain.
I performed an abdominoplasty with muscle repair to restore her core and remove the excess skin that couldn’t improve with diet and exercise alone. Now, at
just 6 weeks postop, she is thrilled with how she looks — but just as importantly, she’s already noticing a
significant improvement in her lower back pain!
She put in the work before surgery — and now she gets
to fully benefit from it.
Age: 38
Procedure: Tummy Tuck (aka Abdominoplasty)
Surgeon: Dr. Kate Impastato
Location: Vancouver, WA
This 38-year-old mom of two (both born via C-section) is shown 3 months after her tummy tuck (abdominoplasty) with rectus muscle repair and liposuction performed by Dr. Kate Impastato in Vancouver, WA. She works closely with postoperative patients in her own career, so she understood from the beginning that healing is a process and approached surgery with realistic expectations and patience.
After pregnancy, she was left with changes to her abdomen that did not improve despite staying active and taking care of herself. Surgery allowed us to restore her abdominal wall and refine her contour, but what stands out most is how comfortable she feels now. She’s no longer adjusting or working around her body — she’s simply living in it.
At this stage in recovery, her results continue to improve as swelling resolves, but she already feels stronger, more at ease, and back to herself in a way that reflects both her lifestyle and the work she put in long before surgery.
Age: 34
Procedure: Tummy Tuck (aka Abdominoplasty)
& Breast Lift
Surgeon: Dr. Kate Impastato
Location: Vancouver, WA
"I love my cute belly button!" This 34-year-old was able to get back to her goal weight after having three children all of which she breastfed. She had a breast reduction years ago but after breastfeeding her breasts were stretched and had lost their perky appearance.
Through good old fashioned grit, determination, healthy diet choices, and exercise she was able to reach her goal weight but remained disappointed that her outward appearance did not match how young and in shape she felt.
During our first consultation we discussed that no amount of will-power can repair a chronic rectus diastasis (separation of abdominal muscles) or remove extra skin. Which is where I got to help! She underwent abdominoplasty/tummy tuck with rectus diastasis repair and breast lift. She is thrilled with her results!
Age: 54
Procedure: Tummy Tuck (aka Abdominoplasty)
& Breast Lift
Surgeon: Dr. Kate Impastato
Location: Vancouver, WA
This fabulous 54-year-old lady has a zest for life that is contagious. I met her several years ago at which point she was unhappy with the appearance of her breasts and abdomen. She wanted her breasts lifted and augmented and a tummy tuck.
I recommended staging her breast lift and augmentation, as this approach is often safer and more predictable. Additionally, many women find that once their breasts are lifted, they’re satisfied with the results and no longer feel the need for additional volume. This can help some patients avoid an unnecessary second surgery.
She decided to proceed with a breast lift and tummy tuck, and her recovery was seamless! Since then, she has embraced a healthier lifestyle, achieved her ideal weight, and is maintaining it beautifully—enhancing her surgical results. With her weight loss, she noticed some loss of breast volume and is now planning a small augmentation to refine her overall look.
Age: 51
Procedure: Tummy Tuck (aka Abdominoplasty)
& Breast Lift
Surgeon: Dr. Kate Impastato
Location: Vancouver, WA
This 51-year-old woman is 3 months postop following "mommy makeover" including a breast lift and tummy tuck (aka abdominoplasty). Like so many moms, she has put herself on the backburner for decades and is finally taking care of herself.
She breezed through the recovery process with minimal pain. She feels so much more confident and it really makes a difference in how she approaches the day. She's an amazing lady, I'm glad I got to be a part of her journey!
Age: 70
Procedure: Fleur de Lis Abdominoplasty
Surgeon: Dr. Kate Impastato
Location: Vancouver, WA
This 70-year-old woman has accomplished something truly remarkable - she has lost 100 lbs! Her transformation is truly inspiring, but she faced a challenge with excess skin that made exercising difficult and prevented her from feeling comfortable in the summer outfits she had been dreaming of. To address this, she decided to undergo a Fleur de Lis abdominoplasty, a tummy tuck with an up-and-down scar in addition to the lower hip-to-hip scar that allows me to remove the excess skin folds up and down and also side to side. This surgical procedure helped contour and tighten her abdomen, giving her a beautifully sculpted midsection that matches her incredible weight loss accomplishment.
Her bravery and dedication have paid off in more ways than one. Not only does she look and feel amazing, but she has also gained a newfound sense of confidence, self-love, and empowerment. As a way to celebrate post-operatively, she treated herself to a three-week vacation in Europe. She confidently took on walking tours and enjoyed every moment to the fullest!
In these photos she is one year out from surgery and planning her next European journey!
I am truly grateful to have played a small role in her journey. Witnessing the positive impact this has had on her life, and seeing how she radiates from the inside out is absolutely priceless.
Age: 48
Procedure: Tummy Tuck (aka Abdominoplasty)
Surgeon: Dr. Kate Impastato
Location: Vancouver, WA
This 48-year-old woman is 3 months postop following an abdominoplasty (aka Tummy Tuck). After having and raising her children she was able to gain a lot of core strength back through exercise but was bothered by the persistent fullness in her abdomen secondary to rectus diastasis (a separation in the abdominal muscles). She underwent an abdominoplasty with diastasis repair to achieve her goals. She is excited for bathing suit weather!
Age: 56
Procedure: Tummy Tuck (aka Abdominoplasty)
Surgeon: Dr. Kate Impastato
Location: Vancouver, WA
Confidence boost! This is a very special 56-year-old lady who pours her heart and soul into everyone around her. She is moving through this life with grace and truly lifts the people around her. Prior to surgery despite the unconditional love and compassion she shows the people around her she was so hard on herself. She underwent an abdominoplasty to help smooth the excess skin of her stomach and tighten her abdominal wall where she had had a rectus diastasis (separation of the ab muscles) from having children.
Postoperatively she is even more of a beaming light and it is so warming to hear how she feels about herself now.
She is loving her new reflection that actually mirrors how she feels inside. I can't wait to see her for the next phase of her rejuvenation.
Age: 51
Procedure: Mommy Makeover procedure consisting of a Tummy Tuck (aka Abdominoplasty)
& Breast Lift
Surgeon: Dr. Kate Impastato
Location: Vancouver, WA near Portland, OR
This 51 year old woman is 3 months postop following "mommy makeover" including a breast lift and tummy tuck (aka abdominoplasty). Like so many moms, she put herself on the backburner for decades before finally taking care of herself.
She breezed through the recovery process with minimal pain. At six weeks she was back to exercising and is so happy she took the time to recover. She feels like herself again!
Age: 34
Procedure: Mommy Makeover procedure consisting of a Tummy Tuck (aka Abdominoplasty)
& Breast Lift
Surgeon: Dr. Kate Impastato
Location: Vancouver, WA near Portland, OR
This hardworking 34 year old was determined to get fit after having three children. She had a breast reduction years ago prior to having children but after breastfeeding her breasts were stretched and had lost their perky appearance. Through good old fashioned grit, determination, healthy diet choices, and exercise she was able to reach her goal weight but remained disappointed that her outward appearance did not match how young and fit she felt. She was very worried with how her belly button my look postop but thankfully she likes it better than her original! She is excited to go bathing suit shopping!












































































