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What Is An Extended Tummy Tuck?

Posted January 21, 2025 in Uncategorized

An extended tummy tuck is a comprehensive body contouring procedure that goes beyond the scope of a traditional tummy tuck. At Specialists in Plastic Surgery in Raleigh, NC, Dr. Matthew Blanton and Dr. Sanjay Daluvoy offer this advanced technique to patients seeking dramatic improvements in their abdominal area and flanks. Addressing excess skin and fat that extends beyond the central abdomen, this procedure offers a more extensive transformation.

Introduction to the Extended Tummy Tuck

An extended tummy tuck is a comprehensive body contouring procedure that goes beyond the scope of a traditional abdominoplasty. This advanced surgical technique addresses not only the abdominal area but also extends to the hips and lower back, providing a more extensive transformation.

The procedure is particularly advantageous for those who have undergone massive weight loss, typically through bariatric surgery, or for individuals with considerable skin laxity and excess tissue that wraps around to their sides and back. While the recovery period may be slightly longer than a standard tummy tuck, the extended technique offers the potential for a more significant transformation, especially for those struggling with extensive skin and tissue laxity following major weight loss.

How an Extended Tummy Tuck Differs from a Traditional Tummy Tuck

Both procedures target the abdominal area, but an extended tummy tuck offers a more comprehensive method for body contouring. Here’s a more detailed look at the key differences:

Incision Length and Placement

  • Traditional: The incision typically runs from hip to hip, just above the pubic area.
  • Extended: The incision placement may vary. It is usually longer, starting at one hip, extending across the lower abdomen, and wrapping around to the lower back. Another option places the incision vertically along the middle of the abdomen plus a lower abdomen incision.  Both options allow for more extensive tissue removal and reshaping.

Area Treated

  • Traditional : Focuses primarily on the front of the abdomen, addressing loose skin and excess fat in this region.
  • Extended: This procedure extends its focus to a larger area, covering the abdomen, flanks (love handles), and lower back for a more dramatic transformation of the entire midsection.

Muscle Repair

  • Traditional: Tightens the abdominal muscles (rectus abdominis) to create a flatter, firmer abdomen.
  • Extended: Includes abdominal muscle tightening but may address a larger portion of the abdominal wall due to the extended incision.

Recovery and Scarring

  • Traditional: Generally has a shorter recovery time and a more concealed scar.
  • Extended: Due to the extensive nature of the surgery, an extended tummy tuck may require a longer recovery period. The scar is longer but can often be hidden beneath clothing and swimwear.

By addressing a larger area, an extended tummy tuck can provide more dramatic results for patients with notable skin laxity and excess tissue in the midsection and flanks, resulting in a more comprehensive body transformation.

Ideal Candidates for an Extended Tummy Tuck

The most suitable candidates are typically:

  • Have significant excess skin and fat in the abdomen, hips, and lower back
  • Have undergone massive weight loss, often through bariatric surgery
  • Are at or near their ideal body weight
  • Have realistic expectations about the procedure and results
  • Are in good overall health and non-smokers

What to Expect During the Procedure

An extended tummy tuck is always performed under general anesthesia and generally takes 3 to 5 hours to complete. 

The procedure involves:

  • Making an incision from hip to hip, extending around to the lower back
  • Removing excess skin and fat
  • Tightening the abdominal muscles
  • Repositioning the navel
  • Closing the incisions with sutures

Dr. Blanton and Dr. Daluvoy use advanced techniques to ensure optimal results and minimal scarring.

Recovery Timeline and Aftercare Tips

Similar to a traditional tummy tuck, recovery from an extended tummy tuck may be longer due to the more comprehensive scope of the surgery:

  • Week 1-2: Rest at home, limited movement
  • Week 3-4: Gradual return to light activities
  • Week 6-8: Return to more strenuous activities

Aftercare tips include:

  • Wearing compression garments as directed
  • Following wound care instructions carefully
  • Strenuous activities should be avoided until cleared
  • Maintaining a healthy diet and staying hydrated

Benefits of an Extended Tummy Tuck

An extended tummy tuck offers several advantages:

  • Comprehensive body contouring of the abdomen, hips, and lower back
  • Dramatic improvement in body shape and proportions
  • Removal of excess skin that can cause hygiene issues or skin irritation
  • Increased confidence and improved body image
  • Long-lasting results are enhanced with a healthy lifestyle

Frequently Asked Questions

What is an extended tummy tuck, and how does it differ from a traditional tummy tuck?

It addresses a larger area than a traditional tummy tuck, including the abdomen, hips, and lower back. It involves a longer incision and more extensive contouring, making it ideal for patients with significant excess skin and fat in these areas.

Who is an ideal candidate for an extended tummy tuck?

Ideal candidates are those who have experienced massive weight loss, have excess skin and fat extending to the hips and lower back, are at a stable weight, and are in good overall health.

What are the benefits of an extended tummy tuck compared to other abdominal procedures?

It provides more comprehensive body contouring, targeting not only the abdomen but also the hips and lower back. This results in a more dramatic transformation and improved overall body proportions.

What is the recovery process like after an extended tummy tuck?

Recovery typically takes 6-8 weeks, with the initial weeks requiring significant rest. Patients gradually return to normal activities, with full recovery often achieved by 3 months post-surgery.

How do the results of an extended tummy tuck compare to other tummy tuck procedures?

It provides more extensive results, creating a smoother contour from the abdomen around to the lower back. This can lead to a more dramatic transformation, especially for those who have lost a significant amount of weight. 

Your Path to a Dramatic Body Transformation Starts Here

At Specialists in Plastic Surgery, we understand that choosing to undergo a tummy tuck is a significant decision. Our board-certified plastic surgeons, Dr. Blanton and Dr. Daluvoy, are committed to providing personalized care and achieving natural-looking results that enhance your unique body shape. 

If you’re considering a tummy tuck, we invite you to schedule a consultation to discuss your goals and explore if this procedure is the right choice for you. Let us help you achieve the confidence and body contour you desire.