An extended tummy tuck or extended abdominoplasty is a surgical procedure that can remove your abdominal fat and excess skin from the stomach and the hips. At Coco Ruby Plastic Surgery, our Melbourne Based Plastic Surgeons do extended tummy tuck surgical procedures.
Behind our specialised plastic surgeons are decades of experience and tens of thousands of patients who had their true self surface after their plastic surgery. Suppose you suffer from an apron belly, stubborn abdominal fat, if you suffer from love handles or widened abdominal muscles, contact our surgeons today for a true recontouring of your body.
Tummy Tuck Surgery Guide
Read more about Tummy Tuck Surgery
What Is Extended Tummy Tuck FAQs
What is an Extended tummy tuck?
- An extended tummy tuck is a surgical procedure that removes stubborn fat and excess skin from an extended abdominal area.
- In general, your specialised plastic surgeon will place the extended tummy surgery incision between your pubic area and the belly button at the height that allows it to be hidden by your underwear or your swimwear.
- The line follows the natural contours of your body around the abdomen. It extends into the hips, almost touching the back of the body.
- It is a great procedure that helps you recontour your body, especially after a massive weight loss, bariatric surgery and one or more pregnancies.
What is Apronectomy?
- Apronectomy is a type of abdominoplasty, a surgical procedure that removes excess skin from your belly after a massive weight loss.
- If you suffer from an apron belly and your skin is subject to common infections, ulcers or you feel uncomfortable about how your tummy looks, this is the best procedure for you.
- Apronectomy does not tighten the abdominal muscles, so it will not affect your waist.
What is Panniculectomy?
- Panniculectomy, or apronectomy, is a surgical procedure that removes extra pannus or the skin fold that you may have on your belly.
- After a massive weight loss, you may experience sagging skin on your lower abdomen that covers a part of the pubic area.
- The saggy skin may cause discomfort, infections, unsightly appearance of the lower abdomen and is, in general, an unwanted condition.
- Panniculectomy does not tighten the abdominal muscles.
- If you feel that your stomach hangs lower than it should or suffer from embarrassment, schedule a consultation with your chosen specialised plastic surgeon today and discuss what solution a panniculectomy can offer to you.
What is Reverse Abdominoplasty?
- Reverse Abdominoplasty or Upper Abdominoplasty removes extra pockets of fat tissue and excess skin from the upper abdomen.
- Reverse abdominoplasty does not tighten the abdominal muscles, so it will not alter your waistline the same way that a tummy tuck or even an extended tummy tuck would.
Do I need a full or extended tummy tuck?
- A full tummy procedure addresses fatty deposits and excess skin on the abdomen.
- The full tummy tuck incision follows the lower crease of your belly to the hips. An extended tummy tuck makes this incision longer.
- The fat tissue and skin removal also cover the area of the hips.
- Suppose you have prominent, but unwanted love handles. In that case, you may want to choose an extended tummy surgery over a full tummy tuck.
Does an extended tummy tuck lift your thighs?
- An extended tummy tuck does not lift your thighs.
- However, a similar procedure, called a High Tension tummy tuck, does lift your thighs and buttocks.
- Make sure to speak with your specialised plastic surgeon about what your expectations of the surgery are.
- Most dissatisfaction that patients experience post-op comes from unrealistic expectations since every surgical procedure has its limitations.
Does an extended tummy tuck lift your pubic area?
- The tummy tuck procedure does not lift your pubic area.
- A tummy procedure addresses the tummy excess skin, making your abdomen tighter, better contoured, and your waistline slimmer.
- Your pubic area may get some of the aesthetic benefits that extended tummy tuck offers since it will not be more exposed.
Is there an alternative to an extended tummy tuck?
- There are alternative procedures that may provide you with some of the benefits of an extended tummy tuck.
- Some other alternatives to extended tummy surgery include upper or reverse abdominoplasty and a 360 tummy tuck.
Will an extended tummy tuck get rid of FUPA?
- An extended tummy surgery can only provide marginal results with FUPA.
- Although you will see some results in your upper pubic area, you may want to consider a Monsplasty Procedure at Coco Ruby Plastic Surgery.
- Monsplasty is also called a pubic panniculectomy and is the only true solution for FUPA.
- This procedure is easily done together with the extended tummy tuck.
- It will provide you with major benefits and a rejuvenated pubic area.
How do I decide between having a standard tummy tuck or an extended tummy tuck?
- Suppose you doubt whether to have a standard tummy procedure or an extended tummy surgery. In that case, you may consult your specialised plastic surgeon and discuss your particular case with them.
- If you have stubborn fat and saggy abdominal skin without love handles, you may consider a standard tummy tuck.
- However, if you have fat deposits on your hips, the so-called ‘love handles’, then you may want to consider an extended tummy tuck. The extended abdominoplasty addresses an even wider area and provides very satisfying results.
What is the difference between an abdominoplasty and an extended tummy tuck?
- Abdominoplasty and a tummy tuck are two names for the same procedure.
- However, abdominoplasty with muscle repair or a tummy tuck is a procedure that addresses extra skin and fat from the abdominal area.
- At the same time, an extended abdominoplasty with muscle repair or an extended tummy surgery also removes the excess skin and fat from the hips.
Am I The Right Candidate / Extended Abdominoplasty Prerequisites FAQs
What is the best age for an extended tummy tuck?
There is no best age for an extended tummy tuck. In general, you should be older than 18. However, depending on your health and how well you would take the surgical procedure, your surgeon may consider doing an extended tummy tuck procedure. In any case, you should be healthy, ideally within your ideal weight and not be a smoker.
Can I get an extended tummy tuck at 40?
Yes, you can get an extended tummy procedure at 40. Getting an extended abdominoplasty at 40 is sometimes considered the ideal age to get an extended tummy tuck, especially if you’ve had one or more pregnancies and do not plan on having more children. An extended tummy surgery does not interfere with your childbearing, but a new pregnancy may stretch your skin again.
Can I get a tummy tuck at 60?
Yes, you can get a tummy tuck at 60. Your specialised plastic surgeon will need to hear details about your medical history and your family medical history to understand better your health and how to approach the procedure.
Please bear in mind that recovering from an extended tummy tuck is not the same at 40 years of age and 60, so you may want to be realistic about the possibilities of the extended tummy surgery in your particular case. Your surgeon will be able to provide a customised opinion.
Can extended tummy tuck get rid of apron belly?
- Yes. A tummy tuck or an extended tummy tuck aims to remove large volumes of skin and fatty tissues.
How much weight can an extended tummy tuck remove?
- There are no rules as to how much weight you can lose with an extended tummy surgery.
- In general, you should be some 5-7 kgs from your ideal weight.
- Your BMI should not be higher than 30. However, in exceptional cases, your specialised plastic surgeon may suggest getting an extended tummy tuck even if your BMI is 35.
- Extended Tummy Tuck is not a weight loss procedure.
Extended Abdominoplasty Preparation FAQs
Do I need to lose weight before an extended tummy tuck?
- Yes, you should lose weight before getting an extended tummy tuck.
- The best BMI for any plastic surgery is no more than 30, so if your BMI is over 30, you may want to consider dropping a few kilos first.
- Excess weight may lead to several complications during the surgical procedure. It may even result in complications and a longer extended tummy procedure recovery.
What is the best BMI for an extended tummy tuck?
- The ideal BMI for an extended tummy tuck is no more than 30.
- Increased weight and body fat content can create several problems during and after the extended tummy tuck procedure.
- In the case that your BMI is higher than 30, please visit your specialised plastic surgeon and learn about ways on how to reduce body weight healthily. This way, not only do you lose weight, but you also boost your immune system.
- Healthy patients are known to recover faster and with fewer complications from any plastic surgery.
- See Am I too fat for a Tummy Tuck?
What should I ask the surgeon before the extended tummy tuck?
- Before an extended tummy surgery, there are some questions you may want to ask your surgeon:
- Are you a plastic surgeon or a cosmetic surgeon?
- Are you a certified surgeon?
- What have you specialised in?
- How many years of experience do you have?
- How many patients like me have you had (may refer to any characteristic condition)?
- What surgical procedure do you recommend for me?
- How large would you suggest the incision be?
- How can I best prepare for the extended tummy tuck surgery?
- What kind of paperwork/blood tests / extra labwork do I need to do?
- Can you reduce your risks during surgery?
- What can I do to reduce complications after the surgery?
- How can I speed up the recovery?
Make sure you also ask questions about any specific concerns you may have or any questions which have not been answered through our extensive blogs.
What does an extended tummy tuck consultation with a doctor look like?
- During your consultation with a specialised plastic surgeon about your extended tummy tuck, the surgeon will ask you several questions. These questions will relate to your current condition, desired results of your extended tummy tuck and questions about your and your family medical history.
- The plastic surgeon will continue to assess your situation by looking at the saggy skin you would like to remove and checking how healthy and ready you are for the procedure.
- During this initial screening, you may ask the surgeon questions about any concerns or any other procedures commonly coupled with a tummy surgery.
What should I wear to an extended tummy tuck procedure?
- You should wear comfortable, loose clothes for your extended tummy tuck procedure.
- You will be asked to change into a medical gown for the duration of the surgery, but you’ll be able to change your clothes when you go home.
- Make sure the clothes are loose so that you can change comfortably.
Can I drive myself to an extended tummy tuck surgery?
- You can drive yourself for an extended tummy tuck surgery, but it is not recommended as you will need somebody to come to pick you up as you will not be able to drive after surgery.
- The person driving you should be someone you trust, such as a friend or a family member.
What should I bring to an extended tummy tuck procedure?
- You should bring several things to your extended tummy surgery:
- All paperwork your surgeon asked for
- Any lab results or blood work you have been asked to bring,
- Any medication you take regularly
- A compression garment if your surgeon does not provide one
- Loose clothes
- Anything else your surgeon may suggest.
Extended Tummy Tuck Procedure FAQs
How long does extended tummy tuck surgery last?
- An extended abdominoplasty can take anywhere between 4-5 hours.
- In general, the length of the procedure depends on the patient and the work that should be done.
How long does an extended tummy tuck take?
- An extended tummy tuck or extended abdominoplasty can take 4-5 hours to complete.
- This is somewhat longer than a standard tummy procedure, but the area operated on is also larger.
- Please remember that the procedure may take a longer or shorter time, depending on you and the volume of the skin and the fatty tissue to be removed.
How much skin is removed in an extended tummy tuck?
- How much skin is removed in an extended tummy surgery depends on your state and the results you want to achieve.
- In general, your specialised plastic surgeon will remove anywhere between 2-7 kilos of extra skin.
- This is not a weight loss procedure, so you should ensure that your weight is 2-7 kilos away from your ideal weight.
Will my upper thigh skin and back skin get tightened during an extended tummy tuck?
- Extended abdominoplasty does not tighten the thighs and the back, some patients say that the skin is tighter and rejuvenated in their thighs and back.
- Suppose you feel strong skin tightness in the abdominal area. In that case, this is a normal occurrence as you recover from the procedure.
What is the maximum BMI for an extended tummy tuck?
- Your BMI should ideally be 30 or less for an extended abdominoplasty with a muscle repair procedure. However, some surgeons may operate on you even with a BMI of 35.
- Please understand that BMI is just ONE of many factors contributing to your surgeon’s final decision.
- You may have a very high BMI but a very low fat percentage and a high ratio of muscle mass. This would mean that you are still a good candidate for an extended tummy tuck.
- Always consult your specialised plastic surgeon before jumping to conclusions.
Will an extended tummy tuck make my stomach flat?
- Yes, an extended tummy procedure will make your stomach flatter.
- During an extended abdominoplasty, your abdominal muscles will be sutured together.
- This brings about a flatter stomach and a narrower waistline.
Will smoking cause problems with my extended tummy tuck surgery?
- Yes, smoking is a very bad habit that will cause problems with your extended tummy tuck.
- Smoking constricts your blood vessels, and nicotine is an inflammatory agent.
- If you plan on getting an extended abdominoplasty with muscle repair, consult your surgeon and quit smoking at least 6 weeks (sometimes even longer) before the procedure.
Extended Abdominoplasty Recovery FAQs
What can I expect after an extended tummy tuck?
- After an extended tummy tuck, you can expect the following to happen:
- Some pain and discomfort in the initial days post-op,
- Swelling appearing on the second day post-op,
- Pain should go away by the end of the second week.
- The majority of swelling should be gone after about two weeks,
- A pulling sensation in your abdomen,
- Some fatigue and tiredness,
- Increased need for sleep and rest.
All of these are normal occurrences during your extended tummy tuck recovery.
What is the recovery time for someone who has had an extended abdominoplasty?
- Full recovery time after an extended abdominoplasty is around 6-8 weeks.
- The recovery is gradual so that you will be able to return to some light daily activities already in the second week.
- You should not drive for as long as you’re taking your pain medication, and you should not go back to work for as long as you experience any pain and discomfort.
- Usually, you should can go back to work in the third-week post-op, while you may want to wait until week six if your work is physically strenuous.
Will there be a lot of swelling following my surgery?
- The swelling after an extended tummy tuck is a normal occurrence, showing that your body is healing. However, you should not allow it to spread too much, as too much swelling can put additional pressure on the wound and the area operated on.
- Wear a compression garment at all times, sleep in a reclined position, have mild physical activity and a healthy diet for a faster recovery and reduced swelling after extended tummy surgery.
When can you stop wearing compression garments after an extended tummy tuck?
- You can stop wearing your compression garment some 6-8 weeks following your surgery.
- During this time, your compression garment should stay on at all times, even during the night.
- The compression garment prevents excessive swelling and holds everything in place as your body is recovering and is necessary for the best aesthetic results.
How long are you swollen after an extended tummy tuck?
- The majority of swelling will be gone by the end of the second week post an extended abdominoplasty.
- After this period, the remaining swelling will gradually disappear over around three months.
- It is only after this period that you can see the final results of this life-changing procedure.
How long does it take for the lymphatic system to heal after an extended tummy tuck?
- Your lymphatic system may take some 2-3 months to heal after an extended tummy procedure fully.
- The recovery period is different for every patient.
- Ensure to ask your specialised plastic surgeon about any concerns you may have during your recovery period.
How long is a blood clot risk after an extended tummy tuck?
- After your extended abdominoplasty, you will be at risk of developing a blood clot for some 2-10 days.
- During this time, it is essential to move around a little bit.
- This mild physical activity will promote your blood flow and decrease your risk of getting a blood clot.
How can I reduce the risk of blood clots following extended abdo surgery?
- You can significantly reduce your risk of blood clots after an extended abdominoplasty with mild physical activity.
- Gentle walking promotes blood flow and decreases the chances of getting blood clots.
- You can further reduce the risk of blood clots by eating a healthy diet with very little fats and by avoiding smoking at all times.
- If you are a smoker, make sure your specialised plastic surgeon knows about this.
How tight should a compression garment be after an extended tummy tuck?
- Your compression garment should be tight enough to keep the skin in place without being too tight or restricting to the point that you cannot inhale or exhale properly.
- Make sure that the compression garment stays in place even when you stand or walk.
- This should show that it is tight enough. Consider getting a tighter compression garment if it is moving, rolling up, or otherwise does not support your body well.
When can I bend over after an extended tummy tuck?
- It usually takes some 4-7 days to stand up after an extended tummy tuck fully.
- During the extended abdominoplasty procedure, your surgeon will remove a wedge or a belt of skin from your stomach and the hips, so some tightness is to be expected.
- Listen to your body and do not force yourself into an upright position, as this may promote wound infection and suture breakage.
Can I lay on my side after an extended tummy tuck?
- No, you should not lay on your side after an extended tummy tuck surgery.
- You should sleep on your back, in a reclined position.
- This position will ensure your stomach is in the perfect position for healing.
Can you climb stairs after extended tummy tuck surgery?
- You can climb the stairs immediately after an extended abdominoplasty.
- You should always have somebody by your side, at least for as long as you are taking painkillers, as this may make you feel slightly fatigued.
- Make sure you do not overstrain yourself and always hold the railing.
How long after an extended tummy tuck can I wear jeans?
- For the initial few weeks after an extended tummy surgery, you should wear comfortable, loose clothes.
- After the surgeon has cleared you to do so, you may start wearing jeans and other tighter clothes.
- Do not experiment on your own; wait until your body has sufficiently healed to start wearing jeans after an extended abdominoplasty.
Extended Tummy Tuck Longer-Term Results FAQs
Will my extended tummy tuck scar be noticeable?
- Your extended tummy tuck scars will be neatly hidden under the underwear or swimwear line.
- They may take several months to fully mature.
- During this time, practice a healthy diet and follow your surgeon’s advice on scar care to minimise their visibility.
- If you are dissatisfied with the way your scars look and feel, you may opt for a scar management at Coco Ruby Plastic Surgery.
How to improve scarring after an extended tummy tuck?
- There are several ways to improve scarring after an extended tummy tuck:
- Keep your scar protected,
- Apply generous amounts of silicone-based creams and any other ointment your surgeon has prescribed to you,
- Avoid direct sunlight for several months – it may promote darkening of the scar and keloid formation,
- Avoid putting too much stress on your scar.
Can I suntan after a tummy tuck?
- Yes, you can suntan after an extended tummy procedure, but make sure that your scar is not exposed to direct sunlight.
- Although you may be wearing your swimwear over the scar, you should still apply a silicone-based cream on top of it and a strong SPF solution (at least SPF30).
Do you eat less after an extended tummy tuck?
- No, you do not eat less after an extended tummy tuck.
- The extended abdominoplasty does not address the size of your stomach and how much food you can eat.
- It removes the extra skin and fatty tissue from the outer part of your body.
Can your stomach get big after an extended tummy tuck?
- Yes, you can still get a big stomach after an extended abdominoplasty.
- Most people say that it is more difficult to get a stomach after the procedure, although not impossible.
- You should remember that your surgeon does not remove ALL fat tissue and that the remaining tissue can still grow and expand in size.
- Your skin, although tightened, can also expand over time due to weight fluctuations and gravitational pull.
How do I get my stomach flat after an extended tummy tuck?
- Your stomach should be flat after an extended tummy surgery.
- If you find your stomach swollen or bloated, please understand that swelling is a normal part of the recovery period.
- Most of it should be gone by the end of the second week post-op.
- If your stomach is bloated, understand that some medication you may be on could cause the bloating.
- Please continue with the prescribed therapy as normal, as it only takes a few days for the bloating to go away.
- If symptoms persist, please discuss your concerns with your specialist plastic surgeon.
How can I tone my stomach after an extended tummy tuck?
- After an extended tummy tuck, your stomach should be flat and toned.
- Some 8 to 12 weeks after your procedure, you will be able to return to the gym as well for additional toning of your muscles.
- Please consult your specialised plastic surgeon for more information on when you can start doing crunches again.
Will an extended tummy tuck change my posture?
- After an extended tummy tuck, your posture will be somewhat hunched for the first few days, due to the pull on your abdominal skin.
- You should be able to comfortably stand up straight, depending on your recovery pace, over the first few weeks.
- After this initial stage of your recovery, you will be able to stand and walk just as you did before.
- Some patients will experience back pain and may benefit from a walker frame.
Can you get an extended tummy tuck twice?
- Yes, you can get an extended tummy tuck twice.
- It is important to note that new pregnancies and significant weight fluctuation can make your skin stretch again and look saggy.
- A repeated extended tummy surgery can remove this droopy skin.
Extended Tummy Tuck Risks And Complications FAQs
How painful is an extended tummy tuck?
- An extended tummy tuck is not too painful. Most patients place the pain as 6-7 on a scale of 10. You will be given pain relievers that you can use to keep the pain at bay after the procedure. Most patients can get off the pain medication after the first or the second week post-op.
What percentage of tummy tucks have complications?
- Around four in one hundred tummy tucks have post-op complications.
- This should not discourage you from getting an extended tummy tuck since most of the risks and complications can easily be resolved by taking proper care of your wound and your body after an extended tummy tuck surgery.
- Some complications may still occur, but they are usually easily taken care of.
- Speak with your surgeon about any concerns you may have and how you can make sure your surgery is safe and with low risk of complications.
Which is more dangerous, lipo or extended tummy tuck?
- Both liposuction and an extended tummy procedure are considered safe procedures if they are done the right way and by an experienced plastic surgeon.
- Approximately 4% of extended tummy tuck procedures end up with post-op complications.
- At the same time, with liposuction, that percentage is somewhat higher, at 5%.
- However, lipo suction and an extended Tummy Tuck do not give the same results.
What are the cons of an extended tummy tuck?
- Every plastic surgery has its pros and cons. The cons of an extended tummy tuck are:
- Long recovery time.
- Possible complications following the surgery,
- A visible scar.
- Insurance may not cover your extended tummy tuck if it is done as cosmetic surgery.
- Pregnancy and weight gain post-surgery can compromise the results. You may need to repeat your extended tummy surgery in extreme cases.
Which is more painful, C section or extended tummy tuck?
- Most people agree that a C-section is more painful than an extended tummy tuck.
- A c-section goes deep into the abdominal cavity and involves multiple stitches and a long recovery period.
- A tummy tuck or an extended tummy tuck does not go so deep. Although it may involve stitching the abdominal muscles, it does not go under the muscles.
- Therefore less tissue is impacted by the surgery, and less pain may appear.
What happens if you don’t wear a compression garment after a tummy tuck?
- Some complications and less-than-optimal results may appear after an extended tummy surgery if you do not wear your compression garment.
- Compression garments keep all the tissues in place as they heal and reattach themselves.
- They also reduce swelling and bruising after the surgery and provide additional support so that you can keep that nice contour after an extended tummy tuck.
- If you dont wear a compression garment swelling may be more pronounced, and the skin may sag, leading to undesirable results.
Extended Abdominoplasty Financing FAQs
Will Medicare pay for an extended tummy tuck?
- Medicare may pay for your extended tummy tuck if it is done after a massive weight loss.
- However, you will need to prove that you are performing the surgery as a medical necessity.
- Things such as repeating infections, difficulties moving, or painful skin rashes and a prominent skin sagging may help get part or full coverage by Medicare.
- Assessing you for the Medicare criteria is a part of your consultation.
Does my private health insurance help cover an extended tummy tuck?
- Your private health insurance can help cover an extended tummy tuck if you have Medicare numbers associated with that surgery.
- Another thing to consider when applying for coverage at private insurance is what level of coverage you have.
- For an extended Tummy Tuck it is typically required to have top GOLD level hospital cover.
How much is an extended tummy tuck?
- An extended tummy tuck cost varies in Australia and may cost you some AUD 17,500 to AUD 30,000.
- In some cases, depending on the severity and the extent of the surgery to be done, it may cost even more.
- Be aware of any potential scams or overly cheap surgeries because they usually come at high post-op costs and compromise your safety and security to bring the price down.
Is the extended tummy tuck worth it?
- Yes, a vast majority of patients who have undergone an extended tummy tuck say that they are satisfied with their procedure results and recommend having the procedure.
- An extended tummy tuck removes the saggy skin and stubborn fatty tissues from your abdomen and the hips and brings your abdominal muscles together. It results in a truly recontoured figure and a more rejuvenated appearance.