An extended tummy tuck differs from the traditional tummy tuck technique; the incision that is created during surgery extends around the front and side of both hips, allowing for skin removal along the flanks. Like a traditional tummy tuck, the goal is to achieve a firmer, narrower midsection. In many patients, the skin has become stretched and misshaped as a result of pregnancy, weight fluctuations, or the aging process.

The tummy tuck is designed to remove excess skin and tighten the underlying muscles to produce a smoother, more toned abdominal appearance. In the mini tummy tuck, a short three to five-inch incision is made to address excess skin in the lower stomach. In the traditional tummy tuck, a longer incision, extending from hip to hip, and an additional incision around the belly button is made to address skin on the lower and upper abdomen. In the extended tummy tuck, the incision is even longer, going around the side of the hips to address skin on the sides of the torso, in addition to the upper and lower abdomen.

Candidates

Candidates for this procedure have generally lost a massive amount of weight. Before pursuing an extended tummy tuck, a patients weight should be relatively stable. Patients should also be in good overall health. Smoking tobacco must be completely ceased before surgery because nicotine slows the rate of recovery and reduces circulation. This can lead to necrosis of the skin and other tissues near the surgical site. Diabetes and other chronic conditions that slow the healing process must be under control before pursuing an extended tummy tuck or any other cosmetic surgery.

Preparing for the Surgery

In the weeks leading up to surgery, patients must refrain from smoking of any kind; patients should also stop drinking alcohol for about a week before surgery. Avoid taking any blood thinners such as cuomadin, aspirin, NSAID pain relievers (such as ibuprofen, Aleve, or Advil). Vitamin E and some other herbs can also thin the blood and cause excess bleeding during or after surgery. A balanced diet and adequate rest are also advisable.

The Day of the Procedure

Extended tummy tucks are usually performed under general anesthesia. Patients should not have anything to eat or drink after midnight the night before the procedure is scheduled. Patients should not wear any jewelry (including piercings), contact lenses, lotions, or perfumes to the surgical appointment.

Procedure

An incision is made from around the back of the hip to the back of the other hip. From there, the surgeon lifts the skin off of the abdominal wall to access the muscles underneath. The muscles are tightened with sutures to make the waist narrower and smoother. The skin is stretched back down over the belly, and excess skin is surgically removed. The incision is then stitched along the hips. The belly button is then recreated to produce a more natural looking navel.

Recovery Time

Patients must have someone to drive them to and from surgery, since the anesthetics will leave them groggy and unable to drive. Soreness and swelling is expected and you will likely be given a prescription pain medication. Icing and rest help to reduce swelling. Most patients return to work within two to three weeks of their procedure and can see the full results within two or three months. Remember not to smoke for at least two weeks following the surgery. Consult the doctor before resuming the use of any blood-thinning medications or supplements.

To find out if you are a good candidate for the extended tummy tuck, contact the practice of Dr. Paul Pin.