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Is Extended Tummy Tuck the Best Way to Go? (photo)

I lost a lot of weight (from morbidly obese 2 anorexic in 6 weeks) 20 years ago. I have tried two lipos and didn't help much but to make my stomach look horrible, skewed, and damaged. The skin around from under my chest to above my genitals and flanks are super lose. I exercise a lot and am 105kgs at 1.9m (but quite muscly too) - so overweight but not much. The lose skin is upsetting. Do I do a normal or extended TT? In an extended TT, does the patient get flipped over?

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6 ft 1 in to 6 ft 4 in 230-249 lbs after weight loss

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14 Doctor Answers | Asked by kuteguy

Doctor Answers (14)
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Tummy Tuck would be best

It appears that you have a significant amount of excess skin, which liposuction does not affect. An extended tummy tuck will remove more of the excess skin and give you a better contour.

George John Alexander, MD

3 reviews

Las Vegas Plastic Surgeon

Extended Tummy Tuck

If the skin laxity extends to the sides, then an extended tummy tuck may be appropriate. I only extend the scar as long as the skn laxity is an issue.

An Extended tummy tuck might be the correct procedure for you.

An extended tummy tuck would be a nice option for what you are seeking. The extended allows removal of the loose skin on your sides by extending the incision, whereas a normal tummy tuck has a more limited incision. It depends how far along the sides, toward your back the incision would need to go to decide if you would be turned on the operating table. This is best determined at consultation and is difficult to ascertain through pictures. Both techniques will give you the... more

The more laxity that you have the longer the incision will be for optimal correction

Hello, Thank your for the question and the photos. There is not right or wrong answer. Simply put the best result will be the proper and full correction of all of the laxity of your waist. The amout of laxity will determine the length of the incision. An extended tummy tuck is essentially just and incision that is made as long as possible without flipping the patient over onto their front. All the best, Dr Remus Repta

Extended Tummy Tuck the Best Way to Go?

I think your best bet is a circumferential lift, some times called a belt lipectomy, which is a tummy tuck with extension all the way around the back. There really is no alternative way to get the excess flank and back skin off along with the tummy tuck. Thanks and best wishes.

Ultimate Tummy Tuck

I recommend a new technique called Ultimate Tummy Tuck. Using this technique, it is possible to restore the strength to your abdominal wall by reinforcing the fascia with mesh. This will help you lose weight and maintain the reduced weight. Since you have already lost a large amount, it would be best to prevent it from returning. The incisions are the same as the standard incisions and extensions are not necessary. There are recent articles published in Plastic... more

Extended Tummy Tuck?

The situation you describe happens very frequently. Liposuction is often performed as an alternative to tummy tuck because the incisions are so much smaller with liposuction. The problem is that liposuction is designed only to remove extra fat and not to remove extra skin. Tummy tucks on the other hand are designed to remove extra skin in addition to the extra fat. Patients like your self who have lost a lot of weight are usually better served by a tummy tuck than... more

Extended abdominoplasty is indicated when there is signifcant horizontal as well as vertical skin laxity.

The pictures are a bit difficult to judge, but I really don't think an extended abdominoplasty is indicated in this case.

Is Extended Tummy Tuck the Best Way to Go?

Yes you COULD be a candidate for extended or even circumferential TT. And YES I rotate the patient during the operation.

Regular vs. Extended TT

This question can only be answered with a formal physical exam. Most plastic surgeons decided between a regular full tummy tuck and an extended tummy tuck based on the amount and distribution of your excess skin and how far this laxity extends back along your waist. Please visit with a board certified PS to learn more about your options. Best wishes. Dr. Basu Houston, TX

Regular versus extended tummy tuck

Of course an exam will be necessary, a full tummy tuck with muscle plication along with liposuction of the waistline should give you a great result. I'm not certain an extension of the incision to the back is necessary at all. Get several consultations before deciding.

TT vs. Extended TT

From the pics, I think you should do well with a full tummy tuck, with some lipo in the love handle region. Although the appearance is disturbing to you, it is only moderate so a larger operation may not be needed. Exam is indicated however.

Regular vs Extended Tummy Tuck

Based on your information & pictures, an extended tummy tuck that goes to the back may be considered. You should discuss your goals and expectations with your surgeon.

Standard or Extended Tummy Tuck?

Thank you for the question and pictures. Based on your history and pictures, you may be an excellent candidate for tummy tuck surgery. Whether an extended tummy tuck operation is the right operation for you will depend on your goals. Patients who wish to contour the " flanks” and who have redundant skin/adipose tissue in these areas tend to benefit most from the extended tummy tuck procedure. This is especially true if there has been a loss of skin elasticity and the flank (... more