Would you recommend an extended tummy tuck? The one that goes beyond your hip bone towards the back? (photo)
Doctor Answers 8
Do you need an extended tummy tuck incision
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Tummy tuck procedures
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Based on your photos, I do not think you need an extended abdominoplasty. I think your incision will extend beyond your hip bones, but will not extend to your back. In general, an incision needs to be carried out at least as far as the hanging skin extends, otherwise there is no way to get you a nice contour at the waistline. Your waistline will be narrowed by suturing your abdominal muscles together, liposuction of the flanks, and pulling the skin inward.
Most of my patients don't mind the length of the incision, it's the position of the incision that matters. I place the incision under your underwear or bikini line so that you can wear a two-piece afterwards and not have any visible incision.
Would you recommend an extended tummy tuck? The one that goes beyond your hip bone towards the back?
Kenneth Hughes, MD
Los Angeles, CA
Extended tummy tuck scar or not?
It is difficult to tell how much actual skin elasticity you have on the sides of your hips/waist just based on your photos, but it appears good. In general, liposuction is sufficient to obtain a nice contour in this area without skin excision. However, you will not get tightening of the skin you are pulling on just under your bra, whether you choose an abdominoplasty, extended abdominoplasty, or lower body lift. That would require a posterior upper body lift.
I do not recommend having surgery in a foreign country, even if it is relatively close to where you live. Aside from general issues of safety, abdominoplasty is a surgery that requires multiple follow up appointments, especially if you get a seroma, which occurs 20% of the time on average. This mostly inconvenient complication requires needle aspiration in the office, and usually re-accumulates a number of times before it finally goes away.
Best of luck!
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