Do I need an extended tummy tuck? (Photo)

Question

Wondering if i need an extended TT because I dont habe concerns on my lower back or sides, just the front of my hips and abdomen. Is that still extended?

Harry T. Haramis, MD, FACS · Answer

An extended tummy tuck as you state usually goes very far around the hips.

I agree that you should not need one. A standard tummy tuck, the scar should be mainly lower belly. Perhaps slight toward the hip bone but not around the waist.

An exam and consultation with a plastic surgeon is recommended to confirm this as well as discuss your options and expectations.

Gregory A. Buford, MD, FACS · Answer

In your case, your would probably benefit from an extended tummy tuck given the amount of overall skin that you have.  This would simply require extending the incision a little more posteriorly to accomodate.

I personally would recommend the TrueTuck Tummy Tuck procedure for you for the following benefits:
-Drainless tummy tuck
-More of a corseted/snatched appearance to your torso
-Lifting of the mons area
-More effective 3-dimensional shaping using two forms of liposuction and Renuvion Skin Tightening

I hope that helps and wish you the very best in your surgical journey!

George Marosan, MD · Answer

Thank you for your question and photo. Based on this single view frontal photo, you are a candidate for a full tummy tuck. In my practice, I employ VASER liposuction of the upper and lower abdomen, pubic area, waist, hips and lateral chest wall with my abdominoplasties. The incision is low at the pubic bone level extending laterally just 1-2cm above the groin crease. Without an in person consultation and physical examination, cannot tell 100% if the incision needs to go beyond the hip bone. There are techniques to shorten the incision. See a board certified plastic surgeon experienced in advanced body sculpting techniques. Good luck.

John LoMonaco, MD, FACS · Answer

Thanks for including the photograph.

Your picture tells me that you have skin excess that goes from hip to hip and that's where the scar will have to be placed...perhaps even a little past the hip bones. Most surgeons call this an "extended tummy tuck" and that will be the best operation to get your abdomen looking fit and trim.   Cheers from Texas

Mathew A. Plant, MD, FRCSC · Answer

​Without examining you it’s difficult to be 100% sure but based on the photos it looks like a standard abdominoplasty incision would be more than sufficient. I would personally suggest a no-drain abdominoplasty with lipocontouring to the abdomen and flanks to help smooth the curves combined with a monsplasty to address the laxity of the mons area at the same time. I’d suggest having a consultation with a few local plastic surgeons to be examined and get a better sense of what your options are. Hope that helps!

Kelly Schultz, MD · Answer

Whether you would benefit most from a standard or extended tummy tuck really depends on your anatomy and your aesthetic goals. An in-person examination is important to determine exactly where you have skin laxity and how far it extends around your abdomen.
A standard tummy tuck primarily addresses excess skin and laxity of the anterior (front) abdomen. An extended tummy tuck carries the skin removal and incision farther around the sides of the body and can be especially helpful when there is significant laxity involving the lateral (side) abdomen or flanks.
If you don't have concerns about loose skin along your sides or back and your laxity is primarily limited to the front of your abdomen and hips, you may be a great candidate for a standard tummy tuck rather than an extended one.
A consultation with a board-certified or board-eligible plastic surgeon will allow them to examine your skin laxity and recommend the incision length that will best accomplish your goals. Best of luck with your consultation and surgery!

Manuel Diaz, MD · Answer

Hello. Thank you for the photo; it greatly helps in understanding your case. Based on your description and the photos you've shown, your excess skin and sagging appear to be concentrated in the front of your abdomen and hips, without extending to your sides or lower back.
When the laxity is limited to this front area, an extended abdominoplasty is generally not necessary. A standard tummy tuck with a horizontal incision is usually sufficient to address the excess skin and tighten the area properly.
An extended abdominoplasty is reserved for cases where the excess skin continues to the sides or lower back, which doesn't seem to be your situation based on what you've shared.
That said, this is a general impression based on photos&mdash;the final evaluation, including a physical examination of skin and muscle quality, is always confirmed during an in-person consultation before determining the exact technique.

Mustafa Aydinol, MD - Account Suspended · Answer

An extended tummy is not necessary. A standard tummy tuck should usually address loose skin and muscle separation across the abdomen and front of the hips. Combining it with 360 liposuction may provide better overall contouring, even if you do not have major concerns about your back or sides. The final plan should be confirmed after examining your skin laxity and fat distribution.

Do I need an extended tummy tuck? (Photo)

Answers (8)

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