Will a full tummy tuck be enough or do I need an extended tummy tuck? (Photo)

Based on your pictures, your abdomen displays significant dimpling and skin irregularities. You are likely an excellent candidate for a full tummy tuck with muscle plication. This procedure removes excess skin and fat as well as tightens your abdominal muscles to give the appearance of a flatter abdomen.
If liposuction is desired, it is best to wait 3-6 months after your first procedure as combining a tummy tuck with liposuction is not recommended as blood supply to the abdominal flap may be compromised by doing so. An in person or virtual consultation with a tummytuck specialist will provide you an accurate recommendation and pricing.
Respectfully,Brandon Richland, MD

Hi, thank you for sharing your question. You are a good candidate for a standard tummy tuck and will not need an extended version. I would also recommend that you add liposuction to the procedure to enhance contour.

The skin excess does extend beyond your hip bones so in my opinion an extended tummy tuck would give you the best results.

Hello and thank you for your question. First off, congratulations on losing all that weight, that's definitely a big accomplishment! Answering your last question, you should always try to maintain a healthy and active lifestyle, and be weight stable for at least 6-12 months prior to any body contouring procedure for best results. Aside from the obvious healthy benefits, this is because weight gain/loss is not a symmetric process, and any asymmetries resulting from an additional 10 lbs weight loss can be corrected in your subsequent surgery to give the best possible aesthetic result.
From the pictures you have provided, you have striae (stretchmarks) present throughout your entire abdomen. This is associated with a moderate/severe amount of excess skin and subcutaneous fat present diffusely throughout your trunk and extending to the sides into your flanks. There are skin folds across your lower abdomen extending to your mid flanks, but evaluation of these is limited by your underwear. Based on all this, you would definitely benefit from an abdominoplasty (tummy tuck- includes muscle repair) and liposuction of at least your flanks to best help improve your abdominal/trunk contour.
The difference between a "standard" and "extended" tummy tuck is just how far your incision extends to the side, and this is based on how much excess skin and fat needs to be removed to produce an aesthetic contour. They are essentially the same procedure, so no need to be concerned here. Generally, every surgeon tries to keep their incisions as short as possible so they can be easier hidden, but the goal here is improved body contour at the expense of scars, so this is important to keep in mind throughout the process. Regarding the transverse lower abdominal scar, it should be well hidden within your bikini or underwear, and if you adhere to proper scar care and sun avoidance after surgery, it should eventually heal to be minimally noticeable.
Liposuction is a great adjunct which would definitely provide additional benefit, particularly to the contour of your flanks, and can be done at the same time as your tummy tuck procedure for the best possible single operation results. Some surgeons universally include this as a component of all their tummy tuck procedures, and some itemize it as a separate procedure.
With all that said, it is always difficult to provide tentative surgical recommendations, as there is only so much information to be gained from any photos and descriptions provided. I recommend for you to come see me or another plastic surgeon for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) for your specific case. I hope this helps!
Best wishes,
Dr. Donald Groves
Plastic Surgeon

Hi there, thank you for your question. I think you are an excellent canidate for a standard abdominoplasty with flank liposuction. I always reccomend reaching your goal weight prior to surgery. You should schedule an in-person consultation with a board certified plastic surgeon!

Hello, your skin excess requires an extended tummy tuck and your scar may reach the back side a little not to cause dog-ears, because you a serious skin excess on the midline and that would be removed. Lipo to upper abdomen and flanks is also recommended by me. Regards.

Thank you for your question. If you can manage to lose more weight, you're likely to achieve better results from your tummy tuck. With regard to your abdomen, I'd definitely recommend an extended tummy tuck. If your hips and buttocks also concern you, you may want to consider a 360 circumferential lower body lift, which includes a hip lift, buttock lift, and tummy tuck.

If you opt for a regular tummy tuck and not an extended one, you may end up with 'dog ears' at the sides. I'd also suggest muscle plication to achieve a flat tummy, especially after your significant weight loss of 70+ lbs. Therefore, my recommendation would be either an extended tummy tuck or a 360 circumferential lower body lift. Congratulations on your weight loss, and I wish you the best of luck.

Sincerely,
Dr. Katzen

Its always best to be at your ideal weight prior to surgery for optimal results. I cannot see your back area but Lipo is common with a tummy tuck on your lower back area (hips) and flanks.I would chase your abdominal incision as far as possible or "extended" to get the best results.

Thanks for your question! I would suggest an extended tummy tuck. Like a tailor, we should go to where the loose skin starts and stops. If you are looking to really contour in your waist, I would also suggest liposuction to the braline, waist and posterior hips. Good luck!

You have wonderful legs by the way.
Your bone structure is wide in the upper body and narrow and small in the lower body (no waist, no hips, no buttocks no volume on thighs).
Your abdomen is very protruding because you still have visceral fat which must be reduced before surgery by losing some weight (3-4 lbs) and also you have double vector excess of skin: width and length. Tummy tuck will only remove the excess of length but zero of the excess of width, so you will remain with no waist, no shape, and skittles saggy because of the excess of width.
You are a perfect candidate for a Fleur de Lis Tummy Tuck which will help you to eliminate both vectors and achieve a beautiful flat abdomen but also smaller waistline and a less wide trunk. More feminine shape.
The fat under all that skin removed, can be fragmented and use to transfer to buttocks, outer thighs and hips.
Be encouraged.
Dr. Cárdenas