How far around can an extend tummy tuck go before it's considered a full belt?

Dear Mrhaboobi,

When discussing tummy tuck procedures, the terminology used to describe the extent of the surgery can vary among different surgeons. However, in general, an "extended" tummy tuck typically refers to a procedure that involves a longer incision, usually extending from one side of the operating table to the other.

The decision to extend the tummy tuck further around the body, towards the flanks or back, depends on various factors, including the individual's anatomy, the amount of excess skin and fat present, and the desired outcome. While some patients may benefit from a tummy tuck that addresses the flank area, extending the incision further around the body will take extra time in the operating room.

In terms of terminology, a "full belt" or "circumferential" tummy tuck typically involves removing excess skin and fat not only from the front but also from the sides (flanks) and back, resulting in a more comprehensive body contouring procedure. This procedure is often recommended for patients who have significant excess skin and fat around the entire midsection.

The limits of how far around the body a tummy tuck can extend depend on several factors, including the patient's anatomy, the surgeon's skill and experience, and the desired outcome. During your consultation with a board-certified plastic surgeon, they will assess your specific concerns and anatomy to determine the most suitable surgical approach for achieving your goals.

It's essential to have a thorough discussion with your surgeon about your expectations, concerns, and the potential outcomes of different surgical options. Your surgeon will be able to provide personalized recommendations based on your individual needs and anatomy, helping you make an informed decision about the most appropriate procedure for you.

I recommend scheduling a consultation with a board-certified plastic surgeon who has experience performing tummy tuck procedures to discuss your goals and explore your options further.

Best wishes on your journey to a slimmer, more contoured midsection.

Sincerely,
Dr. Katzen
Plastic Surgeon

When doing a tummy tuck I will often extend the incision well on to the flank area but this does not involve repositioning the patient.  Once the patient needs to be turned while asleep to reach tissue on the back, this involves considerable extra time and material, and therefore higher cost.  Even if your operation technically is not circumferential and there is an area of the back that does not need touching, I think you will find that there will be a higher price if any back skin must be removed.  This would be something to discuss with your plastic surgeon during the consultation.

When performing a tummy tuck, the patient is lying on their back.  There is a physical limit to how far you can reach surgically without turning the patient over (face down).  If the patient needs to be turned over, that is when it becomes a "belt lipectomy".  Without photos, I can only speak to your question in general terms.  A tummy tuck will help remove some of the back folds because you actually pull in from the sides toward the midline and straight down in the center when tightening the skin.  I almost always perform flank liposuction with tummy tucks so this also helps with the folds in the flanks.  If you have a true excess of skin/fat on the back, then you would need skin excision there and would require a belt lipectomy.  If it is just fat and some skin which has good elasticity, then liposuction alone may suffice.A physical exam by a board certified plastic surgeon is essential.  Good luck in your search.  It is a great procedure with a very high patient satisfaction rate.