What is a super extended tummy tuck? Does this type require the vertical incision as well as the horizontal one?

This term is related to only horizontal incision. Hip to hip is regular TT. A bit longer than the regular is an extended  The super extended means almost Circumferential. But not a vertical which is a Fleur de Lis. Be encouraged Dr. Cardenas 

Hello.   Everyone has different names.  I would imagine an extended tummy tuck means longer incision into your back because of loose skin on the flanks/sides.   A vertical incision is usually referred to as a fleur de Lis.    Good luck 

Thank you for your question. There are various types of abdominoplasty procedures for patients to choose from. Each one is designed to treat a specific set of needs.  In consultation with a qualified plastic surgeon, the choice of procedure will be made based on your anatomic features and desired outcome.  While all tummy tucks have in common that they tighten the abdominal skin, there are two key differences between the various procedures. The incision lengths vary depending on the amount of skin to be excised, and the abdominal muscles may be tightened if they have excess laxity.The length of the incision is determined by the amount of loose skin that is to be removed. The incision lengths vary from as short as six inches (Mini Tummy Tuck) to as long as the entire circumference of the waist (Body Lift). The most common incision length runs from hip to hip concealed beneath the bikini line (Full or Traditional Tummy Tuck).In addition to removing loose skin, localized fat deposits can also be removed during your tummy tuck. It is recommended, however, that you be as close as possible to your goal weight before having the procedure. If your concerns extend beyond the tummy, we can safely combine liposuction with tummy tucks for more dramatic results.
That said, you definitely have to choose your surgeon correctly and make sure that he/she has the training and experience to meet your goals with absolute safety.  Best is a Board Certified Plastic Surgeon with specialized expertise in this procedure.

Hi MrsTAB and thank you for your question.  When I discuss an extended tummy tuck with my patients, I am describing an incision line that extends past the typical tummy tuck hip to hip incision.  Extended tummy tucks are often recommended for patients who have undergone massive weight loss or for patients with redundant excess skin that extends beyond the front of the abdomen and around towards the flanks and lower back.  In my practice the discussion of a vertical incision is entirely different from an extended tummy tuck.  If you have consulted with a Board Certified Plastic Surgeon for a tummy tuck and have questions about what exactly he/she meant by an extended tummy tuck, I would suggest following up with him/her to review their recommendation in greater detail once again.  Each surgeon has their own ways of describing their proposed surgical plan and they can differ slightly from the way another surgeon would describe the same exact procedure.  I wish you the best of luck and I hope that this helps!

Thank you for your question. Different surgeons use different terminology when it comes to the variety of ways a procedure can be done. When I discuss an Extended Abdominoplasty I'm referring to how long the incision will be. For some patients, only a small amount of skin needs to be removed and the incision is short. In other cases patients may have skin redundancy that extends all the way to the illiac crests. The incision has to extend past the skin redundancy in order to prevent bunching or a "dog ear" at the end. There are times that a vertical incision is necessary, but the term "extended" does not correlate to the vertical incision in my office. Visit a Board Certified Plastic Surgeon to discuss what version of tummy tuck is necessary for you to reach your goal. Good luck and best wishes!