An extended tummy tuck is a surgery designed to remove excess skin from the abdomen, hips and thighs. The procedure can be performed in combination with liposuction for optimal results.
A tummy tuck is an operation that removes excess skin and fat from the abdomen, waist, hips and thighs. It is often performed on patients who have lost a significant amount of weight and are left with loose skin that causes them embarrassment or discomfort when they exercise or wear tight fitting clothing.
The extended tummy tuck differs from other tummy tucks in that it involves the removal of additional skin above and below the belly button. It can also include liposuction of the abdominal area to remove any excess fat deposits remaining after surgery.
An extended tummy tuck is a procedure that sculpts and strengthens the abdominal muscles, as well as removes excess skin and fat. It can be used to improve the look of your abdomen after weight loss or pregnancy.
The procedure is done under general anesthesia, so you’ll be asleep. An incision will be made along the lower edge of your bikini line, which allows for a better view of your midsection. Then, excess skin and fat will be removed from this area. Next, excess fat is removed from other areas around your abdomen as well as any areas where there is loose skin. Finally, the muscles are tightened to reduce bulges and improve their appearance.
About
- An extended tummy tuck is similar to a abdominoplasty, but the procedure also targets fat on the flanks and lower back.
- The incision wraps from the low pelvis to the lower back.
Safety
- Extended tummy tucks are generally considered safe. As with all surgeries, there are risks involved.
- Risks include swelling, fluid accumulation, reaction to anesthesia, and numbness after surgery.
Convenience
- Tummy tucks are an in-hospital procedure where patients are put under anesthesia.
- If the procedure is elective, as most are, it will not be covered by insurance.
- It’s important to find a trained, board-certified plastic surgeon whose work you trust.
Cost
- The cost for a tummy tuck varies widely based on where you live, the procedure itself, and the size of the area.
- It will usually fall between $4,000 and $18,000.
Effectiveness
- Extended tummy tucks are very effective with studies reporting that the majority of those who elect to have this procedure are satisfied by the results.
What is an extended tummy tuck?
An extended tummy tuck is very similar to a regular tummy tuck — sometimes called an abdominoplasty — but instead of just reducing excess skin and fat on the stomach, it also targets the flank area, or love handles, between the waist and hips. In some cases, an extended tummy tuck will also target excess skin on the lateral thigh.
The ideal candidates for an extended tummy tuck include people who have lost a lot of weight and have excess skin, and those who want to slim the appearance of their stomach and flanks.
How much does an extended tummy tuck cost?
The cost of an extended tummy will vary depending on the surgeon, the volume of fat, and the size of the area. The price range for a tummy tuck generally falls between $4,000 and $18,000.
In 2019, the average cost of a tummy tuck (not extended) was $6,092 according to the American Society of Plastic Surgeons. Because there is more involved in an extended tummy tuck, the cost will likely be more. In addition, this cost is only for the procedure and does not take into account anesthesia, operating room facilities, or other related expenses.
Because tummy tucks are usually done for aesthetic reasons only, the procedure will not be covered by insurance. In some cases, a tummy tuck may relieve back pain and incontinence. You will also likely have to take several days off from work for recovery.
How does an extended tummy tuck work?
Extended tummy tucks work by removing excess skin and fat from the abdomen and repairing any muscles that have become loosened or torn. Through an incision above the pubic hairline that wraps around to the lower back, skin and fat are removed from the stomach and flank area. The skin is laid flat, and the belly button is reattached, giving the skin a smoother, flatter appearance.
Procedure for extended tummy tuck
- During an extended tummy tuck, the surgeon will typically make an incision between your hip bones, low in the pubic area. If you’re having a tummy tuck after a C-section, they may reopen the same scar.
- Any muscles that have been separated, such as from pregnancy, will be sewn together so they appear taut. Full tummy tucks can fix diastasis recti, which is a splitting of the abdominal muscles.
- The belly button will be cut away, and liposuction may be performed if there is extra fat.
- Excess skin is removed from the tummy and flank area, and the skin will be pulled taut.
- Finally, the belly button is sutured in its original place, unless you and your surgeon decide to change its shape.
Targeted areas for extended tummy tuck
Extended tummy tucks target the upper and lower stomach, waist, flanks, and sometimes the uppermost lateral portion of the thigh.
Are there any risks or side effects?
As with all surgery, there are some risks and side effects associated with extended tummy tucks. One study found that 8.5 percentTrusted Source of people who underwent tummy tuck surgery were re-administered into the hospital because of some kind of complication. These complications and side effects may include:
- numbness after surgery, which is typically temporary
- excess fluid or blood pooling in the belly
- swelling and redness
- internal organ puncture — while rare, could be caused by cannula (a tube that removes excess fluids from the body) penetrating too deeply and potentially puncturing an organ
What to expect after an extended tummy tuck
Your surgeon or nurse should brief you on what to expect after surgery including:
- what activities to avoid and how long
- if and when you can consume alcohol and certain medications or supplements
- how long to wear your compression garment
- how to manage your drainage tubes, if your surgeon uses them
- when to schedule a follow-up appointment
You will be able to see some results immediately, though your abdominal area will be swollen and bandaged. For the first few weeks, you will likely be advised to rest at an angle and avoid strenuous activity or lifting heavy things.
Around the 2- to 3-month mark, most of the swelling will likely have gone down, though you may still see some scarring, which should lighten over time. After 6 months to a year, you will see the full results, which should be permanent unless you gain weight quickly or have a pregnancy.
Before and after pictures
It’s helpful to see photos from people who have had extended tummy tucks when deciding if the procedure is right for you. Check out before and after photos below:
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Preparing for an extended tummy tuck
Before your extended tummy tuck, you’ll likely need to get a blood panel to make sure you’re in good health. You will also want to meet with your surgeon to discuss what to expect. Also, you will need to arrange a ride home.
You may also be told to:
- stop smoking
- limit alcohol
- stop taking anti-inflammatory drugs (like aspirin) and certain herbal supplements, which could potentially worsen bleeding or prevent proper clotting
Extended tummy tuck vs. traditional tummy tuck
An extended tummy tuck and a traditional tummy tuck are very similar procedures. The main difference is that an extended tummy tuck addresses the flanks, also known as love handles, between the waist and hip. Because of the additional procedure, an extended tummy tuck is often more expensive, takes longer to complete, and may require a longer recovery time post-surgery.
What Happens to the Belly Button During a Tummy Tuck?
So, you’ve decided to get a tummy tuck.
But you still have some questions about the procedure — including about what happens to your belly button after a tummy tuckTrusted Source.
Many people wonder this exact thing, as a botched belly button can make the tummy tuck not worth it at all. Rest assured that in most cases, the belly button won’t be altered or moved, instead the skin and muscle around it will be tightened.
If you opt for a mini tummy tuck, the whole procedure will take place below the belly button, which is a good option for those who are just concerned about a small pooch in the lower belly.
Tummy tucks and the belly button
During the tummy tuck procedure, an incision will be made in the low abdomen through which fat and stretched skin will be removed, and any loose muscles will be sewn together. Another incision will usually be made around the belly button.
The remaining upper skin is lifted up as high as the rib cage and pulled down like a window shade to the lower skin near the pubic bone. The skin is now stretched tight and the surgeon then chooses the new ideal position to place the stalk of the belly button.
Your belly button is actually attached to the muscles below. During the procedure, it’ll stay attached to its “stalk.” In most cases, the surgeon will create a New opening for the belly buttonTrusted Source, especially if its shape has become distorted after weight gain or pregnancy.
If this isn’t done well, the belly button may end up looking distorted — either too flat, too deep, or the wrong shape. So, it’s important to ask your surgeon to see their portfolio and ask about their ideas for your naval.
If you’re healed from a tummy tuck and still dissatisfied with your belly button, you may consider an umbilicoplasty, which is a surgery to change the appearance of the belly button.
Before and after pictures
It can be helpful to see before and after photos of the belly button after a tummy tuck when deciding if the procedure is right for you. Check out the gallery of real patients below:
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Healing after surgery
The recovery timeline after your tummy tuck will vary depending on several factors including your age, weight, and general health.
You may or may not have to spend the night in the hospital. Your drainage tubes, which pull fluid away from the abdomen, will likely remain in place for several days.
You’ll also need to wear an abdominal binder for about 6 weeks. This is basically a very tight band around the belly that supports the tummy and helps to avoid fluid buildup.
It’s especially important that you wear your binder and avoid strenuous activity so the belly button heals properly.
Post-surgery care
Your doctor should give instructions on how to care for your belly button after a tummy tuck. This may include cleaning the area with warm water or a saltwater solution.
It’s normal for the area to look swollen and even a bit crusty after surgery, and it may take as long as 6 months for the belly button to heal.
When to see a doctor
Call your doctor right away if you notice signs of infection in the belly button after a tummy tuck. These signs include:
- The belly button looks too constricted or too open.
- Pus or discharge is coming from the naval.
- Your belly button protrudes for more than a few weeks.
- You feel something hard behind the naval.
- The belly button looks distorted or “off.”
- The scar feels painful or becomes more prominent.
- You notice blood at the incision site.
The bottom line
A tummy tuck can be a good way to flatten the stomach and tighten muscles in the abdomen that may have gotten loose from pregnancy, weight gain, or just general aging, but many people wonder what’ll happen to the belly button as a result of the procedure.
Normally, an incision will be made around the naval and it’ll be lifted and put back in the appropriate place to fit the new shape of the stomach. Other times it may be necessary to make a new opening.
It’s always a good idea to see before and after pictures from your surgeon and pay close attention to the belly button area when viewing them.