What is an extended abdominoplasty? Patients who have skin excess extending from the abdomen to the flanks accompanied by laxity of the abdominal muscles are good candidates for an extended abdominoplasty. A large amount of abdominal and flank skin is removed and abdominal muscles tightened through a low scar that runs along the lower flanks, abdomen and pubic area. This operation can avoid the formation of “muffin tops” or side bulges that form in people who undergo a standard abdominoplasty or liposuction when an extended abdominoplasty would have been a more appropriate procedure for them.
Click here to view a video on tummy tucks (abdominoplasty).
The extended abdominoplasty may be a component of a mommy makeover and can be combined with breast enhancement and liposuction:
Combining an extended abdominoplasty with other procedures can be performed efficiently and safely. Click here to read Dr. Tenenbaum’s article on combining breast surgery and abdominoplasty, or here to view a television clip from KMOV of an actual patient who underwent the mommy makeover procedure including abdominoplasty with Dr. Myckatyn.
Anesthesia: An extended abdominoplasty is usually performed with the patient under general anesthesia.
Length of procedure: 2 to 3 hours.
Estimated recovery time: You can return to work after 2 to 3 weeks and should avoid vigorous activities for 4 to 6 weeks. Visible bruising should clear up within 1 to 2 weeks, and swelling begins to resolve within 4 weeks. To learn how to prepare for an extended abdominoplasty and what to expect afterwards, click here to download our patient instructions for abdominoplasty.
Side effects: Common side effects include bruising, swelling, a few spitting sutures, and some numbness, itching and spasm of the abdomen and sides. Drain tubes lasting 5 to 10 days are placed, and you will be required to walk gently flexed at the waist for about 5 days after surgery. An injectable blood thinner called Lovenox® is generally used for 5 to 10 days after surgery to prevent blood clots. Click here to download a detailed consent form from the American Society of Plastic Surgeons that lists the risks and benefits of abdominoplasty.
Before-and-after photos: Click here to view photos of abdominoplasties.