Extended Abdominoplasty: Results, Recovery and Complete Guide

La extended tummy tuck is a plastic surgery procedure designed for those who have excess skin and fat not only in the abdomen, but also on the sides (flanks) and, in some cases, in the lower back. Unlike traditional tummy tuck, this technique offers a wider remodeling, achieving a much more defined and harmonious body contour.

It is especially recommended for patients who have had significant weight loss or major body changes after pregnancy. In addition to improving the aesthetics of the abdomen, it can reinforce the abdominal wall that causes the muscles to be separated, providing both functional and emotional benefits.

You might also like to read: Everything you need to know about mini tummy tuck.

Expected results of extended tummy tuck

One of the biggest attractions of this procedure is that the results are visible from the first few weeks and, with proper care, are maintained in the long term.

Changes in body shape

After surgery, the abdomen is observed flatter, firmer and more uniform, while the flanks acquire a definition that enhances the waist. In patients with excess skin after massive weight loss, the transformation is even more noticeable, as extended abdominoplasty eliminates annoying folds and improves torso proportion.

Appearance of the abdomen and flanks

The final result offers a smoother and more toned abdominal surface. The scar, although longer than in the standard technique, is placed in a strategic position that is hidden under underwear or swimwear. The flanks also benefit from a significant reduction in excess skin, creating a more aesthetic transition between the abdomen and hips.

Impact on self-esteem and quality of life

Beyond the physical, this procedure has a direct effect on the trust and comfort of patients. By removing excess skin, discomfort such as irritations, difficulty in dressing or discomfort during physical activity also disappear. This aesthetic and functional improvement contributes to a higher quality of life, higher self-esteem and confidence in personal image.

Surgical process and techniques used

Extended tummy tuck is a personalized surgery that is adapted to the needs of each patient. Its success lies in the combination of different techniques, all performed with precision to achieve safe and aesthetically pleasing results.

Types of Abdominoplasty

  • Mini tummy tuck (modified): a smaller wound is made than in traditional tummy tuck, reinforces the weakened wall of the abdomen (rectum diastasis) and does not leave a visible scar on the navel. Ideal for patients with very little flaccidity but with rectal diastasis.

  • Standard or reverse tummy tuck: removes skin and fat from the front abdomen, corrects muscle separation and improves the figure in the central area.

  • Extended Abdominoplasty: in addition to the abdomen, it corrects flanks and lower back, being the best option for those with more extensive excess skin.

  • Abdominoplasty in fleur-de-lis: indicated in cases of massive weight loss, includes a vertical incision to treat excess skin in two directions.

Incision techniques and tissue management

In extended tummy tuck, the incision usually goes from one hip to the other, allowing for wide access. The surgeon carefully separates the excess skin and preserves the blood supply to avoid complications.

Complementary liposuction

In many cases it is combined with liposuction, which helps to refine the waist and improve body harmony. By removing resistant fatty deposits, the results are more defined and long-lasting.

Muscle tension

A key step is the Plicature of the rectus abdominis muscles, which tend to separate after pregnancy or weight fluctuations. This internal reinforcement not only improves the appearance of the abdomen, but also provides stability, better posture and reduced sagging.

Recovery after an extended tummy tuck

Recovery is a gradual process that requires discipline and medical monitoring.

Recovery phases

  • First week: patients must be active and walking from day one to promote circulation and reduce the risk of complications, control pain and inflammation, and constant use of the compression band.

  • Second to fourth week: the patient can walk more freely and resume light activities, avoiding effort.

  • Thursday to sixth week: most people can return to their daily routine, always under medical supervision.

Use of compression girdles

They are essential for controlling inflammation, preventing fluid accumulation and promoting healing. They are recommended for at least 4 weeks, although the final indication depends on the surgeon.

Managing Pain and Inflammation

The pain is usually moderate and is controlled with prescription pain relievers. The swelling decreases gradually, becoming more noticeable in the first two weeks. Maintaining good hydration and avoiding straining accelerates recovery.

Wound Care

It is essential to follow medical recommendations to the letter: keep the area clean and dry, change the bandages as indicated and avoid direct sun exposure. Any signs of infection should be consulted immediately.

Scars and long-term results

Although scarring is inevitable, its evolution depends on several factors.

Evolution of scars

At first they are redder and more inflamed, but over time they lighten and flatten out. With proper care, they can become inconspicuous after a year.

Treatments to improve scars

Scar massage, silicone sheets and the use of sunscreen are highly recommended strategies. In complex cases, lasers or medical injections may be used.

Factors that influence the durability of the results

Maintain a stable weight is key to preventing the skin from sagging again. In addition, a healthy lifestyle and avoiding smoking promote both healing and the permanence of results.

Extended Abdominoplasty FAQs

What results can you expect from an extended tummy tuck?

The results include a flatter, firmer abdomen with better definition at the waist. In addition to aesthetic improvement, many patients experience functional benefits, such as a more upright posture and a reduction in discomfort caused by excess skin. The transformation is especially significant in people who have lost a lot of weight or have had several pregnancies, since the procedure not only removes excess skin and fat, but also strengthens the abdominal wall. With proper care, results can remain stable for years.

What is the difference between an extended tummy tuck and a standard tummy tuck?

The main difference is in the scope of the surgery. Standard tummy tuck focuses on the front abdomen, while extended tummy tuck corrects additional areas such as the flanks and, in some cases, the lower back. This allows for a more complete remodeling of the body contour, ideal for those with larger excess skin.

What are the scars like after an extended tummy tuck?

The scar is more extensive than in standard tummy tuck, as it runs from hip to hip and can extend to the sides. However, it is strategically placed to be hidden under underwear or swimwear. During the first few weeks it will look more visible, but with adequate care such as the use of silicone sheets, massages and sunscreen, it will lighten and flatten over time.

What does the cost of an extended tummy tuck depend on?

The cost can vary depending on several factors: the extent of the procedure, the experience of the plastic surgeon, the hospital or clinic where the surgery is performed, anesthesia fees, and post-operative care. It also influences if it is combined with other procedures such as liposuction. It is advisable to view the cost as an investment in safety and long-term results, always prioritizing a certified surgeon with experience in this type of surgery.

Can liposuction improve the results of an extended tummy tuck?

Yes. Liposuction, especially when performed on areas such as the flanks, back or waist, ideally complements extended tummy tuck. It allows you to eliminate resistant fatty deposits that are not corrected only by skin resection, achieving a more defined and stylized silhouette. Although recovery may take a little longer when both procedures are combined, the results are usually more harmonious and satisfactory.

Why choose Dr. Allan Ceballos

El Dr. Allan Ceballos Pressler, a plastic surgeon in Guadalajara, is recognized for his focus on natural and safe results. With more than 15 years of experience, he has established himself as a specialist who combines art, surgical precision and personalized care.

Its philosophy does not seek to transform you into another person, but rather to enhance your authentic beauty with harmony and elegance. Dr. Ceballos accompanies each patient throughout the process: from the first consultation to the final recovery. Unlike many surgeons, he closes each incision himself, ensuring more discreet scars and optimal healing.

In addition, it provides close and direct care, offering its patients personal contact to resolve any concerns at any time. They are committed to making each procedure a safe, transparent experience with results that reflect the best version of yourself.

With an artistic eye and a medical practice backed by international standards, Dr. Ceballos has earned the trust of patients from Mexico and abroad who are looking for a extended tummy tuck in Guadalajara with results that respect and enhance natural beauty.