An extended tummy tuck addresses the abdomen, hip, back, and flanks (sides). Usually after a significant weight loss, the skin around the back will hang loose and will not disappear no matter how much you exercise. This is because skin never “snaps back” to its original state. Also, for those who tend to gain weight around the back and flanks, this type of procedure will effectively remove all fat associated with weight gain in that area.
The incision is longer here, extending from the abdomen towards the lower back. The surgery involves the entire abdomen and may be accompanied by liposuction to enhance the results. The muscles are exposed and tightened to contour the waist. Then, the excess skin is removed and sutured, leaving a scar that might be noticeable. For the most part, the scar will be underneath the bikini line; however, the scars on the back may be seen when the lower back is exposed. This process produces the longest scar and requires the longest surgical and recovery time. However, for the right candidate, the results of an extended tummy tuck are well worth the scar that no one will really see with the right clothes.