What Is an Extended Abdominoplasty?

An extended abdominoplasty is a surgical procedure that goes beyond a standard tummy tuck by targeting excess skin and fat around the abdomen, hips, and lower back. It reshapes the waistline and restores smoother body proportions. It is designed to address:

  • Skin laxity across the abdomen and flanks
  • Fat deposits on the waist and lower back
  • Muscle separation after pregnancy or weight changes
  • Discomfort from skin folds and tissue
  • Proportion imbalances around the midsection
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Why Patients Choose Criswell & Criswell Plastic Surgery & Medspa

Patients choose Criswell & Criswell Plastic Surgery & Medspa for extended abdominoplasty because of their emphasis on safety, artistry, and individualized care. Dr. Kara Criswell, Chair of Plastics for Novant Health, brings a unique perspective as one of Charlotte’s few female plastic surgeons. Dr. Bryan Criswell adds over 20 years of surgical experience.

Their collaborative approach delivers natural outcomes, and their accredited private surgical center ensures safety throughout the process.

A skilled team of RN injectors and estheticians extends the practice’s care with non-surgical treatments, supporting long-term maintenance and patient confidence.

Both Dr. Kara and Dr. Bryan Criswell are second to none! This applies to their caring bedside manner as much as their surgical expertise. Many physicians who have seen Dr. Kara’s work on me ask who did it, as the outcome is exquisite. I wish I had done this sooner.

C.C.

Advantages of an Extended Abdominoplasty

This procedure provides improvements that extend beyond a flatter stomach, offering comprehensive reshaping that addresses both functional and cosmetic concerns.

Patients often describe renewed comfort and confidence in daily life after healing. Benefits include:

  • Firmer, flatter abdominal contour
  • Removal of excess skin on the hips and flanks
  • Improved waistline definition and body proportion
  • Better fit and comfort in clothing
  • Long-lasting results with stable weight

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Who is a Candidate for This Procedure?

The best candidates are in good overall health, maintain a stable weight, and struggle with excess skin or fat around the abdomen and flanks. Nonsmokers or those willing to stop smoking before surgery are ideal for safe recovery.

During a consultation, the Criswell & Criswell Plastic Surgery & Medspa team evaluates health history, lifestyle, and goals to determine whether an extended abdominoplasty is the right choice. This ensures personalized care and realistic expectations for outcomes.

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What to Expect on Surgery Day

Consultations provide a clear roadmap for surgery, ensuring every step aligns with the patient’s goals. The procedure itself is performed under anesthesia with techniques tailored to each patient’s anatomy. The general steps include:

  1. Administration of anesthesia for comfort

  2. A horizontal incision along the lower abdomen extending toward the flanks

  3. Removal of excess skin and fat from the abdomen, hips, and waistline

  4. Tightening of abdominal muscles for strength and contour

  5. Careful incision closure to minimize scarring visibility

Healing and Long-Term Outcomes

Recovery after extended abdominoplasty typically requires two weeks away from work, with strenuous activity avoided for four to six weeks. Compression garments help reduce swelling and support the healing process during this time. Final results emerge as swelling subsides, with smoother contours and improved waistline balance visible after several months. With stable weight, results are long-lasting and help patients feel more confident in their appearance.

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Types of Extended Abdominoplasty

  • Full Extended Tummy Tuck: Corrects abdominal, hip, and flank laxity extensively.
  • Mini-Extended Abdominoplasty: Uses shorter incisions for patients with moderate excess skin.
  • Combination with Liposuction: Adds targeted fat removal for enhanced contour.

Related Procedures to Consider

Frequently Asked Questions Extended Abdominoplasty

How long does extended abdominoplasty surgery take?

Most surgeries last three to five hours, depending on the extent of correction and whether combined procedures are performed.

Are drains required after surgery?

Yes, drains are often placed temporarily to prevent fluid buildup and promote proper healing during the early recovery period.

How visible are the scars?

Scars extend along the lower abdomen and hips, but are placed discreetly and fade over time. Most patients find the benefits outweigh the presence of scarring.

Can pregnancy affect results?

Yes. Future pregnancies can stretch skin and muscles again. It is best to undergo this procedure after childbearing is complete for lasting results.

Will I lose weight from this surgery?

No. Extended abdominoplasty is not a weight-loss procedure but removes excess skin and reshapes the body for improved contour and proportion.

Schedule Your Consultation

If you’re ready to address abdominal and flank laxity with long-lasting results, contact Criswell & Criswell Plastic Surgery & Medspa today. Schedule a private consultation to learn how extended abdominoplasty can help you achieve your aesthetic goals.

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