
Patient Details
After two pregnancies, this 28-year-old patient (156 lbs, BMI 27.9) wanted to restore a flatter abdomen and regain the body contours she had before pregnancy. Despite maintaining a healthy weight, she was left with excess abdominal skin, weakened abdominal muscles, stubborn fat around the waist and flanks, and loss of her natural hourglass shape.
Because her concerns extended beyond the front of the abdomen, Dr. Mihail Climov recommended an extended tummy tuck (extended abdominoplasty) rather than a traditional tummy tuck.
Her customized procedure combined an extended tummy tuck with 360° liposuction to address the abdomen, waist, flanks, and back while creating a more sculpted silhouette. The harvested fat was then used for a Brazilian Butt Lift (BBL) to restore natural buttock projection and complete her body transformation.
At just 3 weeks after surgery, she is already demonstrating remarkable early improvement with a flatter abdomen, narrower waist, and beautifully balanced body proportions. As swelling continues to resolve, her final results will become even more refined.
Procedures Performed
What Is an Extended Tummy Tuck?
An extended tummy tuck is an advanced form of abdominoplasty designed for patients who have excess skin and tissue extending beyond the front of the abdomen onto the flanks or lower back.
Like a traditional tummy tuck, the procedure removes loose skin, tightens separated abdominal muscles (diastasis recti), and restores a flatter abdominal contour. However, an extended tummy tuck continues the incision farther around the hips, allowing Dr. Climov to remove additional loose skin and create smoother transitions between the abdomen, waist, and flanks.
The result is a more comprehensive body contouring procedure that improves the entire midsection—not just the lower abdomen.
Extended Tummy Tuck vs. Traditional Tummy Tuck
A traditional tummy tuck is an excellent option for patients whose excess skin is primarily limited to the lower abdomen.
An extended tummy tuck is often recommended when patients also have:
By extending the incision around the hips, Dr. Climov can remove more excess skin and achieve a smoother, more natural body contour than a standard tummy tuck alone.
Who Is a Good Candidate for an Extended Tummy Tuck?
You may benefit from an extended abdominoplasty if you:
During your consultation, Dr. Climov will determine whether a traditional or extended tummy tuck is the better option based on your anatomy and goals.
Benefits of an Extended Tummy Tuck
Why Choose Dr. Mihail Climov for an Extended Tummy Tuck?
Dr. Mihail Climov believes that a beautiful abdominal contour extends beyond the front of the stomach. His approach combines extended abdominoplasty with advanced body contouring techniques, including 360 liposuction when appropriate, to create balanced, natural-looking results from every angle.
Rather than performing the same operation on every patient, he carefully selects the procedure that best matches each individual's anatomy, ensuring that patients with more extensive skin laxity receive the additional contouring benefits of an extended tummy tuck.
Individual results may vary. These photos were taken 3 weeks after surgery. Final results continue to improve over several months as swelling resolves and scars mature.