Tummy Tuck (Abdominoplasty) Before & After Gallery – Real Patient Results by Dr. Mihail Climov

The results shown in this gallery feature a 45-year-old woman who sought surgical body contouring after experiencing significant abdominal skin laxity and stubborn fat deposits following weight fluctuations. Despite maintaining a healthy lifestyle and a BMI of 26, excess skin and weakened abdominal tissues prevented her from achieving the flatter, more sculpted abdomen she desired.

To restore a smoother silhouette and improve waist definition, Dr. Mihail Climov performed a super extended abdominoplasty (tummy tuck) combined with bilateral flank liposuction.

Procedures Performed

• Super Extended Abdominoplasty
• Bilateral Flank Liposuction

Patient Goals

Before surgery, the patient was primarily concerned about:

• Excess hanging abdominal skin (dermatochalasis)
• Loose, stretched abdominal tissues
• Stubborn fat along the flanks ("love handles")
• Poor waist definition
• Difficulty fitting comfortably into clothing due to redundant skin

Her goal was to achieve a flatter abdomen, a narrower waist, and a smoother body contour while maintaining natural-looking proportions.

Why a Super Extended Abdominoplasty?

Unlike a traditional tummy tuck, a super extended abdominoplasty removes a larger amount of excess skin and tissue while extending the incision farther around the hips. This allows Dr. Climov to address not only the front of the abdomen but also improve contour along the flanks and lower back, creating a more balanced, circumferential result.

For patients with significant skin redundancy after weight loss or weight fluctuations, this approach often provides a dramatically smoother and tighter appearance.

The Role of Flank Liposuction

Removing excess fat from the flanks is an important part of creating an attractive body silhouette. Liposuction enhances the transition between the waist and hips, helping create a more defined hourglass shape.

By combining liposuction with tummy tuck surgery, Dr. Climov is able to sculpt the entire midsection rather than treating the abdomen alone.

Results

Following surgery, this patient achieved:

• A significantly flatter abdomen
• Removal of excess hanging skin
• Improved abdominal tightness
• Better waist definition
• Smoother body contours from the front and sides
• Enhanced proportions that complement her natural frame

While every patient's anatomy is unique, combining a super extended tummy tuck with flank liposuction frequently produces more comprehensive body contouring than either procedure alone.

Is a Super Extended Tummy Tuck Right for You?

You may be a good candidate if you:

• Have loose or hanging abdominal skin
• Have experienced pregnancy or significant weight fluctuations
• Cannot improve excess skin through diet or exercise
• Want a flatter abdomen and a more defined waist
• Are close to your goal weight and maintain a stable lifestyle
• Are in good overall health and do not smoke

During your consultation, Dr. Climov will determine whether a traditional, extended, or super extended tummy tuck is the best option based on your anatomy and goals.

Why Choose Dr. Mihail Climov?

Dr. Mihail Climov is a fellowship-trained aesthetic plastic surgeon who specializes in advanced body contouring procedures. His surgical philosophy focuses on creating elegant, natural-looking results by treating the body as a whole rather than a single area.

Every surgical plan is customized to the individual patient, with careful attention to proportion, contour, and long-term aesthetic outcomes.

Schedule Your Consultation

If you're considering a tummy tuck in Houston or The Woodlands, Dr. Climov can help determine the most effective approach to achieve your goals. During your consultation, you'll receive a comprehensive evaluation and a personalized surgical plan designed specifically for your anatomy.