An extended tummy tuck is a complete abdominoplasty plus a lateral thigh lift. The resulting scar runs from the posterior axillary line from side to side. The operation does all of the abdominal contouring of a complete abdominoplasty and allows further improvement of the flank (waist), as well as smoothing the contour of the upper lateral thigh.
Depends on the problem to be treated, surgical technique(s), and other factors the good healing can take one to four weeks and patients are advised to take at least a portion of this recovery time off from work. Heavy lifting is best avoided during this time. Initially there may be bruising and discomfort. A supportive abdominal binder or compression garment can minimize swelling / bruising, and support the repaired tissues. This compression garment is also effective in helping the skin in the treated area conform to its new shape. Full recovery takes 3–6 months, with further fading of scars thereafter. Scars may appear red and prominent at first, but with proper care, they heal into a thin, silvery line.
The hours of a tummy tuck in surgery depends upon the size of the tummy. The average tummy tuck takes approximately 2 hours. Larger panniculectomies can take 3-4 hours depending upon the amount of skin to be removed, contouring of the hips, and the thighs (if necessary). A full tummy tuck requires a horizontally-oriented incision in the area between the pubic hairline and belly button. The shape and length of the incision will be determined by the amount of excess skin. Once the abdominal skin is lifted, the underlying weakened abdominal muscles are repaired.
Drainage tubes will be placed under the patient’s skin to prevent the accumulation of fluid and to allow the incisions to heal properly, and the patient will be given pain medication to ease discomfort.