Extended abdominoplasty in Sydney, also known as an extended tummy tuck, is a form of abdominoplasty designed to address excess skin and contour changes across a wider area than a standard tummy tuck. In addition to the central abdomen, extended abdominoplasty targets the flanks (love handles/hips) and, in selected patients, the lateral torso. For this reason, it may be appropriate for patients with skin laxity that extends beyond the front of the abdomen.
Extended tummy tuck surgery can be considered after significant weight loss, following pregnancy, or with age-related changes in skin quality. During consultation, A/Prof Tim Papadopoulos assesses your anatomy and goals and determines whether extended abdominoplasty is suitable.
Key Components of Extended Abdominoplasty Surgery
1) Incision placement Dr Tim places a low horizontal incision above the pubic region. In extended abdominoplasty, the incision continues further around the hips to address the flanks and lateral excess skin. Dr Tim plans the incision position carefully to improve concealment and symmetry.
2) Abdominal wall tightening (when indicated) In selected patients, Dr Tim tightens the abdominal wall support structures when muscle laxity or separation is present (often described as diastasis recti repair). This step can improve abdominal firmness and support overall contour.
3) Skin and fat removal with contour refinement Dr Tim removes excess abdominal skin and reshapes the lower abdomen. He also addresses excess tissue through the flanks to improve waistline contour. When appropriate, he may use liposuction as part of the contouring plan.
4) Navel repositioning (umbilical reconstruction) If the surgery involves a full abdominoplasty, Dr Tim carefully repositions the navel to maintain a natural appearance and appropriate proportion.
Extended Tummy Tuck vs Standard Tummy Tuck
A standard tummy tuck focuses mainly on the front of the abdomen. In contrast, an extended abdominoplasty addresses excess skin and contour changes that extend into the flanks and hip area. As a result, it may provide improved contour around the waistline in suitable patients.
Suitability for extended abdominoplasty (extended tummy tuck) in Sydney is confirmed during consultation, including discussion of scars, recovery, risks and realistic expectations.
Quick Facts About Extended Abdominoplasty
Procedure Duration: 3–5 hours.
Anaesthesia: General anaesthesia.
Hospital Stay: Overnight stay.
Results: Immediate improvement; final results visible after the swelling subsides (3–6 months).
Longevity: Long-lasting results with a stable weight and healthy lifestyle.
The Best Candidates are individuals in good overall health who have significant excess skin and fat in the abdomen and flanks.
What to Expect
Before Surgery:
Your consultation with Dr. Tim will include a detailed discussion of your goals, medical history, and physical evaluation. Dr. Tim will assess your abdominal area, skin elasticity, and overall anatomy to determine if an extended abdominoplasty is the best option. You will also receive preoperative instructions, including fasting and avoiding certain medications.
During Surgery:
The procedure is performed in a fully accredited surgical facility under general anaesthesia. A horizontal incision is made above the pubic area, extending around the hips. Excess skin and fat are removed, and the abdominal muscles are tightened to restore core strength and improve contour. Once complete, the incisions are closed with sutures, and surgical dressings are applied. A compression garment is placed to minimise swelling and support healing.
After Surgery:
During your initial recovery period, you will be observed in the hospital. Dr. Tim will provide detailed post-operative care instructions to ensure a smooth recovery.
1. What is an extended abdominoplasty?
An extended abdominoplasty is a surgical procedure that removes excess skin and fat from the abdomen, flanks, and lower back while tightening the abdominal muscles to create a more sculpted contour.
2. Who is a good candidate for this procedure?
Good candidates are individuals with significant skin laxity, excess fat, or muscle separation in the abdomen and flanks who are in good health and maintain a stable weight.
3. How long does recovery take?
Most patients return to light activities within 2–3 weeks, but full recovery and resumption of strenuous activities take 6–8 weeks.
4. Will there be visible scars?
Scars are strategically placed along the lower abdomen and flanks to be hidden by underwear or swimwear. Over time, scars typically fade with proper care.
5. Can I combine this procedure with other surgeries?
Yes, an extended abdominoplasty is often combined with procedures like liposuction or breast surgery for a comprehensive body contouring result.
6. How long do the results last?
The results are long-lasting, but maintaining a stable weight and healthy lifestyle is essential to preserving the outcome.
7. Is the procedure painful?
The procedure is performed under general anaesthesia, ensuring no discomfort during surgery. Post-operative pain is manageable with prescribed medications.
Risks
While extended abdominoplasty is a safe and effective procedure, potential risks include:
Infection or delayed wound healing.
Scarring, which fades over time but may vary by individual.
Seroma (fluid accumulation) or hematoma (blood pooling).
Changes in skin sensation (temporary or permanent).
Blood clots or deep vein thrombosis (DVT).
Rare complications related to anaesthesia.
Recovery Tips
Follow Post-Operative Instructions: Adhere to Dr. Tim’s guidelines for wound care, medication, and activity restrictions.
Wear a Compression Garment: This reduces swelling, supports the abdominal area, and helps contour the body.
Rest and Hydrate: Proper rest and hydration are essential for a smooth recovery.
Limit Physical Activity: Avoid strenuous activities, heavy lifting, and exercise for 6–8 weeks.
Sleep Elevated: Use pillows to keep your upper body elevated while sleeping, reducing tension on the incisions.
Scar Care: Follow scar management recommendations to promote healing and minimise visibility over time.
Dr Tim is a certified cosmetic and plastic surgeon, past president of the Australasian Society of Aesthetic Plastic Surgery (ASAPS), a member of the Australian Society of Plastic Surgeons (ASPS) and a Fellow of the Royal Australasian College of Surgeons (FRACS). Tim is also an International member of the American Society of Plastic Surgeons. Dr Tim is a member and Board Director of the International Society of Aesthetic Plastic Surgery and an international active member of the American Society of Aesthetic Plastic Surgery.
He has undertaken 8-12 years of specialist training beyond his basic medical degree to become a Fellow of the Royal Australasian College of Surgeons (FRACS) which is the only institution accredited to train surgeons in Australia and New Zealand. He is the current Head of the Department of Plastic & Reconstructive Surgery at Westmead Private Hospital.
As a Sydney plastic surgeon Dr Tim focuses on cosmetic surgery of the face, breast and body.
Dr Tim is a certified cosmetic and plastic surgeon, past president of the Australasian Society of Aesthetic Plastic Surgery (ASAPS), a member of the Australian Society of Plastic Surgeons (ASPS) and a Fellow of the Royal Australasian College of Surgeons (FRACS). Tim is also an International member of the American Society of Plastic Surgeons. Dr Tim is a member and Board Director of the International Society of Aesthetic Plastic Surgery and an international active member of the American Society of Aesthetic Plastic Surgery.
He has undertaken 8-12 years of specialist training beyond his basic medical degree to become a Fellow of the Royal Australasian College of Surgeons (FRACS) which is the only institution accredited to train surgeons in Australia and New Zealand. He is the current Head of the Department of Plastic & Reconstructive Surgery at Westmead Private Hospital.
As a Sydney plastic surgeon Dr Tim focuses on cosmetic surgery of the face, breast and body.
Dr. Tim is a highly experienced specialist plastic surgeon known for his commitment to patient safety, advanced surgical techniques, and meticulous care. He prioritizes evidence-based procedures to deliver natural-looking, long-lasting results.
Precision
With an exceptional eye for detail and surgical expertise, Dr. Tim ensures every procedure—whether facelift, body contouring, or breast augmentation—is performed with precision, artistry, and the latest medical advancements.
Your Wellbeing & Comfort
Dr. Tim takes a patient-centered approach, guiding you from consultation to post-operative care. He provides personalised surgical plans to help you make informed decisions, ensuring your safety, comfort, and satisfaction throughout your cosmetic surgery journey.
Professional Integrity
As a specialist plastic surgeon, Dr. Tim is dedicated to excellence in aesthetic surgery. His contributions to medical education, training future surgeons, and speaking at global conferences reinforce his reputation as a leader in the field of cosmetic surgery.
Have Questions About Cosmetic Surgery?
Understanding your options is important. Our team is available to provide factual information about procedures and answer any concerns you may have. Book a consultation to receive professional advice tailored to your needs.
