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Extended Tummy Tuck

Extended Abdominoplasty in Sydney for Excess Skin Across the Abdomen and Flanks

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Overview

An extended tummy tuck (extended abdominoplasty) is a body contouring procedure used to address excess skin and soft tissue across the abdomen and extending towards the hips and flanks (and in some cases further around the lower back). It is most commonly considered after significant weight loss or pregnancy-related changes where skin laxity is not improved through non-surgical measures. The goals are to improve contour and, in selected patients, support comfort by reducing skin fold-related issues. A consultation is required to confirm suitability and surgical planning.

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Reduce sagging

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Reshape and contour

Before & After

The outcomes shown are only relevant for this patient and do not necessarily reflect the results other patients may experience, as results may vary due to many factors including the individual’s genetics, diet and exercise.

Breast Augmentation

Implant Size: 300cc – 450cc

Recovery Timeline: 1–2 weeks light

Tags: Breast Enhancement, Cosmetic Surgery

Breast Augmentation

Implant Size: 300cc – 450cc

Recovery Timeline: 1–2 weeks light

Tags: Breast Enhancement, Cosmetic Surgery

Breast Augmentation

Implant Size: 300cc – 450cc

Recovery Timeline: 1–2 weeks light

Tags: Breast Enhancement, Cosmetic Surgery

Breast Augmentation

Implant Size: 300cc – 450cc

Recovery Timeline: 1–2 weeks light

Tags: Breast Enhancement, Cosmetic Surgery

Breast Augmentation

Implant Size: 300cc – 450cc

Recovery Timeline: 1–2 weeks light

Tags: Breast Enhancement, Cosmetic Surgery

Breast Augmentation

Implant Size: 300cc – 450cc

Recovery Timeline: 1–2 weeks light

Tags: Breast Enhancement, Cosmetic Surgery

About This Procedure

An extended tummy tuck involves removal of redundant skin and soft tissue from the lower abdomen with a longer incision than a standard abdominoplasty, allowing additional contouring of the flanks. In appropriate cases, the procedure may also include repair of abdominal wall separation (diastasis recti) by tightening the underlying muscle fascia. Liposuction may be used selectively to refine contour, but it does not replace skin excision where laxity is significant. This is major surgery and requires a recovery period and acceptance of permanent scarring.

Your Consultation with Dr Lajevardi

Dr Sepehr Lajevardi is a highly skilled and experienced plastic surgeon, dedicated to providing exceptional results to each patient. He takes a caring approach, working with patients to create an individualised treatment plan that helps them feel confident in their outcomes. Book your appointment to receive professional care and guidance from Dr Lajevardi, and find out if breast augmentation surgery is right for you.

Key Benefits

Potential benefits vary depending on anatomy, skin quality and healing. They may include:

Reduction of excess abdominal skin

and improved lower abdominal contour

Improved contour through the flanks/hips

compared with a standard tummy tuck in selected patients

Abdominal wall tightening

(when diastasis repair is performed and clinically appropriate), which may improve core support for some patients

Reduced skin-fold irritation

in some cases where redundant skin contributes to chafing or hygiene difficulties

Improved clothing fit

for some individuals

Outcomes differ between individuals and cannot be guaranteed.

Complete Body Guide

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Ideal Candidate

A suitable candidate is typically an adult who:

Has stable weight (often after significant weight loss) and is not using surgery as a weight-loss method
Has excess skin that extends beyond the central abdomen to the hips/flanks
Is medically fit for surgery and recovery
Does not smoke/vape or can stop nicotine use for the clinically required period
Understands the trade-offs, including longer scars, recovery time, and variable results

You May Be a Good Candidate If

You may be a good candidate if you:

Are in good overall health
Have persistent excess skin and tissue through the abdomen and flanks
Have maintained a stable weight for a period advised by your surgeon
Have realistic expectations about scarring and recovery
Are willing to follow pre- and post-operative instructions, including nicotine cessation if required
Have concerns about abdominal wall laxity/diastasis that can be assessed during consultation

Who Should Not Undergo This Procedure

An extended tummy tuck may not be appropriate if you:

Are planning pregnancy in the near future (this may affect results, particularly if muscle repair is performed)
Have uncontrolled medical conditions that significantly increase surgical risk
Are unable to stop nicotine use as directed (this increases complication risk)
Have significant ongoing weight fluctuations
Expect a scar-free or “perfect” outcome, or are seeking surgery primarily for weight loss

Surgical Techniques & Approaches

Technique selection depends on the distribution of excess skin, scar preference, and clinical considerations. Options may include:

Extended Abdominoplasty Incision:

A low incision across the lower abdomen that extends further toward the hips/flanks than a standard tummy tuck, designed to address lateral laxity.

Diastasis Repair (when indicated):

Tightening of the abdominal wall fascia to address separation, where appropriate.

Adjunct Liposuction:

May be used in selected areas to refine contour; not appropriate in every case.

Vertical Component (Fleur-de-Lis):

In selected patients with significant vertical laxity, an additional vertical incision may be recommended to improve tightening (with a more visible scar).

Your surgeon will explain the proposed incision pattern, expected scar location, and the trade-offs of each approach.

Anesthesia

Extended abdominoplasty is most commonly performed under general anaesthesia in an appropriate facility. Anaesthesia is administered and monitored by a qualified anaesthesia clinician.

Pre-Operative Preparation

You will receive individualised instructions. Common requirements may include:

Medication and supplement review, including agents that can increase bleeding risk
Nicotine cessation for the recommended period before and after surgery
Pre-operative tests/clearances if indicated
Planning transport, time off work, and home support
Fasting instructions prior to anaesthesia

Recovery Process

Recovery varies depending on the extent of surgery and individual factors.

Timeline

Activity & Expectations

Immediately Post-Op

Dressings and a compression garment may be used. Drains may be placed. Tightness, swelling and bruising are expected.

First Week

Early mobilisation is encouraged as advised. Assistance at home is usually needed. Follow-up appointments for wound and drain care (if applicable).

Weeks 2–4

Gradual return to light daily activities. Many patients with desk-based work may return during this period, depending on comfort and surgeon advice.

Weeks 4–6

Ongoing improvement in mobility. Activity restrictions may remain, particularly for lifting and core strain.

6–8+ Weeks

Some patients may be cleared for more strenuous activity depending on healing.

3–6 Months

Continued settling of tissues and improvement in swelling. Scar management may continue.

6–12+ Months

Longer-term contour and scar appearance continue to evolve.

Recovery Milestones

Return to Work

some patients with sedentary work return in around 2–3 weeks, but this varies.

Return to Exercise

light walking is often encouraged early; heavy lifting, strenuous exercise and core-focused activity are commonly restricted for around 6 weeks or longer, depending on the repair performed and healing.

Assessing longer-term outcome

swelling and tissue settling can take months; results are commonly assessed over 6–12 months, with scars continuing to mature beyond this.

Resources & Guides

A breast augmentation is a very customized procedure, and selecting an experienced surgeon is paramount. Dr. Lajevardi focuses on patient safety, naturally appearing results, and transparency throughout the process.

Patient Preparation Guide

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Procedure Walkthroughs

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Patient Preparation Guide

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Frequently Asked Questions

Procedure & Results

How long does an extended tummy tuck take?

Surgery time varies depending on the extent of skin removal, whether muscle repair is performed, and whether other procedures are combined. Your surgeon will provide an estimate during consultation.

Will I have scars?

Yes. An extended tummy tuck involves a longer scar than a standard tummy tuck. Some patients may also require an additional vertical scar (Fleur-de-Lis). Scars are permanent but typically fade over time and are planned to sit low where possible.

How long do results last?

Results can be long-lasting with stable weight. Pregnancy, significant weight changes and ageing can alter long-term contour.

What are the risks?

All surgery carries risks. Potential risks include bleeding, infection, delayed wound healing, fluid collection (seroma), scarring concerns, asymmetry, contour irregularity, changes in sensation, blood clots, and risks related to anaesthesia. Your surgeon will discuss risks relevant to your health history and planned technique.

Pain & Recovery

Is recovery painful?

Discomfort, tightness and fatigue are common early on. Pain is managed with an individualised plan and typically improves gradually.

What pain relief is used?

This may include prescription medication initially, sometimes combined with local anaesthetic techniques, with step-down options as appropriate. Your team will provide instructions.

When can I shower?

This depends on dressings, drain use and wound status. Your surgeon will provide specific guidance. Baths and swimming are typically restricted until incisions are healed.

Safety & Credentials

Is the facility accredited/licensed?

Procedures are performed in appropriately licensed facilities or hospital settings. Details are confirmed during consultation.

What credentials should I look for?

You can check a practitioner’s registration on the AHPRA public register and ask about their training and experience in abdominoplasty and post–weight loss body contouring.

Important Safety Information

Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.