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Home » Extended Abdominoplasty (Tummy Tuck)
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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*It is important to note that individual results vary depending on factors such as anatomy, skin quality, surgical approach and healing response. The images shown are not intended to guarantee or predict the outcome of any procedure.
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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.








Extended Abdominoplasty may assist with body contouring and reduction of excess skin where clinically appropriate. Individual outcomes vary depending on anatomy, skin quality, and healing.
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
Is medically fit for surgery and recovery
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
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).
Extended abdominoplasty is most commonly performed under general anaesthesia in an appropriate facility. Anaesthesia is administered and monitored by a qualified anaesthesia clinician.
Your medical practitioner will explain:
Your surgeon will explain recommended incision placement, expected scarring, and the trade-offs of each approach during consultation.
As with any surgical procedure, extended abdominoplasty (tummy tuck) carries potential risks and complications. The likelihood and nature of these vary between individuals and depend on factors including anatomy, medical history, and surgical approach. Your surgeon will discuss risks specific to your situation during your consultation.
Potential risks and complications may include:
Potential risks and complications may include Infection – may require antibiotic treatment, Bleeding or haematoma formation – may require further intervention, Adverse reaction to anaesthesia, Scarring – individual scar outcomes vary, Asymmetry or contour irregularities, Changes in skin sensation – may be temporary or permanent, Wound healing delays – more common in smokers, Need for revision surgery in some cases. Your surgeon will discuss risks specific to your situation during consultation.
Preparation typically includes:
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
Following extended abdominoplasty (tummy tuck), you will be monitored in recovery. Some discomfort, swelling, and bruising are expected and vary between individuals.
Initial healing occurs during this period. Rest is important and activity should be limited. Follow your surgeon’s specific post-operative instructions carefully.
Gradual return to light activities as advised by your surgeon. Swelling and bruising typically continue to subside. Individual recovery timelines vary.
Most patients are able to resume normal activities including exercise, as cleared by their surgeon. Residual swelling may persist and varies between individuals.
Final results continue to develop as tissues settle. Scars mature and fade over 12-18 months, though individual scar outcomes vary.
The cost of extended abdominoplasty (tummy tuck) varies depending on the surgical approach, complexity, and whether additional procedures are recommended. A personalised quote is provided following your consultation once your individual treatment plan has been determined. All fees, including surgeon, anaesthetist, and hospital costs, are outlined before you proceed.
Disclaimer
Prices vary based on individual assessment. A personalised quote will be provided during consultation.
Starting From
Indicative pricing only
Final exact cost will be confirmed after consultation.
At COSMEX, we combine advanced surgical expertise with personalized care to deliver natural, confident results. Your safety, comfort, and satisfaction are always our priority.
Our surgeons hold Fellowship of the Royal Australasian College of Surgeons (FRACS) in Plastic and Reconstructive Surgery. Each procedure is performed by qualified specialists with extensive training in cosmetic and reconstructive surgery. You are welcome to verify your surgeon's credentials via the AHPRA public register.
All surgical procedures are performed in licensed, accredited hospitals in Sydney. Our facilities meet Australian standards for theatre safety, anaesthesia, infection control, and emergency care. Your safety is the foundation of every treatment plan.
No two patients are the same. Every treatment plan at COSMEX is developed following a thorough one-on-one consultation where your anatomy, concerns, goals, and medical history are carefully assessed. You will receive a personalised recommendation — not a standardised package.
Your care continues well beyond the day of your procedure. COSMEX provides a structured aftercare program including scheduled follow-up appointments, access to your surgical team for questions during recovery, and long-term monitoring where clinically indicated.
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