Extended Sculpt Tummy Tuck: Step by Step Operation Guide

Are you dreaming of a tight, sculpted tummy and hips post pregnancy? Many women struggle to lose weight after giving birth. An extended sculpt tummy tuck (aka extended VASER lipoabdominoplasty) might be the answer.

This is a cutting-edge surgery that gives women the flat, smooth tummy and hips they desire. It is one of the most advanced techniques available for sculpting the body after baby. Today, Doctor Bernard reveals the step-by-step process for performing the operation.

What is an extended tummy tuck?

You might be familiar with a tummy tuck, but an extended tummy tuck is a bit different. An extended tummy tuck is for women who have extra fat and skin that extends around the abdomen to the hips after giving birth. Extended means that there is loose skin and fat on the patient’s sides in addition to the tummy area. Therefore, the incision is longer than a classic tummy tuck, extending around the hips. That way, all of the undesirable skin and fat can be removed in a single operation.

Excising skin on the side of the abdomenFull tummy tuck vs. extended tummy tuck: What’s the difference?

The difference between a full tummy tuck and an extended tummy tuck is how far the incision goes around the tummy. Since it is a more extensive surgery, it takes about one hour longer to perform an extended tummy tuck than a full tummy tuck.

What do we mean by ‘sculpt’?

A sculpt tummy tuck means that there is extensive VASER liposculpture in addition to cutting away fat and skin, along with tightening the rectus abdominis muscle if needed. This is an extensive surgery that improves upon the results of a normal tummy tuck by using the latest technology to sculpt and refine the abdomen.

A sculpt tummy tuck has 4 benefits

VASER liposculpture of the abdomenLoose skin, separated abdominal muscles and unwanted fat on the abdomen and sides can be dramatically improved with this surgery.

Removes loose skin

Skin removed with tummy tuckExtra loose skin is common due to weight fluctuations from pregnancy. Collagen and elastin in skin break down over time, resulting in thinner, delicate skin that sags. Many women get pregnant around age 30, which is when production of these essential proteins starts declining due to age.

When you are pregnant, the skin stretches to accommodate the extra mass. Upon childbirth, the tummy shrinks but the skin has already been stretched. Therefore, it does not ‘snap back’ to where it was before. This causes loose skin and unattractive skin folds, in addition to fat that can be hard to lose after giving birth. Like a classic tummy tuck, a sculpt tummy tuck trims away the extra skin leaving you with a nice, tight tummy.

Repairs separated ab muscles

Separated muscles diastasis recti

Ab muscles can separate or tear due to pregnancy. Also known as diastasis recti, torn or stretched abdominal muscles can cause weakness and pain. The connective tissue at the midline of the abdominal muscles has stretched and loosened by the third trimester. Sometimes, surgery is required to repair it.

While the condition is not dangerous, it can make life unpleasant. Diastasis recti causes a stomach bulge in some patients, as well as leaves a visible gap between the ab muscles. It can sometimes be easy to spot that the muscles have separated, particularly in thinner patients. Other women might not notice anything visually wrong at all, but the underlying muscle is still stretched. A tummy tuck can correct this.

In a sculpt tummy tuck, Dr. Beldholm tightens the abdominal muscles, giving patients a flat tummy and better core support.

Removes unwanted fat

OT fat canisterAfter pregnancy, there can be stubborn pockets of fat left behind. Diet and exercise do not always remove all the fat. Plus, motherhood makes it hard to find time to get in the gym. There are new cravings as well, and the body goes through dramatic changes during pregnancy.

Genetics also play a role since women tend to accumulate fat in specific areas like the lower abdomen and hips. An extended tummy tuck is designed to sculpt and flatten the abdomen and also removes fat on the sides.

Smooths and refines the tummy with VASER Liposculpture

VASER Lipo is the most important step of the sculpt tummy tuck. This is the step in which Dr. Beldholm shapes the tummy and removes fat.

VASER is an advanced fat removal technology that gives nice smooth results that are far superior to liposuction in Doctor Bernard’s opinion. He has been using VASER instead of standard liposuction since 2016 with great success, and patients have been loving their results.

VASER is different from standard lipo. To start, a small hole is created in the skin. The VASER probe is then inserted and a fan technique is used to work it under the skin, reaching all the underlying fat and melting it. The probe vibrates at an extremely high frequency to melt the fat. Gentle suction then removes the fat from the body.

The process is more delicate than basic lipo, which is much more aggressive by comparison. VASER is gentler, yet equally (if not more) effective. Since it causes less tissue damage, it may improve the speed of healing and reduce swelling and trauma. This allows the patient to have a more comfortable recovery and ultra refined smoothness of the skin.

Since it is a slower and gentler process than standard lipo, it takes more time to perform the operation. The final result of a sculpt tummy tuck is a flat, attractive tummy with nice, smooth skin.

9 steps to perform the perfect extended full sculpt tummy tuck

These are the 9 steps that it takes to complete the operation:

Step 1: Extensive VASER liposuction of the abdomen, waist and hips

Step 2: Making the cut and dissecting the underlying tissues

Step 3: Creating a tunnel in the midline to access the abdominal muscles

Step 4: Stitching (plication) of the rectus abdominis muscles to tighten them and bring them back together

Step 5: Tightening the skin as well as lifting the mons pubis area up to where it should be

Step 6: Tightening and trimming away loose skin

Step 7: Using tissue glue and plication stitches to bring muscles together

Step 8: Closing the skin. Drains are not needed with Dr. Beldholm’s technique

Step 9: Using special PICO dressings to speed wound healing.

Recovery and downtime

An extended sculpt tummy tuck requires an overnight hospital stay. Day 1 after surgery will leave you feeling a bit groggy from general anesthesia. The first day is not too bad in terms of pain since Dr. Beldholm performs the VASER tummy tuck using a powerful local anesthetic to reduce discomfort for the first 24 hours. Discomfort tends to peak on day 2, then gradually subsides over a period of two weeks or so.

Patients can get back to work in 3-4 weeks and resume driving in 2-3 weeks. It can take 6-8 weeks to get back in the gym. For more information about tummy tuck recovery, visit this link.

Dr Beldholm in OT