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Abdominoplasty Techniques Explained: From Mini to Extended

What Is Abdominoplasty?

Abdominoplasty, commonly known as a tummy tuck, is a plastic surgery procedure that reshapes and firms the abdomen by:

  • Removing excess skin and fat
  • Tightening the abdominal muscles
  • Improving the overall body contour

However, not all tummy tucks are the same. Surgeons use various abdominoplasty techniques depending on a patient’s body type, skin laxity, goals, and previous weight loss or pregnancies.

At Trustmed Clinic, your surgeon will recommend the best method based on a detailed assessment of your anatomy and expectations.

Overview of Abdominoplasty Techniques

Technique

Area Treated

Muscle Repair

Belly Button Repositioning

Scar Size

Best For

Mini Abdominoplasty

Below the belly button

Optional

No

Small, low scar

Mild lower skin laxity

Full Abdominoplasty

Above and below navel

Yes

Yes

Hip-to-hip scar

Moderate laxity & diastasis recti

Extended Abdominoplasty

Abdomen + flanks

Yes

Yes

Longer scar

Major skin excess post weight loss

Fleur-de-Lis Abdominoplasty

Vertical + horizontal tightening

Yes

Yes

Anchor-shaped scar

Massive weight loss & upper laxity

Mini Abdominoplasty

What It Is:

A limited tummy tuck that addresses only the lower abdomen.

Best Candidates:

  • Mild skin laxity or bulge below the belly button

  • Good skin elasticity above the navel

  • No or minor muscle separation

Key Features:

  • Shorter incision

  • Quick recovery

  • No belly button repositioning

  • Less dramatic but effective results

Ideal For:

Slim patients, moms with a post-pregnancy “pooch,” or those wanting subtle correction without a full tummy tuck.

Full Abdominoplasty

What It Is:

The classic tummy tuck, most commonly performed worldwide.

Best Candidates:

  • Skin laxity both above and below the belly button

  • Muscle separation (diastasis recti)

  • Post-pregnancy or post-weight loss contour issues

Key Features:

  • Incision from hip to hip

  • Muscle repair across the full abdomen

  • Repositioned belly button

  • Visible but concealable scar

Ideal For:

Patients looking for full abdominal rejuvenation and core strength restoration.

Extended Abdominoplasty

What It Is:

An advanced technique that extends the incision around the hips to treat the flanks and lower back.

Best Candidates:

  • Massive weight loss patients with excess skin around waist

  • Patients with love handles and side fat in addition to abdominal laxity

Key Features:

  • Long incision extending beyond the standard hip line

  • Comprehensive muscle and skin repair

  • Can be combined with 360° liposuction or BBL

Ideal For:

Men and women needing dramatic reshaping, especially after bariatric surgery.

Fleur-de-Lis Abdominoplasty

What It Is:

A technique that removes both vertical and horizontal excess skin, forming an anchor-shaped (inverted T) scar.

Best Candidates:

  • Patients with severe skin laxity in multiple directions

  • Those who have undergone massive weight loss

  • Individuals with previously failed tummy tucks

Key Features:

  • Two incisions: horizontal (hip to hip) + vertical (midline)

  • Comprehensive skin excision

  • More intensive recovery

  • Most dramatic transformation for the torso

Ideal For:

Post-bariatric patients or those seeking extensive body contouring.

What Determines the Right Technique?

Your Trustmed Clinic surgeon will assess:

  • Skin quality and elasticity
  • Amount and location of fat deposits
  • Degree of muscle separation
  • Any history of pregnancy or weight loss
  • Desired aesthetic outcome and scar tolerance

Can Abdominoplasty Be Combined With Other Procedures?

Yes. Many patients choose to combine abdominoplasty with:

  • Liposuction (for better contouring)
  • BBL (Brazilian Butt Lift)
  • Breast augmentation or lift
  • Mommy makeover package
  • Thigh or arm lift after major weight loss

Trustmed Clinic designs custom combination surgeries that balance safety with transformative results.

What to Expect From Your Surgery Journey

At Trustmed Clinic:

  • Free virtual consultation with 3D simulation
  • All procedures in JCI-accredited hospitals
  • Surgeons certified by EBOPRAS and ISAPS
  • Nurse-supported hotel recovery
  • 4X Insurance Protection
  • 1-year remote follow-up care

Frequently Asked Questions

A mini tummy tuck only targets the area below the belly button and does not involve muscle tightening or navel repositioning, while a full tummy tuck treats the entire abdominal area.

If you have significant skin redundancy, especially on the flanks or upper abdomen, your surgeon may recommend extended or fleur-de-lis techniques.

Yes—but all scars are placed low on the abdomen and fade significantly over time. Fleur-de-lis involves a vertical scar, but often the benefits outweigh the visibility.

Initial recovery is 2–4 weeks, with full results visible around 3–6 months. Extended and fleur-de-lis types may require a bit more downtime.

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