My question, is there such a thing as a extended tummy tuck plus?
It will depend on who you ask. This is not a generally used term with a universally accepted definition. You can add endless things to an abdominoplasty (tummy tuck). You can remove more or less skin. You can make a vertical incision in addition to the horizontal one to remove maximal skin. You can carry the incision around to the back, including connecting both ends into something called a "belt dermolipectomy). You can add liposuction to a tummy tuck. It would more helpful to know what your specific situation is in order to recommend a surgical plan.
Dr. Bosshadt have explained a different types of tummy tuck based on patient anatomy and patient desires of final outcome.
As in any cosmetic plastic surgery, it is customized to the the patient desires and anatomy.
The BOARD CERTIFIED PLASTIC SURGEON should explain what is the plan and why. To add to Dr. Bosshardt is do You need a pubis lift or want it.
This is a two hour consultation with the Dr. marking you where the scar is going to be. Cosmetic plastic surgery is customized to the each patient. Cosmetic surgery is not one that fits all. It is customized to patient anatomy and patient desire of the final outcome.
I prefer the name "abdominoplasty". Yes, there could be something like an extended abdominoplasty plus. The extended would mean taking more of the lateral skin than regular and extended plus would mean taking even a little more but not circumferential which would be the last step. Not a term commonly used but that is what it means. Your plastic surgeon should be able to explain this for you.
There are several different types of tummy tucks. In addition, people come with all sorts of different names to try to market themselves and even try to trademark some of these terms. Lot of it is hype
The important thing is what you need. Dr. Bosshardt has explained everything.
This term is likely unique to your surgeon's office. In my office there are three versions of Tummy Tuck.
1) Tummy Tuck (anterior removal of skin and tissue)
2) Extended Tummy Tuck (incision is more lateral (further out) on both sides such that it almost turns the corner on the flanks). In my own practice I do this version a lot, as it can lift the front and outer thighs slightly to improve the torso profile. I really like this version.
2) Tummy Tuck with Lateral Outer Thigh Lift (this incision does go around to the back side , but stops such that it is not a 360 degree incision. This version will give the patient not only a lift in their outer thighs, but also a lift to the buttocks.
In all versions above the rectus diastasis muscle is tightened and closed shut so that the upper abdomen can be flat.
Ricardo L Rodriguez MD
Board Certified Plastic Surgeon