Patient Details
This elegant female patient in her mid-50s came to Dr. Agha seeking a plus-size tummy tuck after pregnancies had stretched her abdomen and changed the proportions of her waist and lower body. She was bothered not only by loose abdominal skin, but also by fullness through the upper abdomen, waist, love handles, and lower back.
Her concerns included:
The markings visible in the before photos offer a rare look at Dr. Agha’s detailed planning process. Rather than treating the abdomen as an isolated area, he mapped the abdominal skin, waist, flanks, lower back, and buttocks as connected parts of the same silhouette.
This broader approach can be especially important in plus-size tummy tuck patients, where loose skin and excess fullness may extend well beyond the central abdomen. Addressing the surrounding waist and lower torso can help create a more proportionate result rather than simply flattening the stomach.
Having performed more than 1,000 tummy tuck procedures, Dr. Agha draws on extensive experience to customize every High-Definition Tummy Tuck™ around the patient’s anatomy, concerns, and desired proportions.
Dr. Agha began with targeted liposuction of the lower back, love handles, waist, and upper abdominal roll. This reduced fullness surrounding the abdomen and helped create stronger waist definition before the loose abdominal skin was tightened.
The harvested fat was then carefully processed and used to restore 255 cc to each buttock. The goal was not an exaggerated increase in size. Instead, the fat was placed into existing depressions to create a smoother, rounder shape and better balance the newly sculpted waist.
Dr. Agha then performed a plus-size extended High-Definition Tummy Tuck™, removing excess abdominal skin and repairing her moderate diastasis recti. The separated abdominal muscles were tightened in two supportive layers from the upper abdomen down to the pubic region, creating a firmer internal foundation and a flatter abdominal contour.
Her small umbilical hernia was also repaired during the abdominal reconstruction, and the navel was brought through the tightened skin in a more natural position.
As an integral part of Dr. Agha’s High-Definition Tummy Tuck™ approach, the pubic area was lifted and reshaped together with the lower abdomen. This built-in monsplasty, or pubic lift, created a smoother transition into the upper thighs rather than leaving the pubic area sagging or prominent after the abdomen was tightened.
The after photos show a significantly flatter abdomen, a narrower and more defined waist, and a cleaner contour throughout the lower torso. The upper abdominal roll, love handles, and lower-back fullness have been reduced, while the pubic area appears lifted and better proportioned.
From the back and side views, the buttocks appear smoother and gently fuller. The enhancement remains intentionally subtle, complementing the patient’s natural frame rather than overpowering it.
This case demonstrates how a plus-size tummy tuck can be customized beyond the abdomen itself. By combining an extended High-Definition Tummy Tuck™ with abdominal muscle repair, integrated pubic lifting, targeted liposuction, umbilical hernia repair, and conservative buttock fat transfer, Dr. Agha created a more balanced silhouette from the front, side, and back.
Postoperative photographs taken approximately 12 months after extended High-Definition Tummy Tuck™ and buttock fat transfer.
