Patient Details
This patient in her late 30s visited Dr. Siamak Agha at The Aesthetic Centers in Newport Beach hoping to improve abdominal fullness and correct the significant skin laxity that developed over years of weight changes. She wanted a firmer midsection, a smoother front profile, and a contour that felt more proportional to her frame.
To achieve this, Dr. Agha performed an extended tummy tuck (abdominoplasty), an approach suited for patients needing correction beyond the central abdomen. Before tightening the abdominal wall, the surrounding areas were refined with liposuction, removing a total of approximately 4,500 cc of excess fat from the lower back and flanks. This reduction helped soften the waistline transitions and enhance the overall contour once the tummy tuck was completed. After elevating the abdominal flap, Dr. Agha removed the overstretched lower-abdominal tissue and repaired the abdominal muscle wall from the ribcage to the pubic rim to restore support and improve definition. The navel was preserved and repositioned to sit naturally within the new abdominal shape.
Her 10-month postoperative results show a dramatic improvement: a flatter abdomen, a more sculpted waistline, and complete correction of the heavy lower abdominal fold. The incision rests low on the torso, remaining concealed beneath underwear or swimwear.
This transformation highlights how an extended tummy tuck—combined with strategic fat removal—can deliver meaningful, long-lasting contour enhancement for plus-size patients seeking both functional repair and visible reshaping of the midsection.
