Understanding the Differences: Extended (360) vs. Standard Tummy Tuck

When it comes to enhancing the abdominal profile, tummy tucks are among the most sought-after cosmetic surgeries. However, not all tummy tucks are created equal. Two common variations—the extended (360) tummy tuck and the standard tummy tuck—offer different approaches and outcomes. Understanding these differences is crucial for individuals considering this type of cosmetic procedure.

What is a Standard Tummy Tuck?

A standard tummy tuck, also known as abdominoplasty, focuses on the abdomen’s front. This procedure is designed to remove excess skin and fat from the abdominal region and tighten the muscles of the abdominal wall. It’s ideal for individuals who have gone through significant weight loss or pregnancy and are left with loose skin or a protruding belly that doesn’t respond to diet and exercise.

During a standard tummy tuck, a horizontal incision is made just above the pubic area, through which the surgeon removes excess skin and fat and tightens the abdominal muscles. The length of the incision varies depending on the amount of excess skin. This procedure is best suited for addressing issues below the belly button.

What is an Extended (360) Tummy Tuck?

An extended (360) tummy tuck goes a step further than the standard version. Also known as a circumferential abdominoplasty or body lift, this procedure targets not only the abdomen but also the flanks and lower back. It is particularly beneficial for individuals who have experienced significant weight loss, leading to excess skin around the entire lower torso.

The “360” in its name refers to the comprehensive nature of the procedure—it encompasses the entire waistline, offering a more dramatic transformation. The incision extends around the hips to the lower back, allowing the surgeon to remove excess skin and fat from the sides and back as well as the front of the abdomen. This procedure also tightens the abdominal muscles and can significantly improve the shape of the waistline and lower back area.

Key Differences

  • Scope of Treatment: The standard tummy tuck focuses on the front part of the abdomen, while the extended (360) tummy tuck addresses the abdomen, flanks, and lower back, providing a more comprehensive reshaping of the midsection.
  • Incision Length: The extended tummy tuck involves a longer incision that wraps around the lower torso, while the standard tummy tuck incision is limited to the front of the abdomen.
  • Recovery Time: Due to its more extensive nature, the recovery time for an extended (360) tummy tuck can be longer than that for a standard tummy tuck. Patients may need to allow more time for healing and may experience more discomfort initially.
  • Ideal Candidates: While both procedures are suited for individuals looking to improve their abdominal profile, the extended tummy tuck is particularly beneficial for those with excess skin or fat around their entire lower torso, often after significant weight loss.


Choosing between an extended (360) tummy tuck and a standard tummy tuck depends on your specific needs, aesthetic goals, and the recommendations of our board-certified plastic surgeons. Both procedures can offer transformative results, but understanding the differences can help you make an informed decision about which is right for you. As with any cosmetic surgery, thorough research and consultations with experienced surgeons are key to achieving the best outcomes.


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