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The Hourglass Tummy Tuck vs. Extended and Traditional Tummy Tuck

April 15, 2024

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Achieving a beautifully contoured and balanced physique is often the pinnacle of aesthetic success. Amongst the many procedures that can achieve this, Tummy Tucks stand out for their ability to reshape and refine the abdominal area. However, not all Tummy Tucks are created equal. At Ambay Plastic Surgery, we specialize in tailoring procedures to meet the unique needs and aesthetic goals of our patients.

In this article, we focus on three distinct approaches: the Hourglass Tummy Tuck, the Extended Tummy Tuck, and the Regular (Traditional) Tummy Tuck. Understanding the differences among these three can help you make an informed decision on your journey to achieving your ideal shape.

Traditional Tummy Tuck: The Foundation of Abdominal Refinement

In a Traditional Tummy Tuck, the abdominal muscles are brought together in the center, like zipping up a jacket or a corset, creating a one-dimensional horizontal tightening.

The Traditional Tummy Tuck Procedure

  • Involves a horizontal incision made just above the pubic area.
  • Excess skin and fat are surgically removed to create a flatter contour.
  • The abdominal muscles are tightened and repaired.

The outcome of a Traditional Tummy Tuck is a rejuvenated midsection, characterized by a smoother, flatter abdomen. This procedure improves the appearance and contributes to improved posture and relief from certain types of back pain associated with weak abdominal muscles.

Woman's face, before and after Tummy Tuck treatment, front view

Traditional Tummy Tuck

The Hourglass Tummy Tuck: Sculpting Curves and Contours

The Hourglass Tummy Tuck is a highly specialized procedure designed to remove excess skin and fat from the abdomen while also sculpting and defining. The Hourglass Tummy Tuck goes beyond the Traditional Tummy Tuck by incorporating liposuction around the waist and sometimes fat transfer to the hips to enhance curves.

“We have found many patients have both horizontal laxity and vertical laxity. In those patients, the Hourglass Tummy Tuck narrows the waist in the center, and we further remove the laxity by tightening the body wall obliquely. This removes vertical laxity, further narrows the waist and gets rid of excess laxity from the upper thigh and groin.”  – Dr. Raj Ambay

Woman's face, before and after Tummy Tuck treatment, front view

Hour Glass Tummy Tuck

The Hourglass Tummy Tuck Procedure

  • Removal of excess skin and fat from the abdomen
  • Tightening of the abdominal oblique muscles
  • Liposuction of the waist to accentuate the Hourglass shape
  • Fat grafting to the hips or buttocks may further enhance the body’s contours.

The result is a flatter stomach, a beautifully sculpted waist, and improved overall body proportion.

Extended Tummy Tuck: Comprehensive Midsection Contouring

The Extended Tummy Tuck is suited for individuals with excess skin and fat that wraps around the sides and possibly the lower back. It’s an excellent option for those who have experienced massive weight loss, including post-bariatric surgery patients, or anyone whose skin elasticity has significantly diminished.

The Extended Tummy Tuck Procedure

  • Requires a longer incision extending beyond the hips to the lower back
  • Removal of a greater amount of excess skin and fat
  • Tightening of abdominal muscles across a wider area

The result is a smoother, firmer abdominal profile and a more defined waistline that extends around the sides and back.

Choosing the Right Tummy Tuck: Consult a Board-Certified Plastic Surgeon

Choosing between an Hourglass Tummy Tuck, Extended Tummy Tuck, or Traditional Tummy Tuck depends on your specific body type, aesthetic goals, and the amount of excess skin and fat you wish to address.

If you’re considering a Tummy Tuck, we invite you to schedule a consultation with Dr. Ambay at our Wesley Chapel or Spring Hill offices. Together, we will explore your options, discuss your goals and determine the best way to achieve your desired shape. With Dr. Ambay’s expertise and our team’s commitment to your care, your dream figure is within reach.

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Posted In: Tummy Tuck


Dr. Raj Ambay, M.D.

Dr. Ambay is a triple board-certified plastic surgeon who specializes in cosmetic surgery of the face and body. He performs a wide range of aesthetic treatments at his Florida practice.

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Dr. Raj Ambay is a well respected and trusted surgeon in Wesley Chapel. His work speaks for itself when you look at his patients’ before and after photos. Call 813-535-4769 and book your appointment to discuss the concerns that you may have.

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