San Diego and La Jolla Extended Tummy Tuck Specialist – Dr. Tom Pousti

Dr. Tom Pousti is an expert in extended tummy tuck surgical procedures, serving patients in the greater San Diego and Southern California area. Dr. Pousti has helped patients regain personal confidence while achieving a more shapely appearance.


An extended tummy tuck follows the same principles and techniques of a regular tummy tuck or abdominoplasty, and helps dramatically improve the appearance of the core area due to significant extra skin and fat in the lower abdomen region.

The extended tummy tuck surgical body contouring procedure is available for both men and women. The primary difference between a regular and extended tummy tuck is the length of the scar incision and the amount of skin removed from the patient, which is more significant with an extended tummy tuck patient.

A horizontal incision is made along the bikini line, above the pubic hairline. The length of the scar and incision made will be long enough to properly remove all excess skin.

The skin is separated from the muscle up to the rib cage, and Dr. Pousti pulls down the skin, trimming away excess. The belly button is relocated to a new opening in the abdominal skin in a proper location. The muscles are subsequently tightened and the skin is sutured with stitches.

The typical candidate for an extended tummy tuck procedure requires a significant amount of weight removal, typically at least 75 pounds. Dr. Pousti will assist in your initial consultation to determine the best procedure based on your body type and personal goals.

Patient In Her Bikini Just Months After Her Extended Tummy Tuck & Mommy Makeover Surgery

The Surgical Procedure

The procedure takes approximately 3 hours to complete. Markings are performed the evening prior or the morning of surgery. Care is taken to give you the results you are looking for.

After weight loss or pregnancy, in most cases the abdominal wall muscles are separated. Even with diet and exercise, the muscles are unable to retract. Repairing the muscles brings the waist in for more desirable results.

Before picture

Markings are carefully drawn out in a sterile fashion.

Muscle laxity from post-weight loss or pregnancy

Muscles are brought together to create the desirable waistline.

Repair abdominal muscles

Immediately After Surgery (Intra-operative)

Before / After Abdominoplasty After Losing 180 lbs

What To Expect After Surgery

You are restricted to bed for 2 to 3 days with periods of walking. You will be “hunched over” significantly for the first week and slowly will be able to stand up straight. Coughing, laughing, sneezing or anything that exerts the abdominal muscles will produce discomfort. Positioning yourself when sleeping — you will either need to sleep in a recliner or place pillows under your legs when lying in bed to keep your body in an “L” formation.


Patients undergoing an extended tummy tuck will be sent home with an abdominal compression garment to control swelling and to protect the muscle repair process. The garment is to be worn for 6 weeks.

Patients require at least one week off from work and most normal activities. Discomfort improves after the first 48 hours and most patients feel comfortable after one week. Strenuous activities should be avoided for one month.

Dr. Pousti recommends having an after surgery care giver for at least 24 hours.

Patient Testimonial

I had surgery with Dr. Pousti 3 months ago and I could not be any happier with my results. From my consultation appointment to my 3 month follow up, I have been treated with the utmost care and kindness from Dr. Pousti and his staff. I had researched and met with several surgeons and I knew the moment I met with Dr. Pousti that he was the person I trusted to do my surgery. After having two kids, I had alot of loose skin on my stomach and all of the exercising I did would never change that. Dr. Pousti said that he believed that I would have excellent results from a tummy tuck and he was right! I never imagined that my stomach could be so flat!! This has been a life changing experience and I could not imagine having done this with any other doctor.
Thank you,
Corona , California

In addition to tummy tuck and other body contouring procedures, Dr.Pousti performs facial procedures including facelift and rhinoplasty. Please visit the facelift and rhinoplasty pages of this website to learn more about these procedures and how Dr. Pousti has helped many San Diego and La Jolla facelift and rhinoplasty patients.

Prime Plastic Surgery consists of the top board-certified surgeons in the country providing the highest caliber of patient care. We offer cosmetic and reconstructive procedures, both surgical and non-surgical, to help patients achieve truly life-changing results. Our surgeons are members of several prestigious organizations, including:

  • American Society of Plastic Surgeons
  • American Society for Aesthetic Plastic Surgery
  • International Society of Aesthetic Plastic Surgery
  • American Association for Accreditation of Ambulatory Surgery Facilities

Discover what the Prime difference can do for you. Request a consultation online or call our practice at (858) 285-4667.

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