The extended abdominoplasty procedure is ideal for patients with significant laxity and excess adiposity of the abdomen and flanks. These patients have substantially more tissue redundancy and excess adiposity than are seen in the full abdominoplasty patient. The extent of the soft-tissue laxity may not extend circumferentially to merit a circumferential abdominoplasty, or the patient may simply not wish to have the additional posterior component performed. Excess adiposity posteriorly without significant soft-tissue laxity is amenable to liposuction and may not require soft-tissue resection. The extended abdominoplasty may involve all of the components of a full abdominoplasty. The transverse incision of an extended abdominoplasty is longer than that of the full abdominoplasty, usually extending up to or beyond the midaxillary line.