Is It Common for Belt Lipectomy with Fleur De Lys Abdominoplasty?

Hi, I'm 28 y/o female. Had lap-band in 2005 and down to 170 lbs from highest weight of 316 lbs. I am looking into different surgeries and have had two consultations with board certified plastic surgeons. One surgeon recommended belt lipectomy only and the other said to include Fleur de lys abdominoplasty. Is this normal to do both procedures at the same time? I was a little nervous about the scarring with the Fleur de lys but all in all if it gives better results then scars are my last worry

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7 Doctor Answers | Asked by Melissa18295

Doctor Answers (7)
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Significant weight loss incisions

To truly answer this I would need to examine you. The first consideration for you is whether you trust your surgeon. If you do then they may be offering you good advice. Many very experienced surgeons use this technique. I would rarely suggest the Fleur-de-lis to my patients. The time I would consider it is if vertical scar (laparotomy incision) is already present from other surgeries. If that is not the case I would typically advise patients to have a... more

Fleur-de-lis tummy tuck and belt lipectomy

It sure is confusing, trying to figure out what's going to give the best result, what is safe, and which surgeon to use. Is a fleur-de-lis tummy tuck common when doing a belt lipectomy? Not really, but that doesn't mean that it's uncommon either. Sometimes adding the vertical incision (and resulting scar) adds quite a bit to the result on the abdomen. Try this: with your left hand, pinch as much of the loose skin as you can between your belly button and your... more

Cosmetic Surgery is an Art and a Science

Your condition can only be evaluated with an exam. Many post weight loss do better with an extended TT even though there is more scar. You trade it for the enhanced result. Discuss this in your consultations.Thomas Narsete, M.D.

Body lift

The horizantal scar in the abdominoplasty is indicated whaen there is lots of excess skin horizantally. the verical scar removes excess skin in the vertical direction and gives more definition to the waist in those with excess skin verical. Extending the tummy tuck to the back tighten the back and the buttoc is lifted. Cobining these procedures is too much surgery and the risks of blood clots and healing problems can be increased. Recovery is more difficult and also you want the... more

Fleur de Lis and Belt Lipectomy

I would get several opinions on the need for the vertical scar. I think that I would ask the surgeon about the experience with performing all of those procedures together. Kenneth Hughes, MD Los Angeles, CA

Is It Common for Belt Lipectomy with Fleur De Lis Abdominoplasty?

I would not personally recommend that combination for one setting. Among other reasons, the fleur-de-lis will tighten the back to a large extent, and you may not require more back tightening. Without photos, I can't comment on the choice of procedures, but with the amount of weight loss you have had, it would not be a surprise if that were an excellent option. All the best.

How much to do in one day of plastic surgery??

There can be too much planned for one day for safety, prevention of blood clots etc. An anchor tummy tuck is plenty for one day and the vertical scar is better IF you have too much skin to get a nice result with just a horizontal scar. I would personally NOT do anything to your back the same day.