Do I need an FDL or a reverse tummy tuck? (Photo)

Thanks for your question! Other than the scarring, you did get a nice result surgically. Every single person has rolls when they sit down. I understand feeling self conscious about it, but it's just part of being human. I would suggest doing nothing other than maybe some Morpheus treatments for liberal tightening. Good luck!

Hi Haniel,

Thank you for your question regarding whether you need an FDL (fleur-de-lis) or a reverse tummy tuck. I appreciate the background information and the photos you provided. Firstly, congratulations on your impressive weight loss!

Addressing the scarring, I would highly recommend a scar revision or considering treatment with a Fraxel Laser. This type of laser treatment can significantly minimize scarring. Concerning the roll on your abdomen, it's essential to maintain realistic expectations. Despite losing a substantial amount of weight, achieving an entirely flat tummy is not always possible. It's common for even slender individuals, who have never been overweight, to have some skin roll on their abdomen when seated. If the abdomen was entirely flat in a sitting position, standing up straight would be challenging. Hence, some skin roll is natural when seated.

When considering procedures to address the skin roll above your umbilicus, there are several options. Firstly, I don't believe you require an FDL. A reverse tummy tuck could be a suitable option, as it simultaneously addresses the chest scar. This procedure would treat two concerns at once, which seems the most logical approach for you.

Another possible procedure is a vertical tummy tuck, involving an incision from the sternum, passing through the umbilicus, and extending to the pubic region. However, given your history of scar formation and challenges with healing, I wouldn't recommend this.

An alternative is a lateral torsoplasty. This procedure involves an incision extending from your armpit down the sides of your chest to the top of your hip. This would pull the stomach laterally, addressing the skin roll effectively.

In conclusion, my top recommendation for you would be the reverse tummy tuck, combining both scar revision and elevation of the upper abdomen. I hope this provides clarity on whether you need an FDL or a reverse tummy tuck. Best of luck with your decision!

Sincerely,
Dr. Katzen