Would extended tummy tuck with back liposuction be enough or should I consider fleur de lis tummy tuck and back lift? (photos)

Congratulations on your weight loss! When it comes to your tummy, I think a traditional tummy tuck will give you a nice result. A fleur-de-lis tummy tuck would of course remove slightly more skin, but for patients who are concerned about the scar and have the majority of their skin excess in the horizontal dimension, a tummy tuck alone should produce a very nice result. The vertical component of the FDL incision can also be done at a later time if you decided down the road that you wanted it. When it comes to the back, an upper body/back lift is going to be your best option. While liposuction can help smooth some of the bulging, it will not take away the creases that are present and can make that hanging skin worse/more evident. A bra-line lift will dramatically improve the contour of your back, and the scar will be hidden under your bra or a two piece bathing suit. Good luck to you!

Dear reem_18,
based on your photos, you look like a good candidate for a TT. Full tummy tuck should tighten your abdominal muscles and remove the excess skin. Flanks liposuction would give you a better shape. I would suggest you to consult a board-certified plastic surgeon because only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery