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

Thanks for your question. From your pictures, you seem to be a good candidate for an extended tummy tuck and back lift. I recommend scheduling a consult for a proper evaluation. Please always consult with a board certified plastic surgeon. Take care, Dr. Moises Salama, board certified plastic surgeon.

congratulations on your weight loss and lifestyle changes. A tummy tuck combined with liposuction (front and back) will give you a nice result . A vertical scar seems really not to be necessary to get a nice result. Some patients benefit from a fascial plication (i.e. tightening of the six pack muscles) esp after pregnancies. The rolls of the back will most likely not completely disappear with liposuction only. A bra line lift might be needed. I hope this helps

Thank you for your inquiry! This type of surgery is determined by the amount of abdominal skin laxity you have. This is hard to determine by photos. We would love to sit down with you and discuss your options. Schedule an appointment with a Board-Certified Plastic Surgeon to help you reach your goals.

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

Thank you for sharing your photos and your story—your 55 kg weight loss is an amazing accomplishment! Based on what you've described, I believe an extended tummy tuck would give you excellent results. I don't think a fleur-de-lis tummy tuck is necessary for your case. With an extended tummy tuck, we can effectively address the bulge you're concerned about while also releasing the adhesions that are causing the current skin folds. This procedure will significantly improve the contour of your abdomen without the need for a vertical scar.

Regarding your back, I recommend considering a back lift instead of liposuction alone, especially since liposuction in this area would likely result in more excess skin. A back lift would tighten and smooth the area while enhancing your overall silhouette. If achieving an hourglass figure is your goal, I suggest proceeding with an extended tummy tuck combined with back liposuction first. After healing for about 3–4 months, we can revisit and perform a horizontal torsoplasty or back lift for further contouring.

This staged approach would allow us to address your concerns systematically and deliver fantastic, long-lasting results. Once again, congratulations on your incredible transformation—I have no doubt you'll achieve the outcome you're looking for!

Sincerely,
Dr. Katzen

Your back rolls seem to be skin rolls and go all the way to your vertebral column. Extended abdominoplasty does not address that far in the back.

Unfortunately, you have not shown us your breasts. I recommend a breast lift using The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. This technique will also pull up the upper abdominal skin to eliminate the need for the fleur de lis. At the same time, a tummy tuck can be done. After these have been completed, I recommend you wait 3-6 months and then consider posterior lift, either the back or the buttocks, continuing the incision from the breast lift.

Best Wishes,

Gary Horndeski, M.D.

Thank you for posting your question here!I will base my answer on the limited information and pictures provided , for a detailed and personalized plan please consult with a plastic surgeon in person.
First of all congratulations on this great achievement, you should be proud!looking at the pictures I would say that you will likely have a good outcome from an extended abdominoplasty alone , you might still have some loose skin in the horizontal direction but depending on your tolerance of scars you will likely find that favorable over having a vertical scar ( it all depends on you!, you get to make the final call).As for your back , liposuction will only take care of the fat deposits left , but will do little to tighten the skin , even if coupled with energy devices , there are limits to how much skin retraction you will be able to achieve. So you will most likely end up with an upper back lift ( but again you make the final call on that too).I hope this helps, best of luck !

Choosing the type of tummy tuck comes down to your expectations of the results. I think an extended tummy tuck would probably give you a beautiful result and perhaps a little bit of loose skin would be a very acceptable trade-off for a somewhat unacceptable vertical scar.

Liposuction of the back may improve the overall appearance a little bit. The folds will definitely be there to some extent. It might be a good idea to have liposuction of the back and consider a bra line lift later if you still are not satisfied.