My goal is to completely avoid the scar from the fleur de lis. I found a surgeon who claims I can get great results with the extended tummy tuck. She said that she has a technique to get me the results I want without doing the fluer de lis. Is this possible with the amount of skin I have above my belly button
Answer: Tummy tuck vs FDL This is often a tough decision for patients with a similar degree of skin laxity. An extended abdominoplasty, (I'd probably recommend a torsoplasty) would likely get you a very good result and improvement it would not address the superior vertical excess. So afterwards you would still have a significant degree of laxity in the side to side direction. The FDL would address this laxity and improve your waist contours. The scars do fade and would improve your shape/skin laxity dramatically. I typically will do torsoplasty with or without FDL in a drainless fashion. Get a few additional consults to make sure you're getting the best option for your anatomy. Make sure they do a lot of body contouring procedures and have experience with FDL and torsoplasty. Doing the "easier" extended often leaves you with residual skin laxity that you may want or need to address later.
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Answer: Tummy tuck vs FDL This is often a tough decision for patients with a similar degree of skin laxity. An extended abdominoplasty, (I'd probably recommend a torsoplasty) would likely get you a very good result and improvement it would not address the superior vertical excess. So afterwards you would still have a significant degree of laxity in the side to side direction. The FDL would address this laxity and improve your waist contours. The scars do fade and would improve your shape/skin laxity dramatically. I typically will do torsoplasty with or without FDL in a drainless fashion. Get a few additional consults to make sure you're getting the best option for your anatomy. Make sure they do a lot of body contouring procedures and have experience with FDL and torsoplasty. Doing the "easier" extended often leaves you with residual skin laxity that you may want or need to address later.
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Answer: Extended Tummy Tuck or Fleur de Lis After 120-Pound Weight Loss? Thank you for your question and for sharing your history and photos. Based on the information you've provided, it's understandable that you want to avoid the vertical scar associated with a fleur de lis (FDL) procedure. While the FDL offers dramatic results by removing excess skin both vertically and horizontally, it does leave a noticeable vertical scar. Your surgeon’s suggestion of an extended tummy tuck sounds promising, and it is possible to achieve excellent results without the need for a fleur de lis in many cases. The key to achieving great results without the vertical scar is proper undermining during the tummy tuck. By extending the dissection up to the sternum and ribs, more skin can be tightened horizontally, reducing the need for a vertical incision. Additionally, rectus muscle repair is crucial, especially after significant weight loss. By tightening the abdominal muscles with permanent sutures, the overall contour of the abdomen improves, helping to address any laxity above the belly button. An extended tummy tuck or, even better, a 360 circumferential lower body lift may give you the results you're seeking without requiring the vertical scar. It’s important to work closely with a skilled and experienced plastic surgeon who can tailor the procedure to your specific anatomy and goals. I hope this helps you make an informed decision, and I wish you the best of luck in achieving your desired outcome. Sincerely, Dr. Katzen
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Answer: Extended Tummy Tuck or Fleur de Lis After 120-Pound Weight Loss? Thank you for your question and for sharing your history and photos. Based on the information you've provided, it's understandable that you want to avoid the vertical scar associated with a fleur de lis (FDL) procedure. While the FDL offers dramatic results by removing excess skin both vertically and horizontally, it does leave a noticeable vertical scar. Your surgeon’s suggestion of an extended tummy tuck sounds promising, and it is possible to achieve excellent results without the need for a fleur de lis in many cases. The key to achieving great results without the vertical scar is proper undermining during the tummy tuck. By extending the dissection up to the sternum and ribs, more skin can be tightened horizontally, reducing the need for a vertical incision. Additionally, rectus muscle repair is crucial, especially after significant weight loss. By tightening the abdominal muscles with permanent sutures, the overall contour of the abdomen improves, helping to address any laxity above the belly button. An extended tummy tuck or, even better, a 360 circumferential lower body lift may give you the results you're seeking without requiring the vertical scar. It’s important to work closely with a skilled and experienced plastic surgeon who can tailor the procedure to your specific anatomy and goals. I hope this helps you make an informed decision, and I wish you the best of luck in achieving your desired outcome. Sincerely, Dr. Katzen
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August 14, 2024
Answer: Loose skin Dear Helpful526443, it is hard to tell for sure without an examination. Based on your photos, it looks like you have a lot of loose skin so you will most likely need fleur de lis incision. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. 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
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August 14, 2024
Answer: Loose skin Dear Helpful526443, it is hard to tell for sure without an examination. Based on your photos, it looks like you have a lot of loose skin so you will most likely need fleur de lis incision. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. 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
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July 25, 2024
Answer: Abdomen In my hands, the vertical incision with the extended tuck would work best. Ask to see photos of others that look like you on whom she had done this procedure. I do not recommend the reversed tummy tuck because it often just pulls the breasts down low.
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July 25, 2024
Answer: Abdomen In my hands, the vertical incision with the extended tuck would work best. Ask to see photos of others that look like you on whom she had done this procedure. I do not recommend the reversed tummy tuck because it often just pulls the breasts down low.
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July 19, 2024
Answer: Doubtful. You need a fleur-de-lis (FDL). Congratulations on the massive weight loss and thank you for sharing your question and your photos. Based on your photographs, you have a massive amount of skin redundancy and laxity of the abdominal torso in both the vertical and circumferential dimensions. A tummy tuck procedure, even an extended one, pulls the redundant skin downward, but does nothing for the circumferential dimension. Avoiding the vertical scars of an FDL, the skin will be pulled downward, but you'll still have skin redundancy in the circumferential dimension, meaning around your abdominal torso. I understand that your goal is to avoid having the vertical scars of a FDL, but if you're trying to achieve a flat tight abdomen, a FDL is exactly what you need. I am not aware of any surgical technique to excise the redundant skin in the circumferential dimension without leaving a vertical scar.
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July 19, 2024
Answer: Doubtful. You need a fleur-de-lis (FDL). Congratulations on the massive weight loss and thank you for sharing your question and your photos. Based on your photographs, you have a massive amount of skin redundancy and laxity of the abdominal torso in both the vertical and circumferential dimensions. A tummy tuck procedure, even an extended one, pulls the redundant skin downward, but does nothing for the circumferential dimension. Avoiding the vertical scars of an FDL, the skin will be pulled downward, but you'll still have skin redundancy in the circumferential dimension, meaning around your abdominal torso. I understand that your goal is to avoid having the vertical scars of a FDL, but if you're trying to achieve a flat tight abdomen, a FDL is exactly what you need. I am not aware of any surgical technique to excise the redundant skin in the circumferential dimension without leaving a vertical scar.
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July 16, 2024
Answer: Fleur-de-lis We can sometimes be surprised by a standard skin resection in these scenarios, however, with the degree of laxity seen in the photos, you would likely have a crease down the middle of the skin afterwards due to the downward pulling and excess vertical skin excess.
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July 16, 2024
Answer: Fleur-de-lis We can sometimes be surprised by a standard skin resection in these scenarios, however, with the degree of laxity seen in the photos, you would likely have a crease down the middle of the skin afterwards due to the downward pulling and excess vertical skin excess.
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