Do I need a fleur de lis tummy tuck? (Photo)

Hello, I am Dr. Salvador Garcia from Guadalajara Mexico, I recommend you first perform the conventional or extended tummy tuck, and wait for how much your skin sticks, and then you decide if you like your result with the little sagging that could occur. stay or if you really have to complete the fleur de liz, in my experience with my patients, the majority decide do not to perform fleur de liz and they love their result. You can see more results of my patients on Instagram and my landig page

Thank you for question. In fleur de lis surgery, both a vertical incision in the midline and a horizontal incision in the lower abdomen are made. In this way, since the excess skin is removed both horizontally and vertically, the waist can be formed more clearly. However, the vertical surgical scar never heals as well as the horizontal scar. Sometimes it can form a hypertrophic scar. After an incision made only in the lower abdomen, waist thinning can be achieved by performing a good abdominal muscle repair, and extending the lower abdominal incision laterally will prevent skin accumulation in the midline.

Judging by your pictures, you probably have excess skin going all the way around your torso, and a normal tummy tuck wouldn't address this. Although you may not have as much excess tissue along your lower back as your abdomen, you likely do have some, and if you had a lower body lift that goes all the way around your abdomen, you could address your excess abdominal tissue along with the tissue along your sides and back top avoid the vertical scar. I think you could get a great result with a lower body lift.

Thank you for sharing your history and photos, and congratulations on your significant weight loss. To achieve your desired hourglass shape, a vertical incision, such as in a fleur-de-lis tummy tuck, would likely be necessary.

However, some surgeons may recommend a high lateral tension abdominoplasty, which gives a more defined hourglass contour than a standard tummy tuck. This procedure stretches the skin downwards and outwards over the hips. If the desired shape isn't achieved, a lateral incision could be made during a second surgery, offering a potential alternative to the central scar of a fleur-de-lis procedure.
It's essential to weigh the pros and cons of each method, considering scar placement and the potential need for a second surgery. Regardless of your choice, I hope you achieve the look you're aiming for.
Sincerely,
Dr. Katzen.

"Congratulations on your impressive weight loss! Based on your description and the photos provided, it seems an extended tummy tuck might suffice to achieve the desired contouring while minimizing scars. The fleur de lis tummy tuck is typically recommended for significant central excess skin. If you don't want it, the extended variant could provide the hourglass shape you aim for. Regarding liposuction, if you've been consistently told you lack the excess fat, it might not be necessary. Always work closely with a board-certified plastic surgeon to determine the best approach tailored to your needs. Best of luck!




"

Congrats on your weight loss! In person exam is essential. Based on limited photos - it appears that you would benefit from an extended abdominoplasty with possible Fleur De LIs. More photos are needed to review the back and the buttock.
I suggest that you seek a Surgeon with extensive experience in post massive weight loss reconstruction

A fleur de lis tummy tuck is used when there is horizontal excess. However, in your photographs, you do not appear to have horizontal excess, you only have vertical excess. You may benefit from a circumferential lift. I cannot assess your posterior skin excess as there is no photograph provided. You would benefit first from 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 will pull up the upper abdomen making it easier to perform the tummy tuck.

Best Wishes,

Gary Horndeski, M.D.

You definitely do not need a fleur de lys. The problem with the fdl is the extra scar and potential wound healing issues. The scar from the fdl won’t be worth it. You’ll get a fine result from a standard tummy tuck

A fluer-de-lis is recommended for patients who have excess tissue both vertically and horizontally, as demonstrated in these images. A traditional tummy tuck will remove the vertical excess but will leave some transverse laxity. For some patients this is an acceptable result since the scar burden is lower. For others, they are willing to accept the additional scar to get the best contour. The choice is very individual. Please discuss with your surgeon(s).

For patients who have lost significant weight, fleur-de-lis may be a good option. This treatment option addresses both vertical and horizontal skin excess. It results in an inverted T scar pattern. Visible scarring is a real consideration.