TT horizontal and vertical?

Can a Tt consist of being cut horizontal and vertical together

Doctor Answers 6

Vertical incisions in abdominoplasty

The quick answer to your question is yes. This procedure is commonly known as a vertical abdominoplasty of a fleur de lis abdominoplasty. It is a very powerful addition to a standard abdominoplasty to aid in waist definition and to rid the laxity that can be present in the vertical dimension as a result of significant weight loss.

Grand Rapids Plastic Surgeon
5.0 out of 5 stars 4 reviews

TT Incisions

Hi jrbmason

Most tt incisions are horizontal, but occasionally a vertical component is utilized in the lower abdomen.  The vertical component in my opinion should only be rarely used in cases of excessive skin, as most times a great result can be obtained with only the horizontal incision.

I have linked to a tt of a massive weight loss patient for an example.

All the best.


Scott E. Kasden, MD, FACS
Dallas Plastic Surgeon
4.8 out of 5 stars 106 reviews

Tummy tuck Incisions

The standard tummy tuck incision is a low horizontal incision just above the pubic hairline and extending to the sides. In cases of skin excess in the horizontal and vertical orientations - most commonly seen after significant weight loss, it might be better to remove skin vertically as well. In this case, one will have BOTH a vertical and horizontal scar. Good luck- J. Vicente Poblete, MD, FACS, Avon, Ohio.

J. Vicente P. Poblete, MD
Cleveland Plastic Surgeon
4.6 out of 5 stars 23 reviews

Fleur-de-lis tummy tick

In cases in where there has been substantial weight loss, it is sometimes necessary to remove skin both horizontally and vertically. This ends up being a T-shaped scar going from the rib cage to the pubis vertically and extending from hip bone to hip bone horizontally. I will use this method not infrequently in patients who already have a vertical scar. Try to find a plastic surgeon in your area with experience in post bariatric surgical patients. Good luck.

Marc J. Salzman, MD, FACS
Louisville Plastic Surgeon
4.7 out of 5 stars 54 reviews

Fleur De Lis Abdominoplasty

Yes this combination can be performed. The right question is in whom and why? In patients who have had a prior vertical incision (open weight loss surgery or other) where the scar goes above the belly button, it makes sense to use that scar to further tighten the abdomen.

great question

David Shifrin, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 168 reviews

Fleur de Lis (Horizontal and Vertical Scar) Abdominiplasty

In the largest skin excess cases which are often in people who lose large amounts of weight we have to remove this excess skin by using both s vertical and s transverse scar in what is called a Lilly Flower ( Fleur de Lis ) Abdominoplasty. I performed one yesterday. 

Good Luck
Peter Aldea MD

Peter A. Aldea, MD
Memphis Plastic Surgeon
4.9 out of 5 stars 109 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.