Hi , I'm 24 5'4 and 160 lbs I lost 120 lbs Was wondering if I needed an FDL tummy tuck to get the best flat stomach as possible ? Or if a regular / extended would be okay?
Answer: FDL vs Regular TT After 20 years of working with weight loss patients and co-authoring a book for patients on the subject, I have seen the FDL tummy tuck or body lift make a comeback. The question is how well your upper abdominal laxity is going fit over your hips once the excess is gone. In some patients, this fixes the excess skin in the middle. Others have residual laxity. Leaning forward will show how much of that excess is there. If you want to show off your waist as much as possible and can accept the extended scar, an FDL might be your best option. You didn't mention this, but given your small frame and massive weight loss my guess is lower body lift, not just a TT may be needed.
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Answer: FDL vs Regular TT After 20 years of working with weight loss patients and co-authoring a book for patients on the subject, I have seen the FDL tummy tuck or body lift make a comeback. The question is how well your upper abdominal laxity is going fit over your hips once the excess is gone. In some patients, this fixes the excess skin in the middle. Others have residual laxity. Leaning forward will show how much of that excess is there. If you want to show off your waist as much as possible and can accept the extended scar, an FDL might be your best option. You didn't mention this, but given your small frame and massive weight loss my guess is lower body lift, not just a TT may be needed.
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Answer: Extended Tummy Tuck and energy-based skin tightening Hello and thank you for your question. Congratulations on your weight loss! From your photos, it appears that you would benefit from an extended tummy tuck and be able to avoid the visible vertical scar of a FDL approach. Additional skin tightening can be achieved when the tummy tuck is combined with VASER (ultrasound) liposuction and radiofrequency skin tightening (J-plasma/Renuvion or Bodytite). I would advise you to see a board-certified plastic surgeon in consultation to determine the amount and location of your skin excess and discuss surgical options that best suit your needs and desires. Best regards, Dr. Zamani
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Answer: Extended Tummy Tuck and energy-based skin tightening Hello and thank you for your question. Congratulations on your weight loss! From your photos, it appears that you would benefit from an extended tummy tuck and be able to avoid the visible vertical scar of a FDL approach. Additional skin tightening can be achieved when the tummy tuck is combined with VASER (ultrasound) liposuction and radiofrequency skin tightening (J-plasma/Renuvion or Bodytite). I would advise you to see a board-certified plastic surgeon in consultation to determine the amount and location of your skin excess and discuss surgical options that best suit your needs and desires. Best regards, Dr. Zamani
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May 19, 2020
Answer: T abdominoplasty vs. traditional abdominoplasty Most tummy tuck candidates have vertical excess (i.e. an abdominal roll). Some (often after massive weight loss), have transverse excess (i.e. upper abdominal midline excess). In much the same way a horizontal incision/excision can address the traditional lower abdominal roll, a vertical incision (or inverted T/Fleur de Lis) can address the transverse excess. There is a greater scar burden and candidates must decide for themselves if this improvement is worth it. Anecdotally, most patients will do well with a standard transverse incision tummy tuck. The addition of a vertical scar is much less common and is most typically encountered in the massive weight loss population. Based on your photos, you might benefit from a Fleur de lis/T abdominoplasty. However, there is no replacement for an in-person exam. The decision is simply a question of skin excess in the vertical and horizontal dimension. As always, discuss your concerns with a board certified plastic surgeon (ABPS). Donovan Rosas MD Board Certified by the American Board of Plastic Surgery Member: American Society for Aesthetic Plastic Surgery, American Society of Plastic Surgeons RealSelf Verified Member RealSelf Top 100 RealSelf Hall of Fame
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May 19, 2020
Answer: T abdominoplasty vs. traditional abdominoplasty Most tummy tuck candidates have vertical excess (i.e. an abdominal roll). Some (often after massive weight loss), have transverse excess (i.e. upper abdominal midline excess). In much the same way a horizontal incision/excision can address the traditional lower abdominal roll, a vertical incision (or inverted T/Fleur de Lis) can address the transverse excess. There is a greater scar burden and candidates must decide for themselves if this improvement is worth it. Anecdotally, most patients will do well with a standard transverse incision tummy tuck. The addition of a vertical scar is much less common and is most typically encountered in the massive weight loss population. Based on your photos, you might benefit from a Fleur de lis/T abdominoplasty. However, there is no replacement for an in-person exam. The decision is simply a question of skin excess in the vertical and horizontal dimension. As always, discuss your concerns with a board certified plastic surgeon (ABPS). Donovan Rosas MD Board Certified by the American Board of Plastic Surgery Member: American Society for Aesthetic Plastic Surgery, American Society of Plastic Surgeons RealSelf Verified Member RealSelf Top 100 RealSelf Hall of Fame
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March 23, 2020
Answer: Tummy tuck after weight loss Thank you for your question and congratulations on the weight loss! That's an amazing amount of weight to lose. Looking at your photos I would suggest a regular tummy tuck possibly an extended tummy tuck. This will allow your surgeon to remove all the extra skin and tighten up the abdominal wall muscles that have loosened up during the weight loss. I would suggest seeing a Board Certified Plastic Surgeon in person to evaluate you and discuss your options with you. Best of luck to you and again congratulations on the weight loss.
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March 23, 2020
Answer: Tummy tuck after weight loss Thank you for your question and congratulations on the weight loss! That's an amazing amount of weight to lose. Looking at your photos I would suggest a regular tummy tuck possibly an extended tummy tuck. This will allow your surgeon to remove all the extra skin and tighten up the abdominal wall muscles that have loosened up during the weight loss. I would suggest seeing a Board Certified Plastic Surgeon in person to evaluate you and discuss your options with you. Best of luck to you and again congratulations on the weight loss.
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March 18, 2020
Answer: Do I need a fleur de lis tummy tuck? (Photo) More about Tummy Tuck Congratulations on the weight loss. Just goes to show what hard work and discipline can do. You have given yourself a good chance of living a long healthy life. An standard abdominoplasty should work well for you, and you would eliminate the midline scar. If you have had children, your rectus muscles should be plicated during the procedure. I would also recommend the no-drain TT to take advantage of the shorter recovery time, minimal pain, lower risk of complications, and no drains for 5-10 days. This will require Progressive Tension sutures and not simply eliminating the drains.Thank you for your question and photos, and best of luck to you.
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March 18, 2020
Answer: Do I need a fleur de lis tummy tuck? (Photo) More about Tummy Tuck Congratulations on the weight loss. Just goes to show what hard work and discipline can do. You have given yourself a good chance of living a long healthy life. An standard abdominoplasty should work well for you, and you would eliminate the midline scar. If you have had children, your rectus muscles should be plicated during the procedure. I would also recommend the no-drain TT to take advantage of the shorter recovery time, minimal pain, lower risk of complications, and no drains for 5-10 days. This will require Progressive Tension sutures and not simply eliminating the drains.Thank you for your question and photos, and best of luck to you.
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March 17, 2020
Answer: Game time decision for FDL Tummy Tuck I would consider doing a tummy tuck with the option of making an intra-operative decision on how much skin laxity you had in the vertical domain after setting your skin tension with the horizontal wound closure. I've done that a few times and I've been pleased with the result.
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March 17, 2020
Answer: Game time decision for FDL Tummy Tuck I would consider doing a tummy tuck with the option of making an intra-operative decision on how much skin laxity you had in the vertical domain after setting your skin tension with the horizontal wound closure. I've done that a few times and I've been pleased with the result.
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