What should I do instead of fleur-de-lis tummy tuck after 40kg weight loss? (Photo)

In my experience, I would recommend a traditional tummy tuck (no up and down scar, just across lower) with Vaser ultrasound liposuction of the waist and areas.

There are limitations and your wish picture results may not be fully attainable but should be somewhat doable.

Further exam and consultation with a plastic surgeon who performs these procedures is recommended to confirm you are a candidate as well as discuss your best options and expectations.

According to your photos, it does not appear that you need FDL. You can achieve a good result with the extended tummy tuck: I do not perform FDL surgery on any patient unless there is excessive body sagging.
Best Wishes
Erman Ak M.D.

Hello. You have a lot of skin that needs to be excised to achieve the desired results. FDL most likely will give you that but certainly traditional tummy tuck would be close with 360 liposuction.  

Hi. Based on your photos, you look like a good candidate for a tummy tuck (abdominoplasty) and liposuction of the flanks. Personally I do not think you need to go with a fleur-de-lis abdominoplasty and I am not in favor of that long vertical scar. But to appropriately address the contour I would recommend the abdominoplasty and liposuction of the flanks. You may want to get another opinion or even two, to hear what other plastic surgeons in your area say after examining you in person. I hope that helps.
Good luck and take care,
Dr. Howell

The Fleur-de-lis tummy tuck procedure involves a horizontal incision in the lower abdomen, typical of a standard tummy tuck, along with an additional vertical incision running down the center of the abdomen. This creates an inverted T-shaped incision, starting just below the sternum and extending to the pubic bone area. This vertical incision allows for the removal of excess skin in both horizontal and vertical directions. However, there are drawbacks to this approach. Firstly, the vertical incision is visible and cannot be concealed, nor can it be eliminated later on. Secondly, the reconstructed belly button may appear less natural. While this technique was popular in the 1990s and early 2000s, advancements in surgical methods now offer better outcomes for most patients. Extended incision tummy tucks or circumferential tummy tucks, also known as belt lipectomy or modified lower body lifts, are often preferred alternatives.

In your situation, there isn't an abnormal amount of loose skin above your navel. Additionally, your skin tone seems good on the sides, although there's some excess fatty tissue present. Thus, you would find a standard extended tummy tuck with contouring of the sides via liposuction to be the most beneficial for achieving an optimal overall outcome. The term "extended" suggests that the standard lower abdominal incision for a tummy tuck may need to be slightly lengthened to prevent the formation of skin bulges on the sides, often referred to as "dog ears."

I hope this helps you in your decision-making process.
Dr. B.

I would recommend an extended tummy tuck with liposuction. The transverse incision wraps around the hips and can address the horizontal and vertical laxity, in the event that the FDL scar isn’t an option for you

Hello and congratulations on your weight loss! You can get very good results without a FDL TT. My philosophy is that if a patient doesn’t want a vertical scar she does not qualify as a candidate for one!

As far as the wish pick you posted, I do not think that before surgery that patient was the same as you are now. Forgive me, but I’m just trying to be honest. This was probably a thin patient with some excess skin and a little bit of fat. I’m not sure if she had a full tt or a mini tt. In any case every patient is different. So…. Different expectations and different results, but still great.

You can certainly achieve great results with a traditional or extended tummy tuck with muscle repair and liposuction. Vaser lipo can be used as well. But because lipo and vaser lipo may reduce blood flow to the tummy tuck scar it is best to not be too aggressive with either.

Best o luck,
Dr. Miguel Mota

I don’t think you need a fleur de lys tummy tuck. It’s not worth the extra scar and increased risk of wound healing problems.

In the desired look photographs, you can see the patient also underwent a breast lift. The technique I recommend to you to avoid the fleur de lis is 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 lifts the upper abdomen and will decrease the need for a fleur de lis tummy tuck. You can undergo a regular tummy tuck at the same time as the breast lift.

Best Wishes,

Gary Horndeski, M.D.

Good morning and thank you for your question.
I worked closely with the weight loss surgery team at Scripps hospital. I would not recommend a Fleur-de-lis tummy tuck as you can get a very nice result with an extended tummy tuck and avoid the vertical scar. This would keep the incision hidden well within your bikini line. I also use VASER liposuction which helps the skin contract following the procedure to further define your final result. The extended tummy tuck can be carried onto your buttock which will help lift the buttock and define the flanks / love handle area without a visible scar.