Do I need an FDL or a reverse tummy tuck? (Photo)

Question

Hello, I use to weigh over 300lbs and had lots of loose skin due to it. I had the 360 tummy tuck done and chest lift as well. I know the scarring is bad but I'm already looking into a scar revision surgeon for that. Before that though I need to figure out what to my next procedure would be. Looking forward to your feedback. Thanks

Gary M. Horndeski, MD · Answer

Your scarring is quite bad.  An extended scar over the sternum area for a reverse tummy tuck would result in even worse scarring and will be highly visible.  I recommend a scar revision which will take up some of the extra skin and redo your tummy tuck.  You do not want a fleur de lis.

Best Wishes,

Gary Horndeski, M.D.

Camille Cash, MD · Answer

Congratulations on your impressive weight loss!  An exam is needed to know for sure, but it appears that a revision to your tummy tuck should address more of the loose skin.  Your scars should improve with scar revision.  Scar treatments are helpful but be sure to use them consistently for best results.

Daniel Careaga, MD · Answer

massive weight loss can bring about its own issues, specifically loose skin in all parts of the body. You have a significant amount of hypertrophic scarring from your chest surgery. Scar vision will remove the scar, but you have to be very proactive to try and minimize the scoring subsequently. This can be done through laser treatments, micro, needling, and steroid injections, but you have to be prepared for not having ideal scarring. As such, I do not feel that the significant improvement of the flleur-de-lis over a conventional tummy tuck is worth the large vertical scar that would be running up and down your abdominal wall. This most likely would become hypertrophic as well and would be impossible to hide without a shirt on.

Chet Mays, MD · Answer

Thank you for your inquiry!  Congratulations on your weight loss!  The only way skin can be removed is through excision. We would love to help you through your journey. Schedule your consult with a Board- Certified Plastic Surgeon.

Emmanuel Mallol Cotes, MD · Answer

Thanks so much for your inquire,

If you have significant excess skin and fat both above and below the belly button, a Fleur-De-Lis tummy tuck or a Full Tummy Tuck might be more suitable. If your main concern is primarily the upper abdomen, a reverse tummy tuck may be more appropriate.

It’s crucial to discuss your specific situation with a board-certified plastic surgeon. They can assess your condition, review your surgical history, and recommend the most appropriate procedure based on your needs.

Sincerely,
Dr. Emmanuel Mallol

Jeffrey M. Darrow, MD · Answer

The tissue laxity of your upper abdomen could be addressed with a reverse abdominoplasty at the same time as revision of your scars.  The upward pull on the tissues of your upper abdomen, would help to smooth and flatten your upper abdomen.   The resulting incision line would be exactly where your present incision line is with a short extension between your breasts to connect the 2 sides for best contouring.  Best wishes.

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Do I need an FDL or a reverse tummy tuck? (Photo)

Answers (12)

Answer: HDL or reverse tummy tuck

Answer: HDL or reverse tummy tuck

Answer: Do I need an FDL or a reverse tummy tuck?

Answer: Do I need an FDL or a reverse tummy tuck?

Answer: Reverse tummy tuck with scar revision.

Answer: Reverse tummy tuck with scar revision.

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Everything you need to know about Male Tummy Tuck

Our mission is to create a world where every investment in modern beauty is Worth It.