Am I a better candidate for FDL tummy tuck or extended TT? (photos)

Looking at your pictures, you definitely will benefit from an extended type tummy tuck, but it may not get rid of all of the excess skin in the upper abdomen. A fleur de lis will require an incision that goes all the way up to your sternum to adequately address the circled area which in my opinion leaves a scar that is often not a great trade off for the benefit gained. An alternative, would be to do the extended tummy tuck, then do a procedure called a reverse abdominoplasty where any excess upper abdominal skin remaining is pulled upwards with an incision placed in the inframammary folds of the breasts. This hides the scars and can be combined with a breast lift if desired. The reverse abdominoplasty must be done as a separate procedure from the extended tummy tuck to ensure that there is good blood supply to the tissues.

Hello and thank you for your question.  Congratulations on your weight loss.  The
best advice you can receive is from an in-person consultation.  If you don't mind the vertical scar component, then a FDL will be able to excise more skin and may give you a better result.   This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

First of all -congratulations on your weight loss and renewed commitment to a healthy lifestyle! I would recommend you consider an extended Abdominoplasty which can be possibly incorporated with the FDL. The FDL decision is best made during the procedure but consented for pre-operatively. This gives the Surgeon the benefit of all available tools to achieve your maximum result.  I would be surprised if the upper abdominal fullness could not be incorporated with the previously mentioned procedures. I don't think a reverse lift would be necessary. But you need an in person exam by an experienced Board Certified PS who specializes in post weight loss reconstructions