Fleur Di Lis Abdominoplasty? (photo)

Since you have lost 40 kilograms your abdominal wall has been damaged by stretching.  Fascia is the support layer that provides abdominal tone when you are not contracting your muscles.  I recommend a new technique called Ultimate Tummy Tuck to repair your damaged fascia.  This technique helps you lose weight and maintain the reduced weight.  This can be done using the standard size abdominoplasty incision, it does not require circumferencial or vertical extensions.  I do not recommend simultaneous liposuction since it is usually not necessary.  There have been several recent articles published in Plastic and Reconstructive Journal desribing Abdominoplasty with Mesh Reinforcement.

Best Wishes,

Gary Horndeski, M.D.

The Fleur De Lis approach is great when a patient already has a vertical scar. It works very well to remove most of all the skin in the center, which is where most patients carry most of their weight. You probably will not need any additional liposuction. Judicious liposuction can be added to the flanks but sometimes it is safest to do this at another time. Trust your surgeon if you like his/her results. Good luck.