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Thank you for reaching out with your concerns about the results of your Fleur de Lis (FDL) abdominoplasty. Having reviewed your pictures, it's clear that addressing the excess skin and fat, particularly in the lower abdomen and hip areas, is the primary concern.Based on your current situation, a revision focusing on the horizontal aspect of your tummy tuck portion of the FDL appears most beneficial. The vertical component may not require revision. Extending the incision around the body to address additional hip skin and potentially elevate the buttock area could be considered to enhance your results.The decision for a revision surgery rests with your chosen plastic surgeon. Revisions are typically considered on a case-by-case basis, taking into account the initial results and the specific areas that require further improvement.I recommend scheduling a follow-up with your original FDL surgeon to discuss the possibility and appropriateness of a revision surgery. They will be able to assess your current results compared to your pre-operative condition and advise on the best course of action.I hope this provides some guidance on your options moving forward. Wishing you the best of luck in your continued journey towards achieving your desired results.Sincerely,Dr. Katzen
Fleur De Lis abdominoplasty may not correct persistent flank lipodystrophy and ptosis (Love handles). To correct this deformity, an abdominoplasty may need to be converted to a lower body lift (a 360 degree circumferential incision) to contour the waist, the flanks and the buttock.