Do I need a fleur de lis? (Photo)

In my opinion and extended tummy tuck would give you a very nice result without the vertical incision.

Thank you for your inquiry! We love to meet with you to discuss your concerns. Schedule a consultation with a Board-Certified Plastic Surgery to help you reach your goals.

Hello amyk26,

Thank you for your question regarding the best approach to address your concerns after significant weight loss. Based on your history and photos, I think you would be an excellent candidate for either a 360 body lift or an extended tummy tuck.

A 360 body lift is particularly effective because it addresses excess skin and fat around the abdomen, hips, and buttocks, ensuring that all these areas are tightened and contoured. This procedure provides balanced contouring, creating a more natural and proportional shape by addressing both the front and back of your body.

However, if the excess skin on your backside doesn’t bother you, an extended tummy tuck would be a suitable option. This procedure will address the excess skin on your abdomen and hips. For those with significant skin laxity in the central abdomen, a fleur de lis (FDL) tummy tuck could also be considered. The FDL adds a vertical incision to remove excess skin from the central abdomen, providing a smooth and tight result.

Choosing the appropriate procedure initially can reduce the likelihood of needing revisions in the future. While the 360 body lift and FDL tummy tuck involve more extensive incisions, they offer the best results for those with significant excess skin. The scars from these procedures are strategically placed and can often be concealed with clothing and undergarments.

In summary, a 360 body lift would be the most comprehensive solution to address the excess skin on your abdomen, hips, and buttocks. If your backside doesn’t bother you, an extended tummy tuck or a fleur de lis tummy tuck can still provide excellent results. Good luck with your decision! I hope I’ve answered your question thoroughly and provided useful information.

Sincerely,

J. Timothy Katzen, MD, FASMBS, FICS
Plastic and Aesthetic Surgeon