I lost 40 kg and i have a lot of loose skin. I want to do a total makeover and my first surgery will be tummy tuck. The doctors told i should do the Fleur-de-lis tummy tuck. But mentally i can't stand to that scar. What you can suggest me the best without FDL?
December 13, 2022
Answer: FDL vs extended TT Hello and thank you for your question! Congratulations on your weight loss journey! Body contouring / tummy tuck surgery is highly individualized for each patient. In general, the best candidates for a fleur-de-lis abdominoplasty are those with a history of massive weight loss/bariatric surgery and who have notable loose skin not only in a vertical dimension but also in a horizontal dimension. The addition of the vertical incision can help to tighten that extra loose skin from side to side more powerfully than the traditional tummy tuck (with only the horizontal incision). However, if this vertical scar is not acceptable to you, you can still achieve a good result with the traditional extended tummy tuck with muscle tightening. The trade-off will be some laxity/looseness of the skin above the belly button in the side-to-side direction. You can simulate this by pulling downwards tightly on the skin below the belly button and then seeing how tight/loose the skin is above the belly button with a "pinch test."
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December 13, 2022
Answer: FDL vs extended TT Hello and thank you for your question! Congratulations on your weight loss journey! Body contouring / tummy tuck surgery is highly individualized for each patient. In general, the best candidates for a fleur-de-lis abdominoplasty are those with a history of massive weight loss/bariatric surgery and who have notable loose skin not only in a vertical dimension but also in a horizontal dimension. The addition of the vertical incision can help to tighten that extra loose skin from side to side more powerfully than the traditional tummy tuck (with only the horizontal incision). However, if this vertical scar is not acceptable to you, you can still achieve a good result with the traditional extended tummy tuck with muscle tightening. The trade-off will be some laxity/looseness of the skin above the belly button in the side-to-side direction. You can simulate this by pulling downwards tightly on the skin below the belly button and then seeing how tight/loose the skin is above the belly button with a "pinch test."
Helpful
November 24, 2022
Answer: What shou What should I do instead of fleur-de-lis tummy tuck after 40kg weight loss? Hello @Genuine400682, and thank you for your question. My recommendation based on my 22 years of experience and seeing your photos would be a tummy tuck with as minimal and low a scar as possible. That way you can achieve the results you want. Here's a video showing our tummy tuck technique. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), Colombian Society of Plastic Surgery member (SCCP)
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November 24, 2022
Answer: What shou What should I do instead of fleur-de-lis tummy tuck after 40kg weight loss? Hello @Genuine400682, and thank you for your question. My recommendation based on my 22 years of experience and seeing your photos would be a tummy tuck with as minimal and low a scar as possible. That way you can achieve the results you want. Here's a video showing our tummy tuck technique. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), Colombian Society of Plastic Surgery member (SCCP)
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