After weight loss, is a fleur de lis tummy tuck my only option? (photo)

Hello, and thank you for your question regarding whether a Fleur de Lis (FDL) tummy tuck is your only option after significant weight loss. First of all, congratulations on your incredible achievement of losing 166 pounds! That is an amazing accomplishment, and you should be very proud of yourself.

Based on your photos and history, you have excess skin and fat in your abdominal region, along with some degree of rectus abdominis muscle weakness (diastasis recti). This combination leads to a distended or loose appearance of your abdomen. While your surgeon has suggested a Fleur de Lis tummy tuck, which is effective for removing excess skin in both horizontal and vertical directions, it is important to know that this is not your only option.

A Fleur de Lis tummy tuck does carry higher risks, particularly a higher rate of wound breakdown, especially at the intersection of the horizontal and vertical incisions, often near the mons pubis area. Studies indicate up to 70% of patients experience some degree of wound healing issues with this procedure. Because of this, many experienced plastic surgeons reserve the FDL tummy tuck for patients with extreme skin laxity in both directions.

For you, a better alternative may be an extended tummy tuck. An extended tummy tuck can address most of your concerns without the vertical scar of an FDL. This procedure removes excess skin and fat, repairs the rectus abdominis muscles, lifts and reduces the mons pubis, and recreates a natural-looking belly button. Since most of your excess skin and laxity appear to be horizontal, an extended tummy tuck should provide dramatic improvement without the added risks of a Fleur de Lis.

Your current surgeon may not offer an extended tummy tuck, but that does not mean it is not an option for you. I encourage you to consult with other board-certified plastic surgeons who specialize in post-weight loss body contouring. Many highly experienced surgeons will offer alternatives to an FDL, such as an extended tummy tuck, which can still provide excellent contouring without the additional vertical scar.

I hope this helps clarify your options. Best of luck in finding a plastic surgeon who aligns with your goals!

Sincerely,
Dr. Katzen

Thanks for your question and picture. Congratulations on your weight loss! Great job in maintaining your new weight. Remove the excess skin can be the next step in your body transformation. Based on your picture, I would recommend a lower body lift. This procedure will address loose skin not only to your abdomen but also your lower back and hips. You will get a lift to the buttocks, hips, groin, and tummy. You would potentially still need a fleur de lis component with the vertical scar in the front. The fleur de lis tummy tuck or fleur de lis lower body lift can be done in one stage safely. Consult with another board certified plastic surgeon for an in person exam.