Fleur-de-lis or 360 TT with lipo?

The belt lipectomy (body lift, 360 tummy tuck) will help a lot with your back and love handles. The fleur de lis will help narrow your abdomen but at the cost of the vertical scar. I think you definitely want the belt lipectomy. Without a front view its hard to know if you need a fleur de lis. Good luck.

Thank you for the question and photos. Congratulations for achieving your goal weight. From reviewing your photos it seems that you would be a good candidate for a Fleur de Lis with liposuction. Only downside is that you will have a vertical scar and this you are ok with so you would be a good candidate. This may not improve appearance of your lateral thighs and buttocks. It is best to consult a board certified plastic surgeon. Good luck.

Congrats on your sleeve success story ! Tummy and breast are easily done together with arms and legs at stage 2.  This allows you to use your core muscles getting up and around while recovering from arm and leg surgery and vice versa.  As for your trunk, you could have a fleur-de-lis tummy tuck or a body lift.  If the excess skin on your thigh and buttocks bothers you, the a body lift will get that taken care of.  Be sure and email me for a free copy of my book especially for weight loss patients !

Congratulations on your weight loss! While physical exam is optimal, it appears that Fleur-de-lis Tummytuck with liposuction of your lower back may be your best option. Be sure to consult with a board certified plastic surgeon.Good luck!

Hello!Congratulations on your weight loss. I work with a lot of weight loss patients. You would benefit from either but a body lift will likely give you more bang for your buck in that it will give you a buttock lift and will help out your lateral thighs. The fleur-de-lis will give you a better waist line, so if you have the time and money and want the best shape possible, it might be worth doing the fleur-de-lis and then completing the body lift around the backside several months later. Also, if you are going to get the fleur-de-lis, it's also worth considering the Corset "Trunk" plasty procedure, since it is just an extension of the fleur-de-lis, but it has a very dramatic effect on your shape. I've attached an ebook I wrote below. It is free and goes through the various procedures and options after massive weight loss. Again, congrats on your weight loss journey and best wishes in this exciting time in that journey,Dr. BlaggAustin, TX

Thank you for sharing your question and photographs and congratulations on your amazing weight loss.  Depending on what your goal results are I think you would most benefit from a FDL with eventually a circumferential body lift to improve your buttock contour.  This can be done in a single stage or separated into two procedures.  Hope this helps.  

So basically this depends on your areas of concern and goals.  I am a big fan of the Fleur de lis, if the patient can tolerate the scar in the midline.  If you are concerned about the back and buttocks as well, the fleur de lis will not address that as well. Congratulations on your weight loss...you do look great.  This is the next step for you to feel great.  Hope this helps.

Thanks for this good question. I generally favor fleur de lis first and back excision second as a staged procedure.In a 360 you are pulling the body forward and backwards at the same time. I think this can limit the amount of tissue removed. I would rather do the front first and get the tighest abdomen I can without worrying about tension on the back incision. Ones the front is healed I can then get the tightest back.This is just my opinion, but I hope the push me pull me concept makes sense as you choose. Best wishes.

Honestly, the right choice is really going to depend on your desired expectations. Based on your photos, I am leaning towards the fleurs-de-lis Tummy Tuck with liposuction of the back. Perhaps it might be smart to book a second in person consultation with another board certified plastic surgeon in your area to get another opinion?Kindly,Kouros Azar

Hello, wow! Amazing transformation! Congratulations on your weight loss! You have done a great job! Without a front view image it is very hard to give you an accurate advice. I should say that a LBL will give you more benefits in one surgery by itself. It will address your outer thighs, your flanks and if it is 360 your buttocks will get a better shape too. Please make sure that you and your surgeon are on the same page. Don't forget to discuss all your concerns, options and expectations thoroughly. Have a safe and pleasant PS Journey! 

Respectfully,Dr. Jaime Campos-Leon

Board Certified Plastic Surgeon