Male, 33, excess skin after weight loss, how to choose between FDL & extended tummy tuck? (Photos)

Hello, you probably don't need the fleur-de-lis, nor do I see so much skin in the vertical component, but what you do need is a circular tummy tuck, you have to remove all the excess skin

It appears you would do well with the traditional extended Abdominoplasty. It’s hard to tell with shorts on but the incision would need to go from hip to hip, possibly a little further past to get a nice seamless, taught look. Again, the shorts make it hard to tell, but the scar would be low along your underwear line anyway and it beats the FDL anyway you slice it. If you’d like to go over the procedure in more detail, feel free to reach out to my office for a consultation here at Smith Plastic Surgery. 702-838-2455

I do not recommend a fleur de lis. The fleur de lis is necessary for excess horizontal laxity above the umbilicus. I recommend an abdominoplasty with mesh reinforcement. The mesh creates a more flatten abdomen by compressing the abdominal wall resulting in early satiety and helps maintain a reduced weight. After 6 months, you can consider a circumferential lift, if needed.

Best Wishes,

Gary Horndeski, M.D.