Is a FDL Scar Worth It For Me?

Thank you for your photos. If your goal is simply to remove the redundant skin circumferentially around the lower portion of your body, then a lower body lift is a very powerful operation to do that. However, it is well known in plastic surgery that the further away your incision is from the skin meant to be smooth/tightened, the less effect there is on that skin. Therefore, the skin of your middle and upper abdomen, which appears to be very redundant in the photo that you sent when you were bending over, will be tighten some, but not completely. In order to achieve the best tightening of the skin a FDL pattern incision would need to be used because the midline incision for the FDL is very close to the upper and mid abdominal skin and will tighten that maximally. Whether this additional incision line is a good trade-off for the extra skin tightening, is up to you to decide. To minimize chest scarring, liposuction of the breast area could be done with direct excision of the glandular tissue and then a periareolar tightening of the skin should give good improvement.

Although not seen in photos, your buttock tissues are likely ptotic. Regardless, once your residual flank fat pads have been suctioned, you’ll have near circumferential skin laxity, so a LBL is necessary. As for your abdomen, it appears as though a vertical scar would be necessary, but an examination would confirm.