FDL vs. LBL vs. ETT? I went from 380 to 190 pounds. There seems to be a lot of varying opinions on this, but, can folks on here provide suggestions as a male 1 - If the extra scar from an FDL will be worth it? Will I never have abs due to loose skin? Would I just have loose skin bending over? Pro / Cons? 2. Best way to target chest reduction with minimal scarring?
Answer: Opinions differ. I generally prefer a full abdominoplasty over a fleur-de-lis (FDL) Congrats on the weight loss! You have a choice. I don't like the long vertical midline scar of an FDL. My recommendation would be a full abdominoplasty. Also, subcutaneous mastectomies to treat your gynecomastia if you wish. In terms of "abs," the abdominoplasty will help but that also depends on the anatomy of your abdominal muscles.
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Answer: Opinions differ. I generally prefer a full abdominoplasty over a fleur-de-lis (FDL) Congrats on the weight loss! You have a choice. I don't like the long vertical midline scar of an FDL. My recommendation would be a full abdominoplasty. Also, subcutaneous mastectomies to treat your gynecomastia if you wish. In terms of "abs," the abdominoplasty will help but that also depends on the anatomy of your abdominal muscles.
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April 23, 2025
Answer: Tummy tuck options Congratulations on your impressive weight loss! You have significant skin laxity including laxity along the midline. If you are wanting the maximum contour an FDL would give that to you. The scars will fade but the contour will remain. An exam is needed to determine if an extended incision is adequate or if a circumferential would be recommended. I've included a video on a gentleman who had a circumferential tummy tuck that I hope you find helpful.
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April 23, 2025
Answer: Tummy tuck options Congratulations on your impressive weight loss! You have significant skin laxity including laxity along the midline. If you are wanting the maximum contour an FDL would give that to you. The scars will fade but the contour will remain. An exam is needed to determine if an extended incision is adequate or if a circumferential would be recommended. I've included a video on a gentleman who had a circumferential tummy tuck that I hope you find helpful.
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April 22, 2025
Answer: Tummy tuck Dear Helpful875070,
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April 22, 2025
Answer: Tummy tuck Dear Helpful875070,
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April 20, 2025
Answer: Your desired result will help you choose best option for you. 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.
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April 20, 2025
Answer: Your desired result will help you choose best option for you. 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.
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April 19, 2025
Answer: Definitely a LBL 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.
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April 19, 2025
Answer: Definitely a LBL 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.
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