Finding a surgeon: Standard TT vs FDL experience/photos? (Photos)

Question

Based on how much weight I've lost (212lbs) and what I think is horizontal laxity (less than ideal photos attached), I suspect I may be recommended to get an FDL tummy tuck over a standard one. I’ve had a bit of a hard time researching surgeons because it seems very few display pictures of multiple FDL results. There are plenty, however, who showcase excellent standard TT results. I have two questions: 1. Is a surgeon’s skill/results with a standard tummy tuck likely to translate well to an FDL tummy tuck? 2. Is it rude or unusual to ask a surgeon’s office directly if you can come and see any FDL results they have, if they don’t have many posted? This would be before deciding to book a consult. Thank you for your help!

Guray Yesiladali, MD, FEBOPRAS · Answer

After a large weight loss, it is common to need a fleur de lis (FDL) tummy tuck to address skin laxity both vertically and horizontally. This is an extension of the standard tummy tuck technique, and surgeons who achieve excellent results with abdominoplasty usually carry those skills into FDL cases as well. What matters most is choosing someone with experience treating massive weight loss patients, since these procedures require more planning and judgment about scar placement.
It is absolutely appropriate to ask a surgeon’s office if they have FDL results you can review, even if they are not posted online. Many patients do not consent to public posting of photos, but surgeons often keep before and after examples available privately for consultations. Asking to see these is not considered rude &mdash; it shows that you are being thoughtful in your decision making.
I have also shared a detailed video where I explain the differences between standard and FDL tummy tucks, and how surgeons plan for the unique needs of massive weight loss patients.
&mdash; Güray Yesiladali, MD

Luis Suarez, MD · Answer

Firstly should always do what feels best for you. It’s an important decision. You should have all the information possible in order for you to feel comfortable with moving forward. 
As far as the FDL incision, it’s not mandatory, usually it’s only recommended when the surgeon is not able to remove all the excess skin pulling down and there’s additional skin left in the upper abdomen in those cases you can have it done and it would definitely improve if you are comfortable with it and it doesn’t bother you then you can proceed without having it done, or later down the road, you want to have it done you can have it done separately. You have many options but overall, if you decide to have it done, you should definitely be comfortable with the surgeon that you choose to make sure that they give you the best outcome.

Camille Cash, MD · Answer

Congratulations on your impressive weight loss!  You can ask your surgeon for photos specifically related to FDL  approach.  You may have more luck with photos if researching board certified plastic surgeons who have helped patients after major weight loss.  I appeared on TLC's program Skin Tight which helped those who have lost significant weight restore their appearance.  I've included a video I hope you find helpful.

Michelle Zweifler, MD · Answer

There are several options of tummy tuck after massive weight loss.  A “standard” abdominoplasty usually removed skin downward with scars ending at the hips.  An extended tummy tuck may include remove the front abdominal and flank excess skin.  A lower body lift extended the abdomen and lower back helping to lift the buttock and often decreases the waist.

While a fleur-de-lys you are removing excess skin downwards and centrally with an additional vertical scar.  Fleur-de-lys helps narrow the waist.  Often plastic surgeons perform FDL tummy tuck if there is already a vertical scar and that the patient heals well.

George Marosan, MD · Answer

Thank you for your question and photos. You would do very well with a lipoabdominoplasty with a low pubic bone level incision. You already show good underlying muscle definition and this can be further enhanced with VASER Hi Def Lipo technique. You do not need an FDL! It would be a mistake if you'll take that route. See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation. Good luck.

Finding a surgeon: Standard TT vs FDL experience/photos? (Photos)

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Answer: Tummy Tuck options after weight loss

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Finding a surgeon: Standard TT vs FDL experience/photos? (Photos)

Answers (10)

Answer: Tummy Tuck options after weight loss

Answer: Tummy Tuck options after weight loss

Answer: Finding a surgeon: Standard TT vs FDL experience/photos?

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