Fleur de lis or extended tummy tuck: will I look okay with just an ETT? (photos)

A fleur-de-lis abdominoplasty is considered when there is significant skin excess, and a horizontal scar would not be enough to address everything. The tradeoff is a vertical scar with further cinching of the skin, which can provide better waist definition. Generally, patients who have this much extra skin have lost a significant amount of weight from surgery. Based on your photographs, you have excess skin and fat of the tummy and flanks. You already have an hour glass figure, so further tightening would likely not add much, especially to outweigh adding another scar. An extended tummy tuck and liposuction should give you a great result.

You should be a good candidate for an extended tummy tuck that would give you a nice result without the need for the vertical scar of a FDL. I like to avoid the vertical scar as much as possible as you aren't able to conceal it in underwear or swimwear. I commonly design extended tummy tuck incisions to be able to contour your abdomen and waist with a nice result.

Thank you for your question regarding whether you need a fleur de lis or an extended tummy tuck. Thank you for your pictures and your history. Based on your pictures, I strongly suggest the extended tummy tuck with liposuction of the flanks, superior iliac crest, and back. It is very important during the extended tummy tuck that muscle plication is done from the sternum to the pubic region. This will help to flatten the stomach. However, you do not need the other vertical component of fleur de lis to get a smaller abdomen. I think you will get an exceptional result with an extended tummy tuck. Thank you for your question regarding whether you need a fleur de lis or an extended tummy tuck.
If you have any more questions regarding reconstructive surgery after massive weight loss, please contact my office. Reconstructive surgeries after massive weight loss include an abdominoplasty, tummy tuck, thigh lift, breast lift, mastopexy, arm lift, brachioplasty, torsoplasty, back lift, buttock augmentation, and buttock lift. Since these reconstructive surgeries after massive weight loss, are big procedures, please seek an experienced, board certified plastic surgeon with significant experience performing these types of lifts. Do your research. Make sure they have performed at least 100 of each procedure you are considering for reconstructive surgery after massive weight loss. Make sure they have the before and after pictures to prove it. Carefully examine their before and after pictures and check their reviews on RealSelf.