Will a Fleur de Lis fix my body lift issue & is there another way to go about it? (Photos)

Hello Naynay899,

Thank you for reaching out regarding your concerns about addressing skin laxity following your lower body lift procedure. From the photos you've provided, it's evident that you're seeking solutions to achieve your desired body contour.

Given your apprehension about the vertical scar associated with a Fleur de Lis (FDL) procedure, I'd like to introduce you to an alternative option known as vertical torsoplasty, sometimes referred to as the "hourglassing" procedure. This technique aims to enhance the contours of the torso while minimizing the appearance of a vertical scar.

Vertical torsoplasty involves creating a vertical incision along the midline of the abdomen, extending from the lower portion of the sternum to the pubic area. Through this incision, excess skin and tissue are removed, and the abdominal muscles may be tightened to achieve a more defined waistline and hourglass silhouette.

One of the advantages of vertical torsoplasty is its ability to address both horizontal and vertical laxity, particularly in the central abdominal region. By strategically placing the incision along the midline, the resulting scar can often be concealed within the natural contours of the body, minimizing its visibility.

Additionally, vertical torsoplasty offers the flexibility to combine liposuction with the procedure, allowing for further refinement of body contours and removal of stubborn fat deposits. If desired, liposuction can be performed approximately two months after the vertical torsoplasty to fine-tune your results and enhance your overall silhouette.

While vertical torsoplasty may involve a longer incision compared to a traditional lower body lift, many patients find that the benefits of achieving a more sculpted and proportionate figure outweigh their concerns about scarring. It's essential to discuss your preferences and goals with your plastic surgeon during the consultation to ensure that you're comfortable with the proposed treatment plan.

Ultimately, the decision to undergo vertical torsoplasty or any other procedure should be based on a thorough evaluation of your unique anatomy, aesthetic goals, and personal preferences. Your plastic surgeon can provide expert guidance and recommend the most suitable approach to address your specific concerns while minimizing the visibility of scars.

I hope this information helps clarify your options for addressing skin laxity following your lower body lift. If you have any further questions or would like to discuss your treatment plan in more detail, please don't hesitate to reach out.

Sincerely,

Dr. Katzen

You have an excellent result from your preop phot. When sitting down, tissue will still bunch. However, you can get more tightest with the vertical component if desired.

You may benefit from a back lift. The incision from your previous breast lift can be used posteriorly and will pull up the upper abdomen. At the same time, you can undergo a revision of the tummy tuck to pull down the lower abdomen skin. I do not recommend a fleur de lis.

Best Wishes,

Gary Horndeski, M.D.