Can a FDL be combined with a lower body lift? (Photos)

It is almost impossible to determine quality of tissues on photos, but based on yours, I consider you will be a great candidate for a Lower Body Lift (Circumferential TT, Muscle repair, Buttocks lift) in order to achieve the best result. I may also combine with some liposuction to waist and lower back and a mild fat grafting to buttocks, just to add some curves to your body shape.Based on photos, I consider the FDL might be unnecessary.Be encouraged.Dr. Cardenas 

Hello, and thank you for your question regarding whether a fleur-de-lis (FDL) tummy tuck can be combined with a lower body lift. Congratulations on your impressive 125-pound weight loss!

A fleur-de-lis (FDL) abdominoplasty can absolutely be combined with a lower body lift. The FDL tummy tuck involves both a horizontal incision (like a traditional tummy tuck) and a vertical incision from the sternum down to the pubic region. This removes excess skin from the central abdomen, creating a more dramatic waist reduction. Some plastic surgeons refer to this technique as an inverted-T tummy tuck due to the shape of the incisions.

A lower body lift is a more comprehensive procedure designed to tighten and lift the abdomen, hips, outer thighs, and buttocks. The incision runs circumferentially around the waist, removing excess lower abdominal, flank, and back skin, which the FDL alone does not address. Combining both procedures offers the best of both worlds—a tight, defined waistline and complete lower body contouring.

For the most "snatched" waistline, many experienced, board-certified plastic surgeons recommend combining the FDL with a lower body lift. This approach removes excess skin from both the front and back while also narrowing the waist more effectively than a lower body lift alone.

Regarding your breast augmentation, if you wish to maintain your 38DDD cup size, most plastic surgeons would recommend an implant size of approximately 600cc, depending on your breast tissue and the amount removed during a full anchor mastopexy (breast lift). Silicone (gummy bear) implants are an excellent choice for a natural, long-lasting result. For the most natural shape, most plastic surgeons would recommend placing the implant in a dual-plane position, meaning the implant is partially under and partially over the pectoralis major muscle. This technique provides a natural slope while supporting the implant to reduce sagging over time.

I hope this helps answer your question regarding whether an FDL tummy tuck can be combined with a lower body lift, as well as your concerns about breast implants and maintaining cup size. Best of luck on your transformation!

Sincerely,
Dr. Katzen

hi!! Yes a body lift can be combined with an fdl. We do this type of procedure when lenght and width are the problem. In fact to decide we have to feel or touch the skin/ fat so we can relay on skin quality. We dont do combination with breast surgery when doing an fdl. We only do it with a normal body lift. Thank you!! Dr C.