360 FDL tummy tuck vs 360 tummy tuck - which will I need after 200 pound weight loss? (Photos)

Question

Male, 21, 6ft 2in. I lost about 200 pounds and have been looking into surgery and was wondering if I needed the regular 360 or the fdl 360. I don’t really want the central incisions.

Ramiro Morales, Jr., MD · Answer

Thank you for your questions and pictures and congratulations on your weight loss.  While a FDL 360 will correct better that vertical looseness that your picture demonstrates, I believe that with good distribution of the skin during closure you could achieve a decent result and still avoid the vertical scar.  Which, by the way, could be added in the future to convert the TT to a FDL TT if necessary. 
Be sure to see a  Board-Certified PS for your consult.

Harry T. Haramis, MD, FACS · Answer

After such a tremendous weight loss, in my experience, FDL is a powerful procedure to remove excess skin both up and down as well as around the waist.

Traditional tummy tuck only removes skin up and down or vertically.

So it’s like wearing an over sized shirt and tucking it into your pants- it’s still too big around or horizontally.

The FDL addresses this, including those extra upper bulges- trade off is the extra midline scar.

If you are really opposed to the FDL scars, you can do a traditional tummy tuck with good result.

Those stubborn bulges will be improved, but likely remain smaller even with 360 liposuction.

We have had similar patients return for second stage FDL as well.

An exam and consultation with a plastic surgeon who performs these procedures is recommended to confirm you are a candidate as well as discuss your options and expectations.

360 FDL tummy tuck vs 360 tummy tuck - which will I need after 200 pound weight loss? (Photos)

Answers (2)

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