Fleur de lis vs standard TT?

My surgeon suggest fleur de lis over standard and states given under the skin I have a hourglass foundation that she can more easily bring to the surface with the up/down side to side tightening that is better able to be done with FDL TT over a standard TT. With my desire to unleash my hourglass notwithstanding & clearly a In person is ideal but given that is not possible, going solely by the picture presented if I was your client which procedure would you propose for the best overall outcome.

Doctor Answers 24

Fleur de lis vs. Traditional Tummy Tuck

An examination would be required to give you an informed recommendation.  In general, however, you need to determine if you want to obtain the maximum possible removal of loose skin vs. your willingness to accept a long vertical scar that may not fade as well as a lower abdominal horizontal scar.  Ask your surgeon to show you pictures of both types of procedures that she has done and to review the risks and benefits in detail.


Saint Louis Plastic Surgeon
5.0 out of 5 stars 80 reviews

Tummy tuck question

As you've seen by the answers given here opinions vary with regards to your question. Given your pictures and the limitation of not being able to do an exam I think that a fleur-de-lis or vertical abdominoplasty would suit you quite well. The trade-off is a vertical scar for additional tightening of the skin located above the umbilicus. Review this with your surgeon again. I think that after weighing the positives and negatives of a standard versus a vertical abdominoplasty the decision will become clearer.  Good luck.

Sanjiv Kayastha, MD
Albany Plastic Surgeon
5.0 out of 5 stars 67 reviews

FDL vs. TT

Thank you for sharing your photos. A fleur-de-lis tummy tuck results in tighter skin and better contour than a standard tummy tuck, but leaves a visible vertical scar. Have informed expectations when you choose your procedure. For a detailed evaluation you will need to visit a board certified surgeon for an in-person consultation. 

Usha Rajagopal, MD
San Francisco Plastic Surgeon
4.6 out of 5 stars 37 reviews

Fleur de lis vs standard abdominoplasty

Most patients get significant improvement with a standard tummy tuck.  If patients have a vertical scar, then I would consider recommending a fleur de lis for maximum contouring.   Disadvantages of the fleur de lis include possibly a wide vertical scar, keloid, skin necrosis at the "T" and umbilical distortion.  One has to weigh the risk, benefits and limitations.

Michelle Zweifler, MD
New York Plastic Surgeon
5.0 out of 5 stars 30 reviews

Tummy tuck + Lipo candidate, some advices:

Thanks for the question. 

In this regard, I recommend you a Full Tummy Tuck with muscle repair, to get a flat abdomen and weist and back Liposculpture, getting better curves especially in the waist, improving your body contour.

Finally, I suggested take the fat we get and transfer to the buttocks and hips, to mold them and get better volume, contour and butt projection, is that we know as "Brazilian Butt Lift" (BBL).

Kind regards 

Emmanuel Mallol Cotes, MD
Dominican Republic Plastic Surgeon
4.7 out of 5 stars 228 reviews

Fleur-de-lis versus standard tummy tuck

The fleur-de-lis tummy tuck would not only give you improvement in the vertical and horizontal planes, but would also remove many (if not all) of the stretch marks I see in your photos located above your belly button.  If you're willing to accept a vertical scar, I think your result from the fleur-de-lis would be significantly better than with a standard tummy tuck.

Lisa J. Peters, MD
Chicago Plastic Surgeon
4.8 out of 5 stars 12 reviews

Fleur de lis vs standart TT

This is a question that comes up often in patients after massive weight loss.  The excess skin is in the horizontal dimension in the lower abdomen, and in the vertical dimension in the upper abdomen.  There is no real way to address the vertical laxity and shape the waist line without adding the vertical scar; however, the patient has to be accepting of adding a large scar to essentially look better in clothing.  I have found this to be a matter of personal preference.  

Brian A. Pinsky, MD
Long Island Plastic Surgeon
5.0 out of 5 stars 4 reviews

Fleur de lis vs standard TT?

Thank you for your question. Based on the picture FDL will tighten your skin better , but it leaves vertical scar. If you are not bothered by that scar FDL is better.

Ven Erella, MD
Austin Plastic Surgeon
4.9 out of 5 stars 30 reviews

Fleur de lis vs standard TT?

You will have to decide whether the vertical scar is worth the improvement in smoothness and contour.

Kenneth Hughes, MD

Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 482 reviews

Abdominoplasty technique

This is the kind of question you ask 3 plastic surgeons and get 5 opinions. Basically the Fleur-de-lis will get you the best contour but at the expense of a midline "up and down " incision which is hard to hide. On the other hand a traditional abdominoplasty transverse incision will give you good to great contour and incision will be hidden below the underwear line with slight if any loss of contour.

Honestly I fall on the side of traditional abdominoplasty NOT Fluer-de-lis for your particular case.


Avron Lipschitz, MD
Stuart Plastic Surgeon
5.0 out of 5 stars 62 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.