Is there such thing as a mini fleur de lis tummy tuck?

Most patients with the vertical scar going up to their navel already had this scar from previous surgeries like emergency C sections. However, the lower vertical component could be added if needed. Usually, it is not needed.

Thanks for your question. What you have seen relates to a variation in scar pattern that enables patients undergoing full abdominoplasty, with a tight abdominal closure, to keep the horizontal component of the scar low and hidden beneath underwear (the additional short vertical component allows repositioning of the umbilicus if the upper incision cannot be made above it). It also enables the surgeon to address skin laxity around the umbilicus in patients who would otherwise be candidates for a mini tummy tuck. I would recommend consulting a plastic surgeon with a specialist interest in body contouring.

The incision pattern for a tummy tuck depends on the patient's needs. A fleur de lis incision is needed when there is too much skin laxity on the upper abdomen to be addressed through the lower incisions. If you have significant laxity here then a lower vertical incision will not correct it. I encourage you to visit with a board certified plastic surgeon near you for a consultation. Here you will learn about the various approaches and what is recommended for you based on an examination and discussion of your goals.