Is a fleur de lis TT the same as a corset TT?

Thanks for your question. Both types of tummy tuck are generally considered for patients who have significant laxity after massive weight loss. After weight loss Patients are both vertically ad horizontally lax.A fleur de lis tummy tuck  pulls  skin down, like a regular tummy tuck, but it also pulls skin side to side, leaving a vertical scar in the midline from the bottom of the sternum to the pubis. (upside down "T" scar)A corset TT adds an upward pull to a fleur de lis ( like a reverse tummy tuck) with an additional scar that goes across the upper chest underneath the folds of the breasts. Some weight loss patients carry specific pockets of loose skin in these areas and may benefit from this additional excision. ( "I" shaped scar wrong font here)I have included tummy tuck faq below as well. I hope it helps.

A fleur de lis ads a vertical skin closure as well. A corset usually involves the fleur de lis incision along with an additional incision transversely along the inframammary region.

Yes. This operation includes a long vertical incision in the midline from the breast bone to the horizontal scar to further reduce circumferential skin excess, typically in patients who have lost massive amounts of weight and had poor skin elasticity.

Fleur de lis or corset abdominoplasty techniques are sometimes used interchangeably for a procedure that has an inverted "T" scar.  However, there are surgeons who use the term corset to mean and incision with an incision along the upper abdomen as well (under the breasts), creating a sideways "H" incision.  There are also techniques that use 2 flank incisions to tighten the abdominal skin.  The scar pattern required depends on your body shape, where the excess skin is located and how your surgeon anticipates redraping the skin. It is not a one size fits all technique.  Typically, these extended skin removal operations are performed in patients who have had significant weight loss due to the trade off between a worse scar pattern, for more tightening.  Your best bet is to see a board certified plastic surgeon and discuss the various benefits/trade offs of different scar patterns. Once the incisions have been made, there is no way to remove the scars, so it's important to have this discussion preoperatively with a surgeon who has experience with varying techniques.