115lbs loss, should I get an FDL or is extended enough for me? (Photos)

Thank you for the photos. Based on the laxity you have in two dimensions (horizontal and vertical) FDL is the right choice

Dear Gregarious756560,

Congratulations on your significant weight loss of 115 pounds. This is a remarkable achievement, and it's understandable that you want the best surgical option to address the resulting excess skin and reshape your body.

Based on the details you've provided and the shrinkles visible in your photos, although an extended tummy tuck might offer a substantial improvement, a body lift might indeed be more beneficial for your specific situation. Let's explore the differences between the procedures you're considering:

Extended Tummy Tuck: This procedure is designed to remove excess skin and fat from the abdominal area, extending around the sides to improve the waistline. It's more comprehensive than a standard tummy tuck but primarily focuses on the front and sides of the abdomen.

Body Lift (Circumferential Lower Body Lift): A body lift goes a step further by addressing not only the abdominal area but also the hips, buttocks, and lower back. This procedure encircles the entire lower torso, removing excess skin and fat from these areas, and providing a more significant lift and contour to the entire lower body. It's particularly effective for individuals who have experienced massive weight loss, as it can dramatically transform the lower body's appearance by correcting sagging skin and irregular contours around the hips and buttocks, in addition to tightening the abdominal region.

Fleur de Lis (FDL) Tummy Tuck: The Fleur de Lis tummy tuck is another option, where, in addition to the horizontal incision of a traditional tummy tuck, a vertical incision is also made. This is typically recommended for individuals with significant excess skin in both the horizontal and vertical dimensions of the abdomen. It can offer more dramatic contouring than an extended tummy tuck but doesn't address the lower back, buttocks, or hips.

Considering the extent of your weight loss and the areas of concern mentioned, a body lift could provide the most comprehensive results by addressing the excess skin and sagging not just in the abdominal area but also around the hips and buttocks. This approach could yield the contour and silhouette you're likely seeking post-weight loss.

If you're hesitant about undergoing a body lift, the extended tummy tuck is a viable alternative, especially if your primary concern is the abdominal area and hips. However, for the most dramatic and all-encompassing improvement, including the removal of excess skin and lifting of the buttocks and outer thighs, a body lift would be the optimal choice.

It's crucial to have a detailed discussion with your surgeon about your aesthetic goals, the specific areas of concern, and the outcomes you can realistically expect from each procedure. This will help ensure that you make an informed decision that aligns with your desires for your post-weight loss body contour.

Sincerely,

Dr. Katzen
Plastic Surgeon