Is it possible to perform a fleur-de-lis abdominoplasty alongside a pubic lift and crescent breast lift?

Yes, this is possible. Consult a plastic surgeon on the specialist register with expertise in body contouring and breast surgery.

Thank you for your question regarding whether a fleur-de-lis abdominoplasty, pubic lift, and crescent breast lift can all be performed in the same surgery. Based on your goals, it sounds like you’re looking to address both the lower and upper parts of your torso in a single surgical session, which can be feasible under the right circumstances.

Yes, it is quite common to combine a fleur-de-lis abdominoplasty with a pubic lift, as both procedures are performed through the same lower abdominal incision. A fleur-de-lis tummy tuck is typically used in patients who have undergone massive weight loss and need both vertical and horizontal skin excision to achieve a tighter, flatter abdomen. As part of this procedure, the pubic region is also lifted and reshaped. The lower skin and fat removal naturally improves the appearance of the mons pubis, so a pubic lift is essentially built into a fleur-de-lis tummy tuck.

As for combining this with a crescent breast lift, that’s often possible as well—especially when the breast lift is more conservative and does not require extensive skin removal. A crescent lift is a more limited lift that targets mild sagging, and since it's a smaller operation with minimal impact on blood supply and healing, it’s a reasonable addition to a lower body procedure for the right patient.

However, whether it is safe and appropriate to combine all three procedures will ultimately depend on your BMI, medical history, and the total length of the surgery. You’ll need a board-certified plastic surgeon with experience in post-weight loss body contouring who can determine whether this combination can be done safely in a single stage or whether staging the procedures is better for your health and healing.

If you have any further questions regarding the fleur-de-lis tummy tuck, pubic lift, crescent breast lift, or combination surgeries, please consult an experienced, board-certified plastic surgeon. Make sure they have performed at least 100 major body contouring surgeries and that they can show you before-and-after photos of similar cases.

Sincerely,
Dr. Katzen
(President of the American Society of Bariatric Plastic Surgeons, Certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, International College of Surgery, and American Board of Metabolic and Bariatric Surgery, and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery, and RealSelf Hall of Fame.)

Dear frnredmond,

it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

A pubic lift and a crescent breast lift can often be performed together in a single surgery, provided the patient is in good health and the procedure plan is tailored appropriately. Since both are moderate procedures, combining them may reduce overall recovery time and exposure to anesthesia. Nevertheless, cases should be addressed individually to ensure safety and optimal results when combining surgeries.
Erman AK, Dr. MD, Plastic Reconstructive & Aesthetic Surgeon

Yes, it is possible to combine a pubic lift with a Fleur -de - lis abdominoplasty and a crescent mastopexy at the same time. Normally, the pubis is lifted with any type of abdominoplasty, standard or Fleur-de-lis, however the Fleur-de-lis has an extra suture line at the midpoint of the pubic incision. A crescent mastopexy only removes a small crescent of skin over the areola and shifts the nipple/areola complex upward to a new position, and hence is a minimally invasive procedure. The amount of elevation of the nipple real complex is usually only up to 2 cm.

With FDL or any other TT surgery you will also have a pubic lift. If your overall health is good you can get breast lift at the same time

Hi from IstanbulThank you for your question.Those kind of combination surgeries are commonly performed together unless the patient does not have a good health.There are other factors that can influence the risks of the surgery, like age, BMI, smoking, diabetes, etc. All of them should be considered before surgery.Best luck!

Thanks for your inquiry and if you are in good health, yes these procedures can be done simultaneously, good luck.

Thanks for your question! A pubic lift is usually achieved with an abdominoplasty of any type, so it will not be a separate procedure. A breast lift often can be combined with an abdominoplasty. Make sure you meet with a board certified plastic surgeon for an in person exam to see if you are a good candidate for combination procedures.

Yes, it is possible to perform Fleur-de-Lis abdominoplasty alongside a pubic lift and a crescent breast lift, but several factors need to be considered to ensure patient safety, a great outcome, and a smooth recovery. Combining these procedures extends operative time significantly, and a longer surgery can carry increased risks. Therefore, making sure you are an ideal candidate is very important: you should be in good overall health (non-smoker, BMI within a safe range, no major medical conditions like uncontrolled diabetes). Medical clearance should be obtained.
Combining all three procedures will result in significant swelling in the abdomen, mons pubis, and chest, requiring careful postoperative monitoring. Compression garments/fajas are required and should be tailored to avoid excessive pressure on the incisions. will be needed, but they must be tailored to avoid excessive pressure on healing incisions. Recovery time will be longer, and you should make sure you have adequate support at home in order to allow you to ample time to rest (ideally at least 4 weeks) and refrain from activity, with a plan to return to moderate activity after 4-6 weeks.
As always, make sure to obtain a thorough consultation with a board certified plastic surgeon in order to address your own unique scenario.