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

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