Could I achieve good results without a FDL? (Photo)

Thank you for your photo. It appears the tissue above your belly button is still relatively thick. Thinning this tissue with liposuction will not only loosen its deep attachments so it can be pulled downward easier, but also help it match up better with the thickness of the tissue lower on your abdomen. The downward pull on the skin will flatten and smooth the skin above your belly button. An extended TT can then remove the excess skin. I don’t believe you need a FDL to obtain an excellent improvement. Your skin quality after 100 lb weight loss is not optimal, as evidenced by the stretch marks above your belly button, so understand you will look markedly better, even if your skin is not very tight. Best wishes.

Hello! I always tell my patients that the FDL trades improved contour for scar. The FDL pattern will help give you a tighter waist contour, but you can absolutely still look great with a standard low horizontal incision, especially with the addition of waist/flank liposuction. Loose skin above your belly button should definitely be addressed with either incision pattern. You can't go wrong with either surgery, but if you are not interested in having a big vertical scar or if you have a tendency toward wound healing problems, it may be best to stick with the standard tummy tuck incision.

Good afternoon. I believe a horizontal incision abdominoplasty combined with liposuction is appropriate. In your case, the main excess skin and tissue is concentrated vertically, which allows me to bring the lower skin upward without the need for an additional vertical incision. The liposuction will help me better define the contour and release tension so the skin can settle more evenly. With this technique, I expect to achieve a flatter abdomen and a smoother transition in the supraumbilical area, avoiding the inverted T shape of the lower back incision when it's not strictly necessary. You can contact us at 829-554-6062 to receive a quote with all the surgical information.

Based on your post photo, you have multiple options most likely you will need at least two procedures to obtain the results. You desire best of virtual concert with fuller understanding my initial recommendation would be an extended full tummy tuck with muscle plication as a round one with a round two of possible tummy tuck revision and abdominal liposuction again. Best of virtual council with expect each round. Do you have a fee from the $8000-$15,000 range?