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During a Tummy Tuck (Abdominoplasty), the excess skin around your stomach is removed with a single major incision below the underwear line. A Tummy Tuck is (amongst other things) removing excess skin of the abdominal wall. Usually, a standard Tummy Tuck (Abdominoplasty) is all that’s required to achieve that. However, sometimes so much excess skin exists that a different technique and scar pattern is required to optimally reconstruct the abdominal wall. A Fleur De Lis Tummy Tuck (Abdominoplasty) is an extension of a standard Tummy Tuck (Abdominoplasty) and is suitable for patients with significant excess skin up and down and side to side along the lower abdominal wall. To reconstruct this, in addition to the lower abdominal wall incision of a standard Tummy Tuck (Abdominoplasty), an additional incision is made along the entire midline of the abdomen up to the lower chest. This allows the removal of excess skin along the sides to help bring in the waistline – tightening the abdominal wall both vertically and horizontally.
In the following videos Dr Dona explains the basic reconstructive surgical principles of the relevant procedure. These videos are taken immediately prior to surgery after Dr Dona had made his tentative surgical markings. These markings serve as a guide for how much skin (and associated fatty tissue) Dr Dona intends on removing.
After images shown are generally taken between 3-6 months post-surgery.
The outcomes shown are only relevant for the patients shown and are not a guarantee that you will have similar results, even if you have a similar body type or shape. Results may vary due to many factors including an individual’s genetics and lifestyle.
It is almost impossible to determine which type of Tummy Tuck (Abdominoplasty) procedure would be best suited for your body type without an in-person consultation with Dr Dona. Typically, a Fleur De Lis Tummy Tuck (Abdominoplasty) is best suited for patients that have undergone extensive weight loss and are experiencing a large amount of overhanging skin. During the initial consultation, Dr Dona will be able to assess your body and your outcomes from a Tummy Tuck procedure. From here, Dr Dona will be able to recommend to you which type of Tummy Tuck (Abdominoplasty) procedure will be most suitable for you.
Your recovery after Fleur De Lis Tummy Tuck (Abdominoplasty) will be quite similar to the recovery of a traditional tummy tuck. A Fleur De Lis Tummy Tuck (Abdominoplasty) is a significantly more invasive procedure than a traditional Tummy Tuck (Abdominoplasty), due to the vertical incision and additional excess skin removal that is required for this type of abdominal wall reconstruction. During your initial consultation, Dr Dona will advise you of when you will be able to return to your normal routines after surgery.
However, all other aspect of your surgery, recovery and potential complications are as per a standard Tummy Tuck (Abdominoplasty).
All surgical procedures carry the potential risk of wound healing complications – these complications include wound bleeding, infection, wound breakdown or even skin and tissue necrosis or loss. As a result, wound ulceration and wound breakdown can occur. Wound complications can range in minor through to major concerns, that may warrant further surgical and hospital intervention.
Those patients at greatest risk of these potential complications are:
For most people without these risk factors, the chances of any significant wound healing problems are quite small.
A Fleur De Lis Tummy Tuck (Abdominoplasty) has very large wounds and therefore the risks of wound problems are much greater compared to a standard scar Tummy Tuck (Abdominoplasty). The area of greatest concern is located at the bottom of the midline scar where it meets the relevant horizontal scar. These are the areas which have the greatest degree of tension and the poorest blood supply.
The general and specific complications for a Fleur De Lis Tummy Tuck (Abdominoplasty) are the same as noted on our Tummy Tuck (Abdominoplasty) page.
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