FLEUR DE LIS ABDOMINOPLASTY

Fleur-de-Lis Abdominoplasty

Fleur-de-Lis abdominoplasty is a surgical procedure that involves the removal of excess skin and soft tissue from the abdominal area. Unlike a traditional abdominoplasty, this technique uses both a horizontal and a vertical incision. This allows for the removal of excess skin in both vertical and horizontal directions, which may be appropriate for individuals who have experienced significant weight loss and are left with substantial skin laxity.

In some cases, repair of the abdominal wall muscles (also known as diastasis recti repair) may be performed during this procedure if clinically indicated.

Key Characteristics of Fleur de Lis Abdominoplasty

Incision Pattern:
Fleur de Lis abdominoplasty involves a distinctive incision pattern that combines the standard horizontal cut across the lower abdomen with a vertical incision running from the lower part of the sternum to the pubic area. This T-shaped incision allows for the removal of excess skin both vertically and horizontally.

Target Areas:
This procedure addresses excess skin and soft tissue in the upper and lower abdomen, including the midline and sides, which is often necessary following significant weight loss.

Outcomes:
The technique allows for removal of larger amounts of excess skin compared to a traditional tummy tuck, improving the overall appearance of the abdominal area.

Ideal Candidates:

  • Individuals with considerable excess skin after major weight loss, such as post-bariatric surgery patients.
  • Those who have maintained a stable weight for at least 6 to 12 months before surgery.
  • Non-smokers, or patients willing to stop smoking before surgery, as smoking can increase risks and slow healing.

Risks associated with Fleur-de-Lis Abdominoplasty

As with any major surgical procedure, there are risks involved. These include general surgical risks and those specific to the Fleur-de-Lis technique:

  • Infection at the surgical site, which may require antibiotics or further treatment
  • Bleeding or haematoma (collection of blood under the skin)
  • Anaesthesia-related complications, such as allergic reactions or cardiovascular effects
  • Delayed wound healing, particularly along the vertical incision line
  • More extensive or prominent scarring, as this technique involves both horizontal and vertical incisions
  • Seroma formation (accumulation of fluid beneath the skin), which may require drainage
  • Skin or tissue necrosis (poor blood supply to an area of skin, leading to tissue breakdown)
  • Changes in sensation, including numbness or altered skin sensitivity in the abdominal area
  • Blood clots, such as deep vein thrombosis (DVT) or pulmonary embolism, although rare, are serious risks of major surgery

Recovery and Aftercare – Fleur-de-Lis Abdominoplasty

  • A compression binder is typically worn for up to 6 weeks to support healing and minimise swelling.
  • Driving may be resumed after 1 to 2 weeks, once mobility and comfort allow and pain medication is no longer required.
  • Return to work usually occurs within 1 to 2 weeks, depending on the type of work and the individual’s recovery.
  • Light walking is allowed after your 2 week post op appointment.
  • Strenuous activity, including lifting, bending, or exercise, should be avoided for 4 to 6 weeks.
  • Targeted abdominal exercises should generally be delayed for up to 3 months to allow proper healing of muscle and skin layers.
  • Post-operative reviews are essential to monitor progress, manage any complications, and assess wound healing.
  • Scarring from both the horizontal and vertical incisions will mature over time; scar care will be given to support healing.

  • Recovery experiences can vary significantly between individuals. Your surgeon will provide personalised instructions tailored to your procedure and health status.

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