SURGICAL PROCEDURES

Fleur-de-lys Abdominoplasty

A FLEUR-DE-LYS ABDOMINOPLASTY IS A TUMMY TUCK IN WHICH THERE IS ALSO A VERTICAL (MIDLINE) INCISION.

A standard abdominoplasty leaves a scar running across your lower tummy in a similar location to a Caesarean section scar. Usually this is sufficient for most patients, but in some cases there is also skin looseness in a side-to-side direction, especially if you have experienced a significant amount of weight loss or multiple previous pregnancies. If that is the case then it may be necessary to remove skin in a side-to-side direction, using an additional midline scar. This is called a "Fleur-De-Lys abdominoplasty" because the pattern of skin removal looks, with the eye of faith, a bit like the flower it is named after.

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KEY TREATMENT AREAS

Fleur-De-Lys abdominoplasty surgery targets the most excessive skin laxity in those who have experienced major weight loss. It also addresses loose muscles around the abdomen, hernias if present and excess abdominal wall fat. The bikini area (mons) is often loose after massive weight loss - if so this would also be lifted.

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FULVIO’S ADVICE

A Fleur-De-Lys abdominoplasty is a great option after massive weight loss but you must be comfortable with the thought of having a permanent midline scar on your tummy - this is the only scar that cannot be easily hidden after an abdominoplasty. If not it may be worth considering a different kind of abdominoplasty in which it’s easier to hide scars.

AFTERCARE

As with other forms of tummy tuck, I encourage early gentle mobilisation and the use of surgical tape over the scars for 3 months. This most extensive type of tummy tuck carries the highest risk of fluid accumulation (seroma) in the first few weeks, and you may need additional clinic appointments to drain these. However many post-surgery consultations you need, there is no extra cost.

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PROCEDURE STATS

Time: 2-4 Hours

Hospital: 2-3 Nights

Anaesthetic: General and abdominal block

Exercise: Refrain for 6-8 weeks

Smoking: 2 Weeks

Full recovery: 4-6 Weeks

Washing: 72 Hours

Driving: 2 Weeks

Corset: 4 Weeks

Time off work: 4 Weeks

WHAT THEY’RE SAYING

“After a big weight loss I was left with excess skin which left me, despite managing to loose weight unhappy with my body and lacking confidence. I met with lots of other surgeons and had a date booked for surgery abroad before I met Fulvio. By the end of my first consultation with him I knew he was the man to help me. He made feel at ease like no other had and it was obvious that he genuinely cared.”

— Cassie 5 * TrustPilot Review

FREQUENTLY ASKED QUESTIONS

A Fleur-De-Lys Abdominoplasty is a great option for those who have experienced extreme weight loss and have lots of spare skin, but you must be comfortable with the thought of having a permanent midline scar on your tummy. Other Abdominoplasty scars can be hidden within the belly button and beneath underwear, but the midline scar cannot. If that is not acceptable to you, then it would be worth considering whether a different kind of Abdominoplasty would be a better choice for you.
* Analgesia (pain relief) - Ibuprofen and paracetamol can be taken
* Complete rest will be necessary for 48 hours
* Surgical skin tapes should be left in place for around 2 months
* The hospital or surgeon should be contacted if you develop a temperature
* The hospital or surgeon should also be contacted immediately in rare cases of bleeding or rapid swelling
* Patients should take care not to over exert themselves in the first few weeks and to keep pressure off the wounds
* Wounds will be checked and sutures removed normally at 1 week
* I will see you routinely at 1 week, 1 month and 3 months after surgery, and more frequently if necessary
* Dressing care nurses may see you more often
* Swelling reduces after a few weeks

If you would benefit from a Fleur-De-Lys Abdominoplasty this will be discussed with you in advance. It is worth very careful consideration. The usual low abdominal scar can be hidden by underwear or swimwear, and there are tricks to hide your belly button scar as much as possible too, but there is really no disguising a midline abdominal scar in usual underwear or a bikini. Expect a side-to-side direction incision, which will leave you with an additional midline scar to a standard tummy tuck procedure.

PRICING

£12,000- £14,000

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HOW COSMETIC TREATMENT CORRECTED SCARRING FROM CHILDHOOD SURGERY

I recently carried out cosmetic surgery on a patient who had had tummy surgery as a baby, leaving her with a large scar across the lower part of her stomach. We were able to offer this patient a tummy tuck – or abdominoplasty - a cosmetic surgery to improve the shape of the tummy area (abdomen) by removing excess fat and skin and tightening muscles.

GETTING THE BEST POSSIBLE SCAR

For the vast majority of us – and that includes you if you have any reasonable quality scar anywhere – scar quality depends much more on what happens around the time it is healing: for instance, whether it is pulled or stretched, gets infected or if there is dead or injured tissue for your body to deal with.

HOW DO I KNOW IF A TUMMY TUCK IS RIGHT FOR ME?

An abdominoplasty is a surgical procedure which improves the shape and appearance of the abdomen. There are several ways of performing it, reflected in slightly different names such as full or mini-abdominoplasty, fleur-de-lys abdominoplasty, lipoabdominoplasty, high lateral tension abdominoplasty and so on.