The key difference is the pattern of skin removal. A traditional tummy tuck removes skin horizontally. The Fleur-de-Lis tummy tuck (or FDL abdominoplasty) removes skin both horizontally and vertically. This is essential for correcting the circumferential laxity that occurs after massive weight loss, allowing for significantly more waist narrowing. Learn more about our tummy tuck options in Plano.

They are related but distinct. An FDL tummy tuck focuses on the front of the abdomen and waist. A lower body lift addresses the abdomen, flanks, back, and buttocks circumferentially. Often, the Fleur-de-Lis technique is used as the anterior component of a full lower body lift.

The scars form an inverted T pattern. While more extensive than a standard tummy tuck scar, Dr. Angobaldo places them strategically so they are concealed beneath most underwear, bikini bottoms, and clothing. Using precise closure techniques, he optimizes the scars for the best possible healing and fading over time.

Yes. The determining factor is not the method of weight loss, but the resulting amount and pattern of excess skin. Patients who have lost a massive amount of weight through diet and exercise and have the described skin laxity can be excellent candidates for an FDL tummy tuck.

The cost is tailored to the individual surgical plan, which may include muscle repair, liposuction, or combination with other procedures. During your one-on-one consultation, Dr. Angobaldo will provide a detailed quote after assessing your specific needs. We offer financing options to help make this transformative surgery accessible.

This is a crucial consideration. The fat cells removed during your Fleur-de-Lis surgery are gone permanently. However, significant weight gain can stretch your remaining skin and abdominal wall, potentially diminishing your contoured results. More commonly, new fat will be stored in other untreated areas of the body. Maintaining a stable weight through a healthy lifestyle is the best way to protect your surgical investment for the long term.

Recovery from an FDL abdominoplasty is more involved. Because more tissue is removed and the muscle repair is more extensive, patients can expect a longer initial recovery period and more discomfort in the first week, which is well-managed with medication. The need for drains and a longer wearing period for the compression garment also contribute to a more meticulous recovery process. Dr. Angobaldo prepares patients for this thoroughly, ensuring they have the support and resources needed.

The primary added consideration is the longer scar and the confluence of incisions (where the horizontal and vertical scars meet). This “T-junction” has a slightly higher risk of delayed healing or minor separation, which is why precise surgical technique and strict adherence to post-operative instructions are paramount. Dr. Angobaldo’s experience with this specific fleur de lis surgery directly informs his technique to minimize these risks.

Yes, it is very common to combine procedures for comprehensive body contouring. The FDL tummy tuck is frequently performed simultaneously with a lower body lift, breast surgery, or an arm lift. This combined approach is carefully planned based on your overall health and the anticipated surgical time, allowing you to recover from multiple areas in one period. We can discuss safe combination options during your consultation.