View Photo Gallery

The FDL Tummy Tuck Explained: Procedure, Recovery, and Scars

Introduction

An FDL tummy tuck is a specialized form of abdominoplasty that targets excess skin in both the vertical and horizontal directions.

If you’re looking for a quick overview, here’s what an FDL tummy tuck involves:

Let’s dive in to understand more about this procedure:

After losing a substantial amount of weight, many individuals find themselves dealing with excess, inelastic skin around the abdomen. This not only impacts their physical appearance but can also affect their confidence and quality of life. An FDL tummy tuck, or Fleur-de-Lis abdominoplasty, is designed to address this by removing the excessive skin and improving the overall contour of the abdomen.

In contrast to traditional tummy tucks, which generally involve a single horizontal incision, the FDL procedure includes both a vertical and a horizontal incision. This allows for the removal of a greater amount of skin, providing more transformative results, especially for those who have experienced dramatic weight loss.

Anna, who lost a significant amount of weight in 2019, shared her experience: “I was left with a lot of excess skin on my abdomen… I started looking into possible procedures that could help.” Her journey highlights the physical and emotional benefits an FDL tummy tuck can bring.

Interested in understanding the specifics? Read on to learn about the procedure, recovery, and what to expect regarding scars.

What is an FDL Tummy Tuck?

An FDL tummy tuck, also known as a fleur-de-lis abdominoplasty, is a specialized surgical procedure designed to remove excess skin from both the horizontal and vertical planes of the abdomen. This is especially beneficial for those who have experienced significant weight loss, often through bariatric surgery, and are left with a large amount of loose, hanging skin.

The Name and Technique

The term “fleur-de-lis” comes from the pattern of the incisions made during the surgery, which resemble the shape of the fleur-de-lis symbol. The surgeon makes two incisions: a standard horizontal incision from hip to hip, and a vertical incision up the center of the abdomen. This dual incision allows for more extensive skin removal compared to a traditional tummy tuck.

Why Choose an FDL Tummy Tuck?

The main advantage of an FDL tummy tuck is the ability to remove a greater amount of excess skin. This is crucial for patients who have lost a significant amount of weight and are dealing with skin laxity in both the upper and lower abdomen.

Anna, who opted for an FDL tummy tuck after losing a lot of weight, was initially concerned about the additional vertical scar. However, she ultimately decided that the benefits far outweighed the downside: “Initially, I was a little shocked by the idea of having an additional vertical incision, but I trusted my surgeon’s explanation and knew the FDL was the correct procedure for me.”

Scarring

One of the most important considerations for anyone thinking about an FDL tummy tuck is the scarring. Unlike a traditional tummy tuck, which leaves a horizontal scar that can often be hidden beneath underwear or swimwear, an FDL tummy tuck also leaves a vertical scar that runs up the middle of the abdomen. While these scars do fade over time, they are permanent.

For many, like Anna, the trade-off is worth it: “While a fleur-de-lis abdominoplasty does require more scars, she felt the dramatic effect it had on reshaping her body was well worth the additional incisions.”

Is It Right for You?

If you have a significant amount of loose skin resulting from major weight loss and are willing to accept the additional scarring, an FDL tummy tuck might be the best option for you. It offers a more comprehensive solution for skin removal, helping to restore a smoother, tighter abdominal contour.

Ready to dive deeper? Next, we’ll explore the procedure and techniques involved in an FDL tummy tuck.

Procedure and Techniques

Types of Abdominoplasty

There are several types of abdominoplasty (tummy tucks) to address different needs:

FDL vs. Traditional Tummy Tuck

Skin Laxity:
Traditional Tummy Tuck: Best for horizontal skin laxity.
FDL Tummy Tuck: Addresses both vertical and horizontal skin laxity, making it ideal for patients with extensive loose skin after significant weight loss.

Scar Placement:
Traditional Tummy Tuck: Leaves a horizontal scar along the bikini line.
FDL Tummy Tuck: Leaves both a horizontal and a vertical scar, resembling an inverted “T” or fleur-de-lis shape.

Muscle Repair:
Both procedures can include muscle tightening to address diastasis recti (separation of abdominal muscles), but the FDL tummy tuck offers a more extensive skin removal and contouring.

General Anaesthesia

Both FDL and traditional tummy tucks are performed under general anaesthesia. This ensures you are completely asleep and pain-free during the surgery.

Incisions

Skin Removal

Excess skin is meticulously removed. In an FDL tummy tuck, this includes both vertical and horizontal skin removal, providing a tighter and smoother abdominal contour.

Muscle Tightening

Both procedures can include tightening of the abdominal muscles, often necessary for patients with diastasis recti. This helps create a firmer and flatter abdominal profile.

Navel Repositioning

In both types of tummy tucks, the navel may be repositioned to ensure it sits naturally on the newly contoured abdomen.

Next, we’ll dive into the recovery and aftercare process to ensure you know what to expect post-surgery.

Recovery and Aftercare

Managing Scars

The recovery process after an FDL tummy tuck is crucial for achieving the best results. Managing pain, using drains, and following activity restrictions are all part of a successful recovery.

Pain Management
After surgery, pain is usually managed with prescribed medications. Anna, who shared her experience online, mentioned that her pain was manageable, and she was pleasantly surprised by how quickly she could move around.

Drains
Drains are often placed to remove excess fluids. These are typically removed a few days post-surgery, depending on your healing progress.

Activity Restrictions
For the first few weeks, avoid strenuous activities. Light walking is encouraged to promote blood circulation and prevent blood clots. You can gradually increase activity levels as advised by your surgeon.

Compression Garments
Wearing compression garments is essential. They help reduce swelling, support healing tissues, and contour your body to its new shape. Anna recommended the Lipoelastic KPlus binder, VH Variant garment, and KPad for their adjustability and comfort. These garments offer additional protection and support, making you feel more secure during your recovery.

Smoking Cessation
Quit smoking several months before your surgery. Smoking can interfere with the healing process, making scars more likely and more prominent.

Chronic Condition Management
Manage chronic conditions like diabetes to ensure faster healing and less scarring. Controlling your blood sugar levels can make a significant difference.

Vitamin A
Vitamin A can help reduce the appearance of scars, but consult your doctor before starting any supplements.

Topical Treatments
Using silicone gels, vitamin E, vitamin D, and cocoa butter can help minimize scars. These treatments keep the skin hydrated and promote healing.

Massage
Gentle massage around the scar area can improve blood flow and reduce scar tissue formation.

Sunlight Protection
Protect your incisions from sunlight as they heal. UV exposure can make scars darker and more noticeable.

By following these guidelines, you can maximize your recovery and minimize scarring.

Next, we’ll answer some frequently asked questions about the FDL tummy tuck to give you a better understanding of what to expect.

Frequently Asked Questions about FDL Tummy Tuck

Why Choose FDL Over Traditional Tummy Tuck?

An FDL tummy tuck is ideal for those who have lost a significant amount of weight and have excess skin both horizontally and vertically. Unlike a traditional tummy tuck, which only addresses horizontal excess skin, the FDL technique includes a vertical incision. This allows for the removal of more skin and can provide a tighter, more contoured appearance.

Case Study:
Anna, who lost a lot of weight in 2019, opted for an FDL tummy tuck because a standard abdominoplasty wouldn’t remove the loose skin from her upper abdomen. She was initially hesitant about the vertical scar but found the results life-changing.

How Long is the Recovery Period?

Recovery from an FDL tummy tuck can vary, but here’s a general timeline:

Tip:
Anna found days 5 and 6 particularly tough. She advises being mentally prepared for ups and downs during recovery.

How to Minimize Scarring After Surgery?

Quit Smoking:
Stop smoking several months before surgery. Smoking slows the healing process and increases the risk of scarring.

Manage Chronic Conditions:
Control conditions like diabetes, which can slow healing. Keeping your blood sugar in check can help reduce scarring.

Topical Treatments:
Use silicone gels, vitamin E, vitamin D, and cocoa butter to keep the skin hydrated and promote healing.

Massage:
Gentle massage around the scar area improves blood flow and reduces scar tissue formation.

Sunlight Protection:
Protect your incisions from sunlight. UV exposure can make scars darker and more noticeable.

Quote:
Anna says, “Try your best to not be discouraged by the recovery process. There will be ups and downs, but it’s worth it.”

By following these steps, you can enhance your recovery and minimize scarring.

Next, we’ll explore the transformative benefits of an FDL tummy tuck and personalized care at Widder Cosmetic and Plastic Surgery Center.

Conclusion

Choosing an FDL tummy tuck can be a life-changing decision. This procedure offers transformative benefits that go beyond just physical appearance. For many, it’s about reclaiming confidence and feeling comfortable in their own skin after significant weight loss.

Transformative Benefits:

Personalized Care:

At Widder Cosmetic and Plastic Surgery Center, we prioritize personalized care to ensure the best outcomes for our patients. Our board-certified surgeons take the time to understand your unique needs and goals. We tailor each treatment plan to provide the most effective and satisfying results.

During your consultation, we’ll discuss your medical history, current health, and aesthetic goals. This allows us to create a customized plan that’s right for you. Our team will guide you through every step of the process, from pre-surgery preparations to post-surgery recovery.

We understand that undergoing surgery can be daunting. That’s why we’re committed to providing compassionate and comprehensive care. Our goal is to make your journey as smooth and comfortable as possible.

Ready to take the next step? Contact us today to schedule your consultation and start your journey to a more confident you.

By choosing Widder Cosmetic and Plastic Surgery Center, you’re partnering with experts dedicated to helping you achieve the results you’ve always dreamed of. Let’s transform your body and boost your confidence together.