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Fleur de Lis Tummy Tuck: A Comprehensive Guide for Body Transformation

One such procedure that has gained popularity over the years due to its transformative results is the Fleur de Lis Tummy Tuck, or Fleur de Lis Abdominoplasty or Extended Tummy Tuck.
This guide will help you understand what it is, the advantages it has over traditional tummy tuck, who makes a suitable candidate, and what to expect during the recovery period, including cost considerations.

What is a Fleur de Lis Tummy Tuck?

A Fleur de Lis Tummy Tuck, named after the French term for ‘Lily flower,’ is a surgical procedure designed to remove excess skin and fat from the middle and lower abdomen. This advanced form of abdominoplasty is distinct due to its unique inverted ‘T’ incision, made vertically from the lower abdomen to the breast bone and horizontally across the lower abdomen.

This technique allows for effective correction of both horizontal and vertical abdominal laxity, often resulting in a more desirable body contour.

Goal of a Fleur-de-lis Abdominoplasty

The primary goal of a Fleur-de-lis Abdominoplasty is to give the patient a flatter and firmer abdominal profile by removing excess fat and skin from the mid and lower abdomen. This procedure also tightens the weakened or separated abdominal muscles to restore a smoother and firmer abdominal profile, leading to a more sculpted, hourglass body contour.

Who is a Good Candidate for a Fleur de Lis Tummy Tuck?

Fleur de Lis Tummy Tuck is typically recommended for individuals who have significant skin excess or laxity in both the vertical (up and down) and horizontal (side to side) dimensions, often seen in patients after significant weight loss or multiple pregnancies. It’s also beneficial for those who have had unsuccessful results with traditional tummy tuck methods.
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Who Is It Not Suitable For?

Although Fleur de Lis Tummy Tuck can deliver significant aesthetic improvements, it might not be suitable for individuals planning significant weight loss in the future, planning for pregnancy, or those with certain medical conditions that may increase surgical risks.

Fleur de Lis Abdominoplasty vs. Traditional Methods

The Fleur de Lis Tummy Tuck differs from traditional methods mainly in the incision pattern, the amount of skin and tissue removal, and the resulting scar pattern.

Traditional tummy tucks usually involve a horizontal incision across the lower abdomen, while the Fleur de Lis includes an additional vertical incision. This method enables greater removal of excess skin, resulting in a more dramatic transformation, especially in patients with significant skin laxity.

What are the Pros and Cons of the Fleur de Lis Tummy Tuck?

Like any surgical procedure, the Fleur de Lis Tummy Tuck has its pros and cons. On the positive side, it allows for a more significant removal of excess skin and fat, leading to a dramatic improvement in body contour. It also tightens the abdominal muscles more effectively, leading to a flatter stomach.

On the downside, this technique leaves a more visible scar due to the vertical incision, which may be a concern for some individuals. However, the benefits often outweigh the drawbacks for patients dealing with substantial excess skin.

Advantages of Fleur de Lis Tummy Tuck

  • Significant Skin Tightening: A Fleur de Lis tummy tuck provides excellent skin tightening both horizontally and vertically, which is especially beneficial for patients who have lost significant weight.
  • Improved Body Contour: By removing the excess skin and fat and tightening the abdominal muscles, this procedure can provide a more streamlined, smooth, and toned body contour.
  • Better Fitting Clothes: After a Fleur de Lis tummy tuck, patients often find that clothes fit better, enhancing their self-confidence and body image.
  • Addresses Severe Sagging: This procedure is especially designed for those who have severe skin sagging and overhang. It can provide a dramatic transformation for such individuals.
  • Can Correct Diastasis Recti: A Fleur de Lis tummy tuck, like a traditional tummy tuck, can repair diastasis recti — a condition where the left and right abdominal muscles separate, often as a result of pregnancy or substantial weight gain.
  • May Improve Physical Comfort: By removing extra skin that can cause chafing and discomfort, the procedure can lead to increased comfort during physical activity.
  • Long-lasting Results: Provided patients maintain a stable weight after surgery, the results of a Fleur de Lis tummy tuck can be long-lasting.
  • Boosts Self-esteem: The dramatic improvement in appearance can lead to increased self-esteem and improved quality of life.

Remember, it’s important to have a thorough discussion with your plastic surgeon to understand the expected benefits and potential risks associated with a Fleur de Lis tummy tuck.

Disadvantages of Fleur de Lis Tummy Tuck

  • More Extensive Scarring: The primary disadvantage of a Fleur de Lis tummy tuck is the more noticeable scarring. Besides the horizontal incision made in a traditional tummy tuck, this procedure involves a vertical midline incision as well. While these scars do fade over time, they are permanent and more extensive than those of a standard tummy tuck.
  • Longer Recovery Time: Due to the extensive nature of this procedure, recovery times can be longer than those of traditional tummy tucks. Patients may need more downtime and may experience more discomfort during the healing process.
  • Risk of Complications: Like any surgical procedure, the Fleur de Lis tummy tuck carries the risk of complications, such as infection, blood clots, and poor wound healing. The larger incision may also lead to an increased risk of seromas or hematomas.
  • Higher Cost: This procedure is usually more costly than a standard tummy tuck due to its complexity.
  • Potential Need for Additional Procedures: In some cases, the Fleur de Lis tummy tuck may not be able to entirely address all areas of concern, leading to the need for additional procedures.
  • Change in Belly Button Appearance: The placement of the vertical incision can change the position and appearance of the belly button. In some cases, a new belly button might need to be created, which can result in a less natural look.

It’s critical to discuss these potential downsides with your plastic surgeon in detail so you can make an informed decision about whether a Fleur de Lis tummy tuck is the right choice for you.

What To Expect During Your Consultation?

Your consultation is a valuable opportunity to discuss your concerns and aesthetic goals. During this session, we will evaluate your health status, discuss the procedure and its risks, and recommend the best treatment plan tailored to your specific needs.

Preparing For Fleur De Lis Abdominoplasty Surgery

The preparation for a Fleur de Lis Tummy Tuck involves following a healthy lifestyle, avoiding smoking, and taking specific medications to reduce the risk of complications. I will provide detailed instructions about pre-surgery preparations, including diet and medication guidelines, during our consultation.

Fleur de Lis Tummy Tuck Procedure

The Fleur de Lis Tummy Tuck procedure typically involves general anesthesia. I will make an inverted T-shaped incision across the lower abdomen and up to the breastbone, remove excess skin and fat, and tighten the abdominal muscles. Afterward, the skin is pulled together and sutured, and dressings applied to the incisions.

What Should I Expect With Fleur De Lis Abdominoplasty Recovery?

Recovery timelines vary for each patient due to individual factors such as overall health, age, and the extent of the procedure. However, a typical recovery timeline after a Fleur de Lis tummy tuck might look something like this:

  • First Few Days Post-Surgery: Patients will experience discomfort and swelling, and drains will likely be in place to manage fluid accumulation. Movement will be limited, and you’ll need assistance with everyday tasks.
  • First Week Post-Surgery: The surgeon will likely remove the drains. You’ll need to wear a compression garment to support the healing tissues and minimize swelling. Bruising will peak around this time.
  • 2-3 Weeks Post-Surgery: Most patients can return to non-strenuous work, although physical activity should still be limited. Swelling and bruising will start to subside.
  • 4-6 Weeks Post-Surgery: You may be able to return to most of your normal activities, including some forms of light exercise. However, heavy lifting or any strenuous activity should still be avoided.
  • 8-12 Weeks Post-Surgery: By now, most major swelling should have diminished. You’ll start to see the more permanent results of your surgery, although minor swelling can persist for several months.
  • 3-6 Months Post-Surgery: You may gradually return to strenuous activity and exercises with your surgeon’s approval. The incision scars will begin to fade, although they will not disappear completely.
  • 1 Year Post-Surgery: Your body should be fully healed from the surgery, and the final results will be apparent. Scars will have lightened considerably but will continue to fade over the next year or two.

Remember, this is a general guide, and your personal recovery timeline may differ. Always follow your surgeon’s specific post-operative instructions to ensure a smooth and healthy recovery.

Fleur de Lis Tummy Tuck Before and After Pictures

We encourage our patients to view before and after pictures of Fleur de Lis Tummy Tuck procedures to have a realistic expectation of the results. These pictures demonstrate the transformative results achieved, from removing excess skin and fat to achieving a firmer and flatter abdominal profile.

How Much Does a Fleur de Lis Tummy Tuck Cost?

The cost of a Fleur de Lis Tummy Tuck can vary depending on various factors, including the complexity of the procedure, anesthesia fees, and surgeon’s expertise. On average, it may range between $8,000 and $15,000.

How Much Does a Fleur de Lis Tummy Tuck Cost in Turkey?

In Turkey, a popular destination for aesthetic procedures, the cost of a Fleur de Lis Tummy Tuck can range from $3,000 to $6,000, including hospitalization and post-op care. However, it’s essential to consider the surgeon’s expertise, hospital facilities, and post-operative care when comparing costs.

Is Turkey good and safe for plastic surgery?

Turkey has become a popular destination for plastic surgery, attracting hundreds of thousands of international patients each year. The combination of highly skilled surgeons, state-of-the-art facilities, competitive prices, and a high standard of care contribute to this appeal.

However, safety should always be the primary concern when considering any medical procedure, especially those performed overseas.

Here are a few factors that make Turkey a safe choice for plastic surgery:

  • Highly Trained Surgeons: Many Turkish plastic surgeons have trained in the United States or Europe and are members of international professional organizations like the International Society of Aesthetic Plastic Surgery (ISAPS). This means they have met stringent standards of training and experience.
  • Accredited Facilities: Turkey has a large number of JCI (Joint Commission International) accredited hospitals, which is a globally recognized symbol of quality and safety in healthcare. These hospitals are equipped with the latest technology and follow international standards of hygiene and care.
  • Government Regulations: The Turkish Ministry of Health has strict regulations in place for plastic surgery clinics, ensuring they meet certain standards of care and safety.
  • Patient Reviews and Testimonials: Many patients from all over the world share their positive experiences and satisfaction with the outcomes of their surgeries in Turkey.
  • All-Inclusive Packages: Many Turkish clinics offer comprehensive packages that include the procedure, accommodation, transfers, and aftercare, providing a seamless and stress-free experience for international patients.

It’s important to note that, as with any surgery, plastic surgery carries risks. Not every practitioner and facility in Turkey will meet the same high standards, and it’s essential for patients to do thorough research, read reviews, and check the credentials of both the clinics and surgeons.

Moreover, communication is key. It is crucial that you can communicate effectively with your medical team and that they can provide thorough aftercare, especially if you are traveling back home soon after the procedure. You should also discuss with your local healthcare provider before traveling and plan for follow-up care at home.

Risks and Complications

Like any surgery, a Fleur de Lis Tummy Tuck has potential risks, including infection, bleeding, poor wound healing, changes in skin sensation, and anesthesia risks. However, choosing an experienced plastic surgeon can significantly minimize these risks.

  • Anesthetic Risks: These can include allergic reactions and problems with breathing.
  • Bleeding (Hematoma): Although rare, you may experience bleeding during or after surgery, which might require another surgical procedure to control it or to remove accumulated blood.
  • Infection: All surgeries carry a risk of infection. Your surgeon will likely prescribe antibiotics to mitigate this risk.
  • Poor Wound Healing: Some areas along the wound may heal poorly or begin to separate, requiring further treatment.
  • Fluid Accumulation (Seroma): Fluid may accumulate under the skin after surgery, often requiring drainage.
  • Changes in Skin Sensation: You may experience temporary or permanent changes in skin sensation, such as numbness or tingling.
  • Scarring: A Fleur de Lis tummy tuck will leave a vertical and horizontal scar that fades over time but never completely disappears.
  • Skin Discoloration and Prolonged Swelling: These may occur and could be permanent.
  • Skin or Fat Necrosis: In rare cases, fatty tissue deep within the skin might die. This may cause wound healing delays, require further surgery, or cause scarring.
  • Unsatisfactory Results: These could include asymmetry, unsatisfactory surgical scar location or unfavorable cosmetic outcome, which may require additional procedures.
  • Deep Vein Thrombosis and Pulmonary Complications: The formation of blood clots in the legs, which can dislodge and move to the lungs, can cause serious life-threatening complications.
  • Persistent Pain: Some people may experience long-term pain after surgery.

Please note that this is not an exhaustive list. Your surgeon should discuss these potential risks with you during your consultation. It’s essential to understand that while these complications are possible, they are relatively rare, especially when the procedure is performed by a board-certified, experienced surgeon.

Which Procedures Can Be Combined with a Fleur de Lis Tummy Tuck?

Often, patients opt to combine a Fleur de Lis Tummy Tuck with other body contouring procedures, such as liposuction, breast lift, or thigh lift, to achieve a more harmonious body contour.


How Long Does a Fleur de Lis Tummy Tuck Take?

The procedure typically takes 2-5 hours, depending on the extent of correction required.

Is a Fleur de Lis Tummy Tuck Worth It?

Yes, for patients with significant excess skin and fat, the transformation can be life-changing, improving both their appearance and confidence.
Will I Have a Drain After Surgery? If So, Why and How Long Will It Be in?
Yes, drains are typically used to prevent fluid accumulation. They are usually removed within 1-2 weeks.

When Can I Shower?

You can shower 48 hours after the surgery or as directed by your surgeon.

When Can I Drive?

You can typically resume driving once you have stopped taking pain medications, and you feel comfortable enough to control the vehicle, usually about 2 weeks post-surgery.

When Can I Go Back to Work?

The timing varies based on the type of work you do, but most patients can return to desk jobs within 2-3 weeks.

Why Choose a Fleur de Lis in a Tummy Tuck?

A Fleur de Lis Tummy Tuck provides superior contouring results for patients with significant vertical and horizontal skin excess.

How Painful is Fleur de Lis Tummy Tuck?

You will be under anesthesia during the procedure, so you won’t feel pain. Postoperatively, any discomfort can be managed effectively with prescribed pain medications.

Can You Get Big Again After a Tummy Tuck?

While a tummy tuck removes excess skin and fat, it doesn’t prevent future weight gain. Maintaining a stable weight through healthy lifestyle choices is crucial for long-lasting results.

Do You Still Have Love Handles After Tummy Tuck?

A tummy tuck primarily addresses the abdominal area. If love handles are a concern, liposuction can be combined with a tummy tuck to address these areas.

How Many Sizes Do You Lose with a Tummy Tuck?

While it varies by individual, many patients report dropping 2-3 dress sizes after a tummy tuck.

Why Can’t You Wear Jeans After a Tummy Tuck?

Tight clothing can irritate the incision sites and interfere with the healing process. It’s best to wear loose, comfortable clothing for several weeks post-surgery.

Do Breasts Look Bigger After Tummy Tuck?

A flatter abdomen can make the breasts appear more prominent, but a tummy tuck doesn’t directly affect breast size.

What is the Ideal Weight for a Tummy Tuck?

It’s best to be at a stable weight close to your ideal weight before undergoing a tummy tuck. This leads to the best results and minimizes the risk of postoperative complications.

In conclusion

The Fleur de Lis tummy tuck is a transformative procedure that can significantly improve your body contours, especially after significant weight loss or changes due to aging or pregnancy. While it does come with its share of pros and cons, the benefits of enhanced self-esteem and comfort in your own skin often outweigh the potential drawbacks for many individuals.

That said, it’s crucial to remember that this surgery is not a one-size-fits-all solution. Each individual is unique, and your suitability for this procedure, as well as the expected outcomes, depend on several factors including your health status, body type, and personal goals. It’s also essential to be aware of the potential risks and complications and to weigh them against the potential benefits.

The decision to undergo a Fleur de Lis tummy tuck is a significant one, and having a consultation with a skilled and experienced plastic surgeon is the first step in this journey. If you’re considering this procedure, we’re here to help. Our team of dedicated professionals is ready to answer all your questions, guide you through the process, and help you make the best decision for your individual needs.

Don’t hesitate to contact us to book your consultation today. Let us help you move closer to the body you desire and deserve.

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Prof. Dr. Ethem Güneren
Plastic Reconstructive and Aesthetic Surgery

Prof. Dr. Ethem Güneren graduated from Istanbul University’s Faculty of Medicine in 1987. In 2003, he became one of the first Turkish surgeons to become a member of the European Board of Plastic Surgeons (EBOPRAS). More recently, in 2017, Dr. Güneren also joined the American Association of Plastic Surgeons. With more than 25 years of experienced, he is one of the most widely recognized and certified surgeons in the country.

Read More


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