Fleur de Lis Abdominoplasty

A fleur de lis abdominoplasty removes loose abdominal skin in two directions. As well as the usual low horizontal cut of a tummy tuck, a vertical wedge is taken from the midline, so the abdomen is tightened from side to side as well as from top to bottom. The name comes from the lily-shaped pattern of skin removed.

It is the most effective way to deal with the large amount of loose skin left after massive weight loss. The trade-off is a permanent vertical scar from the breastbone to the pubic area that cannot be hidden by underwear.

What Fleur de Lis Abdominoplasty involves

Markings are made standing, with the surgeon pinching the skin to judge how much can safely be removed in each direction. The horizontal cut is made low across the abdomen and the vertical wedge is marked up to the lower chest. Unlike a standard tummy tuck, the skin is lifted very little beyond the area to be removed, to protect the blood supply to the remaining flaps. The muscles are tightened in the midline and any hernia is repaired. The navel is kept on its stalk and set into the vertical closure. The three flaps meet in an inverted T below the navel, which is closed in layers over drains.

Who is a good candidate for Fleur de Lis Abdominoplasty?

It is designed for people who have lost a great deal of weight, usually after bariatric surgery or sustained dieting.

• Loose skin above the navel and across the waist as well as a lower overhang
• Weight loss of roughly 30 kilograms or more, stable for 6 to 12 months
• An existing midline scar from open surgery, which is removed within the wedge
• Body mass index ideally under 30 to 32
• Acceptance of a visible vertical scar in exchange for better shape

Es ist normalerweise nicht die richtige Wahl, wenn:

• Laxity mainly below the navel after pregnancy, where a standard tummy tuck is enough
• People still losing weight or planning pregnancy
• Active smokers, as the T-junction heals badly with nicotine
• Poor nutrition after bariatric surgery: low protein, iron or vitamins must be corrected first
• Those for whom a midline scar is unacceptable

Technikoptionen

• Classic fleur de lis: Vertical and horizontal excision with muscle repair. The standard after massive weight loss.
• Corset or extended variants: The horizontal limb continues to the flanks, or extra transverse excision is added under the breasts, for very extensive laxity.
• Combination with lower body lift: Staged or combined when the buttocks and outer thighs also sag.
• Limited undermining technique: Tissue is left attached outside the wedge to preserve blood vessels and lower the wound complication rate.

Was passiert während Ihrer Behandlung

Surgery takes 3 to 5 hours under general anaesthetic, with 2 to 4 nights in hospital. You wake with drains, a binder and your hips flexed. Blood thinning injections, calf pumps and walking within hours are routine, because clot risk is higher in this patient group.

Vorbereitung auf Ihre Reise

Plan for 14 to 16 days in Istanbul. Your surgeon reviews photographs and your medical history before you book, and you meet in person the day before surgery for examination, marking and consent with a professional interpreter.

• Stoppen Sie das Rauchen und Nikotin mindestens vier Wochen vor und nach der Operation; es ist die größte vermeidbare Ursache von Wundproblemen
• Erzählen Sie dem Team von allen Medikamenten und Ergänzungen, die Sie einnehmen; Blutverdünner, einige Kräuterprodukte und Hormonbehandlungen müssen möglicherweise auf Anraten Ihres Arztes unterbrochen werden
• Vereinbaren Sie, dass jemand mit Ihnen reist oder erreichbar ist, und halten Sie die ersten Tage zu Hause frei von Arbeit und Heben
• Buchen Sie einen veränderlichen Rückflug; Ihr Chirurg bestätigt, wenn Sie fit sind

Genesung und Ergebnisse

Drains stay for 3 to 10 days. Most people need 3 to 4 weeks off work and 6 to 8 weeks before lifting or exercise. A compression garment is worn for about 6 weeks. Small wound openings at the point where the scars meet are common and usually heal with dressings over a few weeks. Scars remain red for up to a year and then fade, but never disappear.

• Zurück zur alltäglichen Aktivität: 3 bis 4 Wochen
• When results show: Shape clear at 6 to 8 weeks; scars mature over 12 to 18 months
• Wie lange sie dauern: Langlebig mit stabilem Gewicht

Sicherheit, Risiken und Revisionspolitik

Complication rates are higher than for a standard tummy tuck, mainly minor wound problems; around 1 in 3 patients has some healing delay.

• Delayed healing or wound breakdown at the T-junction
• Seroma needing needle drainage
• Skin flap necrosis, especially in smokers and people with diabetes
• Infection needing antibiotics or wound care
• Tiefe Venenthrombose oder Lungenembolie
• Wide, raised or tethered scars, including the vertical scar
• Residual looseness at the sides or a need for scar revision
• Bleeding needing transfusion or return to theatre, more likely with low iron stores

Jeder schriftliche Vorschlag wird durch Clinic-Y gibt an, was die Klinik abdeckt, wenn eine Korrektur erforderlich ist. Fragen Sie danach, bevor Sie buchen, nicht danach.

Cost of Fleur de Lis Abdominoplasty in Türkiye

Clinic-Y does not publish a single price for Fleur de Lis Abdominoplasty, because the honest figure depends on your case. What moves it:

• Operating time and the extent of skin removed
• Hospital nights and blood tests to check nutrition
• Hernia repair or combination with other body contouring
• Dressings and extra visits if wound healing is slow
• Compression garments and clot prevention medicine

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