A tummy tuck, or abdominoplasty, is a surgical procedure for women who have lost abdominal tone following a pregnancy or significant weight loss. The purpose of a tummy tuck is to remove excess fat and skin from the abdominal region, and restore abdominal strength in muscles that have weakened or separated. The outcome is a smooth and firm abdomen.
For some patients that have lost a significant amount of weight resulting in massive skin excess, removal of skin needs to take place not only in the vertical dimension, but also in the horizontal dimension, and this is the Fleur-De-Lis (or FDL) Abdominoplasty.
The namesake for the fleur de lis technique is taken from the shape drawn on the mid-section in preparation for abdominoplasty surgery, which resembles a fleur de lis symbol. This method is considered the most extensive tummy tuck procedure because it includes the removal of excess fat and loose skin from the lower abdomen, center abdomen, and around the ribs and pubic area. Ideally, this procedure is suited for trimming both vertical and horizontal excess skin on the abdominal wall.
Note that with all tummy tucks, the Fleur-De-Lis Abdominoplasty is not a weight loss surgery. It is designed for patients who have undergone significant weight loss and have maintained their weight for at least six months.