When it may be considered
- Marked central and horizontal skin excess after substantial weight loss
- Laxity that cannot be addressed adequately through a transverse excision alone
- Patients who understand and accept the additional vertical scar
Abdominoplasty ↗
Cosmetic surgery · Body contouring
Fleur-de-lys abdominoplasty
Vertical and horizontal tissue removal for significant laxity in more than one direction, often after major weight loss.
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Understanding the procedure
What does this operation involve?
A fleur-de-lys abdominoplasty combines a low transverse excision with a vertical central excision. This allows tightening across both the width and height of the abdomen when a horizontal-only approach would leave substantial central laxity. The improved contour comes with an additional vertical scar.
Your operation
- Carefully planned vertical and horizontal skin removal
- Reconstruction and positioning of the umbilicus within the new contour
- Muscle repair or selective liposuction may be included when appropriate
Recovery and aftercare
- The crossing scar requires attentive wound care and monitoring
- Swelling and tightness settle gradually over several weeks
- Activity is increased in stages, with longer-term scar maturation continuing for many months
Your consultation
Designed around your anatomy.
The distribution of skin and tissue excess, abdominal-wall strength, previous scars, weight change, general health and the outcome you hope to achieve are assessed together.
You will receive a clear explanation of the proposed scar, whether muscle repair or liposuction may be appropriate, material risks, alternatives and the expected recovery before deciding how to proceed.
Common questions
Useful information
01Why is a vertical scar necessary?+
It permits removal of side-to-side excess that a low horizontal excision cannot adequately correct.
02Is it only for post-bariatric patients?+
It is commonly used after major weight loss, but suitability depends on the pattern of tissue excess rather than the cause alone.
03Will the scar fade?+
Scars usually soften and mature over time but remain permanent. Individual scar behaviour varies and is discussed during consultation.
This information is general and does not replace an individual consultation. The most appropriate operation, scar pattern and recovery plan depend on your anatomy, health and personal circumstances. Results cannot be guaranteed.
Private consultations
Begin with a conversation.
Discuss your goals and receive an individual assessment with clear, considered advice.
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