![]() ![]() These findings must be balanced against a potentially longer operation. A fleur-de-lis procedure also includes a vertical incision that goes from the sternum until the pubic area, creating a shape similar. ![]() During a traditional tummy tuck, your surgeon will make a horizontal incision from hip bone to hip bone. Fleur-de-lis potentially creates a better symptom correction and cosmetic outcome by resecting maximal skin in both vertical and horizontal directions. The main difference between a traditional tummy tuck and fleur-de-lis tummy tuck is how incisions are made. Our experience with primarily fleur-de-lis panniculectomies shows a complication rate lower than most published data. There is limited undermining of tissue which minimizes/eliminates skin necrosis. There are many benefits of fleur-de-lis over traditional panniculectomy, even for medical necessity cases. Patients with BMI <30 had 10 complications compared with patients with BMI ≥30 had 15 complications. Extended abdominoplasty or Fluer-De-Lis Addresses the excess skin and fat above the belly button often a result of massive weight loss. Addresses the fat or fullness of the upper abdomen with liposuction that a standard tummy tuck will not address. Six males (40%) had more complications compared with 18 females (15.7%) (P = 0.034). Lipo-abdominoplasty This procedure combines the benefits of an abdominoplasty with liposuction. Twenty-two patients (17%) had complications, with 5 in the traditional group (17%) and 17 in the fleur-de-lis group (17%) (P = 1.0). Fifty-seven patients had additional procedures performed at the time of panniculectomy. Mean weight loss from bariatric surgery to panniculectomy was 58.2 kg, with an average body mass index (BMI) of 30. This is a retrospective chart review of 130 consecutive postbariatric surgery patients who had panniculectomy over a 2-year period at our institution.Ī total of 30 patients underwent a traditional panniculectomy and 100 patients had a fleur-de-lis panniculectomy. In these patients, many surgeons avoid the fleur-de-lis panniculectomy, despite the body contour aesthetic advantage, because of increased time, more scarring, and a perceived increase in complications. It may be also fraught with complications due to large incisions and potential for dead-space. Panniculectomy for symptomatic relief of rashes is commonly performed, but an isolated infraumbilical amputation-type panniculectomy is a highly unaesthetic procedure, leaving many patients deeply dissatisfied. Plastic surgeons are faced with increasing numbers of patients presenting for insurance-covered skin excision procedures following bariatric surgery. ![]()
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