After significant weight loss, loose skin rarely follows a single pattern. In my practice, patients who have experienced significant weight loss, whether through bariatric surgery, medication assisted weight loss, or lifestyle change, often present with extensive excess skin that runs in more than one direction. Skin hangs vertically at the
A fleur de lis abdominoplasty is a tummy tuck (abdominoplasty) that removes excess skin in both vertical and horizontal directions. A standard abdominoplasty uses a horizontal incision low across the abdomen to remove skin that hangs downward. The fleur de lis adds a vertical incision up the midline, which allows
Losing a large amount of weight is a real achievement. Whether you reached your goal through bariatric surgery, weight loss medications, or sustained changes to diet and exercise, the effort involved is considerable. Many of the patients I see in my practice have lost 30, 50, or more than 70
Why loose skin develops on the abdomen and back after weight loss When you lose a large amount of weight, the skin that was stretched over your abdomen and back for years often does not shrink back to fit your new shape. The skin has lost some of its elasticity
Most people picture an abdominoplasty (tummy tuck) as a single horizontal incision running from one hip to the other. After major weight loss, one direction is sometimes not enough. When loose skin hangs both up and down and side to side, a hip-to-hip incision on its own cannot take up
Many people who have experienced significant weight loss are left with loose or excess skin and stretched soft tissue around the midsection. Skin folds in these areas can cause ongoing skin irritation. A question I often hear in my clinic is whether a belt lipectomy (body lift) or an abdominoplasty
As a Specialist Surgeon working with post weight loss patients, I perform Fleur de Lis abdominoplasty (tummy tuck) for people who have had significant weight loss and are left with loose skin across the lower and upper abdomen, side to side as well as up and down. The vertical and
After major weight loss, the abdomen often carries loose skin in two directions. There is vertical skin laxity below the belly button. There is also horizontal skin laxity across the upper abdomen. This pattern shows up after bariatric surgery, after sustained weight loss on GLP-1 medications, and after long-term lifestyle
Abdominoplasty (tummy tuck) surgery after major weight loss is more variable than post‑pregnancy abdominoplasty. In patients following significant or massive weight loss, the primary issue is excess skin rather than muscle tightening. After substantial weight loss, reduced skin elasticity and stretched abdominal skin mean the tummy tuck (abdominoplasty) is primarily
Patients who have experienced significant or massive weight loss often have different concerns when considering abdominoplasty (tummy tuck) surgery. One of the most common questions is how long they may need to remain in the hospital after surgery, particularly as post-weight-loss procedures are often more extensive than standard cosmetic abdominal