Sign Up Now

What is a Fleur De Lis Abdominoplasty and Who Needs One?

By: Dr. Glenn Lyle

4/14/2025

Transforming Your Body with Fleur De Lis Abdominoplasty

“For many of my patients in Raleigh, NC, excess skin after major weight loss isn’t just a cosmetic concern—it’s a daily struggle. The Fleur De Lis abdominoplasty is designed to restore confidence and comfort.”

For individuals who have experienced significant weight loss, loose and excess skin can become a frustrating problem, both aesthetically and functionally. As a board-certified plastic surgeon in Raleigh, NC, I specialize in advanced body contouring procedures that help my patients regain confidence in their appearance. The Fleur De Lis abdominoplasty is a transformative solution that removes excess skin from both the vertical and horizontal planes, creating a smoother, more sculpted abdomen.

Understanding the Fleur De Lis Abdominoplasty

A Fleur De Lis abdominoplasty is an advanced version of a traditional tummy tuck. The unique incision pattern, which includes both a horizontal incision across the lower abdomen and a vertical incision along the midline, allows for more extensive skin removal and reshaping. This approach is especially beneficial for patients with extreme skin laxity, typically following massive weight loss.  

  • Why is it called Fleur De Lis? The incision pattern resembles the shape of the French fleur-de-lis symbol, reflecting the dual-plane skin removal approach. This allows for better tightening of the abdominal area compared to a standard abdominoplasty.  
  • Difference from a standard tummy tuck: Traditional abdominoplasty only removes excess skin in a horizontal plane, while the Fleur De Lis technique also addresses vertical laxity. This is particularly beneficial for patients with skin redundancy that extends both side-to-side and up-and-down.  
  • Who performs the procedure? Due to the complexity of this surgery, it should be performed by an experienced plastic surgeon specializing in body contouring, such as Dr. Glenn Lyle in Raleigh, NC.

Dr. Lyle’s insight: “This procedure is ideal for patients who have lost a significant amount of weight and are left with loose, hanging skin that affects both their appearance and quality of life.”

Who Needs a Fleur De Lis Abdominoplasty?

This procedure is best suited for:   

- Massive weight loss patients – Those who have lost a substantial amount of weight, often after bariatric surgery or significant lifestyle changes. This includes individuals who have shed 50 to 100 pounds or more, leaving behind excess skin that cannot retract naturally.   

- Individuals with severe skin laxity – Unlike a standard tummy tuck, this procedure addresses excess skin in multiple directions, making it ideal for those with vertical and horizontal skin folds.   

- Patients experiencing functional issues – Excess skin can lead to chronic skin irritation, rashes, and difficulty with movement. Many patients find daily activities, such as exercise or even fitting into clothes, challenging due to the large skin folds.   

- Healthy candidates with realistic expectations – Good overall health is essential for proper healing. Candidates should not smoke and should be at or near their goal weight before surgery.   

- Individuals seeking a dramatic transformation – This procedure is often the best option for those with extreme excess skin, offering the most dramatic improvements in contour and comfort.

-Patients with pre-exisiting midline scars from prior surgeries. In the past, bariatric surgeons used this approach but now things are done laparoscopically.

Dr. Lyle’s advice: “Many of my patients come to me after dramatic weight loss, excited about their transformation but frustrated by the remaining excess skin. This procedure can help complete their journey.”

The Benefits of a Fleur De Lis Abdominoplasty   

  • Dramatic skin removal: More comprehensive than a traditional tummy tuck, making it the preferred option for patients with significant excess skin in both vertical and horizontal planes.  
  • Enhanced body contouring: Creates a firmer, more defined abdominal profile by removing large amounts of excess skin and tightening underlying structures.  
  • Better clothing fit: Eliminates skin folds that interfere with clothing choices, allowing patients to wear form-fitting outfits without discomfort or self-consciousness.  
  • Improved self-confidence: Many patients report feeling more comfortable in their own skin post-surgery, often noting increased self-esteem and a renewed sense of body positivity.  
  • Relief from physical discomfort: Reduces chafing, skin irritation, and mobility issues caused by excess skin. Many patients also experience relief from lower back pain due to improved core strength and posture.  
  • Long-lasting results: With proper maintenance, including a healthy diet and regular exercise, the results can be permanent, allowing patients to enjoy a lifetime of improved confidence and comfort. 

 

The Procedure: What to Expect with Dr. Glenn Lyle

The Fleur De Lis abdominoplasty is performed under general anesthesia at Dr. Glenn Lyle’s practice in Raleigh, NC. The procedure takes 3 to 5 hours and involves:  

- Pre-surgical planning: Every patient receives a personalized assessment to determine the best surgical approach based on their anatomy, lifestyle, and goals.  

- Precise incisions: A horizontal incision along the lower abdomen and a vertical incision up the midline, allowing for maximum skin excision and improved contouring.  

- Skin removal and tightening: Large areas of excess skin are excised, and the remaining tissue is reshaped and repositioned for a smoother appearance.  

- Muscle repair (if needed): If abdominal muscles have weakened or separated (common after pregnancy or massive weight loss), they are sutured together to strengthen the core.  

- Meticulous closure technique: Sutures are placed strategically to minimize scarring and promote optimal healing. Advanced surgical techniques help ensure a more natural-looking outcome.

Dr. Lyle’s insight: “Every patient’s anatomy is different, which is why I take a highly personalized approach to ensure the best outcome.”

Recovery and Healing: What Patients Should Know 

  • First few days: Patients should expect swelling, bruising, and soreness, which are managed with prescribed pain medication and careful monitoring. 
  • Drains may be required: Some patients will have temporary surgical drains to reduce fluid buildup, which helps prevent complications such as seromas. 
  • Returning to daily activities:

- Light activity is encouraged after two weeks, but strenuous exercise should be avoided for at least six to eight weeks.

- Compression garments should be worn for several weeks to aid in contouring and reduce swelling.

- Full recovery typically takes a few months, with final results becoming visible as swelling subsides and the body adjusts to its new shape. 

  • Scar management: Proper post-operative care, including silicone sheets and scar creams, can help scars fade over time. 
  • Follow-up visits with Dr. Glenn Lyle: Regular check-ups are essential to ensure a smooth healing process and address any concerns.

Dr. Lyle’s encouragement: “Healing takes time, but the results are absolutely worth it. My patients tell me it’s life-changing.”

Before and after of Fleur De Lis abdominoplasty
Patient with Fleur De Lis Abdominoplasty Before and After Image

Is the Fleur De Lis Abdominoplasty Right for You?

If you’re struggling with excess skin that affects your confidence or comfort, a consultation with Dr. Glenn Lyle in Raleigh, NC can help determine if the Fleur De Lis abdominoplasty is the right choice for you. 

Things to consider before surgery:

- Commitment to the recovery process and necessary lifestyle changes.

- Maintaining a stable weight for long-term results and preventing future skin laxity.

- Understanding the scarring involved and how to minimize it through proper aftercare.

Dr. Lyle’s final note: “If excess skin is holding you back from fully enjoying your weight loss success, let’s talk about how we can change that.”

FAQs About Fleur De Lis Abdominoplasty

How is a Fleur De Lis abdominoplasty different from a traditional tummy tuck?

A traditional tummy tuck removes excess skin and tightens the abdominal area horizontally, whereas a Fleur De Lis abdominoplasty removes both vertical and horizontal excess skin, making it ideal for patients with extreme skin laxity.

What kind of scarring should I expect from this procedure?

Since this procedure involves a vertical incision in addition to the standard horizontal incision, patients will have an additional scar along the midline. However, with proper scar management and time, these scars fade significantly.

Is the Fleur De Lis abdominoplasty painful?

Like any major surgery, some discomfort is expected. Pain is managed with prescribed medications, and most patients find that discomfort significantly decreases within the first couple of weeks post-surgery.

How long does the recovery process take?

Initial recovery takes about two weeks, during which patients should avoid strenuous activities. Full recovery can take several months, with final results visible as swelling subsides.

Will I need to stay overnight in the hospital?

This depends on the extent of the surgery. Some patients may go home the same day, while others, especially those undergoing extensive body contouring, may require an overnight stay for monitoring.

Can I combine Fleur De Lis abdominoplasty with other procedures?

Yes! Many patients opt to combine this procedure with other body contouring surgeries, such as an arm lift, thigh lift, or breast surgery, to achieve their ideal shape in a single surgical session.

When can I return to work and normal activities?

Most patients can return to light work within two to three weeks, but jobs requiring heavy lifting or physical activity may require a longer recovery time. Strenuous exercises and core workouts should be avoided for at least six to eight weeks.

Medical References

Next Steps: Schedule a Consultation with Dr. Glenn Lyle

For more information or to book an appointment, visit the website today.


Dr. Glenn Lyle

About Dr Lyle - Plastic Surgeon in Raleigh NC 

Dr. Glenn Lyle is a board-certified plastic surgeon serving the Raleigh, NC community at Lyle Plastic Surgery & Aesthetics Center since 2002. With over 30 years of experience, he specializes in breast surgery and body contouring , including tummy tucks, to enhance patients' appearance after weight loss, pregnancy, and aging. 

Dr. Lyle completed his medical degree at Wayne State University School of Medicine, followed by a general surgery residency at the University of Massachusetts and a plastic surgery residency at the University of Texas Medical Branch. He is certified by the American Board of Plastic Surgery and is a member of both the American Society of Plastic Surgeons and the American Society of Aesthetic Plastic Surgeons. 

Throughout his career, Dr. Lyle has contributed to the field through research, publications, and presentations at national meetings. His practice emphasizes patient safety and personalized care to achieve natural results. 

Next Steps 

If you’re considering a breast augmentation in Raleigh, NC, and want personalized advice about your suitability, recovery, risks and results, I’d be happy to meet with you for a consultation. Let’s work together to help you achieve your best results—safely and beautifully. 

To book a consultation please fill in the contact form or phone the office.

* All information subject to change. Images may contain models. Individual results are not guaranteed and may vary.