Fleur De Lys
Body contouring surgery has been used to improve the appearance and functional problems of the excess abdominal-wall tissue following significant weight loss.
Fleur De Lys
Body contouring surgery has been used to improve the appearance and functional problems of the excess abdominal-wall tissue following significant weight loss. Traditional abdominoplasty allows the
surgeon to address the excess of skin and fat in only one plane, where the abdominal-wall tissue hangs from the waist, although post-operative lateral fullness can be a common problem. However, in many patients there has been such significant weight loss that there is excess tissue in the midline and laterally as well. The vertical midline component of the Fleur-de-Lys abdominoplasty addresses these excess tissues in the vertical plane as well as the pendulous abdominal panniculus.
It has been recognised for almost a century that there is a need for a vertical component to the abdominoplasty resection in some patients. In his treatise on the operative treatment of abdominal obesity Foged cited many authors who have sought to achieve correction of the vertical component of the abnormality.The term Fleur-de-Lys abdominoplasty was popularised by Dellon in 1985, although a similar procedure had been described prior to this by Castanares and Goethel in 1967.
The operation takes its name from the pattern generated when the first key stitch is placed to bring the skin flaps together following the resection.(Fig. 1) Fleur-de-Lys abdominoplasty has been used for selected patients in the senior author’s practice for 15 years and this study seeks to identify patient characteristics, operation details, complications and give advice for the management of this challenging group of patients.