Abdominoplasty options for post‑weight‑loss patients, including Fleur‑de‑Lis and combined breast surgery

Fleur‑de‑Lis abdominoplasty removes excess skin both vertically and horizontally, providing a durable result for patients who have undergone massive weight loss. The procedure does not prevent future fat storage or skin stretching, so sustained weight regain can compromise the outcome. Surgeons therefore prefer patients to have a stable weight before operating, especially after bariatric surgery or cessation of weight‑loss medications, which are known to lead to some degree of regain.

Combining a tummy tuck with breast surgery is common after pregnancy or major weight loss. A single anaesthetic, merged recovery period, and reduced overall cost are the main advantages. Various abdominal techniques are described—mini, standard, Fleur‑de‑Lis, and Open Book—and can be paired with breast lift, reduction or augmentation procedures, typically performed in a private Sydney hospital.