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Fleur-de-Lis abdominoplasty in Thailand

While similar to a traditional abdominoplasty in many ways, a fleur-de-lis abdominoplasty involves an additional vertical incision. This makes it appropriate for weight-loss patients with large amounts of excess skin.


Fleur-de-Lis abdominoplasty, also known as fleur-de-lis tummy tuck, is a cosmetic procedure performed with the aim of removing a large amount of excess skin from the abdomen. The surgeon will also remove some targeted fat and repair abdominal muscles during the procedure if this is needed, a with a standard tummy tuck.

The surgeon removes a panel of skin that’s shaped like the three petals of a fleur-de-lis (“flower of the lily). The top peak of this panel is near the breastbone, while the farthest peaks at the sides are around the hip bones.

After removing the panel of excess skin, the surgeon shapes the underlying fat and muscle as needed. The remaining skin is then pulled together for a shapely contour.

Are You a Good Candidate for Fleur-De-Lis Abdominoplasty?

The procedure is ideal for patients with large amounts of unwanted loose skin, usually as a result of significant weight loss – typically 50 kg or more. The fleur-de-lis surgery provides an effective method of horizontal skin tightening that may not be adequately addressed with a traditional tummy tuck.

You should also be in good general health and have maintained a steady weight for at least 6 months.



Fleur-de-lis abdominoplasty gets its name from the shape of the incision. The surgery is an inpatient procedure performed under general anesthesia.

Usually, the incision is placed just above the pubic region. The longer the scar the more tissue can be removed. The surgeon will discuss the length of your scar at your consultation. A vertical line is drawn down the middle of the abdomen and skin is removed on either side of this in a triangle. The skin is separated from the underlying tissue from the pubic region upwards.

The extent of dissection will vary from patient to patient. The abdominal wall is then tightened, and the belly button is relocated to a more favorable position. Excess fat and skin is trimmed and the incisions are closed with dissolvable stitches.

The total operation time is between 3-6 hours.

Before the Surgery

  • Read the pre-surgery instructions They will help prevent complications and improve outcomes for your surgery.
  • Plan to take 1-2 weeks off work and your usual activities.
  • Arrange someone to take you home after surgery and plan to have someone helping you at home for the first week.
  • Do not eat or drink anything after midnight on the day of your surgery.


  • You may experience some swelling and discomfort initially after surgery. These symptoms are normal and will subside after a few days.
  • You will usually be able to return home one day after surgery.
  • Take care to keep the wounds dry for a week.
  • You will need to wear a support garment for 4-6 weeks. This will aid recovery and help minimise swelling.
  • Light exercise may be resumed after 1 week.
  • You will need to return to the clinic for a check-up after one week.