How is it performed?
In addition to the horizontal incision of a conventional tummy tuck, a vertical incision is made in the midline of the abdomen. This allows excess skin to be removed both from top to bottom and from the sides towards the centre. The abdominal muscles are repaired and the belly button is reshaped.
Who is it suitable for?
- People with extensive excess skin after major weight loss
- People with a stable weight
- Non-smokers or those able to stop smoking
Consultation and preparation
- At the first consultation, your expectations, medical history and current medications are discussed in detail.
- Blood tests and any other necessary examinations are carried out before surgery, and an anaesthetist's assessment is obtained.
- Blood thinners, certain herbal products and supplements may need to be stopped for a period beforehand on the physician's advice.
- Smoking impairs wound healing; a break of at least several weeks before and after surgery is recommended.
- Fasting times and your arrival time at the hospital are given to you in advance.
Recovery
A compression garment is usually worn for several weeks. Scars fade over time; return to strenuous activity is planned on the physician's advice.
Aftercare advice
- Take the prescribed medication and follow the dressing instructions as advised.
- Short walks in the early period support circulation; avoid heavy lifting and intense exercise until your physician approves.
- If recommended, wear the garment, bandage or compression clothing for the specified period.
- Protect the incision areas from direct sunlight during the first months.
- Attend your follow-up appointments regularly; contact us without delay if you develop fever, increasing pain, redness or discharge.
Possible risks and complications
- Bleeding and haematoma
- Seroma
- Wound healing problems
- Scarring
- Deep vein thrombosis
Frequently asked questions
When is the fleur-de-lis technique preferred?
It is mainly preferred after major weight loss, when there is significant excess skin in both the vertical and horizontal directions.
Is the vertical scar permanent?
Yes, a permanent scar remains in the midline. It fades over time, and this is discussed in detail before surgery.
Where is the surgery performed?
Operations are performed in licensed hospitals in Istanbul, primarily Liv Hospital Topkapı, with an anaesthetist present.
I am travelling from abroad. How long should I stay in Istanbul?
This depends on the type of surgery and your recovery. After the preliminary assessment, the recommended length of stay is given to you in writing.