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Sometimes the extra skin is significant in a vertical direction, but also, when the abdominal circumference needs to be reduced. This is easy to understand when a vertical scar exist in the midline of the abdomen. and this can be improved removing the old scar and get a better one with this option. Both measurements are important in order to obtain a good result.
Generally fleur de lis tummy tucks are an option after massive weight loss when there is excess skin hanging over the pubis and also upper abdomen skin excess requiring both a vertical and horizontal incision in an inverted T shape. It would be easier to help determine this with a photo. Good luck!
no one can tell you which operation to have without examining and consulting with you. There are several choices; a regular abdominoplasty, extended, circumferential and the fleur de lis that you are talking about. If you consulted with board certified plastic surgeons, all three of them should be able to perform each of these operations. There are advantages and disadvantages from each one. Each individual surgeon is going to tell you what in their own experience and in their own mind would be the better of the procedures for you and the reasons why. You need to ask them questions and then decide yourself which procedure is for you. You are not going to bet a better answer than the answer that you get from consultants you have seen.
Excellent question. All depends on how much excess skin you have and exactly where. If people have both horizontal and vertical excess The Fleur-de-Lis would be the best option to get the most contoured look.
This is usually reserved for patients who are massive weight loss patients
You can't know, as this is a surgical decision based on training, education, and experience. You might want to interview each surgeon to discuss, or even seek a 4th. Sorry for the confusion, this is a huge decision however.