Tummy Tuck
FDL Abdominoplasty
Fleur-de-Lis pattern abdominoplasty for patients with significant vertical and horizontal skin excess
Is it safe?
Your hospital holds the same JCI accreditation as Cleveland Clinic and Johns Hopkins. Verified by TEMOS for international patient safety.
Will the price change?
Your price is locked before you book. Surgery, hospital, hotel, transfers, aftercare — one number, no extras.
What if something goes wrong?
Mandatory insurance required by Turkish law. If a revision is needed — flights, hospital, surgeon — covered. You never pay twice.
Who's my surgeon?
Confirmed before you pay. Full credentials, specialisation, and patient results shared upfront. No last-minute switch.
What happens after I fly home?
24/7 WhatsApp with your coordinator. Scheduled video check-ups with your surgeon. 12 months, not 12 days.
Medical References
- [1]Plastic and Reconstructive Surgery (2023). Abdominoplasty combined with rectus diastasis repair improves core strength by 40% and reduces lower back pain in 73% of patients. doi:10.1097/PRS.0000000000010567
- [2]Aesthetic Surgery Journal (2024). Progressive tension suture technique in abdominoplasty reduces seroma rates from 15% to less than 2%, significantly improving recovery. doi:10.1093/asj/sjad345
What is FDL Abdominoplasty?
Fleur-de-Lis abdominoplasty is a specialised tummy tuck designed for patients who need both vertical and horizontal skin removal across the abdomen. The technique uses a T-shaped or inverted-T incision pattern to address significant skin excess in multiple directions, most commonly following major weight loss. MedProper performs this advanced procedure in a JCI and TEMOS-accredited Istanbul hospital with surgeons experienced in post-bariatric body contouring.
How Does FDL Abdominoplasty Work?
- 1Your surgeon assesses the degree of horizontal and vertical skin laxity and plans the Fleur-de-Lis incision pattern.
- 2Under general anaesthesia, a vertical incision from the lower chest to the pubic area is combined with a horizontal incision along the lower abdomen.
- 3Excess skin and fat are removed from both the vertical and horizontal planes, allowing comprehensive tightening.
- 4The underlying abdominal muscles are repaired and tightened if diastasis recti is present.
- 5The incisions are closed in layers, the navel is repositioned, and a compression garment is applied.
Who is a Good Candidate for FDL Abdominoplasty?
- Patients who have undergone significant weight loss (40+ kg) with excess skin in both the vertical and horizontal planes
- Individuals for whom a standard abdominoplasty would not adequately address the degree of skin laxity
- Post-bariatric surgery patients at a stable weight for at least six months
- Adults with realistic expectations regarding the additional vertical scar
- Non-smokers in good overall health
Why Choose FDL Abdominoplasty at MedProper?
Dual-Plane Skin Removal
The Fleur-de-Lis pattern removes excess skin both vertically and horizontally, achieving a level of tightening that a standard tummy tuck cannot provide.
Post-Bariatric Specialist Technique
This procedure is specifically designed for major weight-loss patients whose skin laxity extends in multiple directions.
Abdominal Muscle Repair
Diastasis recti can be corrected simultaneously, restoring core strength and a flatter abdominal profile.
Transformative Results
For patients with extensive skin excess, FDL abdominoplasty delivers the most dramatic improvement in abdominal contour and comfort.
What is the Recovery Timeline?
Days 1-3
Hospital Recovery
Moderate to significant swelling and discomfort. Drains may be placed to manage fluid. Compression garment worn 24/7. Bed rest with assisted walking.
Days 4-10
Home Recovery
Drains typically removed within the first week. Swelling begins to subside. Walking in a slightly bent posture is normal.
Weeks 2-4
Gradual Return
Light activities and desk work can resume around week two to three. Sutures checked and removed as needed.
Weeks 6-8
Increasing Activity
Core exercises are still restricted, but walking and light cardio can resume. The abdominal area continues to soften.
Months 3-12
Scar Maturation
Scars flatten and lighten over 6-12 months. The final abdominal contour stabilises as all swelling resolves.
Quick Facts
Duration
2.5-4 hours
Hospital Stay
1-2 nights
Recovery
2-3 weeks before desk work
Permanence
Long-lasting (maintain stable weight)
Anaesthesia
General anaesthesia
Results Visible
6-12 months for final result
Frequently Asked Questions
Yes. The Fleur-de-Lis technique requires a vertical midline scar in addition to the horizontal bikini-line scar. This trade-off is necessary to remove the full extent of excess skin. Scars fade significantly over time.
A standard abdominoplasty only has a horizontal incision and removes skin in one direction. FDL adds a vertical component to address skin laxity that wraps around the waist, common after massive weight loss.
You should be within 10-15 kg of your goal weight and weight-stable for at least six months. This ensures the best surgical outcome and minimises the risk of needing revision.
Yes. FDL abdominoplasty is often combined with a lower body lift, thigh lift, or arm lift as part of a staged post-bariatric body contouring plan.
Drains are commonly used for 5-7 days to prevent fluid accumulation under the extensive tissue flaps. Your surgical team will remove them during a follow-up visit.
Last medically reviewed: April 2026
Popular Combinations
Where Your Surgery Takes Place
A JCI & TEMOS-Accredited Hospital in Istanbul
Your procedure is performed at a 45,000 m² state-of-the-art hospital with 12 operating rooms, advanced surgical technology, and VIP patient suites. International accreditations ensure the highest standards of patient safety and care.
12 Operating Rooms
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