Fleur-de-lis abdominoplasty in Wrocław
A fleur-de-lis abdominoplasty is an extended tummy tuck in which excess skin is removed both horizontally and vertically, leaving an inverted-T scar. It is used after very large weight loss, when a standard abdominoplasty would not remove the excess skin in the midline and upper abdomen. At Luna Clinic in Wrocław the operation is performed by Dr Aleksandra Łuniewska.
A fleur-de-lis abdominoplasty is an extended tummy tuck in which excess skin is removed both horizontally and vertically, leaving an inverted-T scar. It is used after very large weight loss, when a standard abdominoplasty would not remove the excess skin in the midline and upper abdomen. At Luna Clinic in Wrocław the operation is performed by Dr Aleksandra Łuniewska.
Fleur-de-lis abdominoplasty - what does the procedure involve?
The operation is performed under general anaesthesia and usually takes 3-4 hours.
The surgeon makes a horizontal incision in the lower abdomen and an additional vertical incision from the sternum to the pubic symphysis.
Excess skin is removed in both directions, the rectus abdominis muscles are sutured, and the navel is moved to an anatomical position.
Drains and a compression dressing are applied. Based on how the patient is recovering, the surgeon decides when it is time to go home.
The fleur-de-lis technique allows maximum narrowing of the waist and tightening of the abdominal wall also in the transverse dimension - at the cost of an additional vertical scar in the midline of the abdomen. In bariatric patients this “skin for a scar” trade-off gives a decidedly better body contour.
Indications for the procedure
Whether the procedure is advisable for you is ultimately decided by the doctor during the consultation.
- Significant excess skin after massive weight reduction (>40-50 kg)
- Sagging of tissues in the vertical and horizontal axis
- Extensive separation of the rectus abdominis muscles
- Deformation of the torso contour with skin folds on the midline side
- Hygiene difficulties, chafing, recurrent inflammation in the skin folds
- A lack of results after a classic abdominoplasty
Contraindications
How to prepare for the procedure?
The procedure is always preceded by a qualification consultation with a plastic surgeon - we discuss expectations, examine the area to be operated on and establish an individual treatment plan. As standard, we order a full set of tests (blood count, coagulation, electrolytes, ECG for general anaesthesia) and, if necessary, additional specialist consultations.
- Laboratory tests
- Anaesthesiological consultation
- Stopping medications that affect coagulation
- No smoking or alcohol for a minimum of 14 days
- On the day of the procedure the abdomen should be washed, without lotions or cosmetic products.
The fleur-de-lis abdominoplasty procedure step by step
Recovery and post-procedure recommendations
- A bent (V) position for 2 weeks, limited physical activity
- Mandatory wearing of a compression band for a minimum of 6-8 weeks
- No lifting, intense exercise or sun exposure for a minimum of 6 weeks
- Scar massage and the use of products supporting healing after about 4 weeks
- Check-ups after 7-10 days, then after 1, 3, 6 and 12 months
- The option of choosing compression underwear at the clinic after healing
Treatment effects
The result of fleur-de-lis abdominoplasty is a radical reduction of excess skin, a flat abdomen and a clearly narrowed waist - a result unattainable with the classic technique in patients after massive weight reduction. The scars (horizontal and vertical) mature and fade over 6-12 months.
The procedure achieves an aesthetic, taut and flat abdomen. The waistline becomes clearer, and the muscle separation is closed.
The effect is permanent, provided the patient maintains a stable weight and is not planning another pregnancy.
The scar is made low - below the underwear line - and over time becomes thin and light.
Possible complications and risks
Like any surgical procedure, this one also carries a certain risk. It is reduced by careful qualification before the procedure and by following the aftercare recommendations. Possible complications include:
- Haematoma, infection, necrosis of the wound edges
- Asymmetry or deformation of the navel
- Long-lasting swelling, sensory disturbances
- Seroma, venous thrombosis - thromboprophylaxis is used to prevent it
- A hypertrophic scar or one difficult to hide in the midline (the choice of incision technique is crucial)
Frequently asked questions
Who is this procedure for?
For people with a large excess of skin - mainly after massive weight loss or bariatric treatment.
How does it differ from a classic tummy tuck?
The additional vertical incision allows removal of excess skin in the vertical axis - impossible to achieve with a classic abdominoplasty.
Is the scar very visible?
The inverted-T-shaped scar is larger than in the classic operation but necessary to achieve the correct result.
How long does recovery take?
To office work usually after 3-4 weeks. To full physical activity - after 6-8 weeks.
Can the procedure be combined with thigh or breast surgery?
Sometimes yes - but we most often recommend a staged approach.
When will I see the result?
The first effects are visible after a few weeks. For the final result you have to wait 3-6 months.
Is the muscle separation sutured?
Yes - during the procedure we suture the linea alba if diastasis recti is present.
Does the procedure hurt?
Post-operative pain is effectively controlled with medication.
Is the effect permanent?
Yes - with a stable body weight maintained.
Can this procedure improve my posture?
Yes - suturing the muscles can improve torso stabilisation and posture.
Is the vertical scar after fleur-de-lis very visible?
Initially yes, but with proper care it fades within a year. Patients after major weight loss almost always regard this trade-off as beneficial relative to the removal of skin folds.
When is fleur-de-lis chosen instead of a classic tummy tuck?
When the excess skin occurs not only in the vertical axis (a suprapubic fold) but also the transverse one - usually after losing several dozen kilograms.
Fleur-de-lis abdominoplasty in Wrocław: how much does it cost?
Fleur-de-lis abdominoplasty is quoted individually; for reference, a standard tummy tuck starts at PLN 25,000. The amount follows the surgical consultation (PLN 300).
Dr Aleksandra Łuniewska
Dr Aleksandra Łuniewska - a plastic surgery specialist with over 17 years of experience, founder and chief surgeon of Luna Clinic. A member of the Polish Society of Plastic Surgery, she completed her specialist training in Gdańsk and Wrocław. Her philosophy is based on natural and harmonious results that emphasise the patient’s individual beauty.
Take the first step
Book a consultation - an honest conversation about expectations, options and the treatment plan.
Fleur-de-lis abdominoplasty: price and consultation
The fleur-de-lis technique does not have its own line in our price list - we quote it individually after assessment, as the cost depends on how much skin is removed, the length of the operation and any liposuction. For reference, a standard tummy tuck starts at PLN 25,000. You will receive a written quote after the surgical consultation (PLN 300).
How to book
Call +48 666 850 666 (Monday-Friday, 9:00-17:00) or send the consultation form. All prices: Luna Clinic price list.
Where we are
Luna Clinic, ul. Władysława Syrokomli 46, 51-141 Wrocław, Poland - in the Karłowice area of the Psie Pole district. There is parking for patients by the clinic. Directions and map