Tummy TuckAssoc. Prof. Dr. Ayhan Işık Erdal
The techniques

Standard vs fleur-de-lis tummy tuck

Massive weight loss often stretches skin in two directions — and a one-direction operation can only fix half of it. The honest comparison, trade included.

Skin removed

Standard: Horizontal (vertical excess)
Fleur-de-lis: Horizontal AND vertical (two-direction excess)

The scar

Standard: Hip-to-hip, low, concealable
Fleur-de-lis: Inverted-T: the low line plus a vertical midline

Waist narrowing

Standard: Limited by skin width
Fleur-de-lis: Genuine — width is physically removed

Best after

Standard: Moderate loss with one-direction laxity
Fleur-de-lis: Massive loss (often 40+ kg / post-bariatric)

The test

Standard: Standard pull resolves the excess in simulation
Fleur-de-lis: Skin gathers loosely sideways as well as down

The trade

Standard: Minimal scar visibility
Fleur-de-lis: A visible vertical line for a dramatically better contour

The honest trade

A visible line for a shape a standard tuck can't reach.

The vertical scar is real — no swimwear hides a midline. What it buys, in the right candidate, is removal of the loose width that otherwise remains as folds at the sides, and genuine waist narrowing. Patients who've carried the curtain usually consider the trade obvious; patients whose excess resolves with a standard pull are told the vertical scar buys them nothing. The decision is made physically at examination — skin gathered both directions, shown to you in the mirror.

The full fleur-de-lis guide
  • From abroad: a photo gathering the skin sideways tells most of the story.
  • Existing midline scar from open surgery? The incision reuses it elegantly.
  • Borderline cases may reasonably choose standard and accept modest side laxity — informed is the standard.
Send the sideways-gather photo

One direction or two?

Your skin answers at examination — and mostly answers in photos first.

Get my free assessment Contact the clinic
Free assessment

Send photos, get an honest opinion

Share photos (front, side, and holding the loose skin) plus your weight history — how much you lost, how, and how long you've been stable. Dr. Erdal personally replies with an honest opinion, a tailored plan and an all-inclusive quote, with no obligation.

  • Reviewed personally by Dr. Erdal
  • Honest, realistic expectations
  • Clear all-inclusive quote upfront

No obligation · Your details are kept private · Reply usually within a day