Fleur De Lis Abdominoplasty Melbourne

What is Fleur De Lis Abdominoplasty?

The term Fleur de Lis is French for “flower of the lily.” In surgery, it refers to the shape of the skin excision, which resembles a lily. This technique may be suitable for patients with excess skin in both vertical and horizontal dimensions, often the result of significant weight loss.

When Fleur de Lis May Be Considered?

While the Fleur De Lis Abdominoplasty can effectively address excess skin in both vertical and horizontal dimensions, Dr Gary Kode generally avoids performing this procedure where possible. There are several reasons for this:

• Scar placement and healing: The vertical scar (running from the upper abdomen to the lower abdomen) can be difficult to conceal and does not always heal as reliably as the horizontal scar that sits lower on the abdomen.
• Blood supply considerations: The skin flaps made with the fleur de lis technique, particularly at the T-junction above the mons area, have a reduced blood supply. This increases the risk of wound healing problems compared to a standard Abdominoplasty with only a horizontal incision.
• Uncertainty with skin retraction: In many patients who have experienced significant weight loss, it is difficult to predict how much skin will retract and settle after a horizontal abdominoplasty alone. In Dr Kode’s experience, the tissues often contract more than expected, meaning the vertical excision may not be necessary.
• Surgical staging for safety and results: By starting with a standard Abdominoplasty and focusing on muscle repair, Dr Kode can achieve a significant alteration. In many cases, this approach addresses more skin laxity than initially expected. If vertical skin excess remains, a second stage may be preformed with the vertical component to address persistent skin excess. This staged approach usually offers a more predictable outcome and reduces some of the risks associated with performing both steps at once.

Am I a suitable Candidate for Fleur De Lis Abdominoplasty?

Suitability for surgery can only be determined during a consultation with a qualified plastic surgeon. However, there are several recurring factors that contribute to suitability, including:

• Significant skin excess in both vertical and horizontal directions, often seen after major weight loss.
• Stable weight that has been maintained for several months, rather than ongoing weight changes as either further weight loss or weight gain can compromise surgical results.
• Good general health, without unmanaged medical conditions that could increase surgical risks.
• Non-smoker status, or willingness to stop smoking at least 3 months before and after surgery.
• Realistic expectations, with an understanding of potential benefits as well as limitations and potential complications.
• Personal concerns such as difficulty with clothing fit, hygiene issues, or discomfort caused by redundant skin.

Dr Kode may recommend staging surgery, beginning with a standard abdominoplasty and considering a Fleur De Lis later if vertical excess remains. This approach can help reduce risks and optimise long-term outcomes.

Suitability and BMI Requirements

Suitability for surgery is assessed on an individual basis, including overall health and medical history. At Glenferrie Hospital, there are specific requirements regarding body mass index (BMI):

• Patients with a BMI over 30 but under 35 require an anaesthetic assessment before being approved for surgery.
• Patients with a BMI over 35 are generally not eligible for this procedure at the hospital.

Fleur De Lis Abdominoplasty – What’s Involved in the Procedure?

Dr Kode performs Fleur De Lis Abdominoplasty in accredited hospitals with patients under general anaesthetic. While the exact steps can vary depending on each patient’s needs and whether the procedure is performed in a single operation or as part of a staged approach, the process generally involves:

• Anaesthesia and Time: The procedure is carried out under general anaesthetic. The duration can vary depending on the amount of tissue being removed but typically takes between two to three hours. Patients generally stay in hospital for two nights for monitoring after surgery.
• Incisions: When performed as a single operation two incisions are made. The first, horizontally across the lower abdomen (similar to a standard abdominoplasty) and a second vertically down the midline of the abdomen. Together, these incisions form a shape resembling a fleur-de-lis (inverted T), which allows removal of skin in both directions.
• Muscle Repair (if required):  If abdominal muscle separation (rectus diastasis) is present, Dr Kode places sutures to bring the abdominal wall closer together. He takes extra time and care with this step to provide stability and support.
• Skin and Fat Removal: Excess skin and fat are removed from the abdomen, both across and vertically.
• Suturing: Dr Kode uses an internal suturing technique, meaning no external sutures are required. This method helps keep the closure secure while avoiding visible stitches on the skin surface.
• Closure: The incisions are carefully closed. In some cases surgical drains may be used, depending on the extent of tissue removal.

Because of the additional vertical scar and the complexity of healing at the T-junction (where the vertical and horizontal incisions meet), recovery can be more involved than with a standard Abdominoplasty.

Fleur De Lis Abdominoplasty Recovery

Recovery following Fleur De Lis Abdominoplasty is a gradual process that varies between individuals. Healing time depends on the extent of surgery, overall health and how each patient responds to the procedure. Below is an outline of what patients may experience and what is generally involved in the recovery phase.

Immediately After Surgery

• Patients typically stay in hospital for around two nights following the procedure.
• Surgical drains may be placed to assist in removing fluid. These are usually removed within several days, depending on the level of drainage.
• A support garment is fitted at the end of surgery. This garment helps provide stability and support during the initial healing period.

Dressings and Wound Care

• Incisions are covered with dressings such as Hypafix tape, which help protect the surgical area.
• Patients are usually able to shower once drains are removed. Care should be taken when washing around the incision sites.

Swelling, Bruising, and Discomfort

• Extensive swelling and bruising are expected during the first weeks after surgery. These effects gradually settle, though it may take several months to dissipate.
• Discomfort and pain are also part of the recovery process and can be managed with prescribed or over the counter medications, depending on what Dr Kode advises.
• Ice packs may also help alleviate discomfort, though they should be wrapped in a cloth or towl and never be applied directly to the skin.

Mobility and Activity

• Movement is restricted in the early stages. Patients are generally advised to walk in a slightly bent position for the first week to reduce strain on the incision line.
• Short walks soon after surgery are important to maintain circulation and help reduce the risk of complications.
• Many patients need assistance with everyday activities, such as standing, dressing, or getting in and out of bed, during the first several days.
• Return to driving, desk-based work and light daily tasks is often possible within a few weeks, depending on recovery progress.
• Activities such as strenuous exercise, heavy lifting and contact sports must be avoided for at least six weeks or until Dr Kode advises.
• It is important to listen to your body and not push yourself too far too soon.

Long-Term Recovery

• Swelling can persist for a number of months, particularly in the lower abdomen, and may take six months to a year to fully settle.
• Support garments are generally worn day and night for the first month, and then during the daytime only for a further two months.
• Scarring is permanent, though scars will typically fade over time.

Fleur De List Abdominoplasty Before and After Photos

Before and after images are for educational purposes only. The results shown are only relevant to the patient and do not reflect or promise that other patients will be able to achieve these results. They are a tool to help visualise what changes may be possible with Abdominoplasty performed by Dr Kode.

Body Surgery Before and After Photos | Dr Gary Kode

Disclaimer: Individual results will vary depending on several factors including; age, skin health, body type, medical history and lifestyle. All surgical procedures carry risks and it’s important to understand these before undergoing surgery.  Photographs are not intended to guarantee results.

Risks and Complications of Fleur De Lis surgery

Fleur De Lis Abdominoplasty is an extensive surgical procedure and like any surgery, it carries certain risks and potential complications. Dr Kode discusses these risks during your consultation as part of the informed consent process. Understanding these factors can help patients make well informed decisions about the procedure.

Risks and complications of Fleur De Lis can include:

• Wound Breakdown: This refers to the partial opening of the incision after surgery.  The T junction (where the vertical and horizontal incisions meet) is particularly vulnerable to wound breakdown due to reduced blood supply to this area. Breakdown at the T junction may require additional dressings or revision to support healing.
• Poor Scarring: The procedure results in permanent scars along both horizontal and vertical incisions.
  • Keloid formation: Some individuals are prone to keloids, where scar tissue grows excessively beyond the boundaries of the incision.
  • Raised or red scars: Initially, scars may be raised, thickened, or red. Over time, these features often soften and fade, but the process can take months.
  • Infection or delayed healing: Any infection or slower healing at the incision site can impact the final appearance of the scar, potentially making it more prominent or irregular
• Risk of Fluid Accumulation (Seroma): A collection of fluid that can build up under the skin after surgery. Drains may be used to manage this and are usually removed a few days post surgery.
• Infection: A potential risk with any surgical procedure. Maintaining hygiene and following Dr Kode’s post-surgery instructions can help reduce this risk.
• Changes in Sensation: Temporary or permanent changes in skin sensation around the abdomen or incision sites can occur due to nerve disruption during surgery.
• Delayed Healing: Healing may take longer in patients who smoke, have underlying medical conditions, or have higher body mass index (BMI).
• Other Potential Risks: Unsatisfactory cosmetic outcome, blood clots, excessive bleeding, or adverse reactions to anaesthesia can also occur.

For more information visit our Risks and Complications of Surgery page.

How Much Does Fleur De Lis Abdominoplasty Cost in Melbourne?

The cost of a Fleur De Lis Abdominoplasty can vary depending on several factors, including the complexity and duration of the surgery, hospital fees (based on the length of stay), anaesthetist fees, and whether the procedure is performed as a single or staged procedure.

Following your consultation with Dr Kode, you will receive a detailed quote specific to your planned procedure.

Private health insurance or Medicare may provide partial rebates for eligible patients (see below).

Medicare and Private Health Insurance

Fleur De Lis Abdominoplasty is generally considered a cosmetic procedure and is usually not covered by Medicare. However, if the surgery is deemed medically necessary (to address issues caused by excess skin after significant weight loss) patients may be eligible for partial rebates. Eligibility is assessed on a case by case basis.

Private health insurance may provide partial coverage for eligible patients. Coverage depends on your individual policy, hospital admission type, and any applicable waiting periods. It is recommended to check with your health fund before surgery to understand what rebates may apply.

Dr Kode and his team can provide the necessary documentation to assist with any claims.

Fleur De Lis Abdominoplasty FAQs

 Choosing the Right Fleur De Lis Abdominoplasty Surgeon for you

Dr Gary Kode is a Specialist Plastic Surgeon with extensive experience in body and reconstructive surgery. He is known for his patient-centered approach, surgical experience and commitment to achieving optimal results. Dr Kode provides thorough consultations to help determine the most appropriate surgical plan for each patient.

Book a Consultation

To learn more about Fleur De Lis Abdominoplasty in Melbourne or Launceston or to schedule a consultation with Dr Gary Kode, please contact our practice.

Disclaimer: The information provided is for educational purposes only and does not constitute medical advice. Individual results may vary and all surgery carries risks and potential complications. A thorough consultation is necessary to determine the most appropriate treatment plan for your specific circumstances