Fleur-de-lis Abdominoplasty Perth
Understanding Fleur-de-lis (FDL) Abdominoplasty
Fleur-de-lis, or FDL, abdominoplasty is an abdominal skin-removal operation that uses a vertical incision as well as a low horizontal incision. It may be considered after substantial weight loss when excess skin remains in more than one direction. It is not appropriate for every abdomen and is not a weight-loss procedure.
How FDL differs from standard abdominoplasty
A standard operation mainly addresses skin through a lower abdominal incision. FDL also removes a central section of skin, leaving a vertical scar that can extend along the abdomen. This adds an important trade-off: more extensive skin reduction with an additional visible permanent scar. It does not guarantee a smooth contour, perfect symmetry or removal of every stretch mark.
Assessment and alternatives
Assessment includes skin distribution, weight stability, nutrition, abdominal wall concerns, previous scars, smoking and medical conditions. A standard or extended abdominoplasty, circumferential operation, staged surgery or no operation may be more appropriate. The proposed scar pattern and what each option can leave untreated should be discussed before consent.
Risks and wound healing
Risks include bleeding, infection, fluid collection, wound separation, tissue loss, prominent scars, altered sensation, contour irregularities and further surgery. Healing problems may occur where the vertical and horizontal wounds meet. Blood clots and anaesthetic complications can be serious. Poor nutrition, smoking, diabetes and extensive combined surgery may increase risk.
Recovery and follow-up
Plan assistance at home and time away from work, lifting and strenuous activity. Your treating team will explain drains, dressings, garments and safe activity progression. The extent of surgery and your healing determine recovery. Wound care may be prolonged if a healing problem occurs, and scars continue to change over time.
Consultation and costs in Perth
Dr Raj Zaman, Specialist Plastic Surgeon, provides consultations in Murdoch, Joondalup and Bunbury. Bring your referral, medication list and relevant previous treatment records. The surgical plan, hospital and anaesthetic care affect costs. Medicare and private health insurance eligibility depend on current criteria and your circumstances; rebates should not be assumed.
Read our body contouring overview and patient resources, or request an individual consultation. This information does not replace medical advice. Surgery is optional and outcomes vary.
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