Houston, TX
Authored by: Dr. Sam Sukkar, MD on June 23rd, 2025
Patients in Houston who have experienced major weight loss often find that traditional body contouring methods don’t go far enough. When significant skin laxity affects both the vertical and horizontal planes of the abdomen, a standard tummy tuck may leave unwanted excess behind. That’s where the Fleur De Lis tummy tuck comes in, a specialized technique designed for individuals needing a more comprehensive surgical solution to remove loose, sagging skin and improve abdominal contour.
The Fleur De Lis approach differs from conventional abdominoplasty by using a vertical incision in addition to the standard horizontal one. This allows for more effective skin tightening in patients with extensive tissue redundancy, especially after massive weight loss. For Houston residents seeking dramatic, natural-looking results, this advanced body contouring procedure has become a go-to option.
The Fleur De Lis tummy tuck, also known as Fleur De Lis abdominoplasty, is a surgical procedure that goes beyond the capabilities of a traditional tummy tuck. Unlike the horizontal-only incision used in standard tummy tucks, this technique incorporates both a vertical and horizontal incision, forming an inverted “T” or fleur-de-lis shape. This pattern allows for the removal of excess skin across the midline and upper abdomen, delivering a more sculpted and contoured result.
This technique is particularly well-suited for individuals who have lost a significant amount of weight, either through bariatric surgery or non-surgical methods. The vertical incision permits the surgeon to address skin that hangs downward and centrally, especially above the navel, a common concern after substantial weight loss. When performed by a skilled plastic surgeon, the Fleur De Lis technique produces dramatic improvements in the shape and firmness of the midsection.
Not all patients are ideal candidates for a Fleur De Lis tummy tuck, but those who have experienced massive weight loss and now struggle with skin redundancy on both the vertical and horizontal axis may find it life-changing. This procedure is designed for individuals whose bodies no longer respond to diet or exercise due to large amounts of overstretched, hanging skin in the upper and lower abdomen.
Candidates should be at a stable weight, in overall good health, and non-smokers. It’s also important that they have realistic expectations about scarring and recovery time. Because the vertical incision is more noticeable than a standard tummy tuck scar, this procedure is typically reserved for those whose results would outweigh the visible trade-offs. If your goal is to remove extra skin from both above and below the belly button while restoring muscle tone and achieving a defined midsection, this surgery is worth considering.
The primary benefit of the Fleur De Lis tummy tuck lies in its ability to address multiple dimensions of skin laxity. While a traditional tummy tuck focuses on removing skin and tightening muscles below the navel, it often fails to correct sagging or loose skin that stretches vertically across the abdomen. The addition of the vertical incision allows the surgeon to lift and smooth the skin from the midline outward, improving results in patients with upper abdominal redundancy.
Other benefits include:
This makes the Fleur De Lis approach especially beneficial for patients whose skin quality has been severely compromised and who desire a more comprehensive transformation than what mini abdominoplasty or even full tummy tuck surgery can achieve.
The surgery is performed under general anesthesia and usually takes between 3 to 5 hours depending on the complexity of the case and any additional procedures involved. The horizontal incision is made across the lower abdomen, just above the pubic area, and the vertical incision extends from the lower chest or sternum to meet the horizontal incision. Through these openings, the surgeon can remove large amounts of excess fat and skin, tighten the underlying abdominal muscles, and reposition the belly button if necessary.
Once the tissue has been reshaped, the incisions are closed with sutures, and compression garments are applied to control swelling and promote optimal healing. Many Houston patients undergoing this procedure also choose to combine it with other cosmetic surgeries such as a thigh lift, arm lift, or liposuction to further refine their silhouette.
The tummy tuck recovery period following a Fleur De Lis abdominoplasty is more involved than that of a mini or standard tummy tuck due to the dual incision lines. Most patients will need to take two to three weeks off from work and avoid strenuous activity or heavy lifting for at least six weeks. A support garment must be worn during the initial stages to reduce swelling, support the healing tissues, and help maintain the new shape.
Patients are usually advised to walk gently within the first 24 to 48 hours to reduce the risk of complications such as deep vein thrombosis. Prescribed medications will help manage discomfort, and your surgeon will offer guidance on incision care, sleeping positions, and follow-up visits. While swelling and bruising are common during the first few weeks, noticeable changes in your abdominal profile can often be seen by the one-month mark, with full results becoming visible within 3 to 6 months.
When considering a Fleur De Lis tummy tuck, choosing a highly qualified plastic surgeon isn’t just a recommendation, it’s essential for your safety, satisfaction, and long-term outcome. This advanced abdominoplasty technique requires not only surgical precision but also an artistic eye to sculpt the body in a way that looks natural and proportionate. Because of the vertical and horizontal incisions involved, the stakes are higher compared to more common procedures like a mini tummy tuck or standard abdominoplasty.
A board-certified plastic surgeon from the American Board of Plastic Surgery brings the training, experience, and medical oversight necessary to minimize complications and deliver optimal results. Beyond credentials, your surgeon should have a strong track record in body contouring procedures and be able to show clear before-and-after results of patients with similar needs. These images will give you realistic expectations about scar placement, skin removal, and the overall transformation process.
Communication is another critical factor. A qualified surgeon will take the time to listen to your goals, assess your medical history, and walk you through what’s achievable with this procedure. They will also explain recovery in detail, set honest expectations, and help you make an informed decision about the best timing, risks, and desired outcomes. Remember, this is a procedure designed to reshape the body after a significant journey, entrusting it to the right professional is non-negotiable.
The tummy tuck cost for a Fleur De Lis procedure in Houston typically ranges from $12,000 to $20,000, depending on the surgeon’s expertise, facility fees, and whether additional procedures (such as liposuction or muscle repair) are performed at the same time.
Some practices offer plastic surgery financing options like Cherry, CareCredit, PatientFi and Prosper HealthCare Lending to make the procedure more accessible, and it’s important to weigh the long-term value against temporary non-surgical alternatives that may require repeated maintenance treatments.
Dr. Sam Sukkar is one of Houston’s most trusted names in advanced body contouring, especially for patients who have undergone massive weight loss and are seeking life-changing results through procedures like the Fleur De Lis tummy tuck. As a board-certified plastic surgeon with over two decades of experience, Dr. Sukkar combines refined surgical technique with deep anatomical knowledge to help patients reclaim confidence in their bodies.
What sets Dr. Sukkar apart is his commitment to individualized treatment. Every Fleur De Lis tummy tuck he performs is tailored to the patient’s anatomy, skin quality, and long-term goals. He approaches this highly specialized surgical procedure with precision and care, knowing that no two patients present with the same skin redundancy, muscle laxity, or recovery timeline. His practice, The Clinic for Plastic Surgery, offers a state-of-the-art surgical facility that prioritizes safety, discretion, and comfort at every stage of care.
From your initial consultation through to tummy tuck recovery, Dr. Sukkar’s team provides detailed guidance and compassionate follow-up care to ensure a smooth healing process and superior aesthetic outcome. His approach to abdominal contouring has helped countless patients in Houston transform their bodies with confidence, making him a top choice for those considering a Fleur De Lis abdominoplasty.
Unlike a traditional tummy tuck, which uses only a horizontal incision, the Fleur De Lis tummy tuck adds a vertical incision to remove excess skin from both the upper and lower abdomen. This offers more complete contouring, especially after massive weight loss.
Yes, this technique leaves both a vertical and horizontal scar, but most patients find the dramatic improvement in abdominal contour worth it. Tummy tuck scars fade over time and can often be hidden under clothing.
Most patients need 2–3 weeks off work and should avoid strenuous activity for about 6 weeks. Wearing a compression garment and following post-op instructions will support healing and help minimize swelling.
If you’ve lost a significant amount of weight and are struggling with excess skin in both the upper and lower abdomen, the Fleur De Lis tummy tuck may provide the full-body transformation you’re seeking. It’s a powerful solution for Houston patients who want more than a standard tummy tuck procedure can deliver. With the right surgeon, you can achieve a flatter, firmer midsection and regain confidence in your appearance, while knowing that your results are designed to last.
If you’re ready to complete your weight loss transformation with a provider who specializes in complex skin removal and body sculpting procedures, Dr. Sam Sukkar offers the experience, artistry, and surgical excellence you deserve.
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Dr. Sam Sukkar, MD, FACS is a highly respected Board-Certified Plastic Surgeon in Houston, Texas, known for his expertise in advanced cosmetic and reconstructive procedures. As the founder of The Clinic for Plastic Surgery, Dr. Sukkar has set a new standard for excellence, performing over 20,000 procedures with a focus on delivering natural, refined results.
Dr. Sukkar earned his Doctor of Medicine (M.D.) degree from Louisiana State University School of Medicine in 1992 after graduating summa cum laude with a Bachelor of Science in Microbiology. He then completed an intensive General Surgery Residency at the University of Texas Hermann Hospital before being selected for a highly competitive Plastic Surgery Fellowship at Northwestern University in Chicago, one of the most prestigious training programs in the country.
With more than 20 years of experience, Dr. Sukkar is a Diplomate of the American Board of Plastic Surgery and a Fellow of the American College of Surgeons (FACS). He is also an active member of the American Society of Plastic Surgeons (ASPS) and the Houston Society of Plastic Surgery (HSPS). His dedication to innovation and continuing education has solidified his reputation as a leading expert in aesthetic surgery, specializing in breast surgery, body contouring, facial procedures, and non-invasive treatments.
Dr. Sukkar’s expertise has been recognized by Houston Magazine, naming him one of Houston’s “Top Docs for Women,” and he has been featured among RealSelf’s America’s Top Doctors. Committed to his patients, he prioritizes personalized care, ensuring every individual feels informed, comfortable, and confident in their aesthetic journey.
Contact Dr. Sukkar today to schedule a consultation, visit DrSukkar.com to learn more, or call us directly at (281) 940-1535.
Cover Image Credit: F8Studio / 123RF.com (Licensed). Photo Illustration by: Dr. Sam Sukkar, MD, The Clinic for Plastic Surgery.
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