If you are considering a tummy tuck, one of the first questions you may have is which type of tummy tuck is best for your body and goals. While many people think of abdominoplasty as a single procedure, there are actually several techniques designed to address different degrees of loose skin, abdominal laxity, and contour concerns.
At Weiler Plastic Surgery, tummy tuck procedures are customized for each patient. While tummy tuck surgery can be performed using several different approaches, including mini, fleur-de-lis, and extended techniques, many patients benefit from an extended tummy tuck because it allows for more comprehensive contouring of both the abdomen and waist. Fleur-de-lis tummy tucks are typically reserved for patients with severe excess skin and more advanced body contouring needs.
“Whether a patient has mild skin laxity or significant changes after weight loss, tummy tuck surgery can be tailored to match their anatomy and goals.” Dr. Jonathan Weiler
What Are the Different Types of Tummy Tuck Procedures in Louisiana?
The main types of tummy tuck procedures performed at Weiler Plastic Surgery include:
- Mini tummy tuck
- Fleur-de-lis tummy tuck
- Extended tummy tuck
Factors that help determine the best tummy tuck approach include the amount of loose abdominal skin, the degree of abdominal muscle separation, whether excess skin extends into the flanks or hips, skin elasticity, a history of prior pregnancy or weight fluctuations, and the desired level of contouring.
What Is a Mini Tummy Tuck?
A mini tummy tuck is designed to address mild lower abdominal laxity below the belly button. This procedure is typically best for patients with a smaller amount of excess skin and limited contour concerns isolated to the lower abdomen. Compared to more extensive tummy tuck procedures, a mini tummy tuck involves a shorter incision and a more limited degree of correction. A mini tummy tuck may help improve:
- Mild loose skin below the belly button
- A small lower abdominal bulge or “pooch”
- Minor lower abdominal contour irregularities
- Mild skin laxity after pregnancy or weight fluctuations
Because the procedure focuses on the lower abdomen, the belly button often does not need to be repositioned. However, a mini tummy tuck does not address more significant skin laxity above the belly button or contour concerns involving the waistline and flanks.
What Is a Fleur-de-Lis Tummy Tuck?
A fleur-de-lis tummy tuck is a more specialized procedure used for patients with severe excess skin that cannot be fully corrected with traditional tummy tuck techniques. This procedure includes:
- A horizontal lower abdominal incision
- A vertical incision along the center of the abdomen that enables more extensive skin removal and reshaping
A fleur-de-lis tummy tuck may be recommended for patients who:
- Have severe skin laxity
- Need extensive skin removal
- Have significant horizontal and vertical excess skin
- Require more advanced body contouring
At Weiler Plastic Surgery, fleur-de-lis tummy tucks are typically reserved for patients with severe excess skin and more advanced contouring needs.
What Is an Extended Tummy Tuck?
An extended tummy tuck goes beyond the abdomen to address excess skin and tissue that extend into the flanks and waistline. At Weiler Plastic Surgery, extended tummy tucks are commonly performed because many patients want more complete abdominal and waist contouring.
An extended tummy tuck may help improve:
- Loose abdominal skin
- Excess tissue along the hips or flanks
- Waistline contour irregularities
- Circumferential skin laxity
- Lower back or side fullness
The incision extends farther around the hips, allowing for additional contouring of the waistline and flanks.
Many patients have laxity that extends beyond the center of the abdomen. In these cases, a mini tummy tuck may not fully address the sides or create the smoothest contour. An extended tummy tuck may be recommended for patients who want:
- More balanced contouring
- Improved waist definition
- Smoother transitions along the hips and flanks
- More comprehensive skin removal
In some cases, liposuction may also be combined with surgery to further refine the waistline and abdominal contour.
How Do Tummy Tuck Scars Differ by Procedure Type?
Scar length and placement vary depending on the type of tummy tuck performed. Mini tummy tucks use the shortest incision, typically placed low on the lower abdomen. Fleur-de-lis tummy tucks include both a horizontal lower abdominal scar and a vertical midline scar to allow for more extensive skin removal. Extended tummy tuck scars extend farther around the hips to improve contouring along the waistline and flanks while remaining positioned low on the body.
Does a Tummy Tuck Change the Belly Button?
In many extended tummy tuck procedures, the belly button is repositioned after excess skin is removed and the abdomen is tightened. The goal is to maintain a natural-looking abdominal appearance and balanced proportions. Mini tummy tucks often do not require belly button repositioning because less skin is removed.
Recovery Time for Different Types of Tummy Tuck Procedures in Louisiana
Recovery varies based on the type of tummy tuck performed and the amount of correction involved. Mini tummy tucks typically involve less swelling and shorter downtime, while fleur-de-lis tummy tucks often require longer healing due to the extent of skin removal and additional incisions. Extended tummy tuck recovery usually includes swelling, temporary tightness, compression garment use, and activity restrictions as the abdomen heals. In procedures involving muscle repair, temporary abdominal tightness during recovery is common.
Why Patients Choose Weiler Plastic Surgery for Tummy Tuck Surgery
Tummy tuck surgery is not one-size-fits-all. The right procedure depends on the amount of skin laxity, the abdominal contouring needed, and your overall aesthetic goals. Viewing before-and-after tummy tuck photos can also help you better understand what may be achievable. At Weiler Plastic Surgery, patients receive personalized treatment recommendations designed to create smoother, more balanced abdominal contours.
Whether you are considering a mini tummy tuck or may benefit from more comprehensive contouring with an extended tummy tuck, the Weiler Plastic Surgery team can help you understand your options and expected results.
“I’m overly excited about my result from liposuction and Tummy Tuck. I literally transformed into a new person over the past few weeks post op. The nursing team did an amazing job with helping me and all areas of need. Dr Weiler is my new found hero as I can’t thank him enough for his outstanding work.” Tyachell B.
To schedule a consultation or learn more about tummy tuck surgery, call (866) 784-3058 or request a consultation.

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