A doctor in a white coat marks guidelines on a woman's bare abdomen with a purple marker, likely preparing for a cosmetic or medical procedure.

Fleur-De-Lis (FDL) Abdominoplasty

After major weight loss or bariatric surgery, the body often holds onto more loose skin than diet, exercise, or even a standard tummy tuck can address. This excess sags both downward at the front and outward at the sides, leaving a silhouette that doesn’t reflect the hard work behind it. The fleur-de-lis (FDL) abdominoplasty is a specialized form of tummy tuck designed for exactly this situation — tightening the abdomen in two directions at once for a smoother, more sculpted result. Patients across Reno and Lake Tahoe choose Avance Plastic Surgery Institute for this advanced stage of their transformation.

The FDL abdominoplasty is performed by Dr. Erez Dayan, a board-certified plastic and reconstructive surgeon and Medical Director of Avance Plastic Surgery Institute who is recognized for his command of advanced, post-weight-loss body contouring. A graduate of the Harvard Plastic Surgery Program — where he served as Chief Resident in Plastic and Reconstructive Surgery at Massachusetts General Hospital — and fellowship-trained in aesthetic surgery at the Dallas Plastic Surgery Institute, Dr. Dayan has developed particular expertise in the complex cases that call for more than a standard abdominoplasty. He also teaches these specialized techniques to visiting surgeons, reflecting the level of precision he brings to each multi-plane skin-tightening procedure.

What Is a Fleur-de-Lis Tummy Tuck?

The fleur-de-lis abdominoplasty combines both a horizontal and a vertical incision, forming a pattern that resembles a fleur-de-lis. In addition to the horizontal incision used in a standard tummy tuck, the vertical incision allows Dr. Dayan to access and remove excess skin and fat from the sides of the abdomen and draw the remaining tissue together. Tightening the skin in both the horizontal and vertical planes produces a markedly smoother, firmer, and younger-looking abdomen than a single-direction repair can achieve.

FDL Abdominoplasty for a Smoother, Sculpted Abdomen

The FDL tummy tuck is a specialty body-contouring procedure for patients who need more correction than a standard abdominoplasty provides. Beyond removing excess skin and fat, it allows Dr. Dayan to perform any needed abdominal muscle repair and to re-contour the entire midsection — front, sides, and around toward the back. The length of the vertical incision is determined by how much skin laxity must be addressed, so every procedure is planned around the individual rather than a fixed template.

“For patients after significant weight loss, the fleur-de-lis approach lets me address skin in two dimensions — that’s what creates a truly smooth, balanced contour rather than just a flatter front.” — Dr. Erez Dayan

Common Reasons Patients Choose the FDL Procedure

The fleur-de-lis abdominoplasty is most often chosen by patients who:

Significant Weight Loss: have lost a large amount of weight through lifestyle change or bariatric surgery
Horizontal and Vertical Laxity: carry loose skin both downward and outward across the abdomen
Limited Results From Standard Surgery: need more correction than a traditional tummy tuck can provide
Desire for a Balanced Contour: want the sides and waistline addressed, not just the front of the abdomen

What to Expect From Your FDL Tummy Tuck

Every patient begins with a personal consultation, during which Dr. Dayan reviews the relevant body-shaping options and explains what the procedure can achieve for their specific anatomy. Because the FDL approach involves a vertical incision in addition to the horizontal one, recovery and scar placement are discussed in detail beforehand so patients know exactly what to expect. Dr. Dayan and his team provide a tailored aftercare plan and close follow-up throughout healing.

Frequently Asked Questions About Fleur-de-Lis Abdominoplasty

How is a fleur-de-lis tummy tuck different from a standard tummy tuck?

A standard tummy tuck uses a single horizontal incision to tighten the front of the abdomen. The fleur-de-lis adds a vertical incision, allowing skin to be tightened both horizontally and vertically — essential for patients with significant loose skin after major weight loss.

Am I a good candidate for an FDL abdominoplasty?

The procedure is best suited to patients who have lost a substantial amount of weight and have loose skin sagging both downward and at the sides of the abdomen. A consultation with Dr. Dayan is the best way to confirm whether it fits your goals and anatomy.

What kind of scarring should I expect?

Because the FDL uses both a horizontal and a vertical incision, scarring is more extensive than a standard tummy tuck. Dr. Dayan plans incisions carefully and discusses placement thoroughly beforehand, and the trade-off for many patients is a dramatically smoother contour that a single incision cannot achieve.

Can abdominal muscle repair be included?

Yes. The FDL approach allows Dr. Dayan to repair separated abdominal muscles at the same time as removing excess skin and fat, restoring both the strength and the shape of the abdomen.

How long is recovery after a fleur-de-lis tummy tuck?

Recovery depends on the extent of correction performed and is reviewed in detail during your consultation. Dr. Dayan’s team provides a personalized aftercare plan and ongoing follow-up to support a safe, comfortable recovery.

Can the FDL be combined with other body-contouring procedures?

Often, yes. For patients after major weight loss, the FDL abdominoplasty may be part of a broader body-contouring plan. Dr. Dayan will review safe, appropriate options during your consultation.

Why Choose Avance Plastic Surgery Institute for an FDL Abdominoplasty

Harvard Surgical Training: a board-certified plastic and reconstructive surgeon with Chief Resident experience at Massachusetts General Hospital
Advanced Body-Contouring Expertise: specialized skill in complex, post-weight-loss cases beyond a standard tummy tuck
A Surgeon Who Teaches Surgeons: trusted to train visiting physicians in advanced contouring techniques
Accredited Surgical Facility: procedures performed in an AAAASF-accredited operating suite built for safety and precision
Individualized Aftercare: tailored recovery support and a maintenance program to protect long-term results

Schedule Your FDL Abdominoplasty Consultation in Reno/Tahoe

If loose skin after weight loss is keeping you from the silhouette you’ve worked toward, a fleur-de-lis abdominoplasty with Dr. Erez Dayan may be the answer. Contact Avance Plastic Surgery Institute in Reno/Tahoe, NV at (775) 800-4444 to schedule your confidential consultation. Virtual consultations are also available for patients traveling from out of town.

Maintenance Program

The maintenance program at Avance Plastic Surgery Institute is designed to offer patients a convenient way to continue seeing the benefits of our treatments for as long as possible.

To maintain the outcomes of body contouring procedures, we recommend non-invasive and minimally invasive treatments with the following devices:

Forma Body (InMode)
Morpheus 8 Body (InMode)
Evolve

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Reviews

5.0 / 5.0

5.0 stars from 587 reviews

Hands down the most qualified, honest and knowledgeable plastic surgeon in Northern Nevada. Dr. Dayan and his staff are truly committed to offering leading edge technology, quality and professionalism to each and every treatment ranging from to simple non invasive injections to complicated procedures. What he and his team have to offer always seems too good to be true, but they always over exceed expectations and are incredibly budget conscientious. The Reno-Tahoe area is incredibly fortunate to welcome such a skilled and qualified aesthetic professional into the area!

Shelby M.

Dr. Dayan is the surgeon clients should interview with and choose for their procedures. I am always very cautious when deciding important life decisions and I can say without a doubt that I would go through my surgeries again with Dr. Dayan. Every appointment has been professional, courteous, informative, and truthful. I never felt rushed. I also appreciate knowing my privacy is maintained. My fear of pain is very respected, and his demeanor eases it quite a bit. I made my decision to trust Dr. Dayan because of his extensive education, vast experience, and my first-hand witness of his character. These factors have allowed me to look forward to all of my appointments.

Aubrey S.

I had three consultations and didn't make any decisions lightly, but Dr. Dayan blew the competition out of the water. From the moment I met him during my consultation, he was honest and open while also personable. He also insisted on putting me in touch with previous patients before I made my decision so that I could have a better understanding of the process and recovery as a whole. I ultimately picked him because I knew he would do a good job but also because I felt at ease with him. The day of surgery, I was very nervous and he was comforting while efficient with his time. He was also completely honest with me during my recovery and called either myself or my husband often to make sure I was doing well, but also to make sure my husband understood the process completely. He also makes himself so available for any little questions or concerns I've had, making me feel secure in knowing he's only a phone call or a text away. Although I am not yet completely healed (only 3 weeks post-op) I already feel so confident in the work that has been done. He has helped me to transform something that had me so insecure for such a long time into a body I feel comfortable in. I cannot wait for the final results! I won't hesitate to return to Dr. Dayan for anything else I need done. Between him and his office staff (Alli) I feel like more of a member of the Avance family rather than a patient!

Jacelyn O.

I highly encourage anyone who is considering plastic/reconstruction surgery to schedule a consultation with Dr. Dayan. I couldn't have asked for a better experience and outcome from my breast augmentation. At my consultations, not only did I get my questions thoroughly answered, but I was treated with such genuine kindness and patience. Dr. Dayan is professional, highly knowledgeable, honest and has a certain way of connecting with others. For these reasons, I trusted him and felt supported throughout my whole breast augmentation experience from pre- to post-surgery care. All around, I felt safe and informed about this big decision/investment which is all I could ever ask for. I recovered so much easier than I expected, and my breasts are looking perfect and natural! Dr. Dayan definitely listened to what I wanted and followed through. Lastly, I want to mention how sweet and supportive his team is over at Avance! I am very appreciative of their service.

Sidney C.

My results after a "noninvasive" procedure are amazing. The cutting-edge techniques and noninvasive technology that Dr. Dayan incorporates into his procedures, as well as being a gifted and talented surgeon and individual, all contribute to his many accomplishments. However, I personally am impressed with his abilities to listen, communicate, and create beautiful results. I highly recommend a consultation with Dr. Dayan before making a final decision on any kind of procedure. Just another satisfied patient!

Mary J.

I had a perfect experience at Avance. Dr. Dayan was quick, professional, and checked in with me regularly to make sure I was comfortable during the short procedure I needed done. His demeanor was calming and I was able to put full trust in his abilities from start to finish. Erez really knows his stuff, and it's amazing he's here in Reno when he could clearly be somewhere much bigger if he wanted. I definitely won't hesitate to book again if needed.

Chris S.

Absolutely an amazing experience! Where to start? When I first thought of getting a mommy makeover my expectations were not that high because I didn’t ever think I could look the way I wanted to. I always just hoped it would be an improvement and I would be happy with that. Then I met Dr. Dayan. From the first consultation he made me realize that he could give me beautiful results that I didn’t know were possible. He was so kind and confident and I knew from that moment that he was going to be my surgeon. I booked my surgery (a breast augmentation with implants and a tummy tuck with lipo) that day and it was the best choice I have ever made. Before my procedure he was very thorough and explained step by step what he was going to do which made me feel so comfortable. I actually wasn’t nervous at all. I was so excited! I am now 1 month post op and my results are above and beyond what I could have ever dreamed my body could look like after a mommy makeover. Dr. Dayan did an exceptional job. I am not completely healed and I already am so pleased. There are no words that can do justice to how amazing it is to put trust in someone with my body and wake up with results that are better than I could have ever imagined. He truly is skilled in his profession and has the eye for what is best for your body to give you the best results. He followed up with me several times post op to see how I was feeling. If I had any concerns or questions he responded to them quickly and personally which made me feel confident that everything was going well! His care is exceptional from beginning to end. He has an amazing staff as well. His Patient coordinator Ali is so sweet and helpful. She is amazing with communication as well as helping you with financial options and scheduling. You won’t be disappointed working with Dr. Dayan and Ali!

Valerie F.

Dr. Dayan and his team are the best of the best! The level of care, professionalism is top of the class. I strongly recommend Dr. Dayan and his entire team. I cannot say enough about his work - he is incredibly talented and I am confident under his care. Of course the results are amazing! I love my LIPS!

Nasya M.