You did the hard work. Now your body deserves to reflect it. For many women and men in San Antonio, TX, massive weight loss leads to life-changing improvements - but it can also leave behind loose, hanging skin that doesn't respond to diet or exercise. This is where Dr. Michael Baumholtz, a dual-board-certified Plastic Surgeon in San Antonio, steps in. With specialized training and deep experience in advanced body contouring, he offers a powerful surgical solution: the Fleur-de-Lis tummy tuck.
This advanced version of the traditional tummy tuck can help reshape the body when excess skin exists in both vertical and horizontal directions. It’s more than a cosmetic fix - it’s about restoring comfort, mobility, and self-confidence. For many patients, it's the final, empowering step after years of transformation. It marks a physical and emotional milestone, a reward for resilience and effort.
What Is a Fleur-De-Lis Tummy Tuck?
Redefining Traditional Tummy Tucks
A standard tummy tuck focuses on tightening loose abdominal skin and muscle, usually with a low horizontal incision. But for patients with significant skin redundancy after major weight changes, that may not be enough. The Fleur-de-Lis technique adds a vertical incision through the midline of the abdomen. This allows Dr. Michael Baumholtz to remove skin in both directions - resulting in a more balanced, contoured, and tailored look.
This multidirectional approach makes it particularly effective for reshaping the upper abdominal area, which is often neglected by conventional techniques. It delivers a more harmonious silhouette, not just a flatter stomach.
Vertical excess is the tissue that hangs over the belt buckle area while horizontal excess is the tissue that hangs over your sides. A traditional tummy tuck incision is well suited to manage the vertical excess but not much of the horizontal. When there is significant vertical and horizontal excess, a fleur de lis pattern should be considered.
The 'Fleur-de-lis' Incision Pattern
The procedure gets its name from the shape of the incisions - a horizontal line low on the abdomen and a vertical line down the midline, resembling a fleur-de-lis. This approach is particularly useful for reshaping the upper abdomen, waistline, and flanks.
The vertical incision may sound intimidating, but when performed with precision and attention to detail, it blends into natural body contours over time. Dr. Baumholtz carefully plans each incision to optimize both function and aesthetics. Scar management starts even before the first incision, and patients are given a roadmap for how to minimize visibility over time.
Why This Procedure Exists
Massive weight loss, pregnancy, and aging can leave skin that folds over itself. When that skin affects your posture, hygiene, or quality of life, it's no longer just a cosmetic concern. The Fleur-de-Lis tummy tuck was designed to solve this complex problem.
This technique helps patients who may have previously been told they were not candidates for abdominoplasty or who were dissatisfied with the limitations of other procedures. It provides a transformative solution for a specific but often underserved group of patients. It is about function and freedom as much as it is about appearance.
Who Needs a Fleur-De-Lis Approach?
For Patients With Complex Skin Redundancy
Patients with significant, multi-directional skin laxity often face daily struggles that go beyond the visual. The weight of the excess skin can lead to back pain, discomfort when exercising, and emotional barriers in social or intimate settings. In these scenarios, the Fleur-de-Lis tummy tuck goes beyond aesthetics and becomes a form of reconstructive surgery.
Dr. Baumholtz sees individuals who are not only concerned about how they look but are frustrated by how they feel - restricted, uncomfortable, and disconnected from their bodies. The emotional burden can be overwhelming, and this surgery offers real, lasting relief.
When a Traditional Tummy Tuck Isn’t Enough
In some patients, traditional tummy tucks fail to address the full extent of their skin redundancy. While these procedures can make significant changes, they may leave upper abdominal folds untouched. The Fleur-de-Lis method provides a more complete transformation, restoring both contour and confidence.
Patients in Dr. Baumholtz's San Antonio practice often express regret that they waited so long for the right procedure. Once they learn about the possibilities of the Fleur-de-Lis approach, the sense of hope and anticipation is palpable. They no longer have to accept partial solutions.
How Dr. Michael Baumholtz Approaches This Procedure
Personalized Planning in San Antonio
Every surgery begins with a conversation. Dr. Baumholtz takes time to understand your journey, your goals, and your concerns. Through detailed imaging and physical examination, he builds a customized surgical plan that fits your body and honors your health history.
Surgical Steps Simplified
This is a major procedure that typically lasts several hours and involves general anesthesia. The surgical technique includes careful dissection of tissue, muscle tightening where needed, and strategic repositioning of the belly button to maintain natural proportions.
Post-surgical drains help manage fluid buildup and reduce complications. Dr. Baumholtz provides thorough instructions and hands-on follow-up to ensure a smooth recovery. Patients are encouraged to rest and recover, but also to move when appropriate, aiding circulation and healing.
Why Scar Placement Matters
Scarring is a necessary part of surgery, but it doesn’t have to be disfiguring. Dr. Baumholtz approaches incisions with an eye for detail, symmetry, and concealment. His technique minimizes trauma to surrounding tissues, which promotes better healing.
Patients receive a scar management plan that starts during their recovery and extends for months. This might include scar massage, silicone products, and, when appropriate, microneedling or laser therapy to enhance long-term results.
The Emotional and Physical Rewards
Regaining Control Over Your Silhouette
After weight loss, the presence of excess skin can feel like a cruel reminder of a past life. It hides your progress and continues to shape how others perceive you. The Fleur-de-Lis tummy tuck helps align your outer form with your inner success.
Patients describe the procedure as liberating. The newfound ability to wear fitted clothing, move without restriction, and see a reflection that matches their effort, brings joy that ripples into all aspects of life.
The Confidence to Move Forward
This surgery can open emotional doors. Patients begin traveling again, engaging in relationships, or re-entering the workforce with renewed confidence. They report not only looking better but also sleeping better, standing taller, and living with greater ease.
It's not uncommon for patients to become advocates for others facing similar struggles. They share their stories openly, empowered by their transformation and the support they received from Dr. Baumholtz and his team.
Realistic Expectations and Healing Journey
What Recovery Looks Like
Recovery is both physical and emotional. The first few weeks require patience and support. Swelling and soreness are expected, but well-managed with proper care and communication with Dr. Baumholtz's office.
As healing progresses, patients regain strength and confidence. Returning to work, fitness routines, and social activities becomes a source of pride. Dr. Baumholtz ensures that every patient knows what to expect at each stage and feels supported throughout the process.
Scars vs. Results
Scars are the natural trade-off for major improvement. Most patients come to see them not as flaws but as reminders of growth and perseverance. Dr. Baumholtz is honest about this trade-off and works with each patient to ensure scars are as minimal and refined as possible.
With consistent scar care and professional support, even the most visible incisions can become unobtrusive over time. The goal is always a result that makes the scars secondary to the body you feel proud of.
Ongoing Support From Your Surgeon
Dr. Baumholtz does not disappear after surgery. He and his team remain available through each phase of recovery, checking progress, answering questions, and adjusting care plans as needed. His availability provides peace of mind, especially during the vulnerable early weeks of healing.
The continuity of care is one of the reasons patients in San Antonio and beyond place their trust in his practice. From pre-op education to long-term results, every step is managed with expertise and compassion.
Why Choose Dr. Michael Baumholtz in San Antonio, TX
Surgical Expertise + Revision Focus
With dual board certifications and a background that includes trauma and microsurgery, Dr. Baumholtz brings unmatched expertise to every operation. He has a reputation for tackling cases that others might consider too complex, particularly when previous surgeries have fallen short.
He approaches each Fleur-de-Lis tummy tuck not only as a technical challenge but as an opportunity to change lives. His success is measured not just in outcomes, but in patient satisfaction and long-term quality of life.
What Sets His Practice Apart
Every aspect of care is structured around the patient. From first consultation to final follow-up, you’ll interact directly with Dr. Baumholtz. There are no shortcuts or surprises - only consistent, quality care delivered with empathy and integrity.
His team reflects his values: respectful, knowledgeable, and committed to patient well-being. Together, they make a difficult process feel approachable and even empowering.
A Local Leader in Complex Tummy Tuck Surgery
Patients come to San Antonio not just for expertise, but for the personal connection. Dr. Baumholtz’s reputation for honesty, thoroughness, and surgical precision makes his office a hub for those who want more than a standard solution.
Whether you live nearby or are traveling from out of state, you’ll find that this practice offers the high-level care and human attention that defines the best outcomes in plastic surgery.
FAQs About the Fleur-De-Lis Tummy Tuck
What makes the Fleur-de-Lis technique different from other tummy tucks in terms of long-term results?
This technique addresses both horizontal and vertical excess skin, allowing for a more complete recontouring of the abdominal area. It’s especially beneficial for patients who have lost a large amount of weight and need improvement in multiple planes of laxity. The result tends to be more dramatic and tailored than a standard tummy tuck.
Can I have this procedure if I’ve already had a traditional tummy tuck and still have loose skin?
Yes, in many cases a Fleur-de-Lis tummy tuck can serve as a revision procedure. Dr. Baumholtz often works with patients who had previous abdominoplasty and didn’t get the results they needed due to persistent midline or upper abdominal skin folds. This approach can offer a second chance at achieving a balanced, contoured look.
Is it possible to combine the Fleur-de-Lis tummy tuck with other procedures like a breast lift or arm lift?
Absolutely, and it’s often done. Many patients who have undergone massive weight loss may require a series of surgeries to fully address their body contouring goals. Procedures like a breast lift, arm lift, or thigh lift can be planned in stages or combined, depending on safety and recovery considerations.
How do I know if my skin laxity is vertical, horizontal, or both, and why does that matter?
Dr. Baumholtz performs a detailed physical exam during your consultation to assess your skin redundancy. Knowing the direction of skin laxity determines the type of tummy tuck that will deliver optimal results. If there’s vertical looseness only, a standard tummy tuck might suffice. If there’s both, a Fleur-de-Lis is often the better choice.
Will the vertical scar interfere with my ability to wear a swimsuit or low-cut clothing?
The vertical scar is placed along the midline and generally heals well. Most patients find that with proper scar care and the right swimsuit styles, the scar is manageable. The trade-off for improved abdominal contour and reduced excess skin often outweighs any concerns about visibility.
What are the emotional adjustments patients go through after such a major transformation?
Patients often describe a mixture of excitement, disbelief, and emotional release. Shedding excess skin can feel symbolic as well as physical. Many patients say they feel lighter, more confident, and ready to engage in life in a way they hadn’t before. It’s common to go through an adjustment period where your self-image catches up with your new body.
How does Dr. Baumholtz help patients prepare mentally and physically for recovery?
He offers a detailed pre-op education process that outlines everything from timelines to garment use to nutrition. Mentally, he prepares patients with honest discussions about what to expect during recovery, and the emotional ups and downs that can happen. The support doesn’t end after surgery - his team stays involved through every stage of healing.
Taking the Next Step
If you’re living with loose, uncomfortable skin after weight loss or surgery, the Fleur-de-Lis tummy tuck could be the right path. Dr. Michael Baumholtz is here in San Antonio to help you explore your options safely, thoroughly, and with your goals at the center.
Reach out to schedule a consultation and discover what’s possible when expert technique meets compassionate care. It’s not just about looking better - it’s about feeling whole, strong, and supported through every step of your journey.
Medical References
- Comparative Study Between Fleur-De-Lis and Traditional Abdominoplasty in Post Weight Loss Patients
https://amj.journals.ekb.eg/article_291622.html - Fleur-de-Lis Abdominoplasty: A Safe Alternative to Traditional Abdominoplasty for the Massive Weight Loss Patient
https://pubmed.ncbi.nlm.nih.gov/20145584/ - Aesthetic Results in Twin Case Undergoing Transverse Abdominoplasty Versus Fleur-de-Lis Abdominoplasty After Massive Weight Loss
https://www.sciencedirect.com/science/article/pii/S2352587824001153 - Complications and Risks Associated With the Different Types of Abdominoplasties: A Systematic Review
https://academic.oup.com/asj/article-abstract/44/9/965/7630664 - Tummy Tuck (Abdominoplasty): Surgery, Recovery, Risks & Results - Cleveland Clinic
https://my.clevelandclinic.org/health/procedures/11017-tummy-tuck
