fig6

Figure 6. For some patients with a smaller upper roll, a standard abdominoplasty is sufficient. Pre-operative (A) and post-operative (B) results. For patients with larger upper rolls at the level of the umbilicus (C), the unfurling technique may be warranted. After excision of the lower pannus (D), the upper flap is inverted, and X-shaped scoring of the superficial fascia is performed with the electrocautery (E). This releases the tight fascial bands and allows for an unfurling of the fat. The final contour (F) demonstrates improvement without the need for a vertical scar. For those with more epigastric laxity (G), the FDL is most impactful (H). FDL: Fleur-de-lis.