Dr Bernard Beldholm M.B.B.S B.Sc(Med) FRACS is a Specialist surgeon (board certified) focused on Body contouring surgery after weight loss and pregnancy.

Body Contouring with Dr Bernard Beldholm
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Dr Bernard Beldholm M.B.B.S B.Sc(Med) FRACS is a Specialist surgeon (board certified) focused on Body contouring surgery after weight loss and pregnancy.
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Publishing Since
12/29/2023
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Recent Episodes

June 24, 2026
Circumferential Hybrid Abdominoplasty Combining a Vertical Lipectomy with Belt Lipectomy
In this episode, I discuss circumferential hybrid abdominoplasty, a comprehensive body contouring approach that combines a vertical lipectomy (Fleur-de-Lis abdominoplasty) with a belt lipectomy (circumferential abdominoplasty). This procedure is most commonly considered for patients following significant or massive weight loss who have excess skin affecting the abdomen in both vertical and horizontal directions, as well as the flanks, lower back, and buttock region. I explain why a single surgical technique may be insufficient in these cases and how combining established approaches can address complex patterns of skin laxity across the lower torso. In this episode, you will learn about: How massive weight loss can lead to circumferential and multi-directional excess skin The differences between standard abdominoplasty (tummy tuck), Fleur-de-Lis abdominoplasty (vertical lipectomy), and belt lipectomy (circumferential body lift) Why combining a vertical lipectomy with a belt lipectomy may be considered for selected patients What surgical planning and patient selection involve for complex body lift (belt lipectomy) surgery Expected recovery, scarring, and potential risks associated with circumferential hybrid abdominoplasty This episode is designed for patients who have experienced significant weight loss and are seeking factual, educational information about advanced body contouring surgery. The discussion aims to support informed conversations with a qualified specialist surgeon by outlining indications, limitations, recovery considerations, and risks. Individual suitability and outcomes vary and can only be determined through a detailed consultation. Find more information in my article: Circumferential Hybrid Abdominoplasty Combining a Vertical Lipectomy with Belt Lipectomy Book your appointment Online: https://beldholm.com.au/book-online/ Call us in Australia tel:0249345700 From 1st July 2023, a GP Referral will be required for all procedures. Dr Bernard Beldholm (MED0001186274) M.B.B.S B.Sc (Med) FRACS, is a Registered medical practitioner, Specialist surgeon (specialist registration in Surgery – general surgery) in Australia Clinic Location 30 Belmore RdLorn, NSW 2320Australia Hospital Location Maitland Private Hospital175 Chisholm RoadEast Maitland NSW 2323 https://maitlandprivatehospital.com.au/ QUESTIONS ONLY - NO TESTIMONIALS IN COMMENTS DUE TO AHPRA GUIDELINES For more information about surgical risks go to: https://beldholm.com.au/about/disclaimer/#Cosmetic_Surgery_Complication_Disclaimer ADULT content. Dr Bernard Beldholm M.B.B.S B.Sc(Med) FRACS is a Specialist General Surgeon (AHPRA Medical Registration nr: MED0001186274). Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from a qualified health practitioner. Results, recovery & potential complications will vary for each individual patient. Photos & videos featured are not a guarantee that your results will be the same & do not guarantee a particular surgical outcome. Content on our Instagram page & other social media pages is published with the consent of our patients. The content featured is general in nature and does not constitute medical advice. Immediate post-op results may differ from the final result.

June 22, 2026
The Recovery Process for Fleur‑de‑Lis Abdominoplasty After Weight Loss
In this episode, I discuss what recovery looks like after Fleur‑de‑Lis abdominoplasty (tummy tuck) for people who have lost a significant amount of weight. I cover the incision pattern (a horizontal incision plus a midline vertical incision), the role of drains and compression garments, early mobilisation in hospital, and realistic timelines for returning to daily activities. As a Specialist Surgeon focusing on post‑weight‑loss body‑contouring procedures performed in accredited hospitals, I also outline how my team structures follow‑up to support healing. What you’ll learn: Preparation before surgery: Why a stable weight, a balanced diet with adequate protein and hydration, light exercise, nicotine cessation, limiting alcohol, medical/medication review for general anaesthesia, and arranging home support can help set up a consistent recovery. What happens in hospital: The procedure under general anaesthesia; the horizontal and vertical incision pattern; when adjunct procedures such as suction‑assisted lipectomy (liposuction), hernia repair, or diastasis recti (abdominal muscle separation) repair may be performed; how drains are used; pain‑management strategies; compression garments; early walking; and a typical 2–4 day hospital stay. Early postoperative care and dressings: Frequent follow‑up in the first two weeks (typically 2–3 visits per week) for wound checks and dressing management; PICO dressings in week one with transition to Hypafix tape after Day 7; adjunct LED light therapy may be used. Routine reviews then occur at 1, 3, 6 and 12 months; telehealth can be arranged when appropriate, and if travelling from out of area we generally recommend staying locally for the first week for early reviews. At‑home recovery and activity milestones: Wearing compression garments for at least six weeks; short, frequent walks to support circulation; avoiding heavy lifting/strenuous exercise for 4–6 weeks; returning to desk‑based work around 2–3 weeks; driving once prescription pain medication is no longer required; and beginning scar care (for example, silicone gel) only after incisions have healed under clinical guidance. Risks, watch‑outs, and factors that can extend recovery: Delayed wound healing or minor separation, infection, seroma (fluid accumulation), blood clots/deep vein thrombosis, and temporary or prolonged changes in skin sensation. Seek medical review promptly for increasing redness, unusual pain, drainage, shortness of breath, or calf pain. Additional procedures such as hernia repair or diastasis recti repair can lengthen recovery. This episode is designed for patients considering Fleur‑de‑Lis abdominoplasty after major weight loss, as well as family or carers supporting recovery. I provide a clear, factual overview of timelines, dressings, compression garments, clinic reviews and potential risks so you can plan your recovery and discuss next steps with your GP and surgical team. This content is educational and aligns with AHPRA advertising requirements; individual advice requires consultation. Find more information in my article: Recovering from Fleur-de-Lis Abdominoplasty Post-Weight Loss Book your appointment Online: https://beldholm.com.au/book-online/ Call us in Australia tel:0249345700 From 1st July 2023, a GP Referral will be required for all procedures. Dr Bernard Beldholm (MED0001186274) M.B.B.S B.Sc (Med) FRACS, is a Registered medical practitioner, Specialist surgeon (specialist registration in Surgery – general surgery) in Australia Clinic Location 30 Belmore RdLorn, NSW 2320Australia Hospital Location Maitland Private Hospital175 Chisholm RoadEast Maitland NSW 2323 https://maitlandprivatehospital.com.au/ QUESTIONS ONLY - NO TESTIMONIALS IN COMMENTS DUE TO AHPRA GUIDELINES For more information about surgical risks go to: https://beldholm.com.au/about/disclaimer/#Cosmetic_Surgery_Complication_Disclaimer ADULT content. Dr Bernard Beldholm M.B.B.S B.Sc(Med) FRACS is a Specialist General Surgeon (AHP

June 17, 2026
Complications After Fleur-de-Lis Abdominoplasty Post-Weight Loss — Evidence-Based Insights
In this episode, I discuss complications associated with Fleur-de-Lis abdominoplasty (Fleur-de-Lis tummy tuck) after significant or massive weight loss. I explain how this reconstructive operation differs from a standard abdominoplasty (tummy tuck) and extended abdominoplasty, summarise complication patterns reported in recent studies, and outline strategies that may help reduce risk before and after surgery. I also cover practical aspects of recovery, including wound care and when to seek review. What you’ll learn: Who may benefit from Fleur-de-Lis abdominoplasty (including post-bariatric patients) and why the vertical-plus-horizontal skin excision is selected over other techniques. Common complications and their management: haematoma, seroma, wound healing issues at the T-junction, infection, bleeding, venous thromboembolism, nerve-related symptoms, scar concerns, and considerations when suction-assisted lipectomy (liposuction) is performed concurrently. Evidence-based risk factors (for example, higher body mass index, diabetes, smoking, nutritional deficiencies, age, and resection weight) and how preoperative optimisation supports recovery. Peri-operative measures used in accredited hospital settings, including anaesthesia considerations, early mobilisation, compression, and structured follow-up. Recovery expectations: dressings, compression garments, activity progression, signs of complications, and the importance of timely review. This episode is designed for patients considering post-weight-loss body contouring who want a factual overview of potential risks, typical recovery supports, and how individual factors influence outcomes. My aim is to provide clear information to support an informed consultation and shared decision-making. Find more information in my article: Complication for Fleur de Lis Abdominoplasty Post Weight Loss: Evidence-Based Insights from Recent Studies Book your appointment Online: https://beldholm.com.au/book-online/ Call us in Australia tel:0249345700 From 1st July 2023, a GP Referral will be required for all procedures. Dr Bernard Beldholm (MED0001186274) M.B.B.S B.Sc (Med) FRACS, is a Registered medical practitioner, Specialist surgeon (specialist registration in Surgery – general surgery) in Australia Clinic Location 30 Belmore RdLorn, NSW 2320Australia Hospital Location Maitland Private Hospital175 Chisholm RoadEast Maitland NSW 2323 https://maitlandprivatehospital.com.au/ QUESTIONS ONLY - NO TESTIMONIALS IN COMMENTS DUE TO AHPRA GUIDELINES For more information about surgical risks go to: https://beldholm.com.au/about/disclaimer/#Cosmetic_Surgery_Complication_Disclaimer ADULT content. Dr Bernard Beldholm M.B.B.S B.Sc(Med) FRACS is a Specialist General Surgeon (AHPRA Medical Registration nr: MED0001186274). Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from a qualified health practitioner. Results, recovery & potential complications will vary for each individual patient. Photos & videos featured are not a guarantee that your results will be the same & do not guarantee a particular surgical outcome. Content on our Instagram page & other social media pages is published with the consent of our patients. The content featured is general in nature and does not constitute medical advice. Immediate post-op results may differ from the final result.
147 total episodes available
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