Should I be getting a fleur de lis tummy tuck instead? (Photo)

First, congratulations!  What an accomplishment.  It's hard to say for sure from your photo, but it looks like you might have enough extra skin to make the Fleur de lis the best option.  Voice your concerns with your surgeon and don't hesitate to get a second opinion.  If your surgeon know his/her stuff, they won't mind at all.  Good luck!

Based on the two photos, I think that you will be happier with your upper abdominal appearance with the  fluer de lis technique. Of course, the trade off is the midline, vertical incision. But it allows for tightening the tissues in the horizontal and the vertical plane. Good luck!

Hello and thank you for your question. Congratulations on your weight loss.  Based on your
photograph, you are a great candidate for a fluer di lis tummy tuck.  The downside to this is the vertical scar, but the shape will be significantly improved in your case. 
Make sure you specifically look at before and after pictures of
real patients who have had this surgery performed by your surgeon and evaluate
their results.  The most important aspect is to find a surgeon you are
comfortable with. I recommend that you seek consultation with a qualified
board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Thank you for sharing your question and photographs and congratulations on your impressive weight loss.  Massive weight loss patients - those having lost 100+ pounds - typically benefit from an FDL approach to a tummy tuck in order to remove the greatest amount of skin possible.  It leads to the best skin tightening in both a vertical and horizontal component at the tradeoff of a vertical scar.  Based on your picture I likely would recommend it over a traditional full or extended abdominoplasty.  Hope this helps. 

Hello and thanks.TT vs FDL is a question I cannot fully answer online and without an in-person examination. Since you've lost over 100 pounds, I would be more inclined to use a FDL approach. It depends on the actual skin excess. I suggest you speak with your plastic surgeon about your doubts and concerns for excess skin.Best wishes, Dr. Aldo

You really look great but I know you are upset about the excess skin. It is tough to say without actually seeing you but a Vertical combination approach will definitely give you the best skin tightness but it is a scar that you cannot hide completely. Sort of like Open Heart scars. You have to weigh the pros and cons. Get another opinion if you are not certain and look at photos.

while my preference is to do vertical excisions as a staged surgery, I do think that upper loose skin may be problematic with just a horizontal scar as in a traditional abdominoplasty 

In my opinion the fleur de lis skin excision will give you the best contour result but you have to accept a vertical scar as part of the price. Talk to your ASPS surgeon 

The short answer is yes.  In order to get the best results possible, excision of skin in both the vertical and the horizontal vectors will be necessary to create the ideal results. Unfortunately this leaves a visible "up and down" scar above the beltline, however, in your case I think you would be much happier with the ultimate shaping of your body. Congrats on the weight loss and good luck. 

Thank you for your question. Based on the picture and your description and amount of weight loss FDL is better option than regular TT. Please talk to your PS.