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