Should I Get a Fleur De Lis? (photo)

One of the goals in a standard tummy tuck procedure is to keep the scar as low as possible so you are able to cover the scar with your underwear or bikini. The vertical scar in a Fleur de lis abdominoplasty obviously can't be covered. Usually this procedure is reserved for patient who have significant laxity. With a standard abdominoplasty you may still have some laxity in the horizontal direction but most patients accept some laxity and would prefer not to have a very noticeable scar. You can have that procedure done secondarily for example after you've had your children.

Hello Congratulations on your weight loss!Judging from your photos you may have reasonable results with just a well performed high lateral tension abdominoplasty combined with liposuction of the upper , lower back and flanks. Thank you

The Fleur De Lis technique does have value in patients with massive amounts of excess skin and severe skin laxity. That doesn't seem to be the case for you although it is hard to tell just from a photo. With a standard tummy tuck with liposuction you would most likely have a nice improvement although you will still have skin laxity on your flanks and back. If you don't care about scars then consider the Fleur De Lis. If you do care then maybe the more conservative procedure,(standard tummy tuck), would be best. Discuss the pros and cons with your surgeon.