Fleur-de lis or tummy tuck? (Photo)

When my patients have had massive weight loss, they sometimes have horizontal or vertical excess for their abdominal tissue. They often have stretch marks and have poor quality skin. When they have all this excess tissue then sometime we remove it horizontally and vertically. This gives an upside down T scar and we call it a Fleur de Lis. It is best to visit with a board certified plastic surgeon to have an exam and see which surgery is best. Some of my patients do not want the additional vertical scar, so they have to understand that the skin may still feel a little loose in the upper abdomen if it is not removed.

It important to have more photos of your body, from the front and the back, and photos that show from below the neck down to the knees, to evaluate your case and see where and how much extra skin you have and tell what procedure will be the best for your case.

It's difficult to say without examining you person, but it really depends on your goals. Most people don't need a vertical scar unless there is a significant amount of horizontal skin excess. I would make sure to reach your goal weight and then have consultations with several board-certified plastic surgeons. Speak with them about your goals and multiple opinions will help you decide which procedure is right for you.

Hello and thank you for your question.   Congratulations on your weight loss.  Based on your
photograph, you are a great candidate for a full tummy tuck with liposuction and will not need a fleur de lis.  This can be done through a low
incision, all completely below the bikini line. 
The belly button can be designed to look natural and have no scars on
the exterior.   Your muscles can also be
plicated resulting in a flat abdomen. 
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

Due to your history of weight loss surgery a Fleur de lis tummy tuck would likely give the best outcome. Of course an exam in person is needed to confirm this so I recommend consulting with a few plastic surgeons in your area for a good exam and review of your medical history.Best wishes,Dr.Bruno