Fleur-de lis or tummy tuck? (Photo)

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