Should I get a Fleur de Lis or a belt lipectomy? (Photos)

Your procedure of choice would be a Belt Lipectomy with liposuction in various areas to be determined by your plastic surgeon. This would include repair of your rectus muscles (the six-pack muscles). This would narrow your waist, remove the excess skin and fat as well as lifting your buttocks and the upper part of your outer thighs, and you would not have that huge vertical scar from the top of your abdomen to the bottom. Additionally, your back would be considerably tighter.With the abdominoplasty, I suggest the drainless (no-drain) TT to take advantage of the reduced pain and recovery time, faster mobilization, and you won't be encumbered with the drains for 5-10 days or more. Plus, the complication rate is lower.I hope this has answered your question sufficiently. Thank you for your question and photos, and good luck.

It appears as though you could get great results with the belt lipectomy/circumferential abdominoplasty.  This would spare you the vertical scar and still give you a flatter belly, narrower waist, and removal of the excess skin.  The recovery is about 2 weeks with minimal pain due to the new pain medicine Exparel that is injected while you are asleep!
Thank you for your question,
Dr. Schreiber, Baltimore plastic surgeon

Based on your pictures I would recommend an extended tummy tuck and lower back lift for best results.Always see a  board certified PS.