I chose a doctor that did a presentation to the bariatric support group. He was realistic about the outcome, gentle and supportive. He suggested a fleur de lis procedure that utilized a horizontal tummy tuck cut and a vertical midline cut. The vertical incision removed even more excess skin and defined my waist. This portion of the surgery was not covered by my insurance and I paid out of pocket.
The results are better than I could have ever expected, clean straight scars, a completely flat abdomen, defined waist, short recovery time.