This patient lost a significant amount of weight and was left with loose, sagging skin in her abdomen. She desired as much skin removal and tightening as possible. Thus, Dr. Geiger performed a fleur-de-lis abdominoplasty which removes skin in both the horizontal and vertical directions. This maximizes the overall shape, and prevents any remaining loose skin from sagging off the abdominal wall when leaning forward. The trade off is a vertical scar on the abdomen but this will fade nicely over the next 6-12 months. Her amazing shape is apparent right away.