This patient has had previous surgery to her abdominal wall and excessive fat in the upper part of her abdomen. A fleur de Lys abdominoplasty leads to a vertical scar in combination with a horizontal scar. The previous scar has been removed and the vertical excision allows a better definition of the abdomen. Liposuction has also been performed although often liposuction in this scenario is better performed at a second stage. This image is seen 4 months postoperatively and will continue to fade over time.