This lady underwent a fleur de lis abdominoplasty. The pictures postop are taken at 3 months and 9 months postop and show the improvement that a fleur de lis can achieve in terms of reducing the excess upper skin and improve the waist contour. The scar will continue to fade with massage and patients need to continue to massage the scars. This procedure is best for patients with excess tissue in the upper part of the abdomen in whom a classic tummy tuck would unlikely achieve a satisfactory result.