Patient is a 49 year-old lady who presents with bulging of the abdomen, severe skin laxity with stretch marks and a large, hanging abdominal pannus after massive weight loss. On exam, she had skin laxity in both the horizontal and vertical directions. This necessitated a Fleur-de-Lys type of an abdominoplasty that would address the excess skin is both horizontal and vertical directions. The downside to this type of a surgery is the midline vertical scar that is sometimes difficult to conceal. However, this scar tends to lighten up and heal well over time. Even intricate procedures such as a fleur-de-lys abdominoplasty can be safely performed as outpatient where the patient is discharged home the same day.
