The following 33 year old patient underwent massive weight loss of 182 pounds following Vertical Sleeve Gastrectomy. She was left with an abundance of excess loose, overhanging skin and stretch marks. After consultation, it was determined that her desired result could be achieved with a Circumferential Abdominoplasty including a Vertical Resection and muscle plication. This procedure is called a Fleur de Lis Abdominoplasty, named for the shape of the final skin removal. She lost over 8 pounds of tissue with this procedure. Post photos were taken seven months after surgery.