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This 38-year-old woman, sustained, massive weight loss and was left with significant horizontal and vertical laxity of the abdominal wall. She desired contour improvement and relief of excess skin. Fleur De-Lis abdominoplasty was performed tightening her abdominal wall completely and giving her a new cosmetically pleasing contour. The lower abdominal wall and pubic area have also been lifted. She is shown three months after surgery.