Fleur-de-Lys abdominoplasty and circumferential abdominoplasty are more extensive surgical procedures primarily performed on patients who have experienced significant weight loss, particularly after bariatric surgery, resulting in severe skin laxity and excess. While traditional abdominoplasty typically involves removing excess skin from the abdominal area by pulling it downwards with a horizontal incision, this method may be insufficient when there is extreme skin excess and laxity extending to the sides. In such cases, Fleur-de-Lys abdominoplasty involves an additional vertical incision along the midline of the abdomen, extending from top to bottom. The excess skin and fatty tissue between these vertical and horizontal incisions are removed, achieving a more defined contour. Consequently, in addition to the horizontal scar in the lower abdomen, a vertical scar forms in the middle of the abdomen. Circumferential abdominoplasty (belt lipectomy), on the other hand, is a much more comprehensive operation preferred when tissue excess is not limited to the abdominal area but extends to the flanks and back. In this procedure, excess skin and fatty tissue are removed circumferentially around the body, providing significant tightening and shaping of both the abdominal and back/waist regions.