Abdominoplasty

Patient - 60 Abdominoplasty

This woman was 45 years old, 5’ 4” tall, and weighed 184 pounds prior to surgery. She disliked the loose skin and fullness of her lower abdomen resulting from previous pregnancies. Examination demonstrated excess abdominal skin and fat, and a rectus diastasis of 5cm. An extended abdominoplasty with umbilical transposition was performed; plication of the rectus muscle diastasis was performed above and below the umbilicus. Adjunctive liposuction of the flank and upper hip was performed; 350cc of fat was aspirated from each side. Six weeks after the procedure, this patient weighed 168 pounds. Post-operative photographs show her results three months after surgery. The abdominal scars are normally pink and mildly indurated, but this color and swelling will subside over the next several months.

Patient - 61 Abdominoplasty

This woman was 68 years old, 5’ 11” tall, and weighed 200 pounds prior to surgery. She disliked the appearance of her wrinkling and sagging abdominal skin, and wanted a flatter stomach. Examination demonstrated some excess fat and skin laxity of the abdomen and flanks, with a rectus diastasis of 3cm and an umbilical hernia. An extended abdominoplasty with umbilical hernia repair and transposition was performed; plication of the rectus muscle diastasis was performed above and below the umbilicus. Adjunctive liposuction of the upper abdomen, flanks and upper hips was performed; 250cc of fat was aspirated from the upper abdomen, and 200cc of fat was aspirated from each flank and hip. Post-operative photographs show her results more than four months after surgery.

Patient - 62 Abdominoplasty

This woman is 42 years old, 5’ 3” tall, and weighed 202 pounds prior to surgery. She disliked the excess fat in her lower abdomen. Examination showed a significant pannus with a large excess of skin; a moderate excess of fat was present in the upper and especially the lower abdomen. An extended high-lateral-tension abdominoplasty with umbilical transposition was performed; plication of the rectus muscle diastasis was performed above and below the umbilicus. Liposuction of the upper abdomen, costal margins, waist, flanks, and upper hips was performed; a total of 2500cc of fat was aspirated. Post-operative photographs show her results more than six weeks after surgery.

Patient - Abdominoplasty

This woman is 52 years old, 5’ 5” tall, and weighed 125 pounds prior to surgery. She disliked the appearance of the loose abdominal skin and the appearance her C-section scars following two pregnancies. Examination demonstrated irregular laxity and fat distribution in the lower abdomen: a depressed midline scar, a subcutaneous are of thickening and indentation to the left of midline, and a second vertical scar in the right lower quadrant. Her rectus diastasis was not severe. A high-lateral-tension abdominoplasty with umbilical transposition was performed; plication of the rectus muscle diastasis was performed above and below the umbilicus. Liposuction was also performed; 200cc of fat was aspirated from each side over the upper hip and waist, and 175cc of fat was removed from the upper abdomen. Post-operative photographs show her results eight weeks after surgery.

Patient - 65 Abdominoplasty

This woman is 40 years old, 5’ 8” tall, and weighed 150 pounds prior to surgery. She disliked the appearance of her wrinkling and sagging abdominal skin, the fullness of her lower abdomen following two pregnancies, and her pants did not fit well. Examination demonstrated loose, excess abdominal and flank skin with a rectus diastasis of 3cm. An extended abdominoplasty with umbilical transposition was performed; plication of the rectus muscle diastasis was performed above and below the umbilicus. Adjunctive liposuction of the flank and upper hip was performed; 150cc of fat was aspirated from each side. Post-operative photographs show her results more than one year after surgery. She is very pleased and has achieved her goal of wearing a bikini again.

Patient - 67 Abdominoplasty

This man was 56 years old, 5’ 11” tall, and weighed 306 pounds prior to surgery. He disliked the appearance of his abdominal fullness. He used to weigh 350 pounds and following bariatric surgery his weight decreased to 185 pounds. However, he developed problems with outlet obstruction and required a reversal of his bypass and he subsequently gained much of his weight back. Examination demonstrated moderate abdominal lipodystrophy with a heavy abdominal pannus that extended to the posterior flank. A rotund abdominal shape was due in part to intra-abdominal fat also. A panniculectomy with umbilical transposition was performed. Twelve pounds of lower abdominal soft tissue were removed. During his post-operative recover he used the Apex Body Bugg Calorie Counter Weight Management System and lost an additional 16 pounds before these pictures were taken. Post-operative photographs show his results more than four months after surgery. “I feel great!” he says. He has dropped 10 waist sizes and notes that his entire outlook on life has changed; he now eats to live rather than living to eat.