A medical professional in her late 50’s who had a gastric bypass 12 years before and has lost 70 lbs. She has had an abdominoplasty with buttock lift and liposuction of the medial thighs by another plastic surgeon 5 years before but remained unhappy with prominence of the mons pubis that was not addressed at the time of her abdominoplasty as well as laxity and asymmetry of the medial thighs. Her mons remains too wide and is unnaturally prominent in her clothing. The thighs are asymmetric and the skin is loose.
She is shown before and again, 8 months after revision of her mons and lower abdomen with liposuction, as well as secondary liposuction of the medial thighs and knees combined with a medial thigh lift. She can stand with her legs closer together now without the skin touching and the thighs now match more closely in her leggings. An excision of the mons was marked but not required at the time of surgery.
An 80 yo who had had an abdominoplasty at the age of 70 by a general surgeon, but was still bothered by “rolls of skin” in the upper abdomen which she described as looking like a “second set of breasts” in her fitted clothing. She is an active 80 yo who still works full time and wanted to look better in her clothing. She is in good health otherwise.
When patients have gained and lost significant weight there frequently exists a horizontal excess of skin in the upper abdomen which is not typically improved with a traditional abdominoplasty. A vertical excision can be performed in the midline to correct this excess, and can be combined with power assisted liposuction as in her case to reduce the thickness as well. When the vertical excision is combined with the horizontal incision this is called a Fleur de Lis pattern. This trades a scar in the midline for a better contour. EXPAREL was used at the time of surgery to limit her need for pain medication and narcotics after surgery. She is shown before and again, just 6 weeks after her procedure. The scar will continue to fade over the next 2 years and swelling from the liposuction will continue to improve over the next 5 months. She is already thrilled with the early improvement.