A mother of 3 in her early 40’s who is bothered by “skin hanging over her pants and stretch marks”. She is shown before and again, 5 months after an extended abdominoplasty. A “champagne groove” and a periumibilical hollow were sculpted in the fat to give the abdomen an even more beautiful appearance.
J.M. is a 56 yo who has never been pregnant, shown before and 11 months after mini-abdominoplasty and external ultrasound assisted liposuction of the hips, flanks and the medial, lateral and posterior thighs. 3.8 liters of fat were removed.
1 year follow-up on a mother of 2 who was bothered by “looking square” “like sponge bob” in the abdomen and flanks. She is now seen 12 months after abdominoplasty with translocation of the umbilicus and SAFE liposuction of the flanks and bra roll area. We had a choice of a small vertical scar in the lower abdomen from the former opening around the umbilicus, or placing the entire scar higher on the abdomen. My experience is it is nearly always better to put the main scar in the “thong” position where is is hidden by most clothing styles. Her umbilicus was too low and the upper abdomen too loose to perform an umbilical float. At 12 months there is still some slight redness to the scar, but these will typically continue to fade for an additional 12 months or longer.
A 69 yo man who has lost 47 lbs with diet and exercise and is bothered by “loose skin” of his abdomen. He is 5’6” and 168 lbs, He has a prior scar in the upper midline of his abdomen. A “Fleur de Lis” abdominoplasty adds a vertical component for additional tightening of the upper skin, with the tradeoff of a visible scar in the midline. Because he already has a scar in this location, he and I felt that the tradeoffs of additional tightening in this area were worth a scar here. He is shown before and again, 6 months after surgery. Scars will typically continue to fade and improve for 2 years after surgery.
A mother of 2 in her early 60’s who was over 200 lbs with her pregnancy. She has lost weight with a vegan/gluten free diet. She is 5’6 and 142 lbs and is shown before and again, 1 year after an extended abdominoplasty with the removal of 4 ½ lbs of skin. An umbilical hernia was corrected at the same time by her general surgeon. She has gained 10 lbs since her surgery but is still thrilled with her dramatic improvement. EXPAREL was used to limit the need for narcotics after surgery.