A woman in her mid 30’s who has lost 128 lbs with diet and exercise. She is bothered by the appearance of her abdomen.
She is 5’7” and 200 lbs, giving her a BMI of 31.3.
She is shown before and again, 6 months after an extended abdominoplasty, with the removal of more than 5 ½ lbs of skin. She is thrilled with her improvement, and no longer worries about how to hide her loose abdominal skin in clothing. As is typical after this much weight loss, her skin is not as elastic and her abdomen is not as “tight” in the upper portion. When patients are significantly heavier there is a horizontal excess of skin in the upper abdomen that could be improved further with a vertical excision, known as a Fleur de Lis abdominoplasty. This trades a vertical scar which would be visible in a two piece bathing suit for a tighter appearance. She is pleased with her contour improvement and does not wish the additional scar in this area.