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Abdominoplasty after WLS

This patient is a man in his thirties who had lost from 900 to 400 pounds, much of which was after a gastric bypass. He was left with a large panniculus (the skin hanging down on the abdomen) that interfered with his ability to exercise.

He underwent abdominoplasty with the removal of 15.280 kg (35 lbs, 10 oz). Because of his size, liposuction and muscle tightening was not performed at this time. Not only was he surprised at how much easier it was to walk after the extra tissue was removed, but he was also able to sit in a chair with armrests for the first time, to ride on an airplane for the first time, and to get into his fishing boat by himself for the first time.

As can be seen by the postoperative photos, he is still not a thin man, but the abdomen is significantly improved. He continues to try to lose weight and is looking forward to surgical treatment of other areas of loose skin on his body.

Abdominoplasty after WLS

This patient is a woman in her thirties who had lost from 290 to 186 pounds after a gastric bypass. She was left with a large panniculus (the skin hanging down on the abdomen) that caused her back pain and a rash.

She underwent abdominoplasty with the removal of 2.100 kg (4 lbs, 10 oz) to alleviate the medical symptoms. Her insurance company covered the abdominoplasty to treat her symptoms, but she decided against any cosmetic procedures such as liposuction or tightening of the abdominal muscles.

She noticed a significant decrease in her symptoms after surgery. The cosmetic improvement is not as much as it would have been with liposuction, but the improvement is still obvious. The improvement can be seen in the postoperative pictures. Since these photos were taken two months after the operation, the scars will face significantly over the next ten months.

Abdominoplasty after WLS

This patient is a woman in her thirties who had lost from 260 to 157 pounds after a gastric bypass. She was left with a panniculus that interfered with her activities of daily living. It also caused back and abdominal pain as well as a rash between the folds of skin.

She underwent panniculectomy with the removal of 1.863 kg (4 lbs, 2 oz) of abdominal tissue in conjunction with a hysterectomy. She decided against any liposuction at the time.

As can be seen by the postoperative photos, there is significant improvement in the abdomen. She still has a little bit of redundant tissue in the flanks; the only way to remove that would be to perform a belt lipectomy.

Abdominoplasty after WLS

This patient is a woman in her sixties who had lost from 289 to 162 pounds after a gastric bypass. She was left with a large panniculus (the skin hanging down on the abdomen) that caused her back pain, rash and odor.

She underwent abdominoplasty with the removal of 3.55 kg (7 lbs, 13 oz) to alleviate the medical symptoms. She noticed a big improvement after the surgery; more specifically, she had reduction of her back pain, rash and odor as well as improvement in the cosmetic appearance of her abdomen. The cosmetic improvement can be seen in the postoperative pictures. The scars will face significantly over the next ten months.

Arm Lift

This patient is a woman in her thirties who had lost from 339 to 204 pounds after gastric bypass. She was bothered by redundant skin on the arms which is seen in the preoperative pictures. This caused her to wear shirts that were too large just so she could fit her arms into the sleeves.

She underwent arm lift (removal of the redundant skin and fatty tissue of the arms) with the removal of approximately 0.4 kg (14 oz) and approximately 200 cc of liposuction per arm. Because this procedure was cosmetic in nature, her insurance company did not cover it.

The cosmetic improvement can be seen in the postoperative pictures. The arms have a more pleasing contour, and the scars are fairly well hidden. She can now wear smaller shirts that fit her better. Since the photos are 4 months postoperative, the scars will still fade for eight more months.

Arm Lift

This patient is a woman in her early thirties who had lost from 296 to 192 pounds after gastric bypass. As she lost the weight, she was left with excess skin on the arms which she wanted to have removed.

She underwent arm lift (removal of the redundant skin and fatty tissue of the arms) with the removal of approximately 0.2 kg (7 oz) per arm. A small amount of liposuction was also performed. Because this procedure was cosmetic in nature, her insurance company did not cover it.

The cosmetic improvement can be seen in the postoperative pictures. The arms have a more pleasing contour, and the scars are fairly well hidden. She can now wear smaller shirts that fit her better. Since the photos are 5 months postoperative, the scars will still fade for seven more months.

Belt Lipectomy

This patient is a woman in her forties who had undergone gastric bypass in the distant past and not lost much weight. She then lost a moderate amount of weight by dieting and exercise. She was left with redundant skin on the abdomen and back.

She underwent belt lipectomy (removal of the redundant skin and fatty tissue of the abdomen and back) with the removal of 2.42 kg (5 lbs, 5 oz) and 200 cc of liposuction for cosmetic reasons. Her insurance company felt that the procedure was cosmetic in nature and did not cover it.

The cosmetic improvement can be seen in the postoperative pictures. She has significant tightening of the skin in both the abdomen and the back. The buttocks are also partially lifted. Since these photos were taken six weeks after the operation, the scars are still red. They will face significantly over the next ten months.

Belt Lipectomy

This patient is a woman in her fifties who had undergone gastric bypass and lost from 305 to 166 pounds. She was left with a panniculus with symptoms of persistent rash, decreased activities of daily living, and abdominal pain.

She underwent belt lipectomy (removal of the redundant skin and fatty tissue of the abdomen and back) with the removal of 3.4 kg (7 lbs, 8 oz) from the back/buttocks and 2.1 kg (4 lbs, 10 oz) from the abdomen. She also had 100 cc of liposuction. The insurance company covered the panniculectomy but not the buttock lift or liposuction.

The improvement can be seen in the postoperative pictures. The vast majority of the excess tissue has been removed from the abdomen and the upper portion of the buttocks. The scars are still red, but they will fade over the next few months.


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