PATIENT BACKGROUND: Three years prior, this focused 50-year-old female had a vertical sleeve gastrectomy. Following that, she has lost around 85 pounds. She is 5 feet 3 inches tall and now weighs 145 pounds. What bothers her the most is the excess skin of her abdomen and her secondary concern is the droopiness of her breasts. She is her to see Dr. Mariotti for breast and body contouring surgery. She desires a D cup and a flat tummy to help her look as good as she feels now.
DR. MARIOTTI’S IMPRESSION: Following her massive weight loss, this incredible woman is an exemplary candidate for breast and body contouring surgery. Focused examination of the abdomen reveals changes consistent with her prior pregnancies as well as her weight gain and more recent weight loss. She has stretch marks and generalized decreased skin elasticity, mainly in the mid and lower abdomen. She also has increased muscle laxity because of her significant weight loss. I recommend an extended Tummy Tuck, also known as an abdominoplasty, would allow me to remove all the skin between the pubic hairline and the belly button. This along with tightening of the abdominal muscles, which have been stretched with pregnancy as well as weight gain and subsequent weight loss and pulling the upper abdominal skin down tight will give her a much flatter tummy. In regards to her breast I recommend a Breast Augmentation with a Lift, as an augmentation alone would give her poor results. And finally we discussed the differences between saline and silicone gel implants and decided on silicone gel implants as these would, in her case, achieve the best results.
FOLLOW UP/OUTCOME: 5 days post-surgery and her incisions are healing nicely. She still has bruising and swelling in those areas as well as her abdomen as expected at this stage. 12 days out from surgery and he is standing up fully straight now. One month and a half post-surgery and she “loves” her results. 3 months out and she looks absolutely amazing. Her breasts are soft and in a great position. Her abdomen is nice and flat and all incision scars are fading nicely. 6 months post op these photographs were taken. She simply looks stunning. What do you think?
Keep in mind that each patient is unique and your results may vary. These photos are of an actual patient of our practice who has provided consent to display their pictures online.
Surgeon: Dr. Mariotti