PATIENT BACKGROUND: This intent women in her late 50’s, was set on losing weight. In 2015 she underwent a sleeve gastrectomy and as a result lost 80 pounds! She is 5 feet 8 inches tall and now weighs 190 pounds. However, not uncommon with major weight loss, she has been left with a significant amount of excess overhanging skin. In addition to the excess skin of the weight loss, she has had multiple cesarean sections giving her tethered, indented scars on her lower abdomen. This excess apron of skin inhibits her activities of daily living. She is here to see Dr. Mariotti to discuss body contouring surgery as she wants the body she deserves after all the hardwork she has put into losing weight.
DR. MARIOTTI’S IMPRESSION: During the consultation and after the initial examination we talked about what a panniculectomy is versus a tummy tuck. A panniculectomy is a term for the removal of only the excess skin of the lower abdomen. This is typically done in people who have lost a significant amount of weight. However, it does not include tightening, of the abdominal muscles, nor does it include tightening the skin of the upper abdomen, nor making a new bellybutton. Therefore I also advised a tummy tuck at the same time., otherwise known as an abdominoplasty, at the same time. This would allow me to remove all the skin between the pubic hairline and the belly button thus removing stretch marks below the belly button along with tightening the abdominal muscles and pulling the upper abdominal skin down tight to give her a nice, flat tummy.
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