Mastopexy and Abdominoplasty-Weight loss Makeover in Raleigh, North Carolina*

This 52-year-old woman had undergone over 100 pound weight loss after gastric sleeve procedure performed 8 years ago. She had long desired body contouring but she was diabetic and also is a smoker. Ultimately she had better control of her diabetes with weight loss and better hypoglycemic pharmaceutical choices and was non-insulin-dependent. She was a smoker and was counseled to quit smoking prior to surgery. When she quit smoking and had blood glucose levels and H A1c in the normal range she was felt to be a suitable candidate. She had a bilobed type pannus and breast ptosis and desired abdominoplasty with breast lifting. She underwent bilateral mastopexy with abdominoplasty and some liposuction of the flanks. A somewhat more conservative approach was carried out because of her history of smoking and diabetes. Bariatric patients frequently have extensive blood supply with residual enlargement of vascular supply to the skin based on when they were obese however caution still is necessary. This patient did quite well postoperatively with no complications. She had marked improvement in her abdominal appearance as well as smaller lifted breasts was quite please with the improvements made. Not every patient is a good candidate for body contouring but appropriate direction by the plastic surgeon in terms advice about of smoking cessation and improve diabetic control can make this a safe operation.