Mini -Abdominoplasty with Vaser/Renuvion in Male Weight Loss Patient, NC*

This 55-year-old gentleman had lost over 80 pounds through dietary changes and a more rigorous workout schedule. He initially was hopeful to have some noninvasive body contouring such as Coolsculpting but was felt to be a marginal candidate for much improvement. His main problem was loose skin and although in the upright position it did not look too bad, he hated the excess loose skin of the lower abdomen particularly when he was working out. He was hopeful to avoid a full abdominoplasty. He underwent a modified abdominoplasty, essentially a mini abdominoplasty with the undermining of the skin limited and no manipulation of the umbilicus. Some limited liposuction was added to the upper abdomen as well as a skin tightening device, Renuvion. His incision actually was not "mini" as it required the full frontal incision to maximally reduce excess skin but he did not require diastases repair nor transposition of his bellybutton. He noted significant improvement in the contour of his abdomen and was pleased with the results. Because of the extent of his weight loss, he still had some loose skin of his upper abdomen which really would not have been significantly changed by a full abdominoplasty. Additional noninvasive treatments such as Genius radiofrequency microneedling will be helpful to further tighten some of the loose skin of his upper abdomen. This procedure is done with topical anesthesia by one of Dr. Lyle's aesthetic nurses and requires 2 or 3 treatments.