Use of two vertical incisions on sides for abdominoplasty?
Interested in abdominoplasty (was on high dose prednisone for 5 years to treat an autoimmune condition, which is now in remission) 49 year old male, 6'1. 337lbs >180lbs current. When I'm laying prone gravity does a wonderful job of pulling the skin back. It seems that two vertical incisions, on the sides from armpit to waist, would accomplish the same AND the scars would be hidden when arms are down? I was also thinking of covering with tattoos as well. Is this ever done?
Yes, what you are describing very well is the surgical practice of removing, contouring and reshaping a patient following massive weight loss. It is a craft that almost every ASAPS Member is well versed and participates in frequently. Here is an example of one of our female patients that lost over 150 pounds before and after a body contouring procedure ( http://www.garyculbertson.com/photolibraryr%202-a.htm ). Yes, we also do men.
Please remember that based upon your description you may require more than one surgical procedure. Consider a consult with one of the many members of the ASAPS. They are experts in massive weight loss patient surgery. Best,
Gary R Culbertson, MD, FACS