This is a beautiful 59-year-old mother of two who lost 30 or 40 pounds and obviously is very lean. She went to another surgeon and had really extensive liposuction of her body. Her choice, but it removed any kind of volume underneath her skin and so it really exacerbated this laxity, which I would say is some of the most extreme I've ever seen.
You go ahead and squeeze your butt muscles together. You can see how it just ... It's not. If you could see her face how I'm pretty she is, you'd see this is particularly problematic for her. Go ahead and relax. We're going to remove a very large amount of skin all the way around here and lift this up. It's going to be what I expect would be an extreme improvement for her, one of the most extreme possible.
Because of all the internal scarring from the previous liposuction, it's extremely difficult to smooth this out. I'm going to tighten her all the way around. Go ahead and rotate to the side a little bit for me. You can see how flat her bottom is here. I'm going to double up the fat here. There's not much to double up but what she does have I'm going to give her, to increase and create some curves up here. There's still no volume down here, I can't do much about that.
Go ahead and face the window. The biggest challenge will be trying to get this to be a smooth contour in here to fit underneath her bikini but I think it's going to be a vast improvement for her. I don't think this is currently acceptable at all to her and you can understand why this might really bother somebody to have this much extra skin back here. I'm going to get to it and take care of that today.
Here we are six days post-op and I am so excited to see this beautiful result. Honestly, it exceeded my expectations. We 100% got rid of the wrinkles and laxity on her backside here. If we just have her tilt a little bit to each side, you see everything is nice and smooth on the profile view. Go ahead and turn to the side for me. You can see that she's got a little bit of a bump here. That was not easy for us to accomplish but I was able to do that by overlapping the layers of tissue back here and sculpting out a better-looking bottom.
We've got a two-week spectacular result here I'm so excited about. We performed a circumferential body lift, removing essentially this much extra skin on this patient who had lost weight and had really extensive liposuction done before. She had very extensive wrinkling down in her lower buttocks and her thighs all the way down to her knees. It's almost as though her skin was like her pants being down around her knees.
I was able to pull all that up, hide it all in an incision around her bikini line here. Let's have her rotate. As you can see here, we've got a little bit of curvature of the buttocks, which is really hard to achieve because she didn't have much padding back there. She's got a beautiful curve here, she's got a flat abdomen in the front and her butt is looking better than ever. One thing that you can't see is that she has a sunburn on her shoulders here because she was out at the beach this weekend enjoying her new body. I'm very excited for her.
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Dr. Stoker performs plastic surgery in Los Angeles but is recognized by patients, peers, and publications such as The New York Times as one of the top plastic surgeons in the nation. You may recognize Dr. Stoker from his appearances on ABC's "Extreme Makeover: Weight Loss Edition" as well as contributions to "The Today Show," "Dr. Phil," and "The Doctors."
