Surgical solutions to the problem of massive weight loss

Figure 2 Typical frontal (A) and lateral (B) pre-operative appearance of a panniculectomy candidate; This 41-year-old patient is status post a 60-lb weight loss. In addition to the unsightly appearance, the hanging pannus can be the source of pain and recurrent infection. Removal of the pannus (in this case with umbilical translocation) even without plication of the underlying abdominal wall resulted in significant improvement in contour and relief of symptoms (C and D). The patient also underwent a concurrent bilateral mastopexy.