CASE STUDY #15

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History: This young lady in her mid 30s had bariatric surgery several about two years prior to visiting our office. She was 240 pounds before her bariatric surgery and now was down to 110 pounds. That is a 130 pound weight loss that she has been able to maintain with diet and exercise. She then underwent at lease three abdominal hernia repairs with mesh for her obesity related hernias. Her massive weight loss resulted in an over abundance of excess skin on her entire body. She had a tummy tuck with removal of excess skin as well as a breast lift and augmentation. There was also excess skin and asymmetry in her vulvar structures as well as pelvic prolapse and incontinence. She underwent a staged surgical repair resulting in full functioning of her pelvic and vulvar structures. She was very happy with the results of her vaginal surgeries and was able to resume a normal and active sex life. Her next plan is to reduce the excess skin over her legs and thighs.

Procedure Performed: Labia Minora Plasty, Clitoral Hood Reduction, Pelvic Reconstruction, Vaginoplasty, Perineoplasty, suburethral sling

Outcome: The patient returned to her normal activities and has successfully kept her weight under control. Her next goal is to reduce the excess skin on her thighs and improve her level of fitnesss.


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