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A 30-year-old man presented at our plastic-surgery clinic to request body contouring after massive weight loss (Panels A and B; inset shows patient before weight loss). Two years earlier, the patient had undergone an open gastric bypass for morbid obesity, and he subsequently lost 418 lb (190 kg) (from 647 to 229 lb [294 to 104 kg]) and had a decrease in waist size from 84 to 48 in. Although the procedure cured his hypertension, he had recurrent rashes and skin breakdown of the residual abdominal pannus. In addition, he continued to have difficulty ambulating and could not urinate while . . . [Full Text of this Article] |