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49-year-old female who presented to discuss abdominoplasty. She notes she has loose skin, following five pregnancies and weight fluctuation. She has recently started a medically supervised weight loss program. Her high weight was 280 lbs; she currently weighs 215lbs, but her goal is to weigh less than 200lbs. She notes she has an apron of skin that hangs down. She is unable to find clothes that fit because of the excess skin. Height is 5’7″. Weight is 215 pounds. An abdominoplasty with rectus repair was performed on an outpatient basis under general anesthesia. Results are shown at 4 months.