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Patient 22046
This is a case to learn much from. He is fifty years old and presented with some fullness of his chest as well as asymmetries. My biggest concern with him was the quality of his skin and how well it would retract. I was careful to manage his expectations to match the best and worst outcomes. He enjoys the very best outcome. His skin has retracted very well and the improved symmetry of his chest is impressive. I also fixed an umbilical hernia that he has had for many years at the same time and he is so happy that he didn’t need to go through his insurance and hospitals and another surgeon. The most difficult cases arise from patients who have skin elasticity that is poor. Causes include genetics, age, weight fluctuations and large weight loss. It takes a really experienced surgeon to make a good choice regarding no skin or skin removal treatment.
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