This is a 38 year-old female who presented to the office with a lower abdominal pannus, an abdominal muscle separation, and lack of a waistline. She was unable to improve her abdominal appearance with diet and exercise. She had an extended tummy tuck with liposuction of her waist at our JCAHO-accredited facility in Downers Grove, IL under general anesthesia. For the tummy tuck, we used our drainless technique using Quill sutures for progressive tension quilting sutures. Exparel (liposomal Marcaine) was used to inject the abdominal wall at the time of surgery to decrease the postoperative pain related to the muscle repair and reduce the need for postoperative narcotics. The patient had an uneventful postoperative course and was very happy with the cosmetic result at 3 months after the surgery.
