Media/Videos

This was much more than a simple pannus removal.

After massive weight loss, she had a significant amount of excess skin and tissue that required a Fleur-de-lis abdominoplasty—but our goal was not simply to remove the skin. We wanted to completely contour her body to a shape she never had before!

In a single operation, we combined:

✨ Fleur-de-lis abdominal skin removal
✨ 360° liposuction for circumferential contouring
✨ Fat transfer to the buttocks / BBL to restore volume and shape 🍑
✨ More than 20 pounds of tissue removed
✨ A completely drainless surgery

She is only 3 months post-op, so the swelling, scars, and contour will continue to evolve.

The difference is in looking beyond skin removal alone. Massive weight-loss surgery should be about proportion, shape, definition, and creating a body that looks balanced from every angle.

This is total body reshaping—not just a panniculectomy.

📍 St. Louis
📅 Now scheduling consultations for 2026

#BodyContouring #MassiveWeightLoss #SkinRemoval #FleurDeLis #FleurDeLisAbdominoplasty PannusRemoval TummyTuck Liposuction360 BBL FatTransfer DrainlessSurgery BodyTransformation PostWeightLossSurgery PlasticSurgery StLouisPlasticSurgeon TotalBodyTransformation

One of the most important things to understand about a mommy makeover is that the result continues to evolve and improve over time.

At 10 months, you can really appreciate the details — the belly button has softened and matured, swelling has resolved, the abdominal definition has become more refined, and the entire torso looks increasingly natural, athletic, and chiseled.

This is what separates our Signature Definition Tummy Tuck from simply removing loose skin.

It’s about comprehensive contouring:
✨ Creating natural abdominal definition
✨ Sculpting the waist and flanks
✨ Restoring proportion and shape
✨ Creating a natural-appearing belly button
✨ Blending the abdomen into the surrounding torso

The goal isn’t to look “operated on.” It’s to create a result that looks like it belongs to the patient — just tighter, more defined, and more sculpted.

And as this case demonstrates, the final result isn’t measured in weeks. It gets better with time. 🔥

📅 Now scheduling consultations for 2026.

#MommyMakeover #TummyTuck #Abdominoplasty #DefinitionTummyTuck #BodyContouring AbdominalContouring Liposuction PlasticSurgery CosmeticSurgery BodyTransformation BeforeAndAfter PlasticSurgeon

STAGE 1: TOTAL BODY TRANSFORMATION AFTER WEIGHT LOSS ✨

At just 1 month post-op, you can already see the early transformation from the first stage of her total-body reshaping after major weight loss.

This patient also has lipedema, so Stage 1 included liposuction of the thighs and calves to address the disproportionate fatty tissue in those areas.

Her surgery included:

✅ Lower body lift
✅ Signature Triple Butt Lift™
✅ Fat transfer to the breasts
✅ Liposuction of the thighs and calves for lipedema
✅ Drainless surgery
✅ Approximately 6 hours total operating time

One of the most important things to understand after major weight loss is that loose skin can be deceptive.

Standing upright, her abdominal skin may not look dramatically loose. But when she leans forward, you can clearly see the amount of redundant skin present. That is skin that a standard tummy tuck simply would not adequately address.

For the right patient, this is about much more than removing skin. It’s about rebuilding proportion, reshaping the waist and torso, restoring curves, and creating a comprehensive plan for the entire body.

And this is only Stage 1. 🔥

She is still very early at one month, with swelling continuing to resolve and additional stages of her total-body transformation ahead.

📅 Now scheduling consultations for 2026.
Follow us for more complex body-contouring transformations and surgical education.

#LowerBodyLift #TripleButtLift #SignatureTripleButtLift #MassiveWeightLoss #WeightLossTransformation BodyContouring SkinRemoval Lipedema LipedemaSurgery Liposuction FatTransfer BreastFatTransfer PostWeightLossSurgery TotalBodyTransformation PlasticSurgery DrainlessSurgery

Part 2: The correction.

After breaking down the problems from her prior procedure in Part 1, this reel shows how we addressed them.

We converted her to our Signature Lower Body Lift with high-definition liposuction and BBL. In a 5-hour drainless procedure, we corrected the belly button distortion, lowered the scar, performed a pubic lift, removed the residual muffin top and dog ears, recreated waist definition, and enhanced the buttocks contour.

Revision body contouring is not simply about removing more skin or fat. It requires identifying what was distorted, understanding how the entire torso was affected, and rebuilding the abdomen, waist, flanks, pubic region, and buttocks as one continuous aesthetic unit.

The result is a more balanced, athletic, and natural body contour from every angle.

#RevisionBodyContouring #LowerBodyLift #HighDefinitionLiposuction #VBL #TummyTuckRevision AbdominoplastyRevision BodyContouring PlasticSurgery WaistContour ButtockContouring

PART 1: WHAT WENT WRONG?

She didn’t even know exactly what procedure had been performed.

This patient came to me after an awake abdominal contouring procedure performed by a general surgeon. She trusted the physician performing the procedure, but when she came to see me, she could not clearly tell me what operation she had actually undergone.

We requested the operative report to better understand what had been done — and even then, the documentation was quite vague.

Unfortunately, she was left with multiple contour deformities:

• Belly button pulled downward approximately 5 cm
• High abdominal scar
• Persistent muffin top
• Residual dog ears
• Poor waist definition
• Abnormal transition between the abdomen, flanks, and torso

This is why body contouring has to be approached in three dimensions. Treating only the front of the abdomen without considering the waist, flanks, back, and overall proportions can leave significant residual contour problems.

In Part 1, I break down what I saw and why correcting this was much more complex than simply “redoing” a tummy tuck.

Part 2: the correction.

What stands out to you most about this case?

#RevisionBodyContouring #TummyTuckRevision #AbdominoplastyRevision #BodyContouring #LowerBodyLift HighDefinitionLiposuction PlasticSurgery WaistContouring RevisionSurgery

One of the biggest mistakes I see in body contouring is treating loose skin like it’s fat.

Liposuction removes fat. It does not remove excess skin.

And great contouring depends on more than simply removing fat—the skin has to be able to conform tightly to the shape underneath.

Yes, certain energy-based treatments can produce some tightening in appropriately selected patients with mild laxity. But when there is significant loose or hanging skin, no noninvasive treatment can reproduce what actual skin removal accomplishes.

That’s why choosing the right procedure for the right problem matters.

✅ Excess fat → liposuction may be appropriate
✅ Significant loose skin → skin removal may be necessary
✅ Both → often requires a combination approach

If you want a tight, defined contour, you first have to correctly identify what you’re treating.

Fat and loose skin are not the same problem—and they shouldn’t be treated the same way.

FULL BODY PLUS-SIZE MAKEOVER — 3 MONTHS POST-OP

Comprehensive 360° reshaping in a single stage:

• Breast lift + reduction
• 360° HD liposculpting
• 360° fleur-de-lis lower body lift
• Buttock lift + BBL/fat transfer

This approach is designed to address the breasts, abdomen, waist, back, hips and buttocks together, creating a more balanced transformation from every angle.

At only 3 months post-op, swelling and scars are still maturing, but the improvement in overall shape, waist definition, skin redundancy and buttock contour is already evident.

Complex plus-size body contouring requires thoughtful operative planning, extensive experience with combined procedures, and the ability to safely manage postoperative care and potential complications.

#PlusSizeMakeover #BodyContouring #LowerBodyLift #FleurDeLis #FDL 360Lipo HDLipo BBL BreastLift BreastReduction MommyMakeover SkinRemoval BodyTransformation PlasticSurgery

This patient underwent a comprehensive full body makeover in approximately 6½ hours, completely reshaping her breasts, waist, abdomen, hips and buttocks. 🔥

Her transformation included our signature drainless lower body lift combined with:

✨ 360° high-definition liposuction
🍑 Brazilian butt lift with hip + buttock reshaping
✨ Breast augmentation
✨ Periareolar mastopexy
✨ Full mesh-wrap internal bra

Our body-contouring procedures are performed drainless. One important exception: when I perform a complete mesh-wrap internal bra, I typically use one temporary drain for approximately one week. This is about the only circumstance in which I routinely use a drain in my cosmetic surgery practice.

One operation. Approximately 6½ hours. A comprehensive transformation designed to create proportion, shape and balance throughout the entire body.

📍 St. Louis, Missouri
✈️ Out-of-state & international patients welcome
📅 Scheduling consultations in 2026. Info in bio.

#BodyContouring #LowerBodyLift #MommyMakeover #PlasticSurgery

A follow-up to my recent video, with two important clarifications.

First, my discussion was specifically about breast and body contouring plastic surgery—not facial plastic surgery, which has different training pathways and practice environments.

Second, this is first and foremost a patient-safety discussion. With major breast and body procedures, complications can require emergency evaluation, hospital admission, transfusion, or reoperation. That makes appropriate hospital privileges and the ability to participate in a patient’s care if they are admitted extremely important. bottom line is, if they don’t have privileges because they’re not port certified in that specialty, they can’t take care of you. Just like I can’t (and shouldn’t) take care of you if you have a stroke or heart attack or broken thigh.

Board certification in plastic surgery is therefore a starting point. From there, research your surgeon’s procedure-specific experience, results, reviews, hospital privileges, safety practices, and postoperative care.

✅ Verify credentials
✅ Verify experience
✅ Ask about hospital privileges
✅ Understand who will care for you if a complication occurs

📅 Scheduling consultations in 2026
🌎 Out-of-state and international patients welcome
Info in bio.

#PlasticSurgery #BoardCertifiedPlasticSurgeon #PatientSafety #BodyContouring

Not everyone performing cosmetic surgery is a board-certified plastic surgeon. Before your procedure, know what credentials actually matter. 👨‍⚕️🔎

🚩 1. They say “board-certified cosmetic surgeon” instead of board-certified in plastic surgery.
Ask specifically whether they are certified by the American Board of Plastic Surgery (ABPS).

🚩 2. They advertise multiple board certifications—but none is the American Board of Plastic Surgery.
More certificates do not necessarily mean more training in plastic surgery. What matters is whether their training and board certification actually cover the procedures they are performing.

🚩 3. They heavily promote “awake” cosmetic surgery.
Awake procedures can be appropriate in selected circumstances, but patients should ask who is providing anesthesia, why that anesthetic approach is being recommended, what credentials the surgeon has for the procedure, and what emergency resources are available. 💉⚠️

🚩 4. Their social media is focused more on entertainment than education.
Comedy and personality aren’t credentials. Your surgeon should be able to clearly explain training, risks, alternatives, anatomy, complications, and realistic expectations—not simply entertain you. 📱🎭

Before surgery, verify the surgeon’s actual board certification, formal plastic surgery training, hospital privileges, and experience with your specific procedure.

Do your homework. Your surgeon’s credentials matter. ✅

#BoardCertifiedPlasticSurgeon #PlasticSurgery #PatientSafety #CosmeticSurgery

BMI 32. One operation. Complete 360° reshaping. 🔥

This transformation shows what can be achieved with a thoughtfully planned fleur-de-lis lower body lift in a plus-size patient.

Our goal wasn’t simply to remove excess skin—it was to create shape. We treated the entire torso circumferentially, significantly reduced abdominal girth, tightened and defined the waist, and reshaped the buttocks to create better overall proportions. ✨

The result is a completely different silhouette from every angle—front, side, and back.

Even with the extent of correction, this was performed as a single ~6-hour drainless operation.

BMI is only one part of surgical planning. Patient selection, anatomy, technique, and safety all matter.

📅 Scheduling consultations in 2026
✈️ Out-of-state and international patients welcome
🔗 Info in bio @drsamercabbabe

#LowerBodyLift #FleurDeLis #BodyContouring #PlasticSurgery