These photos show a 65 year old woman who lost 45lbs. She did not want to pay for a tummy tuck, and with her long right upper quadrant cholecystectomy scar, I was not sure a complete tummy tuck was even possible. A panniculectomy was performed with only a fair improvement in contour. This shows the limitations of only a panniculectomy. Her lower abdominal folds and rash are however resolved.