This patient had a circumferential tummy tuck to remove roll of skin and fat that circled his lower abdomen, waist and back as seen in his before pictures.
Upper skin was then rolled down to replace removed roll of skin. Belly button was repositioned into new skin. Muscles were tightened to reduce waist size and flatten his abdomen. Incidentally, patient lost weight by his own initiatives after surgery and furthers enhanced his post- operative appearance.