Male abdominoplasty after massive weight loss

25 year old male who underwent massive weight loss using diet and exercise.  He had truncal laxity and some residual adipose tissue present and thus underwent a two stage procedure with the first being a standard abdominoplasty with liposuction of the abdomen and hips followed 6 months later by a completion abdominoplasty with additional liposuction of the upper back due to some slight weight gain.  For certain patients, two stages offer more precision and comfort rather than a single circumferential abdominoplasty.  The after images were taken one year post his second procedure.