 Hi everyone, Dr. Saul here, getting ready for the weekend, but before we start the weekend, we have this beautiful patient here who's starting her journey to a hot summer body and it's starting today, the journey begins. She's in her early fifties and she's a mom of two and what we're going to do for her is lipo of the sides, bring her in, we're going to do a tummy tuck and lipo of the pubic. If you look at her, her body is very small, she has a lot of skin, one thing a lot of people have that they don't realize, there is a band here, do you see how it sticks here and another roll starts, the bands are attachments like the fingers, do you see how your fingers, the skin doesn't go all the way down or all the way up because they're attachments. So on your abdomen, you have attachments so it doesn't fall all the way down, you can see the attachments are here, so this one falls and this one falls on top of it, you can see her belly button is right there, so I measured her while you guys were away, she's 49.5 inches right around here, 126 centimeters, I think taking this off, you guys think it's going to be a lot of weight but actually remember, fat has no density, it floats on water, if you followed our videos when we do lipo suction, the fat sits on top of water, so what it's telling you is its density is less than water, always remember the feather and the dime test, you did it back in sixth grade or so. So I think this is somewhere between 7.5 pounds and maybe 8.5 when we take this whole skirt off of her, we're going to go extend it, tummy tuck, super extend it from one side where the extra skin is, all the way to the other side, we're going to take all this off, bring this down here, lipo the pubic, look she's a small girl inside and we're going to bring that out in her today and have the journey start today making her look fantabulous, so stay with us before the weekend starts, let's go. Good morning everyone, Dr. Saleth the sink, your favorite time on Friday is when I'm at the sink and we are thinking about the case, this is going to be an amazing case, we did something like this a few months ago, I'm going to have the girls look for it and maybe post it so you guys can see how big of a difference this makes, you know these patients get a lot of swelling to see the final results takes five to six months to see real clear results, so we're going to get started, I'm thinking this is going to be seven and a half to eight pounds, guess how much, how much it's going to be, let's see who's closer, if I have to take a, I'll say 7.8 about that, that's my number, let's see who gets closer. So here we are, the usual first step is isolation of the belly button and look at that beautiful belly button hidden underneath all that skin, remember I told you there's an adhesion band here, everyone has it, it just depends how much skin you have, your skin will not fall, you'll get a like a belt effect right at the adhesion segment, so it's normal to have that if you're getting too much weight. I want you guys to notice something, when we let go, look at how low her private and pubic area are, first of all we're going in the hair bearing area which always is covered in a bikini, no one shows their hair bearing area, usually the bikini is higher and number two is when we're pulling up with the lateral, the way the line is, you could see it pulls a little on her thighs, look at that, so we're going to give her a little bit of a thigh improvement, not a thigh lift but an improvement, you see how the line goes up, it pulls up on the thighs, so this is the scar is laterally high for a reason and that's why, so we're going to start and here we go, this is an extended, super extended tummy tuck because she has skin all the way here, so this is the fascia, the white stuff is the fascia which separates the organs from the outside, the organs the small bowel, the large bowel, the gallbladder, the liver, the stomach, it's all underneath here and it has some fat, you see this fat come here, this is different than the rest of the fat, that's a hernia because there's a hole in the fascia, this is what a hernia is, is when something from the inside pokes out through the fascia, so you could see just by the difference of it that it's coming from the inside and we'll fix it for her, but she was so big I wasn't able to feel that small little hernia because look at how thick she is, so here we are, look this fat should go down inside, see how it's getting reduced, there it goes, it disappears in the inside, that's where it belongs, not outside, see there's a hole here, it's a small hole, but we're going to close that hole, see right here, look at that, all that came through that small little hole, it's very tiny but you know when the fascia gets thinned out at one point it'll just rip, when you get too big and the fascia can't extend, it'll just tear and you'll get a hernia, that's what a hernia is, when anything from the internal area protrudes through the fascia, I just want you to see how small she is internally, her skeletal system, her pelvis is from here to here, that's about 12 inches, maybe 13 at most, look at this, that's a 12 inch ruler right there, so you can see how much she looks bigger by having subcutaneous fat and skin, but in reality her waist is only this big, but when we started she was this big, so it's our intention to make her as small as possible, we're going to relax the stomach so we can fix the diastasis and then we'll go from there, okay so we've done the first layer of closure, now we're doing our second layer, you know I always tell you guys we do two layers, just for backup in case she pops one, there's a backup system in place, so here we are with the second layer going in, so I just want the job that goes like that instead of being a plastic surgery, here let's look at what we've done, so look at her inside, double closure, look at how tight it is, we took care of her hernia that she had here, look at how small she is about this wide, look at all the excess skin, look at how much I'm going to pull down, look what we're going to take off, it's going to be amazing, look at that, we're going to probably go up to right here, okay stay tuned while we do that, so look usually when we measure we have about you know 12, 14 inches, but look at 16, this is the 6, sorry 6, 12, 12 and 5 and a half, we're talking 17 and a half inches of skin from the longest way when we're cutting in, so we're going to cut all this out, so we measured and now we're ready to cut this side, and here we go, so you guys we're done with the case, incredible case, we haven't waited yet, so keep on guessing to see who gets the right weight, so going across 24 inches, look at this from from side to side, 1, 2, 3, 4 times 6, 24 inches, going up and down vertically, 1, 2, stretch it out over 3, that's 18 plus another 2, 20 inches, 20 inches vertically, 24 inches horizontally, let's see what we did all day today, we've been working on her, this is longer than her torso, watch as we reveal, bam look at that beautiful belly button, look at that contour, look at the lipolaterally, we did the pubic area, she has one, you remember how she had an indentation, it's all gone, looks fantabulous, I told you we'll get her hot body ready for summer 2021, so here it is you guys, all that skin and fat we took out, 17 pounds, that's almost 10 pounds more than I thought, man this has got to be one of the biggest one I've done, it's incredible.