 Hi, good morning everyone. Dr. Saul here in Beverly Hills ready to start off the Monday with a great case. Our next patient today is a young 50-year-old female. She's had two kids. She's here for a abdominal makeover. Let's take a look. Let's see what we're going to do for this beautiful lady to get her summer body 2021 ready. So we examine her. She has a diastasis. Look at what diastasis it is. It's in our profile there. Look at what swing on it and take a look at it. She has diastasis, which is opening up the muscle. We're going to repair that, bringing the muscle. You see it's like bringing the muscle, how it gives her more curve in her body. So once we bring that in, she's going to get more curvy. We're going to do lycho of the phlegm on both sides. We're going to do lycho of the pubic. And then we're going to take out, my goal is to go up here and take out as much of the stretch skin as possible. She has a lot of stretch marks. She had two kids. You can see she's getting some infections. It's not normal to have skin on skin. And when we do, we get sweat built up in between them and they cause issues. You know, the only places where we have skin on skin are on your arms, under arms, between your legs. And you know how during the summer it gets so difficult. We always wear under arm, your under arm, but the legs rubbing against each other. Imagine this skin on this skin rubbing and during the humidity and the summer. So today we're going to get rid of all that and all the problems that come with it, which is all these skin breakouts and infections and everything. So it's going to be a great day. We're going to make her stomach totally flat and in. And we're going to take out as much fat as we can to give her a very nice sculpted hourglass look and pull the skin. You see my aim is to take out a big piece of skin and we're going to take all this out for her. Everything from here to here. Let's see if we can do it. We haven't even measured her. I'll measure her. You'll see her numbers on the table. Let's get started. So here we start. We're isolating the belly button. We're going to give her a nice little belly button. So we're going to go cut around just like that. The belly button, as I tell you guys, it's attached. So we keep it in the same attachment but bring it out through a different location in the skin. So you can see how my scar is situated. It's not straight. It's kind of curved with a lateral tension. That way it pulls up a little bit on the thighs so you can see how much of a difference it makes. So we don't go right straight across but we do go from wherever she has excess skin. We have to go across from there all the way across and take out all the excess skin for her. So when you're in the right plane, you can see the fat just peels off the fascia right there. I'm using my fingers to push back and then using my electrocutory bovi to just dissect right off the fascia right there. You can see it peels back very nicely. There we are right there. So you can see when we pull, you can see how big her diastasis is. As we pull, you can see how much it's opened up. That's technically this side of the muscle. There's the left. There's the right. You can see as it comes down, it gets smaller. So the spread of the muscle varies from people to people. In her case, it's wider up top and narrower on the bottom. So we're going to bring these two edges together and bring these two edges together. So here we are. You can see it's tighter. We put in a layer but you guys that follow us, you know that I like to do a second layer. This is the sternum. That's the chest bone comes all the way. I can feel it right there. So right to the left of that is the heart underneath here is the diaphragm and then all the abdominal contents. So now we're doing the second layer of the internal suture, internal corset, I like to call it. So we're going with the second layer. We'll show you how much tighter it gets after the second layer. So you could see the blue suture is the second layer. Look at how nice and taut that is. You could play the drums on it. And look at how much it brought in her waistline. So she's going to have a much smaller waistline. I measured it for you guys. She was 39 inches across her umbilicus and we'll see how much she is after. But you could see how nice and tight it is and everything cinched in. So here you could see the area where we lipode. We call it the honeycomb because all the fat is taken out and you can only see the fibrous material. So look at how empty she is laterally. This is her real hip and here's the muscle. So we got all of it out. She's very thin on both sides. She's very tight and look at how flat she is. So now here's the belly button, which I always tell you guys it's attached. So you can see it can't really move up or down because it's attached to a particular place. And here we are. We're going to pull down the skin and take as much as possible. So here we are. We're measuring from where we're going to cut to the tip. This is six inches and then another five. So 11 inches we're cutting in length. So here we are. We measured the other side to the exact measurement and we're taking it off. We are there. So we're done with the case. We lipode about 900 cc's, about 800 from the side, 100 from the pubic. Look at how much skin we took out. The length of it was 12 inches. The cross is 22 inches. This is where the belly button was, pubic area, the top of it. So we went actually two inches above the belly button, now for the big reveal. Ready? Oh yeah. Look at that beautiful, nice, tight skin with the small belly button. Most of the stretch marks are gone. A few are left. Now look at the contour, everything. She did spectacular. She looks fantabulous and ready for summer of 2021.