We’re going to draw the muffin tops. Now you’ve done such a good job of getting
in shape that you have not left me a whole lot to suck out which is very kind of you. I’m going to make your child’s footprints
smaller. And we’ll get rid of that. And you really don’t have any fat under your
bra. You’re in super shape. OK, turn around. So lift your arm up. We’re going to keep the scar in the same place. OK, turn this way. And right there. OK. And now, let’s get the midline. OK, so that’s pretty obvious. And we’re coming down, right down here. And you’ve had a C-section. Patient: Two Dr.: Two, you’ve healed beautifully. There’s the Xiphisternum. So we’ll drop the line from there down. Belly buttons tend not to be midline structures. Yours looks like it’s off to the right just
a little bit. OK, now lay down here. So what we’re gonna do initially is cut here,
do all the work. We’re going to repair your muscles, cut around
your belly button, drop it inside. Dissect all the way up to here so the muscles
together all the way down. In two layers. And then, once that’s all done, then we’re
going to pull this down as far as we can. If we can get to here, that’s wonderful. If we get here, that’s perfect. We take no chances of not being able to close
things or that it closes under too much tension. And then the incision goes as far as it has
to. We don’t care how long the incision is, we
care about how thin it is and also how low it is. This is the A, this is the B, and this is
the C. And I’m betting on the C but we’ll find out. This is just for identification so I know
where the bottom is but we’re not going to really mess with the bottom at all. OK, so, sit up. This arm goes in but not the other one. And let me get this.