Grade 4Surgical path45+
Long-standing grade 4 — single-stage debulk and lift.
Heavier buildMixed
“I went in with realistic expectations because this place set them. No surprises, just a long honest recovery.”
Decades of grade-4 on a heavier frame. Surgeon judged a single, larger operation realistic rather than staging. Significant tissue removed; recovery measured in months, not weeks — and he'd known that going in.
What happened
Single-stage excision + lipo + skin tightening. Drains 5 days. Full settle ~6 months. No revision to date.