A Case Report of Cosmetic Abdominoplasty in a Patient With Colostomy Appliance

Our patient presents with a unique case of both functional and cosmetic concerns following colectomy for the treatment of Crohn’s disease with subsequent massive weight loss following bariatric surgery. She desires abdominoplasty to address these concerns. Thorough preoperative planning and work up set the ground work for a successful procedure. We’ve shared our intraoperative approach, which has never before been published in the literature. Following her procedure, the patient had a mostly uneventful postoperative course. Her functional and cosmetic concerns were addressed with the procedure. The surgical outcome exceeded her expectations. Patients seeking body contouring surgery following bariatric surgery can be expected to increase. We suspect there may be other patients similar to ours that are experiencing similar functional and cosmetic concerns that can be addressed with cosmetic surgery. Due to the extremely unique nature of this case, we’ve shared our approach in hopes that our success can serve as a resource to other surgeons with similar patients.