The patient was one pound and a few ounces when born 20 ( twenty !!!) years ago… a miracle indeed…and that is when her abdominal surgery created the scar.
She has lived her whole life with a scar clear across her belly and that was deep and right down to the abdominal wall holding back all her intestines ( literally 1.9 mm’s away) .
Extensive studies ( CT scans ) were done and the case discussed with many colleagues until every aspect of her surgery could be planned, including contingency plans for disruption of the abdominal wall itself.
At age 14 she had a chance to have it corrected, but the stars were not aligned properly and she didn’t have confidence in her surgical team.
At age 20 she her scar has been safely replaced, yes with another scar, but one much more acceptable, and she's so happy and appreciative. I have been on an emotional “high” for weeks just knowing I did this for her….
This is the kind of reward the Plastic Surgeon I dreamed I would be, lives for.