CiNPT for Abdominoplasties in Post-bariatric Patients Study

Inclusion Criteria: * previous bariatric surgery for weight loss * candidate for/undergoing an abdominal panniculectomy (abdominoplasty) * Residual BMI \>30 kg/m2 at the time of the operation * Evidence of pannus (abdominal) ptosis (Pittsburgh Rating Scale \>2) * Lipodystrophy and inelasticity of the skin * Presence at the time of surgery of at least one local risk factor (e.g. a history or the presence of local complications such as skin blistering, recurrent erythema, panniculitis, or chronic infection; history of abdominal hernia or need for abdominal hernia repair) OR one systemic risk factor (diabetes, smoking habit, serum proteins below 6g/dL). Exclusion Criteria: * Severe systemic co-morbidities (defined as ASA III or higher) * Malignant tumors * Conditions or medications affecting wound healing (e.g. steroidal drugs or keloids) * Known allergies to components of the treatment * Presence of severe local cutaneous complications (open wounds, extensive infections) at the time of surgery.