I was once very obese, and lost the weight. Body contouring after that much change was fairly new back then (2004, so my expectations were just to look passably normal, not 35 or even 40 again or as though I'd never been fat.) I was early in the "learning curve" of a "post massive weight loss body contouring" Nashville doctor who promised me way more than I expected (being sane and realistic), and delivered much less.
Later his nurse admitted he'd had very little experience in the type of patient I was (late 40's, lost >100 lbs, stable at ideal wt. > 1 yr. at the time of my surgery, (but only after it was 2 years later; prior to the surgery she lied, too. His main selling point other than outcome and alleged skill was that he could do most of the body in one long day, so it meant I could get it done without losing my job.
I really believe he was hopeful and excited about my prospects, as I have a naturally hour-glass shape and decently attractive face. (Whether it was hope for me or for how my dramatic "before and after" photos might boost his reputation for the challenging surgery, I'll never know...but the coldness he showed me later, even while seeming embarrassed himself at his work, makes me think it was the more selfish motivation almost entirely. And sure enough, he has made such surgery a huge part of his practice, is doing very well, and probably IS much more skilled at it now.
My saline implants were misplaced from day one, 1 obviously and painfully so. He promised to fix them after a few months of healing, but refused later. Abdomen okay,very flat/ugly navel, but again I did not expect overmuch. But my legs were actually damaged, and need lifelong medical treatment for safety now. And at first he agreed some revision was needed, but denied permanent damage. He said we'd need to wait 6-12 months to see how things might turn out on their own.