After losing 150lbs, I went to Dr Ruter to discuss skin removal surgery. Instead of removing skin as requested, he sold me an expensive renuvion package and performed a standard abdominoplasty without repairing the muscles and he placed the belly button almost a full inch off center. He consistently dismissed my concerns and tried to reassure me this was normal, then attempted to charge me another $10,000 for a revision surgery to fix it. I had to seek the opinion of other doctors and pay to have the procedure re-done elsewhere. I suppose this is the price I paid for not seeing a board certified surgeon.