So much of the work done at Cape Fear Valley Plastic Surgery is intended simply to help patients love what they see in the mirror. But not every transformation is purely cosmetic—many are rooted in a serious medical necessity .
That was the case for Meagan Deitz. Before her surgery, she had already experienced a major physical transformation: dropping from 280 pounds to 165.
That too was for more than cosmetic reasons. Deitz had decided to take action when her sister, Kayla, died at just 28 from a sudden cardiomyopathy.
“Heart issues run in my family, along with weight struggles,” she said. “I needed to do something.”
She focused on her diet and committed to a habit of 10,000 steps a day, and in just over a year, she had dropped more than 100 pounds.
But her lighter frame came with a new problem. The rapid weight loss had left her with loose skin, including an overhang of excess skin and fat called an abdominal pannus. She developed hidradenitis suppurativa (HS), a condition in which skin-to-skin friction can lead to painful bumps and sores that become infected. The wounds often reemerge after healing or don’t heal at all.
Deitz’s HS was about as bad as it gets: Stage 3, with deep wounds that had to be packed routinely to support healing and reduce pain. The discomfort interfered with her daily life, including time spent with her son, Lucas, who is now 5.
“It was the worst feeling,” she said. “I was super depressed all the time. I was not able to move around a whole lot, and I felt like I was missing out on a lot of my son’s life.”
After trying several medications with no real success, Deitz’s primary care provider suggested a panniculectomy—a surgery to remove the hanging skin and fat on her abdomen. That led her to Leif Nordberg, MD, a board-certified plastic surgeon whose expertise ranges from facial cosmetic surgery to post-mastectomy breast reconstruction and beyond.
“The entire experience with Dr. Nordberg was amazing,” she said. “His whole team, really. I felt happy to go there, and I never felt rushed. They took their time, even if I kept them for 10 extra minutes just asking questions.”
After some time to get the insurance authorizations settled, Deitz had the surgery in December of last year. She felt some trepidation going in, but by the end of that day, she was resting comfortably at home.
“I wouldn’t say it was pain-free,” she said, “but the recovery was significantly better than any other surgery I’ve ever had. Going home the same day, and being with my son and my husband instead of being stuck in the hospital, was amazing.”
By March, she was cleared to resume all physical activity, including a weightlifting routine to strengthen her new body. And she found it easier than ever to keep up with little Lucas.
“He is super energetic,” she said. “Before the surgery, I was barely able to lift him because of the pain. He’s so much happier now that I can do more things with him.”
And although her surgery was not purely for cosmetic reasons, Deitz is pleased with how she looks after a few months of healing.
“My biggest shock was the scar,” she said. “It looks amazing, considering the size of the incision I had to have. I’m so happy with it.”
Deitz said she was surprised to get a referral to plastic surgery, but the results have been beyond her expectations.
“Even my husband has noticed, my mood has been so much happier,” she said. “I want to live a long life for my son, and that is probably the biggest freedom the surgery has given me.”

(Photo courtesy of Cape Fear Valley Health)