Cone shaped legs and belt lipectomies

I saw my Dr. on Youtube the other day discussing how the abdominoplasty part of belt lipectomies has to be done differently for people who have cone shaped legs. He said they can be a surprise to the uninitiated surgeon. The implication was that devastating problems would occur. I think I must have been his initiation to cone shaped legs during my belt lipectomy and that it was too late for him to make allowances for my legs being so prominent in front because he had already cut the initial incision too low. The skin got pulled up from my pelvic slope to close over everything and that is probably why I have so much pain and deformity today, 10 years after. The Youtube presentation seems to have been pulled from viewing.