Ribs, backbone, pelvic bones stick out. Loss of muscle mass present. Severe tummy tuck and dramatic waistline.

Ribs, pelvis, backbone easily palpated and somewhat visible. Severe waistline and tummy tuck.

Ribs, pelvis and backbone palpable with a thin layer of fat covering. Waistline and tummy tuck obvious but not severe with more gradual curves.

Ribs covered with heavy fat layer requiring finger pressure to feel. Difficult to feel backbone or pelvis. Waistline not apparent. Tummy tuck still slightly visible.

Ribs and backbone not palpable under thick fat layer. Abdominal distention projects downwardand outward . Fat deposits on legs, face and over tail head covering pelvis.