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As a member of the American Society for Aesthetic Plastic Surgery (ASAPS), this physician is among a select group of board-certified plastic surgeons who have attained the highest level of achievement in cosmetic surgical training, continuing education and clinical experience.

Post Bariatric (Body Contouring Surgery After Dramatic Weight Loss)

Body Contouring Body Contouring Body Contouring

Body contouring after major weight loss reduces the excess skin and fat that is left behind from the expansion of skin, loss of fat and lack of tissue elasticity that often occurs after a major weight loss. This sagging skin commonly develops around the face, neck, upper arms, breast, abdomen, buttocks, and thighs and can make your body contour appear irregular and misshapen. If you have undergone dramatic weight loss either through diet and exercise or bariatric surgery, and you are at your optimum weight loss goal, you may be a good candidate for this surgery and may wish to consider undergoing this procedure.

The success of body contouring, whether it is done to reduce, enlarge or lift, is influenced by your age and by the size, shape and skin tone of the area to be treated. Some contouring procedures leave only small, inconspicuous scars. More noticeable scars may result when surgical removal of fat and skin is necessary to achieve your desired result. Most patients find these scars acceptable and enjoy greater self-confidence when wearing a bathing suit or form-fitting clothes.

It is not uncommon, depending on individual patient factors, the extent of surgery needed and surgeon preference, for massive weight loss patients to have multiple operations performed in stages. In such cases, the waiting period between surgeries ranges from weeks to several months or longer.

Face and Neck Lift

Face and Neck Lift Before Face and Neck Lift After

After dramatic weight loss, the face skin can become flaccid, resulting in the cheek pads dropping, and jowls forming, resulting in the loss of a defined jaw line. In addition, the neck is loose and sagging.

A face and neck lift raises the cheek pads, corrects the jowls, and removes the loose and sagging skin. The incisions are inconspicuous. They are placed in front of and behind the ears, and extend into the hair above and behind the ear.

Post-bariatric surgery patients may be nutritionally deficient, and this can have consequences for surgery and recovery. Patients may be referred for nutritional counseling and advised to wait a year or longer following their weight loss before undergoing plastic surgery. It is also important for the patient’s weight to stabilize before body contouring begins.

Patients may be surprised to learn the extent of plastic surgery that is required to bring their body back to a more normal and aesthetic appearance. Many of these patients will need a total body lift. While surgeons may define this term somewhat differently, treatment most likely would include a tummy tuck, circumferential lower body lift, thigh and buttock lifts, removal of back rolls, breast lift and upper arm lift as well as face and neck procedures to get rid of loose, hanging skin in these areas.

Remember no two patients will have exactly the same results. You should realize that to re-contour and shape your body after dramatic weight loss, you will have visible scars, and uneven contours can develop. While the results of body contouring are visible immediately, if you have poor skin elasticity or gain weight, you will have some relapse of the sagging skin.

Through recent advances in all types of body contouring surgery, it is now possible for many patients to have a more proportionate body, better body image, and more self-confidence. The best way to get answers to your specific questions to see if you are a good candidate for this type of surgery is through a personal consultation with a board-certified plastic surgeon.

Brachioplasty

Brachioplasty

An arm lift, or otherwise known as brachioplasty, can remove the excess skin and fat deposits, leaving the upper arms with a more pleasing and youthful contour. As a person ages, upper arm skin can become loose and flabby. Plastic surgeons will consult with patients about undergoing surgery for an arm lift if they wish to tighten this skin to look and feel more youthful. The incision extends from the elbow to the underarm, and sometimes on to the side of the chest. In some instances, your plastic surgeon may recommend that liposuction be used alone or in conjunction with an arm lift to remove excess fat in the upper arms.

Breast Lift

A breast lift will raise and firm sagging, flat breasts. Some patients also may require breast implants to improve the shape and size. Incisions are placed around the nipple, from the nipple to the crease under the breast, and horizontally along the breast crease.

Breast Lift Breast Lift

Medial Thigh Lift

The medial thigh lift will lift and tighten the sagging skin of the inner thigh. Incisions are usually placed in the groin.

Medial Thigh Lift Medial Thigh Lift

Panniculectomy

A panniculectomy is performed to remove the hanging pannus, or apron of skin, from the lower abdomen below the belly button. The excess skin and fat above the belly button are not removed. A panniculectomy is often performed on patients who are still significantly overweight but have skin irritation from their hanging skin. After surgery, these patients have less skin problems but have little improvement in the contour of their bellies.

Panniculectomy Panniculectomy

Lower Body Lift

In one procedure, the sagging skin of the abdomen, outer thighs, buttocks, hips, and waist is corrected. Incisions extend completely around the body to remove a "belt" of excess skin and fat. Another common name for this procedure is a "belt lipectomy."

Lower Body Lift Lower Body Lift Lower Body Lift