One of the most important steps that people affected by morbid obesity can take is losing weight—through bariatric surgery or traditional means—and starting to live healthier lifestyles with slimmer physiques. Once the hardest part has already been addressed, losing the weight, there is a noticeable change in your appearance. However, areas of loose, overhanging fat and skin can remain and be difficult to get rid of, potentially clouding the thrill and sense of accomplishment that is felt post-weight loss. In addition to preventing you from wearing new, smaller-sized clothes, this extra skin can be very uncomfortable to carry around. Rashes may develop along the folds of skin, causing the areas to burn or itch. In individuals with a history of obesity, it is unlikely to this skin will recover after major weight loss. The only real and definitive solution to excess skin after major weight loss is the surgical removal of the skin.
To help women and men who are experiencing these issues following significant weight loss, Dr. Steven Holzman, our board-certified plastic surgeon, offers numerous post-bariatric body contouring options at our Austin practice. For details about the variety of solutions available to you, we invite you to explore the information provided on this page, or simply contact Dr. Holzman today to schedule a consultation.
Post-weight loss body contouring—sometimes called post-bariatric body contouring or plastic surgery after weight loss—refers to a variety of procedures designed to eliminate extra skin folds, remove stubborn fat, and give the body a tighter, more fit appearance following substantial weight reduction. Post-bariatric procedures can improve the contour of numerous areas of the body, including the abdomen, back, thighs, arms, chest, neck, and even the face. Based on your unique needs and goals, Dr. Holzman can perform one or more post-weight loss plastic surgery treatments to help you complete your transformation and achieve the figure you deserve.
Plastic surgery after weight loss can be both physically and emotionally rewarding for individuals who have not fully achieved the body they envisioned when committing to bariatric surgery and/or a healthier lifestyle. Some of the most common benefits that can be experienced include:
To help you achieve your goals, we offer a comprehensive range of body contouring procedures to address the excess loose skin that comes from significant weight loss. Some patients only require a small amount of tissue excision and others may need two or more techniques to address their concerns. Dr. Holzman will help you determine which procedures can provide the optimal outcome.
Loose, flabby skin under the arms is a common occurrence after weight loss and can be improved with an arm lift, medically known as brachioplasty. This procedure removes excess skin and tightens the remaining tissue, giving a more youthful, smoother appearance to the arms.
Extra skin in the upper and inner thighs can be reduced with a thigh lift. This treatment lifts the skin of the thighs and eliminates the excess, tightening the area for a smoother appearance. Thigh lift surgery can also reduce friction between the legs while walking as well as enhance the legs’ silhouette.
After significant weight loss, patients are often frustrated with the excess skin around the belly or abdomen. Depending on the amount of weight loss, there can be a large amount of loose skin that may extend over the pubis and down to the thighs or even to the knee. We offer a range of tummy tuck options, including circumferential and fleur-de-lis abdominoplasties to correct this concern.
Sagging back skin is uncomfortable and may be considered unsightly. Backplasty removes the unwanted skin and fat, allowing you to go shirtless or to wear the latest fashions without visibility of folds associated with loose skin.
The breasts can often take on a sagging or drooping appearance after weight loss. A breast lift elevates the skin of the breasts and gets rid of excess skin, tightening the remainder, which relocates the breasts to a higher position, thus giving them a more youthful, “perkier” appearance. Other breast procedures may also be added to your treatment plan, including breast augmentation or breast reduction, to suit your cosmetic goals.
Dr. Holzman will trim excess skin from the chest for a natural-looking upper body profile. If any remaining glandular or fatty tissue is found in the area, these can also be excised or removed with liposuction for a smoother, more masculine appearance in a procedure commonly known as male breast reduction.
Some patients are surprised at the loss of volume in their face after massive weight loss. You may notice hollowed out areas and sagging skin on your face, making you appear older than your age. The areas that are frequently affected include the face, eyelids, eyebrows, and neck. Facial plastic surgery procedures, including facelifts, neck lifts, blepharoplasty (eyelid lift), brow lifts, neck liposuction, and injectables such as BOTOX® Cosmetic and dermal fillers, can improve these concerns.
The hardest part of this entire process you have already completed: losing weight. That said, recovery following post weight loss surgery is an essential part of achieving your desired outcome. Facial procedures differ somewhat from body procedures when it comes to recovery. They are usually less painful, interfere with life less, and healing overall is often easier. Most of the recovery involves incision care, rest, and time away from the public. This last issue is the most cumbersome, as it takes time away from work and family commitments. Individuals who can telecommute, or work from home, can be back to work in just a few days after some of the facial procedures. Conversely, body procedures take longer to recover but healing incisions, bruising, and swelling can be hidden under clothing. Discomfort is managed with medication, and we will make every effort to ensure your experience is as smooth as possible.
Each procedure is unique, and it’s important to understand how you heal may be different from someone else undergoing the same surgery. Combining techniques does not usually mean your total recovery time will be twice as long and, in fact, may require the same amount of downtime as a single procedure. Dr. Holzman will review the typical healing process with you at your initial consultation once your treatment plan is developed.
The price of post-bariatric body contouring will depend on which procedures you choose, how many procedures you would like, and the complexity of your cosmetic program. In addition, factors such as the plastic surgeon’s level of expertise and the city/region of the country in which the practice is located can influence total costs.
On our site we provide pricing for a number of the procedures mentioned above on their specific procedural pages, and we invite you to explore those. During your initial consultation, Dr. Holzman and our medical team will review the details of your treatment plan, including costs, so you are prepared for any financial responsibilities. If you would like to consider plastic surgery financing, we work with reputable lenders who may be able to help.
Choosing the right plastic surgeon for post-weight loss body contouring is essential to not only achieving an optimal outcome, but also to helping ensure you receive the safest, most comprehensive care possible. Some key elements to consider when looking for a surgeon include board-certification through the American Board of Plastic Surgery (ABPS), experience and skill in the procedure(s) you desire, before-and-after pictures of previous patients, and a strong rapport with the doctor.
Dr. Holzman is board-certified by ABPS and has over two decades of cosmetic surgery experience, which includes helping numerous women and men attain the body contour they desire following massive weight loss. We encourage you to take a look at our patient photo gallery, as well as schedule a private consultation with Dr. Holzman to discuss your goals and discover the quality of care you can expect before, during, and long after treatment.
Ready to complete your weight loss journey and see your results? Talk to us today to schedule a consultation for post-bariatric body contouring.