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. Post-bariatric surgery can improve contours in a variety of areas. Procedures available from Dr. Steven Holzman, our board-certified plastic surgeon, can reduce excess fat, eliminate extra skin folds, and give your body a more contoured, athletic appearance.
After large amounts of weight are lost, the body often retains loose, leftover skin and fat that can be difficult to tone and remove. Post weight loss procedures at Become Plastic Surgery can improve the appearance of a number of areas on the face and body by eliminating excess fat and skin. This achieves a more fit appearance, allowing you to see the hard work and results of your weight loss.
The thrill and sense of accomplishment that is felt after major weight loss can be clouded by the loose skin that is left behind. 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. Unfortunately, patients who have a history of obesity are unlikely to have skin that 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. At our practice there are a number of different procedures that can accomplish this goal.
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 augmentation or 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 tele-commute, 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, the complexity of your cosmetic program, and other factors. On our site we provide pricing for a number of the procedures mentioned above on their specific procedural page, 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.
Ready to complete your weight loss journey and see your results? Talk to us today to schedule a consultation for post-bariatric body contouring.