Consult a plastic surgeon who has experience with patients who have had bariatric surgery

Susan E. Downey, MD answers: How to get rid of sagging skin after gastric bypass and weight loss?

I had gastric bypass and my skin sags now. Where it folds (abdomen, thighs, arms), I get infections and painful rashses, and I'm looking for ways to stop this. 

What type of treatment or surgery is available to get rid of all the extra skin?  Could the sagging skin be fixed all at once or would it require me to have lots of things done over a long time?


Susan E. Downey, MD
6 months ago

There are many thing s to consider when you go in to consult with a plastic surgeon about your loose skin. 

First make sure your plastic surgeon is comfortable taking care of patients after bariatric surgery as they can be more complicated and problems after surgery such as seromas are more frequent. 

Second, make sure you are in good condition to undergo any elective surgery. Make sure you are taking your vitamins as recommended by your bariatric surgeon. Have your labs checked to make sure your blood counts ( especially hemoglobin and protein levels ) are good. Have a checkup by your primary care doctor. Don't forget to exercise as patients who exercise seem to do better after surgery. 

Have realistic expectations; one surgery cannot fix everything. Stages may be necessary and revisions are common. Prioritize what you want fixed first --  this is your decision and you will be happier if you have fixed first what bothers you the most , not what someone else wants you to do.

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A: Safety first with post-bariatric body contouring

Kevin Brenner, MD
1 day ago

These types of complaints are very common following massive weight loss. While it is possible to perform multiple operations during one setting, it must be done safely. You need to choose a surgeon who has good, safe judgement in order to minimize your surgical risk. Factors that need to be considered are: your overall health, ability to heal, length of time under anesthesia, and your ability to recover from the operations.

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