Dr. Amir Mahan Ghaznavi is a dual board-certified plastic and reconstructive surgeon in Northern Virginia and the founder of AMG Plastic Surgery. Dr. Ghaznavi chose plastic surgery to fuse his passion for aesthetics in art with the practice of functional surge
🥼 Dr. Amir Ghaznavi, MD, FACS Dual Board-Certified Plastic Surgeon 📍 VA • MD • DC | 📱/ 💬 703-239-3190 ✨ Sculpting confidence | #AMGPlasticSurgery
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Thanks for your question—this is a really common scenario among my patients who’ve experienced massive weight loss.
Due to the nature of the weight loss, the skin laxity and tissue deflation typically occur around the entire midsection—not just the front, even if that’s where it may be most noticeable to you.
I often see patients opting for the extended tummy tuck, which can be a suboptimal choice in some cases. Sometimes that’s because they want to avoid the scar that goes all the way around, or because the surgeon only offers certain procedures.
A lower body lift (also known as a 360 tummy tuck) is a more comprehensive procedure. It not only tightens the abdomen, but also lifts the pubic area, anterior and lateral thighs, and buttocks. It’s often the ideal choice for someone who has lost a significant amount of weight and has skin laxity all the way around.
Whatever option you choose, make sure you’re working with a surgeon who specializes in post–massive weight loss body contouring. The difference in expertise can have a big impact on your results.
Board Certified Plastic Surgeon
Choosing the right implant is critical to getting a natural result. Typically, implants with lower profiles are flatter and can "reach" the upper pole of the breast. In contrast, higher-profile implants project more fullness in the front of the bra. Above or below the muscle, a subfascial breast implant above the muscle is ideal for giving more upper pole fullness while maintaining the pocket created. It is unhindered by the contractile forces of the pectoralis muscle and subsequent animation deformity. In some cases, an "internal bra" composed of absorbable biocompatible mesh can also be used to stabilize a large implant.
Board Certified Plastic Surgeon
I typically advise clients that body transformation does not occur after just one surgery following massive weight loss. I usually divide the body into three sections: Upper, Mid, and Lower.
For the Upper section, I recommend an upper body lift, which includes an extended arm lift, bra-line lift (thoracoplasty), and breast lift. These three procedures effectively address skin laxity in the upper body.
In the Mid section, I often perform a body lift, fleur-de-lis (FDL) lift, or Brazilian butt lift (BBL).
Finally, for the Lower section, we focus on either an inner or outer thigh lift. I do not combine all three procedures in one session, as it would require too much time under anesthesia. I typically avoid performing both upper and lower procedures together, as it restricts movement during the postoperative recovery.
Board Certified Plastic Surgeon
Correcting contour defects of the upper arm is not uncommon. Upper arm liposuction. ( and medial thigh) are synonymous with irregularities after liposuction. To fix these, usual options include invasive (Lipo/fat grafting), excisional (arm lift), or non-invasive (bio stimulators like Renuva, Sculptra, dilute radiance). An excisional procedure is typically reserved for clients after massive weight loss with significant loose hanging skin. A standard arm lift(stopping at the axilla) or an extended one ( into the armpit and down the chest) effectively creates an appealing contour. Of course, the expectation should be that the upper arm will always be smaller than the forearm and taper like a cone from the hand to the upper arm. The correction of contour defects can be improved with fat grafting or biostims but may never be 100%. Doing an arm lift simultaneously as fat grafting posterior arm defects is the most aggressive approach. The trade-off is the scar of the arm lift starting from the elbow and going into the armpit. Some clients would instead get more benefit from liposuction/renuvion( jplasma) than a formal excisional procedure.
Board Certified Plastic Surgeon
Yes! You are a candidate for Augmentation without a lift, but it's important to pick the right implant. Too often, I see women choosing high-profile implants with too much volume when a lower-profile implant, such as a moderate profile, would better serve them. A moderate profile would give them more upper pole fullness while providing a more natural look. Correctly done Augmentation using biometric analysis of your breast footprint and size should give you a natural and rejuvenated breast.
Board Certified Plastic Surgeon
Navigating breast reconstruction after a diagnosis of breast cancer can be an emotionally intense journey, but having Dr. Ghaznavi as my surgeon made all the difference. From the very start, his calming demeanor set the tone for a process that could have otherwise felt overwhelming. His approach wasn't just about medical expertise—it was about genuine care. One of the most meaningful aspects of this journey was how my husband was included in every step. Dr. Ghaznavi made sure he felt like an integral part of the process, offering reassurance and involving him in discussions. His signature phrase, “trust the process,” became a guiding light during the most uncertain moments, reminding us to stay hopeful. Beyond his skill and knowledge, Dr. Ghaznavi's accessibility was unmatched. Any questions or concerns—no matter the day, even on weekends—were met with his thoughtful attention. His happiness in caring for his patients was contagious, bringing us comfort and confidence every step of the way. It’s rare to find a surgeon who not only takes pride in his work but also deeply values his patients' emotional well-being. For that reason, I wholeheartedly recommend Dr. Ghaznavi to anyone in need of compassionate and expert care.
I am beyond grateful to Dr. Ghaznavi and the entire team for their outstanding care and support during my recent mastectomy. Throughout the entire process, I felt well-informed and empowered to make the best decisions for my health. Dr. Ghaznavi took the time to explain every step of the procedure, addressed all my concerns, and provided a thorough understanding of the recovery process. The surgery itself went smoothly, and the recovery process was much easier than I expected, thanks to the comprehensive post-op care I received. It was evident that Dr. Ghaznavi and his team at AMG Plastic Surgery genuinely care about the well-being of their patients.
I took control of my health over a year ago and lost over 150 pounds! After reaching my goal weight, I realized I needed to have the excess skin removed, but I wanted the best plastic surgeon in town for the job. That's when I discovered Dr. Ghaznavi, Pam, and the AMG Plastic Surgery team. They made me feel heard, praised all my achievements, and supported me throughout my entire journey—from surgery to recovery. I underwent a lower body lift, and I can’t believe how amazing and lighter I feel now. If you’re looking for someone who takes the time to answer all your questions, thoroughly explains everything, and treats your surgery and recovery with expertise and care, then Dr. Ghaznavi is hands down the best there is. I can’t wait to begin the second stage of my excess skin removal, which will include a breast, back, and arm lift! Thank you, Dr. Ghaznavi, for celebrating my weight loss and helping me regain my body!
I cannot express enough positive feelings about Dr. Ghaznavi and the entire staff at AMG Plastic Surgery. They inspired me to feel incredible and proud of the changes I wanted to achieve. Dr. Ghaznavi is compassionate, understanding, caring, and thorough; he truly makes you feel valued as a person rather than just another patient. His surgical expertise is exceptional. I underwent a mommy makeover, and the results have been life-changing! I can't wait to proudly show off my new figure at the beach this year! I assure you, you won't find anyone more remarkable than Dr. Amir Ghaznavi .
I cannot express enough how truly life-changing my experience with Dr. Ghaznavi has been. From the very first consultation, I felt heard, cared for, and reassured. The level of professionalism, expertise, and genuine compassion displayed by Dr. Ghaznavi made what could have been a daunting experience so much easier to navigate. The procedure I underwent was explained in detail, and I never once felt rushed or uncertain about any part of the process. Dr. Ghaznavi took the time to answer all of my questions, alleviating any anxiety I had about the surgery and recovery. The level of skill and precision exhibited was beyond impressive, and I couldn’t be more pleased with the results. What has truly stood out to me, however, is the transformation in my life since the surgery. Thanks to Dr. Ghaznavi, I feel better physically and mentally, and I’m able to live my life with a new sense of confidence and vitality. The care I received from the entire team was exceptional, and it’s clear they genuinely care about their patients’ well-being. I’m so grateful and the positive impact they’ve had on my life. If you're considering any kind of surgery, I highly recommend them. You’re in excellent hands!
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