Which Body Contouring Techniques Work Best After Extreme Weight Loss?

Please explain the most popular body contouring techniques after massive weight loss. Which ones are most effective in reducing loose skin?

Doctor Answers 12

Body contoring: best method after extreme weight loss

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Body Contouring patients have a variety of procedures available to assist in the removal of excess skin and restore a shapelier contour. Generally, multiple procedures will be performed to address different areas of the body, and this may occur through a series of operations over an extended period of time. 

The specific procedures necessary are to be determined on a case-by-case basis; the patient will discuss the areas of concern with the PS. #weight #skin

Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

The Management Of Massive Weight Loss

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It's not unusual for patients to develop loose saggy skin following massive weight loss. When this situation arises, a large number of surgical options exists to treat these problems. These procedures remove excess skin and fat, lift anatomic structures and dramatically improve contour. The procedures chosen are dependent upon the patients anatomic findings and aesthetic goals.

The majority of massive weight loss patients note significant amounts of redundant saggy tissue in their abdominal area. This is also the area that seems to bother them the most. For this reason, many massive weight loss patients request lower body lift surgery.

This procedure involves a circumferential excision of excess back and abdominal tissue. it simultaneously lifts the lateral thighs and buttocks in an upward direction. It's associated with excellent clinical results and high levels of patient satisfaction.

If you're considering massive weight loss surgery, it's important to consult a board certified plastic surgeon who has experience in this area. This surgeon should be able to formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.

Which surgeries work best after extreme weight loss?

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With the recent advances in minimally invasive bariatric surgery, there is been a significant number of patients seeking reconstructive surgery after massive weight loss. This created a relatively new field in plastic surgery, namely reconstructive plastic surgery after massive weight loss. There are even board-certified plastic surgeons who specialize in reconstructive plastic surgery after massive weight loss.

You asked a very general question so I can only provide very general answers. The particular surgery that a patient needs after massive weight loss will be individually based and personalized by your board-certified plastic surgeon. Physical examination, history, age, medical conditions, prior surgeries, may change your surgical plan.

The following answers are generalities and apply too many, but not all weight loss patients.

Good luck with your weight loss journey. If you have any questions, please contact my office.

Dr. Katzen

J. Timothy Katzen, MD, FACS
Los Angeles Plastic Surgeon
5.0 out of 5 stars 254 reviews

Body contouring after weight loss

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One of the most popular procedures after massive weight loss is a lower body lift.  If you are considering a lower body lift - this procedure (LBL) is also referred to as  circumferential body lift = belt lipectomy.  This procedure is essentially 3 procedures in one: extended tummy tuck + waist/lateral thigh lift + buttock lift.  The buttock lift can also include buttock augmentation.  The lateral thigh lift will help contour the lateral aspect of your thighs.  The procedure can taken between 5-7 hours depending on the amount of tissue/skin that needs removal/treatment.  Please see a board certified plastic surgeon to learn more about your options.

Dr. Sugene Kim

Body contouring techniques

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First,  I would wait for 6 months of weight stability before you have surgical procedures. Unfortunately there is no effective non-surgical method.  However, a body lift can truly change your life. Excess abdominal fat  and skin is removed, the abdomen and your core is tightened, your hips are raised and defined and your buttock has new definition and shape.  The combination is powerful and the results are immediate. I would do the body lift first, then stage procedures every 4-6 months. Healing time is 2-4 weeks. Any breast surgery thigh or arm lifts would be better staged because of the safety of being under anesthesia for a long time. The most important thing is safety. Please don't compromise on this! See a board certified plastic surgeon.

Body Contouring Techniques After Weight Loss

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This depends totally on a person’s body shape and form. If you have a Deflation type of skin redundancy, the most common types are body lift with an armlift, breast lift with or without breast augmentation, and thighlift as indicated. These procedures all need to be done in a staged manner and performed by a Plastic Surgeon with significant experience and expertise in these areas.

Rod J. Rohrich, MD
Dallas Plastic Surgeon

Body contouring after weight loss

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The treatment plan depends on the individual patient's challenges with excess skin following weight loss.   Commonly, a body lift is the first line of treatment for many weight loss patients.  Most plastic surgeons refer to a body lift as a circumferential body lift = belt lipectomy.  This procedure is essentially 3 procedures in one: extended tummy tuck + waist/lateral thigh lift + buttock lift (with the option of buttock augmentation).  So a body lift will not treat the upper medial thighs or inner thighs.   Please visit with a plastic surgeon certified by the American Board of Plastic Surgery to learn more about your options.

Dr. Basu

Houston, TX

Most effective body contouring technique after significant weight loss

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There is no one most effective procedure for massive weight loss. The beauty of this field is that we have multiple procedures available and well tested for each body region, to allow for the significant variability in patient presentation. There are at least 3 great procedures for each body region (arms, abdomen, chest/breast, thighs, back): what makes a procedure the most effective is that it is the best one that applies to you. You need to have a history and physical examination followed by an informed discussion to determine the best route to follow.


Michele A. Shermak, MD
Baltimore Plastic Surgeon
4.8 out of 5 stars 57 reviews

What are the Best Body Contouring Techniques?

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The best post weight loss body contouring techniques are the ones that address your specific needs.  

There are several procedures  for body contouring.  These include Facelift, breast lift, Brachioplasty, abdominoplasty,thigh lift, buttocks lift, and lower body lift.

Therefore,  the technique or techniques will be carefully planned only after a thorough evaluation and a series of discussions about your goals, procedure options, your time and budget considerations.

You should be stable at or near your goal weight, and medically cleared for surgery.  Many cases require more than one procedure and may be spit up into more than one operating  time.  The sequencing and appropriate combining of procedures will be determined accordingly.

A consultation with a board certified plastic surgeon is necessary for evaluation, discussion and planning of your treatment options.

Fredrick A. Valauri, MD
New York Plastic Surgeon

Body Contouring After Massive Weight Loss

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There are several procedures which are valuable following massive weight loss.  The most valuable procedure is probably a total body lift which involves an incision which begins as  a high lateral tension abdominoplasty but then continues completely around the flanks and back.  The result is an improvement and a lift of the back, lateral thighs, and buttocks, in addition to the abdomen.  This is a big operation which should be performed only be surgeons who have experience with this procedure.  Massive weight loss patients also see significant improvement with brachioplasty and mastopexy (with/without implants).

John Whitt, MD (retired)
Louisville Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.