I went from 340 pounds to 190 pounds...am I a good candidate for skin removal surgery?

First off,
congratulations to you on taking this important step toward living a healthier
lifestyle. Dramatic weight loss is one of the most common reasons patients
consider a skin removal surgery surgery. The fluctuations in weight can cause
the excess skin in the breasts to loose its elasticity and droop, and can thus be
the cause of self-consciousness in patients. From the pictures you have
provided, it does indeed seem like a male breast reduction can provide you with
beneficial results. For a more personalized answer, however, I recommend that
you consult with a surgeon in your area and discuss your options in person.

    A tummy tuck will make a very nice improvement in your physique.  The chest can probably be improved as well.  Kenneth Hughes, MDLos Angeles, CA

Hi Brian,Congratulations on your massive weight loss. I think you would be an excellent candidate for at least a 360 circumferential lower bodylift. You have excess skin and fat of your abdomen, hips,  and buttocks after your massive weight loss of 150 pounds.  In addition you may need removal of skin and fat from the male breast and chest.  This is often referred to as gynecomastia.  Depending on physical examination, you may also need skin removed from your arms or a brachioplasty.  Please see a board-certified plastic surgeon specializing in massive weight loss patients. Please also seek a plastic surgeon with a significant amount of experience with 360 circumferential lower body lifts.Good luck and congratulations again.

Congratulations on your weight loss -- a major accomplishment and you should be proud of yourself.  You now not only look much better -- you are indeed much healthier!When significant weight is lost, the skin cannot tighten up as well -- it's elasticity has been lost.  Therefore, it is common for there to be loose, hanging skin and also residual, stubborn pockets of fat. The exact pattern is different from one person to another.Yes, it is possible to "trim your birthday suit" and understand it will probably require several operations to address all areas of concern.  It will also be a trade-off of scars for a tighter, trimmer shape -- but most folks willingly make that trade.You should be at your lowest and most stable weight before considering any surgery.  Would then suggest you visit several board certified plastic surgeons -- the consult fees will be worth it because you will gain much insight into what can be done and what your options are.I would be pleased to meet with you to discuss various possible treatments.Elliot W. Jacobs, MD, FACSNew York City

Dear Brian:Congratulations on your weight loss.You may be a good candidate for body contouring procedures to remove the extra skin if:(1) Your weight is stable and close to your goal weight(2) You are in good overall health and do not smoke(3) You have realistic expectationsPlease see an experienced, Board Certified Plastic Surgeon for an evaluation.Warmest wishes,Larry Fan, MD 

Thank you for your question. First off congratulations on your weight loss, that is a huge accomplishment. I generally advise all my weight loss patients whether they had surgery or lost it with diet and exercise to maintain a stable weight for a period of 6-12 months prior to undergoing any body lifting procedure. I would suggest once you are ready to find a board certified plastic surgeon in your area who has experience with such procedures. You can find a doctor by searching online at The American Board of Plastic Surgery's website. I hope this information helps you and good luck!Fadi Chahin MD, FACSPlastic and Reconstructive SurgeryDiplomat-American Board of SurgeryDiplomat-American Board of Plastic Surgery

Congratulations on the weight loss, now get an in person consultation with a board certified plastic surgeon and ask them to examine you and see what can be done.

Hi Brian. Excellent job losing all that weight.You look good. Yes, you are a candidate for post massive weight loss body contouring. I have patients wait 3 months while stable at their current weight before operating.  Seek a plastic surgeon specializing in post massive weight loss body contouring to consult with.