What Kind of Plastic Surgery is Common After Massive Weight Loss?

What kind of surgery is recommended for extra skin on the legs and stomach that didn't go away after losing a lot of weight?

Doctor Answers 5

What Kind of Plastic Surgery is Common After Massive Weight Loss?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Regarding": "What kind of surgery is recommended for extra skin on the legs and stomach that didn't go away after loosing a lot of weight?"

Reshaping the saggy body left after massive weight loss is slowly becoming an areas of interest and sub specialty within Cosmetic Plastic Surgery. Since every person loses weight differently massive weight loss leaves different sagging and deflated deformities in different people. The most common deformity is sagging skin of the abdomen, thighs and lower back / sagging buttocks. As a result, the cosmetic renewal often starts with either a staged (procedures done at different times) Extended Tummy Tuck, Thigh Lift and Buttock Lift OR a Belt Lipectomy / Lower Body Lift. Once this is completed, some people have arm lifts (Brachioplasty) with or without Breast Lift with or without Augmentation while others have Face and Neck Lifts.

For a good summary of Body Contouring after a large weight loss I refer you to the link below

Good Luck.

Dr. Peter A Aldea

Memphis Plastic Surgeon

Plastic surgery after massive weight loss

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Once you get Bariatric surgery you could have additional surgeries. These include abdominoplasty/tummy tuck, thigh lift, removal of hanging skin from the upper arms, breast lift +/-augmentation, and a face lift (depending on the age at which the weight loss occurs, with face lifts more often required if the surgery is performed after the age of 40). Most common is the tummy tuck followed by breast lift. With that being said bariatric surgery can dramatically increase quality of life in most patients. Plus, not all patients need or choose to have additional plastic surgery. 

Massive weight loss procedures

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Each patient that loses greater than 100 lbs( massive weight loss) is different. For the abdomen this may mean a tummy tuck vs a fleur-de-lis tummy tuck, vs a circumferential procedure with or without a fleur-de-lis.  As for the legs I consider them like the arms.  It can be treated by straighte line excsision in the medial arm or posterior arm and/or extended into the axilla or lateral chest.

You might also like...

Loose skin after massive weight loss

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

That would depend on the amount of excess skin and exactly where it is. For the torso it could be abdominoplasty, extended abdominoplasty (where the incision extends onto the back) or belt lipectomy (where the incision goes all the way around, 360 degrees). Belt lipectomy tightens the thigh skin but if that tightening is insufficient an inner/upper thigh lift can be performed, usually at a second operation. The most important factors before surgery are proper surgical planning and waiting until the weight loss has stabilized or plateaued for at least 6 months. Some of these massive weight loss patients also require removal of excess upper arm, breast and/or facial skin.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

Aaron Stone, MD
Los Angeles Plastic Surgeon

Common surgery after massive weight loss

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Facelift, necklift, brachioplasty, breast lift/ reduction, bodylift or tummy tuck, medial thighplasty are the most common procedures. It really depends on what bothers the patient the most after weight loss.

Richard Dale Reynolds, MD
El Paso 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.