How safe are body contouring surgeries for removal of excess skin after weight loss?

Thank you for your inquiry regarding the safety of reconstruction surgeries after significant weight loss. Allow me to extend my heartfelt congratulations on your remarkable accomplishment of losing 140 pounds, which undoubtedly reflects positively on your overall health.

Without visualizing the areas that require attention, it is difficult to provide a definitive treatment plan. However, based on my experience with weight loss patients, we typically stage the procedures in two to three surgeries, depending on the extent of correction required in each area of concern. The majority of patients seek correction of their abdominal region, which we address in the first stage with a tummy tuck or 360 lower body lift combined with a thigh lift and reduction. The second stage usually entails addressing the upper body, including the breasts, arms, and torso, depending on the area of concern, such as side boob or back fat. While some patients opt to break these procedures into three separate surgeries, most cases can be completed in one session.

It is important to note that every surgery carries inherent risks of complications. Therefore, I strongly advise you to seek a board-certified plastic surgeon who has extensive experience in performing these procedures to ensure optimal outcomes and minimize the likelihood of adverse events.

As a board-certified plastic surgeon with a focus on reconstructive surgery after weight loss, I am pleased to offer my expertise regarding procedures such as the lower body lift, 360 circumferential lower body lift, belt lipectomy, belt abdominoplasty, and belt dermolipectomy. Should you require additional information on any of these procedures, please do not hesitate to contact my office.

It is important to note that the lower body lift is a significant procedure, and as such, I strongly advise seeking an experienced, board-certified plastic surgeon with extensive expertise in performing this surgery. When researching potential surgeons, I recommend reviewing their before and after photos to ensure they have a proven track record of success with at least 100 circumferential lower body lift surgeries. Additionally, be sure to carefully examine their reviews on RealSelf, as well as their professional affiliations and certifications.

If you are unable to locate a qualified lower body lift surgeon in your area, I suggest considering travel to a surgeon with the necessary expertise. As a verified plastic surgeon and President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery and Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery, I am dedicated to providing my patients with the highest standard of care. As a member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery, and RealSelf Hall of Fame, I remain committed to advancing the field of plastic surgery and delivering optimal outcomes for my patients. Sincerely, Dr. Katzen.

Dear realselfmember000, thank you for your question, and congratulations on your incredible weight loss journey!

Body contouring surgeries, including body lifts, are generally safe procedures when performed by a board-certified plastic surgeon in an accredited surgical facility. These surgeries can significantly improve comfort and confidence by addressing excess skin and restoring contour. However, like any surgical procedure, there are risks involved, including infection, bleeding, delayed wound healing, or complications related to anesthesia.

For patients like you with multiple areas of concern, it’s often safest to approach the procedures in stages. A comprehensive consultation with your surgeon will determine the priority areas and help create a personalized surgical plan. For instance, some patients may start with a lower body lift and address arms or thighs in subsequent sessions. This phased approach ensures optimal recovery and minimizes the risks associated with longer, more extensive procedures.

Take the time to discuss your health history and goals with your surgeon. With careful planning and proper postoperative care, body contouring can be a safe and transformative step in your journey. Best wishes as you take the next steps!

Congratulations on your impressive weight loss! There is risk with any surgery but many ways to keep risks to a minimum. Many patients don't realize that many of these are in your control. It begins by selecting the right surgeon. You want a board certified plastic surgeon with experience in performing the procedures that interest you. When meeting for a consultation your surgeon will discuss your concerns, review your medical history, and determine if you are a good candidate for the procedure. You then want to have your procedure performed in an accredited facility. Before and after surgery you want to closely follow all of your surgeons instructions for optimal results.