What procedures to get rid of extra skin? (Photo)

Hello Cheerful66108.To adjust the loose skin I would recommend a circular abdominoplasty (redoing the abdomen), so we can lift the lateral part of the thighs and butt, arm lift with an extended scar and an inner thigh lift with short scar.We would have to separete these procedures into 2 surgeries.With these procedures we can take out all the excess skin and adjust it as much as possible to have the best result.
Dr. Medina

Thank you for your inquiry! We would love to sit down with you in person and discuss your concerns and your options. Schedule a consultation with a Board-Certified Plastic Surgeon to assist you in reaching your goals.

Thank you for your question about the extra skin after your weight loss RNY surgery. Thank you for attaching pictures. I would suggest a 360 circumferential lower body lift. This includes an abdominoplasty (tummy tuck), pubic lift, pubic reduction, hip lift, hip reduction, and removal of excess buttocks skin. It will eliminate the wrinkles on the buttocks and lift and contour the outer hips. I would also suggest a longitudinal vertical medial thigh lift where the incision goes from the groin to the knee to eliminate excess inner thigh skin and fat. I would also recommend an arm lift from the elbow to the armpit. This should also be combined with a vertical torsoplasty with an incision from the armpit slightly down your sides to the top of the bra strap line. You did not include pictures of the breast, so I will not comment on breast procedures. However, after weight loss procedures, many patients require a breast lift (mastopexy) and breast augmentation with implants. Many of these procedures can be combined or staged. This depends on your plastic surgeon's comfort level and other factors. Please find a board-certified plastic surgeon before you embark on these procedures. You could be able to combine the lower body with the thighs. You could also do the circumferential body lift with the arms. I would counsel doing the arms and the thighs at the same time because the recovery is difficult. Because all four extremities will have bandages. I hope my answers help to clarify what surgeries to undergo after RNY weight loss.
I specialize in reconstructive plastic surgery after weight loss. If you have any more questions regarding the lower body lift, 360 circumferential lower body lift, belt lipectomy, belt abdominoplasty, or belt dermolipectomy please contact my office. Since the body lift is a big procedure, please seek an experienced, board certified plastic surgeon with significant experience performing the lower body lift. Do your research. Make sure they have performed at least 100 circumferential lower body lift surgeries and have the before and after pictures to prove it. Carefully examine their before and after pictures and check their reviews on RealSelf.  If you cannot find an experienced, lower body lift surgeon in your neighborhood, consider traveling out of state if you must. Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and ​member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

You have extra skin of the arms, abdomen (anterior and posterior) and thighs. You would benefit from a brachioplasty, abdominoplasty, a circumferential lift and possibly a thigh lift.

Best Wishes,

Gary Horndeski, M.D.

Congrats on your weight loss! We often perform combination surgeries in our Practice following massive weight loss. In person exam is essential. In some instances surgeries can be staged depending on the patient's priorities. If you are interested in treating your arms and legs first - you would benefit from a Brachioplasty , Medial thigh lift. If you want to focus on your stomach , breast and back - that can be all performed at the same time as well. Again, you will need to prioritize your goals and discuss it at your consultation.

This entirely depends on which areas you would want to address. I would recommend a lower body lift, upper body lift, and thigh lift.

For sure you will want a lower body lift to tighten abdomen, buttock and lateral thigh. A brachioplasty will fix your upper arms. You might also want to consider a medial thigh lift, a bra line back lift, and a breast lift with extension into the axillary roll which would blend into the bra line lift incision. If you did all this it would take at least two different operations to accomplish all these procedures. Consult with plastic surgeons who do a lot of body lift work on weight loss patients. Good luck.

Dear Cheerful66108,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Congratulations on your weight loss! You can address the excess skin on the arms with a brachioplasty. The incision would extend from your underarm down to the elbow. A. tummy tuck would address the excess skin on the abdomen as well as correct any abdominal wall laxity. You could consider a bra line lift to address the excess skin on the back. I've included a video discussing plastic surgery after major weight loss that I hope you find helpful.

Hi, and let me thank you for the good-quality photos. I recommend you have an arm lift, lower body lift, and inner thigh lift. You may also need a flank lift, but I cannot say that for sure by just looking at the photos, and you will need to be examined. I don’t necessarily recommend that you have all these procedures done simultaneously. Two stages would be ideal.