3 Months post op Lower body lift - would Emsculpt Neo correct the hang? (Photo)

Dear Isaiah214,

I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Hello Isaiah214. Thank you for your question regarding correcting the hanging skin after your lower body lift and improving chest laxity after significant weight loss.

Congratulations on your weight loss and your lower body lift and chest reduction surgery. Thank you for your three key questions.

Based on your pictures, you did not need a vertical incision. If done correctly, the 360 body lift usually does not require a vertical component. In your case, you did not have much excess skin in the vertical dimension, so the vertical incision was not necessary.

Regarding Emsculpt Neo, I do not think it will significantly help with the hanging skin. While Emsculpt may provide some muscle toning, I believe traditional exercise would be more beneficial. Focusing on regular workouts will likely give you the best results.

In terms of your chest, since you have experienced laxity after losing over 200 pounds, working out will help improve muscle tone. However, for more dramatic and immediate results, you might consider the insertion of bilateral pectoralis implants. This procedure is relatively common among male weight loss patients who have undergone chest reduction, and the results can be phenomenal. Therefore, I would suggest consulting with your plastic surgeon about the possibility of chest implants.

Good luck. I hope I’ve answered your questions regarding the need for a vertical component in a lower body lift, the effectiveness of Emsculpt, and options for improving chest appearance after significant weight loss.

Sincerely,

J. Timothy Katzen, MD, FASMBS, FICS

Congratulations on your impressive weight loss! From the submitted photos it appears you would benefit from some revision to your previous procedures. It shouldn't be as involved but would remove a little more lax skin as well as improve contours overall. Emsculpting would not likely give you the result that you are hoping for as your skin has lost elasticity from the weight loss.

Good morning. In your case, the residual abdominal sagging may be due to the fact that the excess skin was not fully addressed. Therefore, a low horizontal incision abdominoplasty would be an excellent option to tighten the abdomen and improve the contour.

Treatments such as Emsculpt Neo help strengthen the muscle, but they do not remove excess skin, so their results would be very limited due to significant laxity.

For the chest, after massive weight loss, a male chest lift is usually the most appropriate option to remove excess skin and reposition the areola, achieving a firmer and more masculine result. You can contact us at 829-554-6062 for a quote.

Just based on your photos, I suggest doing a revision of the lower tuck to remove the excess skin. EMSculpt does not tighten skin.