Body contouring procedures are an excellent option for patients after bariatric surgery with massive weight loss to remove excess sagging skin. Each patient will help to develop a surgical plan specifically tailored to their needs and desires.
To be a candidate for body contouring procedures patients must have stable weight loss for at least one year and be at their goal weight. They must be in overall good health condition with no major medical co-morbidities. They must be a non-smoker or have quit smoking for at least 8 weeks before and 8 weeks after their procedures. Patients must be nutritionally balanced.
Abdominoplasty (Tummy Tuck)
Abdominoplasty surgery, also known as a tummy tuck, is a procedure that can help to remove excess skin and tissue from the abdomen. The added benefit of an abdominoplasty is that weakened or separated abdominal muscle (rectus diastasis) can be addressed and the muscles can be tightened, this may help with abdominal bulging. It is important to keep in mind that an abdominoplasty is not a weight loss procedure, and you should be at your goal weight and be stable at that weight for one year prior to undergoing surgery for the best and longest lasting results. This procedure helps to improve your overall body contour and help you to show off the new, slimmer you that you have worked so hard to achieve during your weight loss journey.
Post-operatively you will need about 4-6 weeks to take it easy and recover.
Panniculectomy is a procedure that removes the overhanging skin and fat (pannus) from the lower abdomen for improving abdominal contour, hygiene, and ease of daily activities. Panniculectomy differs from abdominoplasty in that it does not tighten the abdominal musculature or change the location of the umbilicus.
Post-operatively you will need about 4-6 weeks to take it easy and recover.
Lower body lift (belt lipectomy)
A lower body lift or a belt lipectomy is a procedure that can help to improve the shape and tone of the underlying tissue that supports skin and fat. A lower body lift allows for a major transformation of the lower body areas including the abdomen, groin, hips, outer thighs and buttocks after removal of excess skin and fatty tissue. The incision extends 360 degrees around the body to address all of the aforementioned areas. Body lifts are not intended strictly for removal of excess fat. Liposuction is a tool that can remove excess fat as needed and this can be combined with a body lift if the skin elasticity is poor to provide the best improved contour.
Brachioplasty (arm lift)
Brachioplasty or arm lift is a procedure that is meant to reduce the excess sagging skin of the upper arm (above the elbow). This procedure helps to tighten and smooth the underlying supportive tissue that defines the shape of the upper arm. Sometimes this procedure is combined with liposuction if there is still excess fatty tissue combined with excess skin to improve overall aesthetic results.
A thigh lift is a procedure that is meant to reduce the excess sagging skin of the medial thigh (above the knee) – an outer thigh lift is best addressed in conjunction with a tummy tuck or body lift procedure. The thigh lift procedure is meant to provide improved contour of the thighs and improve patient comfort by decreasing chafing between the thighs. Depending on the distribution of the excess skin on the thigh will help determine the length/ extent of the incision required. This procedure may sometimes be combined with liposuction for best results.
Liposuction is a procedure that can be used to remove stubborn fat deposits. This procedure can sometimes be used in conjunction with a skin removal procedure when skin elasticity in the area being worked on is not good and will not conform to your shape below after the fat is removed. This procedure can also be done by itself if the skin elasticity in the area is good.
Breast reduction, also referred to as reduction mammoplasty, is a surgical procedure in which excess fat, breast tissue, and skin are removed from the breasts. The surgery is usually sought by women who wish to accomplish an aesthetically pleasing breast contour and size proportionate to their body, and to mitigate the discomfort associated with unusually large breasts (macromastia). Men with gynecomastia (enlarged male breast tissue) may also receive breast reduction surgery to flatten and enhance the chest contour.
Breast augmentation, also known as augmentation mammoplasty, is a surgical procedure designed to enhance the size and shape of the breasts most commonly by inserting breast implants but can also be done with fat transfer. It is important to note that breast augmentation is not a breast lift, and if you have significant drooping breast tissue you may require an augmentation mastopexy to address both volume and the extra skin.
Sagging breasts are a real concern for many women. Loss of skin elasticity, gravity and other factors such as pregnancy, and weight loss can cause the breasts to lose their natural shape and firmness.
Revision breast surgery is a corrective surgical procedure to improve or change the shape or look of your breast following a previous breast removal (mastectomy) and, breast reconstruction, an augmentation/ breast implant surgery, a breast reduction or a breast lift . It can potentially be a more complex surgery than your original surgery, although it could also be a simple fix. The goal of revision breast surgery is to restore your breast's natural appearance and improve upon what has already been done.
Breast reconstruction is a surgery performed to restore the shape of the breasts after the tissue is removed during a mastectomy (conducted to treat or prevent breast cancer).
Face lift/neck lift
A face lift/ neck lift is a surgical procedure that helps to improve signs of aging in the face and neck. The procedure is meant to improve facial contours and lift the face and neck and replenish fat in the face to help with a more aesthetic and youthful appearance. A facelift can help improve sagging skin of the face and neck, deepening of the nasolabial fold between the nose and the corners of the mouth and jowls that develop in the cheeks and jaw line. The incisions can usually be placed in natural skin folds to help camouflage them.
Eyelid surgery is also called blepharoplasty. It is done to correct the puffiness, sagging and drooping of upper eyelids. It is also used to remove excess skin and bags under the lower eyelids. A combination of skin and fat are usually removed. Blepharoplasty improves the appearance of your eyelids and the area around it to give you a younger and more relaxed look. Upper eyelid lift or blepharoplasty can also help to improve your visual fields for a functional result if your vision is currently impaired by a veil of sagging skin.
Non-surgical facial rejuvenation
Botox injection or Botulinum toxin injection is most commonly known for its successful use in cosmetic therapies. Initially, Botox was approved to treat strabismus (crossed eyes), blepharospasm (spasm of the eyelids), and cervical dystonia (muscle contractions in the neck). Added to the list of indications is FDA approval for relaxing frown lines in the glabella area between the eyes on the forehead.
Dermal fillers can help to restructure and enhance your facial features highlighting your natural beauty. Dermal fillers act by restoring age-related volume loss to bring balance and harmony to your face or by filling in facial lines. Most dermal fillers are temporary, and their effect lasts between 4 to 18 months. The various options of dermal fillers are specifically designed depending on the area to be injected.