Body Contouring Surgery for Massive Weight Loss Patients

Body contouring surgery after massive weight loss removes excess, and often sagging, fat and skin to improve the overall shape and tone of your body. It is intended for patients with a history of obesity who have lost at least 80 pounds with diet and exercise or a gastric bypass procedure. Because of severe stretching from obesity, many areas of the skin lose elasticity. Common areas treated with body contouring are the abdomen, upper arms, breasts, hips, and buttocks. Additional areas that are sometimes also corrected include the neck, flanks, back, and knees. Surgery becomes an option when reshaping these areas cannot be achieved by weight loss and exercise alone.

All body contouring surgeries require lengthy incisions to remove excess skin, and is often performed in stages. The best approach will be determined for you by your body shape, the condition of your skin, and the goals you and Dr. Loghmanee or Dr. Cerio discuss.

Am I a good candidate for body contouring?

One or more of the following may indicate you are a good candidate for body contouring;

  • Your weight loss has stabilized and you are in good physical condition, and are well-nourished
  • You are bothered by your appearance after significant weight loss
  • You are committed to your new healthy lifestyle, including regular exercise and proper nutrition
  • You have loose or sagging skin around your upper arms, abdominal area, buttocks, groin, thighs, or breasts

Dr. Loghmanee or Dr. Cerio will conduct an examination and discuss with you your expected outcome and determine whether your desires can realistically be achieved. You must come prepared to discuss your full medical history, including any medical conditions, previous surgeries or treatments, drug allergies, current medications, and use of alcohol, tobacco or illegal substances.

Considerations:

Age: Body contouring surgery can be performed at any age, but you must be able to withstand the stress of surgery.
Weight: It is important that you complete your weight loss prior to surgery, otherwise the problems may reappear. Afterward, it will be essential to maintain your weight, gaining significant weight after body contour surgery is extremely damaging to your sensitive skin, causing stretch marks and worsening scars.
Pregnancy: It is also important to inform Dr. Loghmanee or Dr. Cerio if you are considering having children in the future. Pregnancy can cause unpredictable body changes and can affect the long-term results of your surgery.

Surgery and Recovery

Body contouring may be outpatient surgery, or in a hospital with overnight stay, performed with general anesthesia or local anesthesia and sedation. After a few hours, or possibly a full day of recovery, you will be permitted to go home. Your incisions will be wrapped in gauze dressings and may include drain tubes at the site of surgery to prevent the accumulation of fluid. You will be given detailed information from Dr. Loghmanee or Dr. Cerio detailing normal symptoms, signs of complications and instructions for recovery.

You should be able to walk immediately following surgery and will be up and about within a day or two after surgery. Your incisions will be tender to the touch for the first few days, and you must not lift, pull or push anything and not engage in any strenuous activity for at least two to three weeks. Dressings will be removed within several days and you may be required to wear a supportive garment. Swelling and discoloration may occur. Dr. Loghmanee or Dr. Cerio will recommend follow up visits to evaluate your healing process. It is important to follow your doctor’s orders for the best outcome. Depending on your particular goals, expectations, and the level of body contouring desired, it may take multiple surgeries over many months or years to see final results.