Bariatric Body Contouring Surgery | All you need to know

All you need to know about Post Bariatric Body Contouring Surgery

Why Post Bariatric Body Lift
61-year-old status post-post-bariatric surgery with an upper-body lift and breast contour revision – back view
Bariatric body lift
61-year-old status post-post-bariatric surgery with an upper-body lift and breast contour revision – left flank view
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61-year-old status post-post-bariatric surgery with an upper-body lift and breast contour revision – right flank view
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Introduction: All you need to know about Post Bariatric Body Contouring Surgery

Post-bariatric body lift is an effective cosmetic procedure for post gastric bypass and gastric sleeve patients that involves the excision and tightening of extreme, skin redundancy. After undergoing bariatric surgery, such as a gastric sleeve, many patients experience extreme deflation of their body that results in severe skin redundancy. The observed skin redundancy is universal and can be observed over the chest and breast, arms, abdomen, back, buttocks, and even the thighs.

The significant deformity caused by loose, hanging skin explains why post-bariatric body lift surgeries are in high demand. Extreme weight gain not only stretches the skin but also causes loss of elasticity or recoil potential of the skin. As a result, weight loss following extreme weight gain will routinely prevent skin redundancy from resolving on its own; this is most pronounced in patients older than 40. The subsequent deformity has been coined the candlestick phenomenon and results in frequent requests by post-bariatric patients to undergo a skin tightening or surgical excision procedure to restore a normally shaped body.

Why is skin redundancy such a concern for patients undergoing bariatric surgery? First, as described it can cause a deformed body appearance. Moreover, the sheer extent of skin redundancy can create functional concerns since it can get in the way of your daily motion. For example, underarm and armpit soft tissue and skin fullness can hinder you in sports such as playing tennis or swinging a golf club. It can even make it difficult to even put on your shirt. Skin and soft tissue fullness in the lower abdomen and pubic region can make it difficult to go to the bathroom or to effectively wipe yourself. Finally, excess skin and soft tissues in the inner thighs can make it difficult to run.

Areas of skin redundancy that roll over each other can create chronically moist surfaces that are prone to rashes. Rashing can not only be an inconvenience but can progress to chronic wounds and become tender. Skin fullness in the medial legs can hinder walking and thereby be a hindrance to the completion of daily chores. These functional problems if not fixed by a post-bariatric body lift are compounded by the fact that redundant skin can be unsightly and cause emotional problems that affect your social lifestyle.

Now, let’s get into more details regarding “All you need to know about post bariatric body contouring surgery.”

Body Contouring After Weight-Loss Surgery

Body contouring surgery after weight loss is a procedure aimed at removing excess skin and fat to create smoother contours and provide a more proportionate appearance. Common areas targeted for body contouring include the abdomen, thighs, arms, and breasts. This surgery can address sagging skin, improve body shape, and enhance overall body confidence.

After significant weight loss, the skin may not shrink back to its original shape, resulting in loose or hanging skin. Body contouring surgery is designed to remove this excess skin and fat, providing a more toned and sculpted appearance.

It is crucial to consult with a board-certified Plastic and Reconstructive surgeon for body contouring after weight loss to achieve the best results. These professionals have the expertise to tailor the procedure to each individual’s needs and goals, ensuring the safest and most effective outcome.

In conclusion, body contouring after weight loss can greatly improve the appearance of the body by removing excess skin and fat, resulting in smoother contours and improved body confidence. Consulting with a Plastic and Reconstructive surgeon is essential for achieving the best and safest results.

Why might I need body-contouring surgery?

Body-contouring surgery may be necessary for individuals who have lost a significant amount of weight and are left with excess skin that can lead to physical discomfort and psychological impact. Excess skin after weight loss can cause chafing, rashes, and limitations in mobility, as well as being a constant reminder of their previous weight. This can lead to feelings of self-consciousness, low self-esteem, and even depression.

Body-contouring surgery can alleviate these physical and psychological issues by removing the excess skin, allowing individuals to finally achieve the body shape they worked so hard for. Additionally, the surgery can also address potential problems such as skin infections, sores, and hygiene-related issues that may arise from the excess skin.

Specific areas of the body that may benefit from body contouring include the abdomen, arms, thighs, breasts, and buttocks. The surgery can help to improve the overall body shape and proportion, allowing individuals to feel more comfortable and confident in their own skin.

What are the risks of body-contouring surgery?

Body contouring surgery carries potential risks, including bleeding, infection, poor wound healing, unfavorable scarring, and unsatisfactory results. To minimize these risks, the surgical team employs various safety measures, such as ensuring proper sterilization of instruments, maintaining a sterile surgical environment, and providing post-operative care instructions. Additionally, patients can help reduce complications by following pre-operative guidelines, like quitting smoking and managing any underlying health conditions. During recovery, patients should carefully follow their surgeon’s advice, such as keeping the surgical site clean and dry, taking prescribed medications, and attending post-operative appointments. By adhering to these recommendations, patients can aid in reducing the likelihood of complications and achieving optimal results from their body contouring surgery.

How do I get ready for body-contouring surgery?

Before undergoing body-contouring surgery, it is crucial to consult with your healthcare provider to determine if you are a good candidate for the procedure. Committing to a healthy lifestyle, including a balanced diet and regular exercise, is essential for both preparing for and maintaining the results of the surgery. Understanding the costs and potential risks involved in the procedure is also important for informed decision-making.

Reaching a stable weight is paramount before body-contouring surgery to ensure optimal results. Additionally, quitting smoking and making any necessary adjustments to medications is crucial, as these factors can impact the outcome of the surgery and the healing process.

Your surgeon may require various tests, such as blood work and a physical examination, before the surgery to assess your overall health and suitability for the procedure. They will also provide specific instructions on how to prepare for the day of the surgery, including guidelines on eating, drinking, and any necessary skincare routines.

In summary, preparing for body-contouring surgery involves consulting with your healthcare provider, committing to a healthy lifestyle, understanding the costs and risks, reaching a stable weight, quitting smoking, making medication adjustments, undergoing required tests, and following your surgeon’s instructions for the day of the surgery.

What happens during body-contouring surgery?

Body-contouring surgery is a comprehensive procedure that aims to remove excess skin and fat, tighten muscles, and reshape the body for a more contoured appearance. The surgery typically involves the use of general anesthesia to ensure the patient is comfortable and pain-free throughout the procedure. Surgical procedures may include liposuction, tummy tucks, arm lifts, thigh lifts, and breast lifts, depending on the individual’s needs and goals.

After the surgery, wound care is crucial to prevent infection and ensure proper healing. Patients are advised to follow their surgeon’s instructions for post-operative care, which may include wearing compression garments, managing pain, and avoiding strenuous activities.

In some cases, multiple surgeries may be necessary to achieve the desired results, and it is important to adhere to the surgeon’s orders for a smooth recovery. Immediate results of body-contouring surgery include a more sculpted and toned appearance, with long-term results becoming more apparent as the body continues to heal and settle. Additional procedures may be needed for optimal results, depending on the individual’s response to the initial surgery.

What happens after body-contouring surgery?

After body-contouring surgery, the post-surgery monitoring process typically involves staying in the hospital for 1-3 days to ensure proper healing and manage any post-operative discomfort. During this time, the medical team will monitor vital signs, manage pain, and assess the surgical site for any signs of infection or complications.

Following surgery, patients will be given specific instructions for wound care, including keeping the incision sites clean and dry, changing dressings as needed, and avoiding strenuous activities that could disrupt the healing process. Patients should also watch for symptoms such as excessive bleeding, severe pain, or signs of infection at the surgical site, and contact their healthcare provider if these symptoms occur.

In the case of dissatisfaction with the surgery results, patients should first discuss their concerns with their surgeon. If further surgery is deemed necessary, the patient will undergo a thorough evaluation to determine the best course of action. This may involve additional procedures to achieve the desired outcome.

Overall, post-surgery monitoring and wound care are essential for a successful recovery from body-contouring surgery, and addressing any dissatisfaction with the results requires open communication with the surgical team.

How do I know if I’m a good candidate?

I currently weigh 150 pounds and am committed to maintaining this weight through a balanced diet and regular exercise. I have excess skin in my abdominal area and minimal excess fat in my thighs and upper arms, despite being at a healthy weight. I have realistic expectations for the results of body contouring procedures, understanding that they can improve the appearance of my problem areas but may not eliminate all imperfections. My main concern is ensuring that the procedures are safe and provide natural-looking results.

I will talk to my doctor about my suitability for body contouring procedures based on these factors. I understand the importance of seeking professional medical advice to determine the best approach for addressing my specific concerns. My doctor can evaluate my overall health, skin elasticity, and body composition to determine if I am a good candidate for these procedures. Additionally, they can provide me with personalized recommendations and ensure that I have realistic expectations for the outcome.

How long will it take to recover?

The recovery times for body contouring procedures can vary depending on the specific surgery and the individual’s overall health. Generally, patients can expect to experience downtime ranging from a few days to several weeks. Following surgery, patients are often instructed to wear compression garments to reduce swelling and support the healing process. It is crucial to strictly follow post-op instructions, including restrictions on physical activity and proper wound care, to ensure a smooth recovery.

The extent of the surgery also plays a significant role in the duration of recovery. More extensive procedures like liposuction or tummy tucks may require longer downtime compared to less invasive procedures like non-surgical fat reduction treatments.

Additionally, managing post-operative discomfort may involve the use of prescribed pain medication, as well as regular follow-up visits to monitor the healing process and address any concerns. Overall, patients need to communicate with their surgeon and adhere to the recommended post-op care plan to optimize their recovery and achieve the best results from their body contouring procedure.

Will I have a scar?

Body contouring procedures, such as liposuction, tummy tucks, and body lifts, have the potential to leave scars. The type of procedure used and the individual’s healing process can influence the severity of scarring. Incisions made during these surgeries can result in scars, and issues with wound healing can increase the likelihood of noticeable scarring.

Despite their potential length, body contouring scars can often be concealed by clothing. For example, tummy tuck scars can typically be hidden by undergarments or swimwear, while body lift scars can be concealed by shorts or skirts.

Factors that can contribute to disfiguring scars include infection, poor wound care, and genetics. To minimize the risk of disfiguring scars, it’s crucial to follow post-operative instructions carefully, keep the incision site clean and dry, and attend follow-up appointments with your surgeon. Additionally, avoiding smoking and excessive sun exposure can also help promote proper wound healing and reduce the risk of prominent scarring.

What are the surgical risks?

Body contouring procedures, such as liposuction, tummy tucks, and body lifts, come with potential surgical risks that patients should be aware of. These risks include adverse reactions to anesthesia, scarring, infection, and blood clots. Adverse reactions to anesthesia can range from mild to severe, and the risk increases for patients with certain pre-existing health conditions. Scarring is a common risk associated with any surgical procedure, and the extent of scarring can vary depending on the individual’s body and the specific procedure performed. Infection is a potential risk following any surgery, and diligent post-operative care is essential to minimize this risk. Finally, blood clots are a concern, especially in larger body contouring procedures, and can potentially lead to serious complications.

Pre-operative BMI and BMI at the time of contouring can impact the incidence of surgical complications. Patients with a higher pre-weight loss BMI may have an increased risk of complications, as excess weight can put additional strain on the body during surgery. Similarly, patients with a higher BMI at the time of contouring may also have a higher risk of complications. It is important to counsel patients on these potential risks during pre-operative visits to improve their understanding and acceptance of the procedures. This counseling can help ensure that patients are fully informed and prepared for the potential complications associated with body contouring surgeries.


Contouring procedures by region involve the use of various techniques to create definition, enhance features, and achieve a more balanced and sculpted appearance. Whether it’s the face, body, or specific areas like the arms or abdomen, contouring procedures have become popular for those looking to improve their overall physical appearance. By targeting different regions of the body, these procedures can help individuals achieve their desired look and boost their confidence. From facial contouring with makeup or fillers to body sculpting through liposuction or non-invasive treatments, there are a variety of options available to address specific areas and achieve the desired contouring results.

Belt Lipectomy

Belt lipectomy, also known as lower body lift, is a surgical procedure designed to address the excess skin and tissue that accumulates around the lower abdomen, flanks, and back following massive weight loss. This procedure offers numerous benefits, including improved hygiene by reducing the risk of skin infections and chafing. Belt lipectomy also targets multiple areas of concern in massive weight loss patients, addressing loose skin and tissue in the lower body and providing a comprehensive solution for body contouring.

There are different approaches and techniques used in belt lipectomy surgery, including lower body lift with or without liposuction, circumferential abdominoplasty, and extended tummy tuck. Patient positioning and sequencing are important considerations, as the surgery may involve repositioning and contouring various areas of the body.

While belt lipectomy can produce transformative results, it is not without risks and potential complications, such as infection, poor wound healing, and blood clots. Therefore, it is crucial to tailor the treatment to each individual patient’s needs, taking into account their overall health, body composition, and aesthetic goals. By providing personalized care, surgeons can minimize risks and optimize the outcomes of belt lipectomy for massive weight loss patients.

Lower Body Lift

A lower body lift is a surgical procedure that targets the mid and lower body by removing excess skin and fat to improve the appearance of the thighs, buttocks, and abdomen. To perform a lower body lift, the surgeon will make incisions around the waistline, extending to the hips and lower back. Through these incisions, the excess skin and fat are removed, and the remaining tissue is tightened and repositioned to achieve a smoother and firmer contour. Additionally, a thigh lift may be performed in the same stage to address the appearance of the thighs.

The main difference between a lower body lift and a belt lipectomy is the extent of the procedure. A lower body lift is more comprehensive, addressing the abdomen, waist, buttocks, and thighs, while a belt lipectomy focuses only on the lower body. The final scar from a lower body lift is strategically placed around the waistline and can be concealed by clothing.

Advantages of a lower body lift include overall body contour improvement and a single-stage procedure, while disadvantages include longer recovery time and the potential for scarring. Compared to other procedures, a lower body lift offers more comprehensive results and can address multiple areas of concern in a single surgery.


Abdominoplasty, also known as a tummy tuck, is a surgical procedure to address skin laxity and excess tissue in the abdominal area, particularly after massive weight loss. There are three main types of abdominoplasty procedures: traditional abdominoplasty, abdominoplasty/panniculectomy, and fleur-de-lis abdominoplasty.

Traditional abdominoplasty involves removing excess skin and fat from the abdomen and tightening the abdominal muscles through rectus sheath plication. The belly button may be repositioned for a more natural appearance.

Abdominoplasty/panniculectomy is similar to traditional abdominoplasty but is typically performed on patients with more significant amounts of excess skin and tissue, often due to massive weight loss.

Fleur-de-lis abdominoplasty is a more complex procedure that involves a vertical incision in addition to the horizontal incision used in traditional abdominoplasty. The excess skin is removed in a fleur-de-lis pattern, and the closure is done in a similar pattern to create a more dramatic tightening effect.

Each type of abdominoplasty has its advantages and potential complications. Traditional abdominoplasty and abdominoplasty/panniculectomy are more commonly performed and have lower risks, while fleur-de-lis abdominoplasty is more invasive and has a higher risk of complications. Patients should consult with a board-certified plastic surgeon to discuss which procedure is best for their individual needs.

Fleur-De-Lis Abdominoplasty

The fleur-de-lis abdominoplasty technique is a surgical procedure commonly used for patients who have undergone massive weight loss and have excess skin and tissue around their abdomen. This technique involves both horizontal and vertical components to address the excess tissue. The horizontal component involves the standard abdominoplasty incision, while the vertical component includes a midline incision from the lower sternum to the pubic bone. The pattern of marks is created to facilitate the resection of excess tissue, allowing for the gathering of horizontal tissue and creating an aesthetically pleasing waistline.

During the procedure, tissue resection is carefully performed to remove the excess skin and tissue. The incision is then closed using techniques to minimize scarring and maintain the natural contours of the body. This technique allows for the effective removal of excess horizontal tissue, creating a more defined waistline for patients who have undergone massive weight loss.

The comparable complication rate of the fleur-de-lis abdominoplasty to traditional abdominoplasty is relatively low. While complications such as infection and delayed wound healing can occur with any surgical procedure, the fleur-de-lis abdominoplasty is a safe and effective option for patients seeking to improve the appearance of their abdomen after massive weight loss.

Buttock Lift and Gluteal Augmentation

Gluteal augmentation offers several options for individuals seeking to enhance the appearance of their buttocks. These options include autologous augmentation with local flaps, fat transfer, and implant placement. Autologous augmentation involves using the patient’s tissue to reshape the buttocks, often through techniques like the Brazilian butt lift. Fat transfer, also known as fat grafting, involves taking fat from one area of the body and injecting it into the buttocks for added volume. Implant placement, on the other hand, involves surgically inserting silicone implants into the buttocks to achieve the desired shape and size.

Each method has its pros and cons. Autologous augmentation and fat transfer offer natural-looking results and can be suitable for patients who have experienced massive weight loss (MWL) as they address volume loss and sagging skin. However, they may not provide as dramatic results as implant placement. Implant placement, while more invasive, can provide a significant increase in buttock size and shape.

Currently, autologous fat transfer is considered the mainstay of treatment for gluteal deformities following MWL, as it addresses both the volume loss and skin laxity often experienced by these patients. It offers the added benefit of using the patient’s own tissue, reducing the risk of rejection or complications associated with implants. Overall, the suitability of each method for MWL patients depends on individual factors such as the extent of weight loss and desired outcomes.

Thigh Lift

Thigh lift surgery, also known as thighplasty, is a procedure designed to remove excess skin from the thighs and buttocks, resulting in smoother, more contoured legs. There are different techniques used to achieve this, including medial thigh lift, lateral thigh lift, and inner thigh lift, each tailored to target specific areas of the thighs and buttocks.

During the surgery, an incision is made to remove the excess skin, and the remaining skin is then pulled taut and sutured into place. This may result in scarring, which can vary depending on the individual’s healing process and the specific technique used.

Potential risks associated with thigh lift surgery include infection, bleeding, and asymmetry. Patients need to have thorough communication with their surgeon to manage expectations and understand the potential complications that may occur. While thigh lift surgery can result in improved contours and appearance, patients must have realistic expectations and a good working relationship with their surgeon.

In conclusion, thigh lift surgery is a viable option for individuals looking to remove excess skin from their thighs and buttocks, but it is important to consider the potential scarring and risks involved, as well as the need for open and honest communication with the surgeon.

Upper Body Lift

The technique for correcting back rolls in an upper body lift begins with pre-operative marking using the patient’s bra. By outlining the area where the bra typically sits, the surgeon ensures the incisions are strategically placed to provide optimal results. During the surgery, direct excision is used for the surgical resection of excess skin and fat in the upper back and bra line. This method allows for precise and tailored results, addressing the specific problem areas and delivering a smoother, more contoured appearance.

It is crucial to emphasize the importance of keeping the upper incision in the position of the patient’s bra. This ensures that the incision line is hidden and allows for a discreet and virtually invisible scar. By following the natural contours of the body and placing the incision strategically, the result is a “hidden scar” that is concealed within the natural folds and creases of the skin. This attention to detail not only achieves the desired aesthetic outcome but also minimizes the visibility of any scarring.

In conclusion, the upper body lift, with its pre-operative marking and direct excision technique for surgical resection, provides a comprehensive solution for addressing back rolls. The emphasis on keeping the upper incision in the position of the patient’s bra ensures a hidden scar and ultimately delivers a more pleasing and natural-looking outcome.


Liposuction techniques include tumescent, ultrasound-assisted, and power-assisted liposuction. Tumescent liposuction involves injecting a solution into the targeted fat cells to facilitate their removal. Ultrasound-assisted liposuction uses ultrasound energy to liquefy fat cells before they are removed. Power-assisted liposuction uses a specialized cannula that vibrates to break up fat cells for easier extraction.

Potential risks and complications of liposuction include infection, fluid accumulation (seroma), changes in sensation, contour irregularities, and anesthesia-related complications. These risks can be minimized by choosing a board-certified plastic surgeon and following pre-operative and post-operative care instructions.

Typical recovery after liposuction involves 1-2 weeks of downtime, during which patients should avoid strenuous activities and follow their plastic surgeon’s post-operative care instructions. This may include wearing compression garments, managing any discomfort with prescribed medications, and attending follow-up appointments to monitor healing progress.

In conclusion, liposuction is a popular fat-reduction procedure with various techniques and potential risks. Understanding the different types, risks, and recovery processes can help individuals make informed decisions about pursuing liposuction.


Arm contouring, also known as brachioplasty, is a surgical procedure designed to reshape and define the arms. Many people seek this procedure to address excess skin and tissue in the upper arms, commonly as a result of aging, weight loss, or genetics. This popular cosmetic surgery is often performed to achieve a slimmer, more toned appearance in the arms, helping patients feel more confident and comfortable in sleeveless and form-fitting clothing. In this article, we will explore the different techniques used in arm contouring, the recovery process, potential risks and complications, and the overall benefits of undergoing this transformative procedure. Whether you are considering arm contouring for purely aesthetic reasons or to improve your self-image, understanding the intricacies of the surgery can help you make an informed decision about whether it is right for you.


Brachioplasty, also known as arm lift surgery, involves removing excess skin and fat from the upper arms to create a more toned and proportionate appearance. There are different techniques for performing brachioplasty, including traditional brachioplasty, limited incision medial brachioplasty, and short-scar brachioplasty.

Traditional brachioplasty involves an incision that extends from the armpit to the elbow, allowing for maximum skin and fat removal. Limited incision medial brachioplasty, also known as a mini arm lift, involves a shorter incision that is typically limited to the armpit area. Short-scar brachioplasty utilizes a shorter horizontal incision in the armpit crease, minimizing visible scarring.

The selection of a brachioplasty technique is based on the location of the anatomic deformity and the amount of excess skin and fat present. Patients with significant excess skin and fat may benefit from traditional brachioplasty, while those with milder deformities may be suitable candidates for limited incision or short-scar techniques.

In some cases, liposuction may be used in combination with brachioplasty to address excess adiposity in the upper arms. This can further enhance the results of the procedure and improve overall arm contour.

Overall, the choice of brachioplasty technique and the inclusion of liposuction depends on the specific needs and goals of each patient and should be discussed with a board-certified plastic surgeon.


If you are considering breast and chest contouring, various surgical and non-surgical options are available to help enhance the appearance and shape of your chest area. Whether you are looking to reduce the size of your chest, enhance the volume of your breasts, or achieve a more defined and sculpted chest, there are options to suit your specific needs. From breast augmentation and reduction procedures to chest liposuction and muscle enhancement, these techniques can help you achieve the desired contour and silhouette for your chest area. Read on to learn more about the different options available for breast and chest contouring and how they can help you achieve the aesthetic results you desire.

Contouring Procedures

Contouring procedures for the abdomen, back, thigh, and gluteal region are commonly sought after massive weight loss. Each area presents unique anatomical distortions and structural elements that must be carefully addressed. Abdominal contouring typically involves removing excess skin and fat, and tightening the abdominal muscles to create a flatter, more toned appearance. Back contouring focuses on eliminating excess skin and fat rolls, and tightening the underlying tissues to create a smoother contour. Thigh contouring may involve removing excess skin and fat from the inner and outer thighs, as well as lifting and reshaping the tissue to reduce sagging. In the gluteal region, contouring often involves a combination of fat grafting and lifting to enhance and reshape the buttocks.

Following massive weight loss, common deformities in these areas include loose, sagging skin, excess fat deposits, and poor muscle tone. Careful planning for future operations is crucial to achieve optimal results and minimize complications. Variations in abdominal contour following weight loss include different patterns of excess skin and fat, while the thighs may exhibit varying shapes such as saddlebags or drooping skin. Overall, a tailored approach to contouring procedures is essential to address the unique deformities encountered in each area.

Male Chest

The male chest is a prominent and defining feature of the male body. It is often associated with strength and masculinity and is a source of pride for many men. Proper care and maintenance of the male chest can contribute to overall physical health and well-being. From exercises to build and tone chest muscles, to skincare routines and grooming, there are various ways to enhance the appearance and health of the male chest. Understanding the anatomy and function of the chest muscles is essential for anyone looking to improve their chest area. In this article, we will explore different aspects of the male chest, including exercises, grooming tips, and the importance of maintaining a healthy chest. Whether you’re looking to build a more muscular chest or simply maintain a healthy and attractive appearance, this guide will provide you with the information and tips you need.

Contouring Procedures

Massive weight loss can lead to significant anatomical distortions in the abdomen, back, thigh, and gluteal region. These can include excess skin, sagging tissues, and changes in the overall shape of these areas. Body contouring procedures are often necessary to address these issues, which can present challenges due to the extent of the distortions and the need for careful planning to achieve optimal results.

When addressing these regions in one operation, it’s important to consider the potential overlap between them. Careful planning is crucial to ensure that all areas are adequately addressed while minimizing the risk of complications.

Abdominal deformities in massive weight loss patients can be classified using various systems, such as the Avelar classification, which categorizes the extent of excess skin and fat in different regions of the abdomen. Likewise, the thighs of massive weight loss patients can exhibit various shapes, including circumferential excess, vertical excess, and lateral excess, which need to be addressed with specific contouring techniques.

In conclusion, body contouring procedures following massive weight loss require careful consideration of the anatomical distortions in the abdomen, back, thigh, and gluteal region. Careful planning and an understanding of the classification systems for abdominal deformities and thigh shapes are essential for achieving optimal outcomes.


In a world where appearance and youthfulness are highly valued, facial rejuvenation has become a popular and sought-after cosmetic procedure. Whether it’s reducing wrinkles, reversing sun damage, enhancing facial contours, or restoring a more youthful appearance, facial rejuvenation treatments offer a range of options to address various concerns. From non-invasive procedures like chemical peels and microdermabrasion to more invasive surgical options like facelifts and eyelid surgery, there are numerous ways to achieve a refreshed and rejuvenated look. These procedures are designed to improve the appearance of the skin, reduce signs of aging, and boost self-confidence. With advancements in technology and a growing emphasis on self-care and wellness, facial rejuvenation has become more accessible and customizable, catering to individual needs and preferences. Whether it’s for personal aesthetic reasons or to address specific concerns, facial rejuvenation procedures continue to be a popular choice for those looking to achieve a more youthful and refreshed appearance.

Facial Contouring

Facial rejuvenation surgery for addressing midface descent and neck laxity after massive weight loss often involves a combination of techniques. Skin resection is used to remove excess skin and improve overall contour. Superficial musculoaponeurotic system (SMAS) elevation addresses sagging tissues by lifting and repositioning the underlying muscle and connective tissue. Malar fat pad elevation focuses on restoring volume to the cheeks for a more youthful appearance.

Platysma correction is crucial for addressing neck laxity, with separate incisions made in the submental position and postauricular region to access the central neck and platysma. This allows for a more comprehensive correction of neck sagging. Fat grafting may also be used to fill in areas of volume loss, especially in the cheeks and midface.

Overall, these surgical techniques work together to address the effects of massive weight loss on the face and neck, restoring a more youthful and natural contour. These procedures are typically performed by a board-certified plastic surgeon with expertise in facial rejuvenation and body contouring.

Conclusion: All you need to know about Post Bariatric Body Contouring Surgery

Now that you are well versed regarding post-bariatric body contouring surgery, we encourage you to take the next step to complete the last phase of your weight loss surgery. We hope that you will review all of the material and before and after images provided to appreciate what transformations are available to you. Our SurgiSculpt surgeons are here to assist you with this all-important journey.

Please see this 61-year-old status post-bariatric surgery with an upper-body lift and breast contour revision with revision of lateral canthal tilt.

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