Remove hanging skin and fat after weight loss
Body contouring after major weight loss is performed to remove hanging skin and remaining fat. It also shapes underlying tissues. The goal is to look better and feel comfortable with your new body.
Losing weight is an awesome accomplishment, but many patients feel distress because they are left with excess or loose skin that will not tighten up no matter what they do. This excess skin and hanging fat causes all kinds of difficulties. These include problems with sweat trapping and rashes, difficulty exercising, difficulty with clothes fitting and intimacy issues. Patients are often uncomfortable being undressed with their significant others. The issues can affect self-esteem and even lead to depression. The good news is that all of these common problems after massive weight loss can be improved with plastic surgery.
I have had multiple patients remark that undergoing body contouring procedures “changed their life”. It is a source of great satisfaction for me to help patients that have improved their overall health and wellbeing due to weight loss. There are multiple procedures that one may do after weight loss.
These post weight loss procedures include:
- Face and Neck Lifts
- Breast Lift / Mastopexy
- Abdominoplasty / Tummy Tuck
- Lower Body Lift / Circumferential Abdominoplasty
- Medial Thigh Lift
- Arm Lift / Brachioplasty
The lower part of the abdomen is known as the pannus. Panniculectomy is the removal of this lower abdominal skin. It is often performed due to complaints of sweating and rashes in the fold between the lower abdomen and the pubic area. Panniculectomy is a functional procedure more than a cosmetic procedure. The goal of this surgery is to remove the lower hanging skin and improve the patient’s symptoms. This is a procedure that is sometimes covered by insurance. Each insurance plan is different regarding requirements for qualification for panniculectomy. Many patients choose to combine panniculectomy with abdominoplasty because they want to improve the appearance of their midsection more than what a panniculectomy accomplishes.
Click here to read Dr. Kayastha’s post on Panniculectomy vs. Abdominoplasty.
Lower Body Lift / Circumferential Abdominoplasty
A lower body lift removes excess skin from all the way around one’s midsection. It combines an abdominoplasty, lateral thigh lift and buttock lift together. This procedure is best suited for patients who have significant sagging of the lower thighs and buttocks in addition to the abdomen.
A medial thigh lift lifts and tightens the skin on the inside of the thigh. Medial thigh droopiness is not changed by a lower body lift. This surgery requires an incision in the groin area that curves around to the buttock. Many patients will also require an incision that goes down the leg towards the knee.
An arm lift or brachioplasty is performed to tighten the skin of the upper arm. Loose flappy skin of the upper arm is a common complaint following weight loss. Patients often relate that they will avoid sleeveless clothing of all types due to embarrassment. This surgery requires an incision from the armpit extending downwards along the inside of the arm towards the elbow. How far down the incision goes depends on the extend of loose skin. The incision can also extend from the underarm down along the upper chest wall if there is loose skin in these areas.