Body Contouring

After losing a significant amount of weight, the skin of the upper arms, around the upper chest, and breasts may not retract fully. This causes a significant amount of skin laxity in the upper arms that makes wearing short sleaves or tighter clothing embarrassing for some patients. In addition, the excess skin folds around the back and drooping breasts can be unsightly.

By making carefully placed incisions on the inner arms and on the chest, this skin can be redraped and tightened to yield a more pleasing contour. This procedure may be combined with other body contouring procedures, such as lower body lift or breast surgery. Several drain tubes will be utilized for the next week after surgery.

Anesthesia – General. This will require a one night stay.

Recovery – Patients are ready to go back to work after one to two weeks, with the exception of no heavy lifting.

Patients that have loss a massive amount of weight often retain a significant amount of excess skin and hanging fat along their abdomen and outer thighs. This excess skin can wrap around to the back as well. A traditional tummy tuck will fail to address the thighs and back, and will be insufficient.

By removing skin and fat all the way around the lower abdomen and back, the natural contour of youth can be restored. In addition, by utilizing liposuction, the outer thighs can be defatted, and pulled upward in a very pleasing fashion. Often times, the patients own tissue can be used to augment the buttocks, also improving its appearance.

This procedure typically takes 4-5 hours, general anesthesia, and requires an overnight stay. Only nonsmokers who are healthy enough for surgery will be candidates, and usually require medical clearance from an internist.


Circumferential excision of skin and fat, along with a breast lift.


In this male patient, again a circumferential excision of skin and fat improved the contour of the trunk.