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Body Contouring after Weight Loss

Significant weight loss through diet and exercise or bariatric surgery procedures (e.g. gastric bypass) typically results in extensive excess skin. Several body contouring procedures may be necessary to achieve optimum results in this instance, including upper or lower body lifts, breast lift (mastopexy) or breast augmentation with mastopexy, inner thigh lifts, and arm lifts (brachioplaty). Because of the multiple areas that may need to be treated, two or more stages – separated by a few months for healing – may be necessary.

A circumferential lower body lift can eliminate the skin redundancy and improve contours in the abdomen, buttock, thighs and back. An upper body lift can improve the appearance of the mid- and upper back. These surgeries involve removal of excess skin rolls to achieve a smoother and flatter appearance, and may be combined with liposuction or fat transfer to optimize the results

  • A lower body lift is performed under general anesthesia and involves rather lengthy scars in order to address all areas adequately. Skin removal from the abdomen will tighten and flatten this area. By repositioning the patient during the surgery, additional skin removal from the sides and back will lift the outer thighs and buttock and eliminate lower back rolls. Depending on the length and extent of the surgery, your surgeon may recommend one or two nights of recovery in a hospital or nursing care facility.
  • An upper body lift often combines a breast lift (mastopexy) with an excision that extends around the upper back. This can tighten and smooth the skin of the “bra roll” areas as well as the mid- and upper back. Typically upper and lower body lifts are done at different stages.

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Emory Aesthetic Center of Buckhead-Atlanta