Congratulations on your weight loss! You have more energy, are off most medications, and are feeling better than ever. Whether achieved through surgery or lifestyle changes, massive weight loss is a tremendous accomplishment.
Once you have achieved your goal weight, you may find that your body has redundant skin. The skin can affect your ability to exercise, cause rashes, and produce odor. Unfortunately, unlike fat, extra skin cannot be lost through diet and exercise. Body contouring is the process of removing unwanted skin surgically.
Brachioplasty (arm lift):
Brachioplasty addresses redundant arm skin. The scar is on the inner arm, and can vary in size depending on the amount of redundant skin; scars can extend from the armpit down the arm as far as the elbow. The result of brachioplasty is well contoured arms.
Lower Body Lift:
Lower body lift address the abdominal panus, lower back rolls, and sagging buttocks. The operation places a scar along the entire length of the waist, like a belt. Although the scar is large, the contour effects are great. The operation contours the abdomen, lifts the buttocks, and indirectly lifts the anterior thighs.
Dermal Suspension Mastopexy:
Massive weight loss can cause breasts to droop and lose fullness. Dermal suspension mastopexy was developed at the University of Pittsburgh Medical Center by one of Dr. Vial’s mentors. It is a novel operation that uses the patient’s redundant breast tissue to lift the breast and increase volume without an implant. The breast is left with an anchor incision that extends from the breast onto the side of the chest. The end result is a fuller breast that sits in a natural position atop the chest.
A thigh lift removes unwanted skin from the thighs. Scars range in size depending on the amount of redundant tissue removed; scars start at the groin or buttock fold, and can run the entire length of the upper thigh to the knee. The result is a well contoured thigh.