Patients who have lost large amounts of weight with gastric bypass surgery and other weight loss procedures represent a growing population as these surgeries have become more popular. With massive weight loss, excessive loose skin and fatty deposits result and multiple anatomic areas are affected. The abdomen, breasts, arms, legs, and even back tissue are prime areas to target for excisional surgery. Liposuction alone is rarely effective in these situations since the excess skin and fatty tissue needs to be removed. Abdominoplasty, breast lift, breast reduction, thigh lift, arm lift, and brachioplasty, circumferential abdominoplasty, and back roll excision (bra roll lift) are often desired.
Generally we recommend delaying these procedures at least one year to 18 months after the weight loss surgery to allow you to achieve a stable weight. These procedures are best performed at your goal weight. Occasionally, they can be performed before achieving your desired ideal body weight when the excess loose skin becomes a barrier to proper exercise. Procedures can be done in combination such as tummy tuck and thigh lift and performed simultaneously or breast surgery and arm lift perform simultaneously. Patients who desire multiple procedures are often encouraged to stage these combinations into at least two separate procedures separated by six weeks to three months, to allow for proper healing.
Patients who have successfully lost large amounts of weight and gone on to body contouring procedures are among the happiest patients we serve at at Raleigh Plastic Surgery Center. Many of the procedures can be performed at our AAAHC accredited surgical suite under the care of our board certified anesthesiologist. Patients with associated significant medical problems can still undergo these procedures; however, we frequently perform these at Rex Hospital where an overnight stay may be suggested.
Details of each individual procedure are available on this website. Recovery with combined procedures generally is no longer than the individual primary procedure. Combination surgeries frequently save money and combine recovery time.
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