Many patients undergoing bariatric surgery often wonder if they will need plastic surgery to remove excess skin after they’ve lost weight. This is not always the case. Depending on your age and the elasticity of your skin you may see your body return to a somewhat normal state. Others, however, will see an excess of saggy skin around their midsection, thighs, arms or breasts. This can present both physical and emotional concerns. Hanging skin can be uncomfortable and can cause hygiene problems. And patients who worked hard to reach their weight loss goals may find themselves, once again, embarrassed by their physical appearance. Plastic surgery could be the solution.
Body contouring after massive weight loss is on the rise. In fact, according to the American Society of Plastic Surgeons (ASPS) nearly 67,000 body contouring procedures after massive weight loss were performed in 2007. This accounts for roughly one-fourth of all bariatric surgery patients.
The most commonly performed procedures for bariatric surgery patients are panniculectomy, abdominoplasty, breast lift, brachioplasty, and vertical thigh lift.
• Panniculectomy: a procedure that reduces the size of the pannus, or the excess skin that hangs in the abdominal region. This procedure is often covered by insurance companies to improve physical function.
• Abdominoplasty: this procedure, like the panniculectomy, also removes excess abdominal skin but also tightens the muscle.
• Breast lift: also known as a mastopexy, this is the most common plastic surgery procedure for weight loss surgery patients. Because the breast volume may have decreased with weight loss, implants are often used to lift and shape the breast.
• Brachioplasty: this technique, to remove excess hanging skin from the arm, cannot be performed without creating a large scar. Many patients however, find this trade off well worth it.
• Vertical thigh lift: a procedure that removes the excess tissue extending from the groin to the knee. Like the arm lift, it generally leaves a large scar.
If you are considering body contouring after your weight loss procedure, it is best to wait at least one full year after your bariatric surgery or until you have reached a stable weight. Having plastic surgery prematurely may not give you the results you are looking for and may mean revisional surgery later on. It is also advisable to reach a healthy weight. Surgery, cosmetic or otherwise, carries risks. These risks can be minimized as your Body Mass Index (BMI) decreases and any weight-related health conditions begin to resolve themselves.
Many plastic surgeons are now specializing in procedures for weight loss surgery patents. The Surgical Specialists of Louisiana can provide you with a list of recommended plastic surgeons and connect you with patients who have undergone body contouring. Additionally, the ASPS is a great resource for detailed information about these and other procedures. You can reach their site at www.plasticsurgery.org.
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For those patients who have struggled with weight their whole life, bariatric surgery may seem like the final solution. It’s true that, for the 
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