Body Contouring

Body Contouring (after major weight loss)

What is body contouring after rapid/major weight loss?

When excess fat of the body is removed either surgically or by other procedures, the overall form of the body tends to lose shape and proportion owing to sagging skin and loss of tone of the tissues that once supported the adipose. Rapid weight loss frequently results in the loss of elasticity of the skin and causes it to stretch undesirably giving the body a rather unsightly shape and form.


Body contouring after major weight loss refers to medical/cosmetic procedures that are aimed at restoring uniform tone and shape of the body, thus eliminating excessively stretchy skin and improving elasticity considerably. After major weight loss, individuals frequently complain of:

–          Fullness and sagging of the upper arm region

–          Flattening of the breasts and change in nipple positioning

–          Overhanging skin of the abdominal region giving an overall apron-like appearance to the body

–          Formation of pockets and sagging of other areas including thighs, buttocks and the groin

The body contouring procedure aims to restore the elasticity of the underlying tissues in order to give a well shaped, properly toned and proportionate appearance to the body.


What are the risks and complications of Body contouring after major weight loss?

Similar to all other surgeries in the world, body contouring procedures also have several potential risks and complications that patients must discuss with their surgeons prior to the surgery. All patients must ensure that their medical histories are assessed prior to proceeding with the procedure. Leading plastic surgeons around the world first acquire the consent of their patients before starting surgery as part of medical protocol.
Some of the common risks and complications that are seen before, during or after body contouring procedures include:

–          Scarring

–          Abnormal bleeding, or formation of hematoma

–          Accumulation of fluid within the tissues, a condition known as seroma

–          Infection at the site of incisions

–          Delayed healing of the wounds

–          Formation of blood clots

–          Deep venous thrombosis

–          Altered sensation in the region

–          Swelling at the surgical site

–          Necrosis of fatty tissues in the region of the surgery

–          Pain during and after surgery

–          Dehiscence, or separation of the wounds

–          Loss of symmetry and proportion

–          Complications relation to the cardiac and pulmonary systems

–          Irritation at the site of sutures

–          Chances of re-surgery due to unsatisfactory results

–          Loss of normal color or elasticity of the skin

–          Damage to nerves and vessels such as arteries, veins and capillaries

–          Damage to internal organs in the region of the surgery as a result of accidents or improper surgical handling and techniques.


What are the steps of body contouring after major weight loss procedures?

  1. Administration of Anesthesia: Anesthesia is administrated before starting the procedure in order to ensure a painless experience for the patient. Body contouring surgeries are performed on general anesthesia or complete sedation because they involve multiple regions of the body and the elimination of pain and discomfort is absolutely essential. Based on your medical history, your surgeon will recommend the most suitable drugs and mode of administration for anesthesia.General Body Contouring Areas
  2. Lifts Involved: There are four basic kinds of lifting procedures that are involved in body contouring after rapid or major weight loss. These include arm lift, lower body lift, breast lift and thigh lift. Based on these, suitable incisions are created on the body.
  3. Creating suitable incisions: The primary goal of the surgery is the excise all extra, sagging skin. In cases of massive weight loss by surgical or non-surgical methods, the incisions may have to be slightly more extensive than those created generally. The size and location of these incisions entirely depends upon the amount of sagging present around the body. Leading plastic surgeons aim to create these incisions in areas where they can be concealed within the natural folds and contour of the body so as to make them as invisible or less obvious as they can, but this may not always be possible. In cases of extensive weight loss spanning over several years, the body contouring procedure is generally performed in multiple stages.
    Once the suitable incisions have been created, the surgeon removes the excess skin from areas including the upper arm, breast, abdominal and thigh regions through excision. After the extra skin and tissues have been removed from the body, the incisions are then reoriented for closure.
  4. Closing the sutures: Leading surgeons create the incisions for body contouring in areas where they can be effectively concealed by the natural folds of the body to make them. These incisions can either be closed with the help of suitable sutures or skin adhesives.

Body Contouring SurgeonRecovery from body contouring:

Because body contouring procedures are performed in several stages, it may take a while before the patient can appreciate the final results. For successful recover, it is critical to follow all guidelines and instructions given by the surgeon to avoid any complications.
Bandages may be placed on the site of the incisions and surgery. Strenuous activity should be avoided, but light, regular exercise is highly recommended to ensure proper blood flow to the area which also promotes better healing.
Patients are also prescribed medication to relieve pain and prevent infection at the site of the surgery.
In case of any complications, it is important to report back to the medical centre immediately.

Results from body contouring surgery (Click here to view Before & After Photographs):

The results of body contouring after massive weight loss are near miraculous and long lasting. The procedure restores uniform shape, tone and proportion of the body and helps patients feel more confident and beautiful. It is important to understand however, that the results of this procedure are not permanent and can be altered by future weight fluctuations and age changes. It is therefore critically important to maintain a healthy lifestyle after the procedure to prevent weight gain.