After you lose significant amounts of weight, sometimes called "Massive Weight Loss", sagging of the skin is inevitable. Fortunately, there is something you can do about it. Different procedures can help different parts of the body; call the office for a consultation, and Dr. Nachbar will be happy to tell you how we can help.
For some patients, this occurs after gastric bypass or after gastric stapling procedures. These procedures reduce the size of the stomach, producing a gastric pouch that fills more quickly and produces satiety, or a sense of fullness, after a smaller amount of food. For many patients, this can help with weight loss, but is no magic cure. It still takes significant discipline to lose large amounts of weight.
For other patients, massive weight loss can occur with dietary restriction and exercise without gastric surgery.
However you lose the weight, massive weight loss will produce loose, hanging skin, because the strectching of the skin will have produced a loss of elasticity, preventing the skin from "snapping" back. The only effective way to deal with this problem is surgery, to remove the excess tissue.
These surgeries tend to produce significant scars, which are, however, very well tolerated, due to the dramatic improvement in appearance, and even in ability to get around without the hanging skin interfering with your movements. To treat all the areas desired often requires multiple procedures.
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Body Lift/Circumferential Abdominoplasty/Tummy Tuck in Weight Loss Patient | |
Before | 8 Months After |
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Same patient, showing her Breast Reduction | |
Before | 8 Months After |
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Same patient, showing her Brachiplasty (Arm Lift) | |
Before | 8 Months After |
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Mastopexy/Breast Augmentation in a patient who had gastric bypass and had lost weight from 320 lbs to 167 lbs. | |
Before | 1 Year After |
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Body Lift/Circumferential Abdominoplasty/Tummy Tuck and Breast Augmentation/Mastopexy with 275 cc saline breast implants | |
Before | 1 Year After |
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No-drain circumferential tummy tuck / circumferential abdominoplasty / lower body lift. | |
Before | 1 and 1/2 Years After |
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Brachioplasty (Arm Lift) done at the same time | |
Before | 1 and 1/2 Years After |
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Abdominoplasty with Breast Augmentation/Mastopexy (360cc filled to 375cc) | |
Before | 9 Months After |
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Same patient, showing Brachioplasty/Arm Lift | |
Before | After |
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Circumferential Abdominoplasty/Body Lift with Breast Augmentation/Mastopexy | |
Before | 5 Months After |
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Circumferential Abdominoplasty/Body Lift with Breast Reduction | |
Before | 1 Year After |
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Body Lift/Circumferential Abdominoplasty, along with breast augmentation | |
Before | 4 Months After |
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Breast Reduction/Implant, with circumferential abdominoplasty 843 grams (almost 2 pounds) removed from the right breast, 779 grams (1.5 pounds) removed from the left breast, along with 325 cc saline breast implants placed. The implants create the upper breast fullness. Over 11 pounds of tissue were removed from the front and back abdomen in the circumferential abdominplasty, also called a "belt lipectomy" |
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Body Lift/Circumferential Abdominoplasty, with breast reduction with implants | |
Before | 4 Months After |