The popularity of bariatric surgery (gastric bypass and lap band), and increasingly effective educational diet plans like Ideal Protein, has led to a growing number of patients seeking removal of excess skin following massive weight loss. After massive weight loss, our skin often loses its elasticity and remains loose and stretched out. Working out and toning your muscles will not tighten the skin significantly. Surgery is the only remedy. The most common body areas patients seek to have tightened are the breasts, abdomen, arms and thighs. Skin tightening involves skin removal and therefore fairly extensive scarring. However, most patients find the scars acceptable and easily hidden. Dr. Knight has extensive knowledge and experience in the skin removal and tightening process that results in the skin fitting the patient’s new body type much more appropriately. Skin tightening procedures provide a dramatic improvement in appearance and a significant increase in each patient’s quality of life.
Lower Abdominal Skin Removal (Panniculectomy)
While weight loss can improve the health of many obese individuals, drastic weight loss, particularly when associated with bariatric surgery, can leave behind large amounts of excess skin. The excess skin and fat in the lower stomach area that hangs below the belt line is called the pannus, or abdominal “apron,” and can have several negative affects on one’s quality of life. The extra fold or folds of skin can hinder hygiene, put stress on the back, and make everyday activities difficult. Often, the areas in the pubic region under the pannus can become moist as perspiration is trapped. This can cause rashes, skin ulcers, and odor. Clothing may not fit comfortably, and, if severe, even simple activities such as standing and walking can become difficult. In such cases, a surgical procedure called panniculectomy, a type of abdominoplasty procedure, may be appropriate.
A flat, toned stomach is something that many of us strive for through our diets and exercise. However, for some this may be impossible to achieve due to aging, heredity, pregnancy, weight fluctuations, or a prior surgery. A tummy tuck, otherwise known as an abdominoplasty, removes excess fat and skin around the abdomen, and repairs weakened or separated muscles, creating a tighter and smoother abdominal profile. During this procedure, your belly button may need to be moved or a new belly button may need to be created. In order to achieve the best results, patients should try to reach their ideal body weight before undergoing the procedure. Thinner patients typically see a flatter more defined waistline following their abdominoplasty than those who are still trying to lose weight.
Arm Lift (Brachioplasty)
An arm lift, or brachioplasty, is a surgical procedure that reshapes the under portion of the upper arm, from the underarm region to the elbow. The procedure is performed to reduce fat and excess skin in the upper arm region that droops downward, and tighten and smooth the underlying supportive tissue that defines the shape of the upper arm. Sagging or drooping skin on the upper arms can be caused by fluctuations in weight, aging, or heredity. This condition cannot be corrected through exercise.
The Thigh Lift is a cosmetic surgery procedure designed to tighten the skin of the thigh and reduce sagging in the inner or outer thighs. The procedure is commonly performed on patients with massive weight loss, but it is also performed on people who have not experienced weight loss.