Additionally, it can have a significant effect on the risks of diabetes, arthritis and cardiovascular disease. Significant weight loss, however, may leave you with excess, heavy and sagging skin around your arms, thighs, abdomen, buttocks, breasts and face. This skin has also been stretched past breaking point and therefore will not contract down by itself.
The skin can cause a number of problems including recurrent infection (intertrigo), smell, rashes and ulceration. Body contouring surgery can address this and remove this excess skin, reposition tissues e.g. nipples, belly button and improve the overall shape of your body through a combination of skin removal and liposuction.
A combination of the following procedures can be offered. Most patients undergo multiple stages of surgery with the end result achieved over a period of 12-18 months.
- Face lift and neck lift: This procedure removes excess skin around the face and neck and corrects sagging skin of the mid-face, jowls, and neck.
- Breast lift: Breast lift may be performed with or without breast augmentation (implants) or breast reduction. The pattern of incision for breast lift will be based on the amount of excess skin to be removed. These include circular incisions around the areola, incision from the areola to the breast crease or along the breast crease.
- Abdominoplasty or tummy tuck: This procedure involves removing the excess skin around the abdomen and towards the back, which follows by tightening of the abdominal muscles.
- Lower body lift: This procedure involves treating the sagging abdomen, waist, buttocks, hips and thighs in a single procedure. Excess skin is removed by making an incision around the body’s circumference.
- Thigh lift: This procedure involves removing excess skin from the upper, middle, and inner thigh around the area from the groin towards the knee.
- Arm lift or Brachioplasty: This procedure involves removing excess skin from the upper arms. An incision is made from the underarm and extended towards the elbow.
These procedures are performed in hospital and usually require an overnight stay.
These procedures may be planned based on your surgeon’s judgment and your realistic goals.
Most individuals can return to work 3 to 4 weeks after body-contouring procedures.
Yes (seek confirmation from your private health fund)
What are the indications for body contouring procedures?
Eligibility of an individual for body contouring surgery includes:
- Stable weight
- Healthy and free from diseases
- A non-smoker
- Positive attitude, realistic expectations and mentally prepared
- Committed to proper nutrition and healthy diet
What are the risks and complications of body contouring procedures?
As with any surgery, body contouring procedures involve certain risks. An individual should weigh the benefits, risks and decide to undergo the surgery. Some risks include:
- Bleeding and infection
- Unsightly and visible scars
- Contour irregularities
- Accumulation of fluid (seroma)
- Excessive loss of skin
How many procedures will I need?
Recontouring after weight loss often requires multiple staged and revision procedures. This is because the quality of the skin and its elasticity is often poor after massive weight gain and loss. Scar revision, excision of excess skin around the edges (dog ears) and liposuction are often required after about 6-12 months following any initial procedure.