Body Contouring After Weight Loss

MUSC Health
July 31, 2019
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Recently, Dr. Kevin Delaney, with MUSC Health’s Plastic Surgery Center, spoke at the MUSC monthly Bariatric Surgery Support Group about body contouring and plastic surgery options following significant weight loss.

We have outlined some of the highlights from the discussion below:

General Information

  • Elastin in the skin is unable to snap back to normal after significant weight loss, so the skin becomes loose and hangs.
  • It is important to have realistic goals when seeking plastic surgery after weight loss. You must also understand that you will be trading excess skin for scars.
  • There are a number of things a person can do to ensure they have the best chance of healing after plastic surgery: avoidance of any nicotine, any underlying conditions are well managed, and your nutrition labs are optimal.

Common Post-Significant Weight Loss Procedures

  • Panniculectomy (skin and fat removal from lower abdomen)
  • Abdominoplasty (skin/fat removal and muscle tightening from upper/lower abdomen)
  • Belt Lipectomy (lower body lift)
  • Brachioplasty (arm lift)
  • Thighplasty (thigh lift)
  • Breast Augmentation (enhancement) + Mastopexy (breast lift)
  • Breast Reduction
  • Face lift

Financial Aspects

Insurance will typically cover Panniculectomy or Breast Reduction if:

  • Current insurance covers weight loss surgery procedures.
  • You’ve achieved greater than 100 pound weight loss.
  • Your new weight has been stable over a period of continuous months.
  • Your providers have documented history of any treatment for skin rashes, hanging skin, back pain, etc.
  • Documentation for breast should include any treatment for rashes, shoulder strap grooving, neck/shoulder/back pain, attempted oral anti-inflammatory pain medications, etc.

Please visit MUSC Health’s Plastic Surgery Center to learn more.

About the Author

MUSC Health

Keywords: Bariatric, Weight Loss, Plastic Surgery