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What is contouring surgery after massive weight loss?

While massive weight loss leads to huge improvements in overall medical condition and quality of life, some individuals experience the undesirable side-effects which may occur: skin excess, overhang, deflation and laxity. This puts a damper on what should be a joyous achievement.

Dr. Shermak is a leader in Body Contouring after Massive Weight Loss, speaking internationally and publishing a surgical atlas describing techniques that safely help patients officially complete their treatment in weight loss, with a body they can enjoy and be proud of!

Body contouring after weight loss comprises a menu of surgery from which the patient may choose, including facelift and neck lift, breast lift and/or augmentation, arm lift, upper or lower back lift, tummy tuck, thigh lift and fat grafting. Surgical procedures range from focus on a single body region to composite procedures addressing the upper or lower body, or other combinations. Please visit each link to learn more specifically about each procedure. Surgery may be staged or may address multiple body regions at once, with the key being to achieve goals in the safest manner possible, with the most impactful results.

Dr. Shermak's Work On Body Contouring After Weight Loss

Body Contouring After Weight Loss

The procedures at a glance:


This procedure helps to combat drooping, superfluous skin around the face and neck, and to restore a more youthful, full and well-rested countenance to the aging face.

Facial rejuvenation with dermal fillers

These non-surgical, non-invasive approaches can reverse the deflation and sagging that may take place in the face after massive weight loss, reshaping the features to reflect a more youthful, lifted, energetic appearance.

Breast lift

The breast lift procedure addresses breast ptosis, or sagging, low hanging breasts where full tissue has deflated and the nipple has drifted to below the breast crease. The breast lift is often a major component of a mommy makeover, but is also quite relevant to massive weight loss patients who find that their breasts may have drooped significantly. Breastlift may be optimized in combination with breast augmentation to add volume to the cleavage area of the chest.

Breast augmentation

With weight loss can come a loss of breast volume. The augmentation process reverses this through the use of silicone or saline implants, giving the chest a fuller, more feminine appearance. Breast augmentation can correct visible deformities in the breast area while also adding fullness to improve the body’s proportions.

Arm lift

The arms are an area that are hit especially hard by massive weight loss. The hanging skin in the upper arms can be very unattractive, and require the patient to avoid wearing short sleeves or swimwear. An arm lift contours the upper arms for a trimmer, slimmer aesthetic through thin scars placed strategically on the inner arm.

Back lift

A back lift treats the upper and lower back, trimming unwanted fat and restoring a shapelier, more streamlined physique. Improvement with these procedures will be seen not only in the treated area but also in the adjacent body regions, such as the thigh and buttock with lower back lift.

Tummy tuck

When the abdomen has undergone massive weight loss, the belly may be left in a state of flab, and excess stretched, deflated skin, with the muscles relaxed and splayed. A tummy tuck can help restore tone and core strength to the middle of the torso, while tightening the six-pack muscles.

Fat grafting

Fat grafting takes unwanted fat through the liposuction process from areas such as the hips, thighs and belly, and transfers it to areas of low volume, such as the lips, the cheeks, the eye region, the breasts or the buttocks. This makes for a “win-win” recycling procedure, since it contours two areas at the same time.

Thigh lift

After massive weight loss, the thighs may suffer from unwanted hanging skin that can chafe and cause discomfort while walking or exercising. A thigh lift beautifully reshapes the upper leg area for a better fit in clothing and an improved self-image. Approaches vary depending on skin excess and presentation, from minimal scars hidden in the creases of the groin, to incisions extending from the pubis to the knee for more significant reduction and improvement.

Who is a good candidate for body contouring after massive weight loss in Maryland?

Good candidates for skin lifting and tightening after weight loss in Maryland are men and women in good health who are non-smokers, are nutritionally optimal, and stable in their weight loss, preferably for at least 6 months. Massive weight loss patients who suffer from loss of skin elasticity, sagging skin, deflation, and irregular contours and folds will benefit from surgery. During the initial consultation you will discuss with Dr. Shermak what you would like to improve so she can understand your expectations and determine how to best achieve the desired result.

What is the recovery like for body contouring after massive weight loss?

Surgery may be performed as an outpatient or in the hospital setting, with an overnight stay. Surgery is variable and recovery depends upon the specific procedures performed. One may experience discomfort, swelling, and numbness. Patients are up and walking within hours of surgery, but require recuperation for several weeks, maybe longer depending upon how much surgery is performed. Most resume regular activities and return to work after 2-4 weeks. Drains may remain in place for that period of time. Swelling and numbness may take months to resolve.

Moving forward Scheduling a Consultation

We invite you to call Dr. Shermak’s Baltimore plastic surgery office at 410-324-6592 to schedule your personal consultation today regarding skin tightening after weight loss.

1304 Bellona Ave, Lutherville-Timonium, MD 21093

Dr. Michele Shermak offers some of the top cosmetic procedures Baltimore, MD has to offer
including Baltimore breast augmentation & liposuction

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