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At the end of that road, excess skin will often remain and surgery may be required. Unfortunately, skin can not be lost through exercise or weight loss, and there may be so much skin leftover that the individual who lost weight might wish he/she did not lose weight. Excess skin removal surgery can be the grand finale of a goal you worked so hard to accomplish.

Dr. Shermak congratulates you and would be honored to be part of your life-changing journey.

Benefits of excess skin removal

  • Restores the contours of the body
  • Frees up your ability to comfortably engage in physical activities
  • Removes excess skin that may be causing you physical and emotional discomfort
  • Expands wardrobe options
  • Caps off the grand finale of a life-changing accomplishment

Body Contouring

Am I a candidate for excess skin removal?

  • The best candidates for excess skin removal surgery:
  • Are at their goal weight
  • Have maintained their weight (relatively) stably for 6 or more months
  • Are nonsmokers in good general health
  • Are well set up for postoperative rest and recovery with good support at home
  • Have cleared their schedule for recovery, allowing 2-3 weeks time

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

Body Contouring After Weight Loss

Excess skin removal options

Excess skin removal surgery is tailored to each patient’s own unique physique and needs. Some of the procedures that can be done as part of this surgery include the following:

Lower Body Lift

This procedure is an extensive and very common surgery that lifts and tightens skin tissue in the abdominal, back, and thigh regions. An incision is placed just about the hip bone and encircles the body. Excess skin is removed and the remainder of the skin is tightened.

Thigh and Buttock Lift

Losing massive amounts of weight will typically result in excess skin being left behind in the buttocks and thighs, causing sagging, deflation, and an aged appearance. The thigh and buttock lift remove this skin and restore a firmer, smoother, and more slender appearance to these areas.

Arm Lift

The upper arms particularly are often the site of plenty of leftover and excess skin after massive weight loss (MWL). In an arm lift, an incision is made along the underside of the arm, allowing the loose skin to be excised and the remainder to be restored into a more shapely and attractive appearance. This excision is often extended from the underarm down the side of the chest which is continuous and helps reduce loose skin in the upper back.

Breast Lift and Augmentation

Women who lose significant amounts of weight will suffer changes in the breasts including deflation and sagging. Breast tissue may be augmented with fat transferred from another region in the body or with implants. Breast lift with skin tightening and elevation and reduction of the nipple-areolar complex is often necessary to improve breast perkiness.

Gynecomastia correction

Analogous to women, men can also suffer from excess sagging skin in the chest area. Sometimes this can be restored with liposuction, sometimes with some skin removal, sometimes more. Treatment is individualized depending on presentation.

Face/Neck Lift

Weight loss in the face mimics aging with deflation of fat and sagging of skin. Facial rejuvenation surgery will help refresh the look of the massive weight loss patient. Scars are well camouflaged under the chin and around the ears to lift and restore facial fullness and tautness.

Aftercare and recovery

The exact length of recovery and its intensity depends on the number of procedures you undergo. Excess skin removal surgery is typically considered one of the more extensive yet impactful cosmetic surgeries available. Patients should be well set up for postoperative recovery and will do best to have a close friend or family member accompany them for several days after surgery. Patients will be provided with full aftercare instructions and recovery advice specific to their surgery. This will typically include:

  • Plenty of bed rest
  • Prescribed pain medication
  • Drains that may be in place for 1 - 2 weeks
  • Refraining from lifting or exercising for 4 or more weeks
  • Return to work depends upon the scope and requirements of one’s job

Why choose Dr. Shermak?

Dr. Michele Shermak is a board-certified and fellowship-trained plastic surgeon who for years has been nationally recognized as one of the best plastic surgeons in the United States. As late as July 2021, she was voted by her professional peers as being one of America’s best female plastic surgeons. Her intensive education and extensive experiential background in cosmetic surgery allow her to provide the safest and most superior care to each of her patients to help them make their body goals a reality. Dr. Shermak also quite literally wrote the book on “Body Contouring,” published by McGraw-Hill as an industry textbook to teach the next generation of plastic surgeons.

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 Avenue, 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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View Update Virtual Consultation

We are officially open, thanks to Governor Hogan!

We welcome new patients and are looking forward to performing elective surgical procedures, starting the week of May 11.

This is a new day, with new safety protocols. Our goal is to keep everyone safe and respect the continued risk COVID-19 presents. For this reason, we will be instituting the following protocols:

  • We will have Sandy stationed at our entryway with sterilizer and a COVID-19 survey for our new patients to fill out. Sandy will also check your temperature and collect your paperwork at the door – our medical intake form can be filled out prior to your coming to the office, or you can fill it out after you arrive.
  • Please bring a mask for any in-office visits. If you are coming for surgery, please bring a paper mask if you have one. For any other visits, cloth masks or paper masks are fine.
  • We need any patient waiting to be seen to wait in your car until we can safely accommodate you in an exam room. We need to respect social distancing and are spacing our patients out to assure safety.
  • We can only allow the patient to come in to the office for examination. Friends or family will need to wait outside the office.
  • For those assisting our postoperative patients on the day of surgery: we ask that you kindly wait in your car and we will call you in to discuss postoperative instructions.
  • I am continuing to schedule Virtual Consultations which is exciting and new! Check out my Resources section or header at drshermak.com to get started!

I look forward to seeing you soon!


As of July 1st, the staff members at The Plastic Surgery Center of Maryland will no longer routinely be wearing masks following the state guidelines per Governor Hogan.

All of our staff members are vaccinated.

If any patient would prefer that the medical staff member caring for them wear a mask, please let us know and we will gladly do so.

We treat patients with compormised immune systems and we need to be respectful of their needs.

We are asking patients who are not fully vaccinated to please wear masks while in our office so that we may continue to safely accomodate our patients with weakened immune systems.

Thank you!

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