Body Contouring After Massive Weight Loss


Following weight reduction surgery, or any substantial amount of weight loss, the skin and tissues often lack elasticity. As a result, the skin of the upper arms, breasts, abdominal area, buttocks, groin and upper thigh skin may sag and appear loose.
Surgical body contouring improves the shape and tone of your tissue and removes excess sagging fat and skin. The result is a more normal appearance to the body, with smoother contours.
The result of surgical body contouring can be adversely affected by significant weight changes.  Thus, surgical body contouring should be performed after weight has stabilized.


Body Contouring Procedures Prior To Your Surgery Risks of Surgery Include
Arm Lift (Brachioplasty)

Body Lift

Breast Lift (Mastopexy)

Thigh Lift

Get medical evaluation and lab studies

Adjust current medicines

Stop smoking

Avoid aspirin, anti-inflammatory drugs

Unfavorable scars                 Bleeding

Wound separation                 Infection

Fluid accumulation                Asymmetry

Change skin sensation          Pain

Recurrent loose skin             Need for revision



During your initial consultation with Dr. Olivier, she will thoroughly discuss your desires and expectations for body contouring with you. After a comprehensive history and physical examination, Dr. Olivier will review the surgical options and recommend the one that she thinks is best for your body type. Dr. Olivier will discuss specific instructions for preparing for surgery, including diet and medication requirements. She will also clearly explain your post-surgery needs so that you can prepare in advance.


Medications are administered for your comfort during the surgical procedures. The choices include intravenous sedation and general anesthesia. Dr. Olivier will recommend the best choice for you.  All body contouring procedures require incisions to remove excess skin. Incision length and position depend on the amount and location of excess skin to be removed. Dr. Olivier tries to place in strategic locations where they can be hidden by most types of clothing, but this is not always the case.

Body contouring is often performed in stages and may include one or many of the following procedures:

Arm Lift
Sagging skin in the upper arms is treated with an arm lift / brachioplasty. The incision extends from the elbow to the underarm, and sometimes on to the side of the chest. In some instances, Dr. Olivier may recommend that liposuction be used in conjunction with an arm lift to remove excess fat in the upper arms. The surgery results in a smoother and tighter contour of the upper arm. Your improved body contour will be apparent when the swelling subside.

Breast Lift
A breast lift will raise and firm sagging, flat breasts. Some patients also may require breast implants to improve the shape and size. Incisions are placed in a line extending from the areola to the breast crease, and occasionally horizontally along the breast crease. A breast implant  may also be recommended to enhance breast shape and size.

Body Lift
A complete lower body lift treats sagging buttocks, abdomen, waist, hips and outer thighs in one procedure or in staged procedures. In this procedure, an incision is extended around the lower body to remove the “belt” of excess skin and fat.

Thigh Lift
Reshaping of the thighs is achieved through incisions in the groin that can extend downward to the knee along the inner portion of the thigh. In some instances, Dr. Olivier may recommend that liposuction be used in conjunction with a thigh lift to remove excess fat in the thighs. The surgery results in smoother skin and better-proportioned contours of the thighs and lower body. Your improved body contour will be apparent when the swelling subside.


After your body contouring is completed, compression garments, and or bra may be applied. The garment and bra aid in controlling swelling and providing support.  In addition, small tubes (drains) may be placed in beneath the skin to remove any excess blood or fluid.

Although many factors are involved with determining your actual recovery time, you will likely experience a post-surgical recovery period of two to four weeks and an additional period of reduced-activity. You will likely experience soreness and swelling for several weeks. Exercise and normal activity can resume at the direction of Dr. Olivier. Over time, post-surgical swelling will decrease and incision lines will fade.

You will be given specific post-operative instructions and a post-operative follow up appointment with Dr. Olivier.


If you would like to learn more about body contouring after massive weight loss in New York, we invite you to meet with Dr. Olivier who is a female, board certified plastic surgeon for a private consultation at our Brooklyn office, located at One Hanson Place.  Contact us by calling 718-783-0934.
View a Map and Get Directions

For additional information on surgical body contouring after massive weight loss visit: