What is Body Contouring?
Often times after experiencing a dramatic weight loss, patients will see noticeable
sagging of the excess skin. This is primarily due to skin tissues lacking the elasticity to
conform to the body’s reduced size and structure. Dramatic weight loss typically occurs
after weight loss surgeries or significant lifestyle changes. Either way, surgical body
contouring is an effective way to remove excess sagging skin and fat. Body contouring
improves the shape of underlying support tissue and results in a better-proportioned
appearance with smoother contours. There are several procedures defined as body
contouring including:
● Arm lift: corrects sagging of upper arms
● Breast lift: corrects sagging or flattened breasts
● Facelift: corrects sagging of the mid-face, jowls, and neck
● Lower body lifts: corrects sagging of the abdomen, buttocks and/or inner and
outer thighs
● Medial thigh lift: corrects sagging of the inner thigh
● Tummy tuck: corrects excess skin hanging over the abdomen
Who is a qualified candidate for body contouring procedures?
Of course, anyone who has experienced significant weight loss should consider body
contouring. However good candidates for the procedures are:
● Adults whose weight loss has been stabilized
● Healthy adults without medical conditions that would impair the healing process
or otherwise increase their risk of surgery
● Nonsmokers
● Adults with a positive outlook and realistic goals
● Adults committed to maintaining a healthy lifestyle with proper nutrition and
fitness
What costs are associated with body contouring procedures?
Body contouring costs can vary widely. Typically surgeons specializing in body
contouring base their prices on his or her experience level, type of procedure(s) used,
and geographic location. While most health insurance will not cover body contouring
surgeries or its complications, many surgeons offer patient financing plans. Always
speak with a certified surgeon in your area to get a more detailed quote. When choosing
a surgeon in your area for body contouring surgery, always keep in mind that the
surgeon’s experience and your comfort level with him or her are just as important as the
final cost of surgery.
Costs associated with body contouring surgery can include:
● Anesthesia fees
● Hospital or surgical facility costs
● Pre/Post-op medical tests
● Post-op garments
● Prescriptions
● Surgeon’s Fee
Scheduling a consultation and what to expect next
During your body contouring consultation your doctor will discuss with you these topics:
● Surgical goals
● Medical conditions including drug allergies and previous medical treatments
● Current medications including vitamins and herbal supplements
● Social history of alcohol, tobacco and drug usage
● Previous surgeries and outcomes
Your plastic surgeon will most likely:
● Evaluate your health and preexisting conditions or risk factors
● Examine your body and take detailed measurements where necessary
● Take photographs to log in your medical record
● Discuss procedure options and recommend a course of treatment
● Discuss likely outcomes and any risks or potential complications of body
contouring
For your physician to successfully and safely perform the procedure, it is important to be
completely transparent during your consultation. Be sure to ask questions and share
any concerns with your physician. It is always natural to feel some anxiety or
preoperative stress before a procedure. Talk with your physician thoroughly and ask
questions to fully understand all aspects of your body contouring procedure. Below
we’ve prepared a cheat sheet of questions commonly asked when going in for a
consultation for body contouring procedures. Feel free to take with you on the day of
your appointment.
What should I ask my plastic surgeon about body contouring?
● Are you certified by the American Board of Plastic Surgery?
● Were you trained specifically in the field of plastic surgery?
● How many years of plastic surgery training have you had?
● Do you have hospital privileges to perform this procedure? If so, at which
hospitals?
● Is the office-based surgical facility accredited by a nationally or state-recognized
accrediting agency, or is it state-licensed or Medicare-certified?
● Am I a good candidate for this procedure?
● What will be expected of me to get the best results?
● Where and how will you perform my procedure?
● What surgical technique is recommended for me?
● How long of a recovery period can I expect, and what kind of help will I need
during my recovery?
● What are the risks and complications associated with my procedure?
● How are complications handled?
● How can I expect to look over time? After pregnancy?
● What are my options if I am dissatisfied with the cosmetic outcome of my
procedure?
● Do you have before-and-after photos I can look at for this procedure and what
results are reasonable for me?
What are the risks of body contouring?
When deciding to undergo plastic surgery it is necessary to weigh the risks and
potential complications to your personal goals. Your physician will go over these risks in
detail and have you sign the proper consent. However, it is a great idea to have the best
understanding before speaking with a plastic surgeon. Body contouring risks can
include:
● Bleeding
● Infection
● Fluid accumulation
● Poor wound healing
● Skin loss
● Blood clots, deep vein thrombosis (DVT) and pulmonary embolism
● Excessive or widened scars
● Numbness or other changes in skin sensation
● Anesthesia risks
● Unfavorable scarring
● Residual skin laxity or contour irregularity
How to properly prepare for your body contouring procedure
Your plastic surgeon may ask you to prepare for your body contouring procedure days
before the actual procedure. It is essential to the success of your procedure that you
follow each step precisely. Your doctor may ask you to:
● Get cleared for surgery by your bariatric surgeon and/or primary care doctor
● Get specified pre-operative lab tests
● Take certain medications or adjust your current medications
● Stop smoking well in advance of surgery
● Avoid taking aspirin, anti-inflammatory drugs and herbal supplements or other
medications that may increase bleeding
Typically body contouring surgeries are performed in an accredited office-based
surgical facility6, licensed ambulatory surgical center or a hospital. If your body
contouring is performed on an outpatient basis, be sure to arrange for someone to drive
you to and from surgery and to stay with you for at least the first night following surgery.
What to expect after body contouring surgery and recovery
Following the procedure, your incisions will have dressings or bandages applied to aid
in infection control. Often, small tubes will be placed under the skin temporarily to drain
excess blood or fluid that may collect. Your surgeon will provide specific instructions on
how to care for the surgical sites. Your surgeon may prescribe topical and or oral
medications to aid in healing. Your surgeon will also go over any concerns to look for
regarding the incision sites or your overall health. You will also be expected to follow up
with your surgeon over the next few months to monitor your healing progression. Your
surgeon will expect the following of you while recovering at home:
● Avoid bending, straining or lifting for the specified time period
● If tightening of abdomen or thighs is involved your physician may instruct you to
avoid standing fully erect or stressing internal sutures as they heal.
● Surgical incisions should not be subjected to excessive force, motion, swelling or
abrasion while healing.
● It is important to be up and walking as soon as possible and drinking plenty of
water to minimize the risk of DVT (blood clots in legs)
How soon should I expect to see the results of body contouring?
Results can be seen almost immediately following your procedure in most cases.
However, other cases may need up to 2 years to see the final results. Be aware that
even with optimal results you will still have visible scarring. Body contouring is a long-
lasting procedure, provided you maintain a stable weight and a healthy lifestyle. It is
also natural to see a loss of firmness with age. While good results are expected from
your procedure, there is never any guarantee. Some people need multiple surgeries to
achieve their desired results. Always follow your physician’s instructions for after your
procedure to ensure the best possible results.