Excisional Body Recontouring

"Excisional Body Recontouring" refers to procedures that are utilized when liposuction alone would not be appropriate, usually due to poor skin tone or significant skin excess. Usually this is due to profound weight loss, but may also be due to the effects of pregnancy or aging skin in general. These procedures are therefore designed to remove or take in significant skin excess. Although the scars may be extensive, the recontouring results are usually dramatic, and worth the trade-off to most patients.

Case #1: 50 year-old woman following approximately 80-pound weight loss, who underwent an extended/"fleur-de-lis" abdominoplasty (with mesh hernia repair per general surgery); approximately 6 months post-op (scars expected to continue to fade significantly).

Case #2: 20 year-old male following approximately 160-pound weight loss who underwent a "total body lift" (also known as "belt lipectomy"); approximately 6 weeks post-op (swelling remains).

Lax upper arm skin/tissue, resulting in a "batwing" deformity, is almost always addressed by direct skin/tissue excision, or brachioplasty. This is performed via an incision on the upper inner arm, which usually angles back and down towards the posterior underarm area, to avoid a contracture in this area.

Case #3: 36 year-old female following approximately 30-pound weight loss who underwent a formal brachioplasty; approximately 8 weeks post-op.

Thigh lifts are among the most challenging procedures in plastic surgery, but good results can usually be achieved with a combination of skin excision of the inner thigh via incision high up in the groin (occasionally T-shaped), and adjuvant liposuction of the lateral thigh.

Case #4: 36 year-old female following approximately 40-pound weight loss who underwent a thigh lift (with adjuvant liposuction); approximately 3 months post-op.