BODY CONTOURING AFTER WEIGHT LOSS

Losing weight with medications like semaglutide (Ozempic®, Wegovy®) or tirzepatide (Mounjaro®) can transform your health and confidence. However, significant weight loss often introduces new challenges, such as loose skin, volume loss, and changes to body contours. Not only is loose hanging skin unsightly but it can cause functional problems. Patients feel that despite losing weight they cannot fully benefit from it as this excess skin restricts them and is also a cause of social embarrassment.

Surgical body contouring is a term used to describe several procedures that smooth, firm, reshape, and tighten the body. Body contouring procedures are personalized to the individual’s needs. They may include procedures like tummy tucks, breast lifts, arm lifts, thigh lifts, and facelifts.

Introduction

Body contouring is a new and exciting field and one that is especially popular with people who have lost lots of weight and now want to tighten, tone, and define their improved bodies. Body contouring can improve the appearance of loose or sagging skin giving your body smoother contours and an improved shape.

Following excessive weight loss (either by diet and exercise, bariatric surgery or weight loss medications), you may be left with significant residual folds of fat and skin, which can be quite distressing both cosmetically (as they may be quite unsightly) but also functionally as these can interfere with daily activities. Such individuals request excision of these excessive folds such as in the abdomen, breasts, thighs, arms etc.

For some, the extra folds of excess skin may cause problems, such as:

Discomfort
Swelling, rash or ulcers between the skin folds in your groin that can lead to an infection.
Problems with hygiene in these areas, especially the groin
Difficulty walking
Trouble urinating
Problems with sexual activity
Poor self-esteem

It is important that you achieve your target new weight or at least are close enough before considering surgery.

It is also very important that you have realistic expectations of the results of surgery. Procedures performed after weight loss may not achieve the same cosmetic results and do have a higher revision rate when compared to the non-weight loss patient. One of the reasons for this is the marked loss of elasticity and therefore the less than ideal tissue quality.

BODY CONTOURING SURGERY TYPES

Body contouring procedures are individualized, so talk to your plastic surgeon about the best options for you. Body contouring surgeries include:

Tummy tuck (abdominoplasty)- it is a major aesthetic surgical procedure performed by a plastic surgeon to improve the shape and contour of the abdomen. The operation is undertaken to remove excess skin and fat, unwanted scars, stretch marks, and can tighten the underlying abdominal wall muscles
Breast lift (mastopexy)- the purpose of a mastopexy or “breast uplift” is to make the breasts more shapely, firmer and better supported with a youthful and pert appearance whilst repositioning the nipple at its former height. Uplift surgery may also be combined with breast augmentation to restore the shape and the volume of the breast.
Arm lift (brachioplasty)-it is a surgical procedure that reduces excess sagging underarm skin and fat, giving smoother contours. It can be combined with liposuction to help with the contours on the arm
Thigh lift- it is designed to tighten the skin and improve the contour of the inner thigh, giving smoother contour
Lower body lift- this is a more major operation aimed at lifting the thighs, buttocks, and abdomen all at the same time
Upper body lift- this operation lifts the breasts, arms, and chest in a single procedure.

Benefits of body contouring surgery

Body contouring surgery after weight loss offers several significant benefits to individuals who have undergone substantial weight loss. After shedding excess pounds, many people are left with excess skin and tissue that can be both physically uncomfortable and emotionally distressing. Body contouring procedures are designed to address these issues, providing a more toned and sculpted appearance. Here are the key benefits of body contouring surgery after weight loss:

Elimination of excess skin: One of the most notable benefits of body contouring is the removal of excess skin. After significant weight loss, the skin often fails to contract to the new body shape, leaving folds and sagging. Body contouring procedures remove this redundant skin, resulting in a firmer and more toned appearance

Improved body proportions: Body contouring helps to create more balanced and proportionate body contours. This is particularly important for individuals who have lost a substantial amount of weight, as it ensures that their new body shape is more harmonious
Increased comfort and mobility: Excess skin can be physically uncomfortable and limit a person’s mobility. Body contouring surgery eliminates this discomfort and allows for greater freedom of movement, making it easier to engage in physical activities
Enhanced self-esteem: The physical changes that result from body contouring can significantly boost self-esteem and body image. Many individuals who have lost a considerable amount of weight find that their confidence soars after body contouring surgery

Clothing fit: Body contouring ensures that clothing fits more comfortably and looks better. It allows individuals to wear a wider range of clothing styles and can make shopping for clothing a more enjoyable experience
Improved muscle definition: By removing excess skin and fat, body contouring surgery can enhance muscle definition, particularly in areas like the abdomen, arms, and thighs. This can help individuals achieve a more toned and sculpted appearance
Long-lasting results: The results of body contouring surgery are generally long-lasting, if individuals maintain a stable weight. This means that the improvements achieved through surgery can be maintained over time
Reduced skin infections: Excess skin folds can trap moisture and create an environment conducive to skin infections, particularly in areas where skin rubs together. Body contouring reduces the risk of skin infections by eliminating these folds
Psychological benefits: The emotional and psychological benefits of body contouring should not be underestimated. Many individuals report feeling a sense of closure and achievement after completing their weight loss journey with body contouring. It can help individuals fully embrace their new, healthier lifestyle
Motivation for weight maintenance: For some individuals, body contouring surgery serves as an additional motivator to maintain their weight loss. The investment in their new appearance can drive them to stay committed to a healthier lifestyle
Improved quality of life: The physical and emotional benefits of body contouring ultimately contribute to an improved quality of life. Individuals can engage in activities they may have been reluctant to participate in due to their excess skin, and they often enjoy a higher level of overall well-being
Customised procedures: Body contouring procedures can be tailored to address specific areas of concern. Whether it’s the abdomen, thighs, arms, or other areas, these surgeries can be customized to meet an individual’s unique needs and goals

Am I a good candidate for body contouring?

If you have reached your goal weight and are maintaining it, you may consider body contouring to further enhance your shape. People who benefit the most from body contouring are those who have excess skin in certain areas but minimal excess fat.

While surgery can dramatically improve your overall appearance, every person heals differently. An open discussion with the plastic surgeon about your hopes for the surgery and what you can expect is an important first step.

The plastic surgeon may discuss your existing health conditions, medications you take, alcohol consumption, prior surgeries and whether you smoke. If you smoke, you must quit at least several weeks before your surgery. Smoking greatly increases your risk for complications.

What are the complications of body contouring procedures?

In general, body contouring procedures are safe with an associated high degree of patient satisfaction. Nevertheless, no surgery is without risk.

All general anaesthetics carry risks such as blood clots, deep vein thrombosis and chest infection but with modern anaesthetic techniques, these are minimised.

Your risks depend on your age, the amount of weight you lost, your health conditions and the amount of tissue you need removed. Ask Dr Mackenzie about the risks that apply to you.

FREQUENTLY ASKED QUESTIONS

What is body contouring?

What are the different types of body contouring procedures?

Body contouring procedures are personalized to the individual’s needs. They may include procedures like tummy tucks, breast lifts, arm lifts, thigh lifts, and facelifts.

Am I a good candidate for body contouring?

How much does body contouring cost in New Zealand?

The average cost of body contouring surgery can vary widely. The cost of body contouring varies depending on the number and type of procedures performed, the complexity of the surgery, hospital fees, anaesthesia, and more.

What results can I expect from body contouring?

Body contouring, or body sculpting, can eliminate fat, shape areas of the body and tighten skin. It helps shape the body and address specific areas where weight loss isn’t effective or after significant weight loss results in extra skin.

How long does it take to see results after a body contouring surgery?

Most people start to see their body contouring results after a few weeks. Full results develop within 6 months.

How long do body contouring results last?

The longevity of body contouring largely depends on maintenance habits after the surgery. It’s a common misconception that these procedures deliver permanent results. However, with healthy lifestyle choices, body contouring can offer long-lasting results. The body contouring results are also influenced by skin quality. A patient’s skin elasticity can impact the procedure’s lasting effects, especially in the face of weight fluctuations. Weight changes can compromise contoured shapes, undermining results over time.

Those who maintain a healthy lifestyle typically enjoy longer-lasting results. They do this by incorporating a balanced diet, regular exercise, avoiding smoking and maintaining a stable weight.

Is body contouring safe?

In general, body contouring procedures are safe with an associated high degree of patient satisfaction. Nevertheless, no surgery is without risk. Dr Mackenzie will discuss the various risks and complications associated with your surgery.

All general anaesthetics carry risks such as blood clots, deep vein thrombosis and chest infection but with modern anaesthetic techniques, these are minimised.

Your risks depend on your age, the amount of weight you lost, your health conditions and the amount of tissue you need removed.

What is recovery like after a body contouring procedure?

Regardless of the body contouring procedure, time is a critical element. The length of healing time varies per procedure, but allowing enough time for recovery is essential to prevent complications and enhance results.

How do I prepare for my body contouring procedure?

Before undergoing body contouring, it is important to be at or close to your target weight. Significant weight fluctuations after surgery can affect the results.

Smoking and excessive alcohol consumption can interfere with the healing process and increase surgical risks. You must stop smoking at least six weeks before surgery.

Avoid taking aspirin, anti-inflammatory drugs and herbal supplements or other medications that may increase bleeding.

Your plastic surgeon will conduct pre-surgical evaluations to ensure you are physically prepared for the procedure. These will include blood test.

Your surgeon will provide pre-surgical instructions specific to your procedure. It is important to review and consider these carefully before your surgery.

Creating a comfortable recovery space at home can make a significant difference during the post-surgical period. Additionally, preparing mentally by setting realistic recovery milestones can help manage expectations. Remember to prepare comfortable clothing, soft and supportive pillows, fill prescriptions, prepare healthy food and snacks as well as good movies to watch and books to read. Make sure you sleep well.

Staying hydrated and following a nutrient-dense diet can improve your recovery process. Focus on foods that are high in protein, vitamins, and minerals to support tissue repair and reduce inflammation.

What is the difference between liposuction and body contouring?

Though both body contouring and liposuction improve the appearance of the body, they address different concerns and are performed differently.

Liposuction is a surgical procedure specifically designed to remove excess fat from the body. Body contouring involves body sculpting procedures that aim to reshape the body following major weight loss. Body contouring centres around tummy tuck surgery, upper and lower body lifts, breast lift surgery, arm lift surgery, and some liposuction to eliminate fat.

Overall, if you have loose skin, you want to improve your body’s contours with body contouring surgery. If you want to reduce fat (and you don’t have loose skin), you’ll need liposuction.

Will there be scars after body contouring surgery?

All surgical procedures leave scars. Techniques like precise suturing, scar placement and advanced scar management treatments ensure scars are as discreet as possible.

How soon can I return to work or exercise after body contouring?

Surgeons agree that during the first 48 hours after surgery, patients shouldn’t be overly active.

Recovery timelines vary depending on the extent of the surgery and the physical demands of your job. Some individuals can resume desk-based work within two to three weeks, while those with more physically active roles may require more time, such as six weeks.

Is body contouring suitable for men and women?

Yes, body contouring is suitable for both men and women. However, men and women typically have different body composition and aesthetic desires, which influence how body contouring is approached.

Will insurance cover body contouring in NZ?

Body contouring is generally not covered by medical insurance in New Zealand.

Can body contouring replace diet and exercise?

Body contouring is not a substitute for a healthy diet and exercise routine. It complements a healthy lifestyle and can help you achieve your desired body shape.