I had gastric bypass and my skin sags now. Where it folds (abdomen, thighs, arms), I get infections and painful rashses, and I’m looking for ways to stop this.

What type of treatment or surgery is available to get rid of all the extra skin?  Could the sagging skin be fixed all at once or would it require me to have lots of things done over a long time?

A: Body contouring procedures after weight loss surgery

Patients will typically have significant amounts of loose skin in many areas after weight loss surgery. These areas usually include the abdomen, thighs, arms, breasts, back, buttocks and even the face. The approach to these areas can be tailored to the patient’s needs depending on their anatomy and desires.

However, most experts agree that the best location to begin is with the central abdomen, which usually involves a tummy tuck procedure that extends circumferentially around the back. This has several different names: central body lift, total body lift and circumferential tummy tuck to name a few. The reason this procedure is performed first is because it will impact other nearby areas such as the thighs and buttock.

Once a patient has recovered from this procedure, 3-6 months later, another area or areas can be addressed; such as the arms/ breasts or thighs. Some patients may require three or four separate surgeries to complete all their body contouring needs. Since safety is a primary concern, medical clearance is indicated prior to embarking on these types of surgeries.

Please consult with a board certified plastic surgeon prior to scheduling any of these procedures.

Best wishes.