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Post Weight Loss Surgery

What Is Post-Weight Loss Surgery?

refers to the surgical procedures performed to remove excess skin and OnabotulinumtoxinAAbobotulinumtoxinAIncobotulinumtoxinAPrabotulinumtoxinALetibotulinumtoxinARimabotulinumtoxinBHyaluronic Acid FillersCalcium Hydroxylapatite FillersPoly-L-lactic Acid FillersPolymethylmethacrylate FillersAutologous Fat GraftingForehead Lines TreatmentGlabellar Frown Lines TreatmentCrow's Feet TreatmentBunny Lines TreatmentChemical Brow LiftLip FlipGummy Smile CorrectionMasseter ReductionJaw SlimmingDimpled Chin SmoothingCobblestone Chin SmoothingNefertiti Neck LiftMicro-BotoxMesotoxHyperhidrosis TreatmentChronic Migraine ReliefBruxism TreatmentTMJ TreatmentCervical Dystonia TreatmentNeck Spasm TreatmentBlepharospasm TreatmentLip AugmentationLip ContouringCheekbone EnhancementTear Trough FillersNasolabial Fold SofteningMarionette Line FillersLiquid RhinoplastyNon-Surgical Nose JobJawline ContouringJawline DefinitionChin AugmentationTemple VolumisingHand RejuvenationAcne Scar Subcision Filling following significant weight loss. When the body loses a large amount of weight — typically more than 45 kg — the skin that was stretched to accommodate the excess fat cannot retract to match the body’s new shape. The result is loose, hanging skin affecting the abdomen, flanks, arms, thighs, back and breasts. Diet, exercise and non-surgical cannot remove this excess skin. Surgical excision is the only treatment.

Post-weight loss surgery is also known as body contouring surgery or excess skin removal surgery. It encompasses a range of procedures different body areas, performed in a staged plan tailored to each patient’s anatomy and priorities.

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Who Is Affected by Excess Skin After Weight Loss?

Excess skin develops after any form of significant weight loss — bariatric surgery (gastric bypass, sleeve gastrectomy, gastric banding), weight loss medication, or sustained diet and exercise. The greater the weight loss and the older the patient at the time of loss, the more pronounced the skin laxity is likely to be, as skin elasticity reduces with age.

Men and women are both affected, though the pattern of skin laxity differs. Women develop more skin changes in the abdomen, breasts and inner thighs. Men tend to develop more significant abdominal and chest changes, with gynaecomastia — enlarged or ptotic chest tissue — a common post-weight-loss concern specific to men.

Excess skin causes functional as well as cosmetic problems: skin rashes and infections in deep skin folds, chafing, restricted mobility, hygiene difficulties and discomfort from the weight of hanging skin panels. These functional problems, as well as the cosmetic concerns, are addressed by post-weight loss surgery.

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Am I Suitable for Post-Weight Loss Surgery?

Suitability for post-weight loss surgery is confirmed at a face-to-face consultation with a GMC Specialist Register consultant plastic . General criteria across all procedures:

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Post-Weight Loss Surgery Procedures

Centre for Surgery offers the full range of post-weight loss body contouring procedures. Each is under as a day case at our .

Significant weight loss can also cause a gaunt or hollowed facial appearance. is appropriate for patients with facial and neck skin laxity following major weight loss. RELATED:

Staging — Why Procedures Are Performed in Stages

Most patients requiring post-weight loss body contouring need more than one procedure. Performing multiple lengthy skin excision procedures in a single session increases the risk of wound complications, anaesthetic exposure and prolonged time. At Centre for Surgery, procedures are staged across separate sessions — typically with a minimum of six to twelve weeks between stages — to allow full recovery from each before the next.

also produces better results. Each procedure can be optimised independently, and the results of earlier stages can be assessed before planning subsequent work. Patients who require both upper and lower body may have four or more separate sessions over twelve to twenty-four months.

The staging plan is agreed at consultation. You are not required to commit to all stages at the consultation — each stage is consented and quoted separately.

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Can I Have Bariatric Surgery and Skin Removal at the Same Time?

No. Post-weight loss surgery must be performed after bariatric surgery, not at the same time. The two types of are performed by different specialists — bariatric surgery by a specialist bariatric surgeon; body contouring by a consultant plastic . More importantly, excess skin cannot be surgically removed until the excess weight has been lost and weight has been stable.

After bariatric surgery, reaching target weight typically takes twelve to twenty-four months. Weight must then remain stable for at least six months before skin removal surgery is considered. Most post-bariatric patients are therefore not candidates for skin removal surgery until at least months after their bariatric procedure.

SAFElipo™ liposuction is frequently combined with skin excision procedures to remove residual fat deposits. Liposuction is not a weight loss procedure and does not substitute for the weight loss achieved by bariatric surgery.

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Risks of Post-Weight Loss Surgery

loss procedures involve lengthy skin excision incisions and carry a higher complication risk than many other cosmetic procedures. The risks common to all procedures in this cluster are:

Your surgeon will discuss all procedure-specific risks in full at consultation. RELATED:

Recovery After Post-Weight Loss Surgery

Recovery timelines vary by procedure. General principles across all post-weight loss procedures:

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Post-Weight Loss Surgery at Centre for Surgery

Centre for Surgery is a CQC-regulated cosmetic clinic at 95–97 Baker Street, London W1U 6RN. All loss procedures are performed under TIVA by GMC Register consultant plastic surgeons. We perform the full range of post-weight loss body contouring procedures in-house — from apronectomy to comprehensive staged upper and lower body lift programmes.

The £100 consultation fee is redeemable against the cost of your procedure if you proceed. Finance is available through at 0% APR subject to status. A two-week cooling-off period applies from the date of consent.