MASSIVE WEIGHT LOSS
ABOUT
Massive Weight Loss
A Massive Weight Loss patient is defined as someone who has lost 50% of their excess weight above their ideal BMI. This weight loss often occurs after bariatric surgery, and sometimes from extreme dieting and exercise.
Massive Weight Loss may lead to body contour deformities and functional problems including overhanging skin, contour irregularities, irritation, fungal rashes, decreased activity, body image dissatisfaction, psychosocial issues, and reduced productivity.
Excess skin typically involves the trunk and proximal limbs.
PROCEDURES
Surgical Procedures
Male Chest Correction
Men may develop gynaecomastia with excess skin. Liposuction removes fat through concealed incisions. If needed, open excision is performed via an incision along the areola. Excess skin may be removed in the same stage or in a second surgery.
Apronectomy
For patients who have not reached ideal weight but have a large abdominal apron causing hygiene issues, an apronectomy may be indicated. Only the anterior abdominal skin fold is removed without undermining the flaps.
Umbilicus removal may occur, but no repositioning is done.
Circumferential Abdominoplasty / Belt Lipectomy / Lower Body Lift
When excess skin extends around the flanks and lower back, a belt lipectomy is recommended. The scar goes around the waist and allows lifting of the descended pubis, outer thighs, and buttocks.
Surgery begins in the prone position to remove lower back skin. Fat from discarded tissue may be used for gluteal augmentation. The patient is then turned supine to proceed with abdominoplasty. Some patients may require a Fleur‑de‑Lis abdominoplasty when both vertical and horizontal excess exist.
Arm Lift (Brachioplasty)
Excess arm skin may hang below the arm and extend to the chest. A brachioplasty excises redundant upper‑arm and lateral chest skin to create a more slender contour.
Mastopexy (Breast Lift)
Massive Weight Loss often causes breast drooping due to volume loss and reduced skin elasticity. A mastopexy lifts the nipple‑areolar complex and reshapes the breast. Severe cases may require a Wise Pattern resulting in an inverted‑T scar.
Mastopexy (Breast Lift)
Massive Weight Loss often causes breast drooping due to volume loss and reduced skin elasticity. A mastopexy lifts the nipple‑areolar complex and reshapes the breast. Severe cases may require a Wise Pattern resulting in an inverted‑T scar.
INDICATIONS
Who May Consider These Procedures
Patients experiencing functional difficulties, hygiene issues, or aesthetic concerns due to excess skin after massive weight loss may consider body contouring procedures.
🩺 A full evaluation with an MOH-accredited doctor is required to determine suitability for the procedure.
*Disclaimer: Results vary according to individual.
HOW TO START
Arrange a Consultation
If you are considering the treatment with our experienced surgeons, you may book a consultation to discuss suitability, options, and the treatment process based on your medical history and goals.
FAQ
Frequently Asked Questions
What happens during a consultation?
Your doctor will take a history and perform a physical examination. Imaging such as mammograms or ultrasounds may be used to rule out pathology. Blood tests such as hormone profiles may also be indicated.
GET IN TOUCH
Book Your Consultation
