Apronectomy carries one of the higher wound complication rates of any body contouring operation I perform. Published series report overall complication rates ranging from 13.8% in large database reviews to 56% in post bariatric cohorts, with wound healing problems, seroma and infection making up most of that figure rather than
Abdominoplasty (tummy tuck) is major surgery. I want that clear from the start, because the way an operation is described tends to shape how seriously it is weighed up, and this is one that deserves careful thought. Pregnancy changes the abdominal wall. The skin stretches, and in most women the
After pregnancy, the skin across the lower abdomen can stay stretched once the uterus has returned to its usual size. The 2 rectus abdominis muscles that run down the midline can also separate, a change called muscle separation (diastasis recti). Both are common after pregnancy and childbirth, and both are
In my practice, one of the questions I hear most often from women considering an abdominoplasty (tummy tuck) after having children is whether liposuction is a separate operation added on top. It is not. In the majority of post pregnancy cases, ultrasound-assisted suction lipectomy (VASER liposuction) is part of the
A belt lipectomy, sometimes called a lower body lift, is a major body-contouring procedure designed to remove excess skin and fat around the entire torso after significant weight loss or bariatric surgery. Many patients with significant weight loss choose this operation to address loose skin, improve hygiene issues such as
Upper and lower abdominal lipectomy performed together is an uncommon but recognised body contouring surgery option for selected post weight loss patients. It is generally considered for individuals who have experienced massive weight loss or significant weight loss, often following bariatric surgery or sustained lifestyle changes, and who are left
Upper back lipectomy, sometimes called a bra lift or bra line back lift, is a specialised form of lipectomy surgery that targets the upper body, specifically the area along the bra line. It is often performed as part of a staged approach to body lift (lipectomy) procedures following significant weight
Circumferential hybrid abdominoplasty is an extensive body lift (belt lipectomy) procedure that combines a fleur de lis abdominoplasty with a circumferential abdominoplasty (belt lipectomy). This operation is most commonly considered by patients who have undergone significant weight loss, including after bariatric surgery or prolonged changes in body weight, and who are
In my experience as a specialist surgeon with expertise in body contouring surgery after massive weight loss, understanding the possible risks and outcomes is one of the most important parts of surgical planning. Patients who have experienced significant weight loss—whether through bariatric surgery, gastric bypass, or lifestyle changes—often seek an
For many people who have achieved significant weight loss—whether through bariatric surgery such as a gastric bypass surgery or through consistent lifestyle change—the journey doesn’t end when the weight comes off. What remains is often excess skin and fat that doesn’t contract naturally. A full or extended abdominoplasty (tummy tuck