You’ve already done the really hard part! You exercised when it would have been so much easier to stay on the couch. You changed your diet when it was so hard to turn down those sweets. Some of you had surgery to help you get healthier and take control of your life. Your body responded. The weight dropped off. The muscle packed on. But things still don’t look the way you had hoped. This feeling is quite common with patients who had major weight loss. It becomes frustrating and sometimes depressing. You’ve done so much hard work- everything that was asked of you- why can’t things look the way they should?

Body Contouring After Weight Loss in Charlotte NC

Working with patients who dedicated themselves to getting healthier and happier is a privilege. Being able to help them finalize their transformation to their new bodies is one of our passions. No matter where your stubborn skin has stayed, there is likely a procedure or surgery to make it better. Whether it’s your face and neck, your tummy, your breasts, your arms, your thighs, or your buttocks, at Graper Harper Cosmetic Surgery, our plastic surgeons have the answer. By providing safe and natural-looking surgical solutions to your problem areas, we can assist you in completing your body makeover. Don’t let your excess skin hold you prisoner and prevent you from truly embracing your dedication, your efforts, and your accomplishments.

Here are some areas that are typical concerns for weight loss patients and our philosophy:

Face and Neck:

The face and neck are the first things you look at in the mirror and an area you are never able to hide (without a wardrobe full of turtlenecks). Often, weight loss patients struggle with loose skin and loss of volume in the face. While standard neck and facelifts may be your best solution, we also are the only cosmetic surgery office in Charlotte to offer a minimally invasive, state-of-the-art technology called ThermiTight that delivers controlled thermal energy to improve and tighten your skin. Adjuvant dermal fillers like Juvederm and autologous fat grafting to the face can also help improve your face shape and restore a healthier, younger-looking appearance.

Dermal Fillers Facelift ThermiTight


Often this area is one that really troubles weight loss patients. It’s critical to consult with a board-certified plastic surgeon that is familiar with weight loss patients and their specific conditions. There are certain strategies that need to be applied to the weight loss patient when it comes to all surgeries, but especially breast augmentation, lift, and reduction surgery. Treating breast and chest surgery in the weight loss population the same as you would the general population is fraught with complications. You must discuss this, in-depth, with your surgeon.

Breast Augmentation Breast Lift Breast Reduction

Body Contouring in Charlotte NC


Another major area of concern for the majority of weight loss patients is their abdomen. With major weight loss, there is significant discordance between the amount of skin left to drape over the now smaller musculoskeletal system. This is typically much different than the issues we, as surgeons, address in our abdominoplasty population of post-pregnancy women. Often, the excess skin extends to your love handle areas and even your back. In those cases, we perform an “extended abdominoplasty” or a “circumferential abdominoplasty”. With proper technique and surgical planning, these procedures can rejuvenate the entire torso and even help improve your lateral thighs and buttock area. Again, only board-certified plastic surgeons that have a special understanding of the unique differences in the weight loss population can best address patients such as yourself.

Tummy Tuck


That loose “bat-wing” skin drives people crazy. Your arms are more muscular, they are smaller, there is less fat, but the loose skin is just too much to bear. Brachioplasty is a surgical technique in which that extra skin is removed and the scar is placed in as inconspicuous of a position as possible. For some, the ThermiTight may be a minimally invasive solution with a much smaller incision. If the scar is unavoidable, we have strategies to make it as unnoticeable and beautiful as possible.



Often these two areas go hand in hand. By a reduction in your weight and fat volume that kept these areas plump and overfilled, the sagging skin and lost volume now become an issue. While the ThermiTight may work for some, often surgery is needed to remove the unwanted skin and restore a better contour and appearance. Autologous fat grafting to the buttocks can help restore lost volume and give your backside a better shape. Setting realistic post-operative expectations for these areas is critical and should only be addressed by a board-certified plastic surgeon with experience in these particular circumstances.


Body Contouring After Weight Loss Patients in Charlotte NC

It is very common for many different areas to be of concern to our weight loss population. While addressing all of your concerns is our goal, it is often necessary to stage your procedures into several settings. Safety is paramount and sometimes it is best to let different areas of the body heal at different times. We set a limit to the number of hours a patient should be on the operating table to maximize safety and limit potential complications. For a list of complications for each procedure, please review that procedure on our website. We will help you formulate the best staging of your surgeries to achieve the best results with the easiest recovery possible. If you have any concerns with your body after major weight loss, schedule a consultation with one of the highly-qualified and well-respected surgeons at Graper Harper Cosmetic Surgery. We are here to help you make an informed decision on reaching your goal and completing your physical and emotional journey.

Frequently Asked Questions About Plastic Surgery After Weight Loss

Patients whose weight loss is stable for 3 months are great candidates for body contouring surgery after massive weight loss. It is imperative that this population of patients be in good nutritional health and blood work may be indicated to make sure that a patient’s nutritional parameters are optimized to increase the chances of a successful operation. Patients seeking body and breast contouring after massive weight loss typically are concerned with excess skin and fat and an overall droopiness to their appearance. They often have folds of skin that stay moist and can be areas affected by fungal, bacterial, or yeast infections. Any areas that are affected need to be addressed with therapy in order to improve the quality of the skin and tissue as much as possible prior to surgery.
Pain associated with procedures for body contouring after massive weight loss is dependent upon what procedures the patient needs to reach their goals. This population of patients often has a list of areas they would like corrected. To ensure the utmost safety and improve results, surgeries may be divided into multiple stages. This is done to minimize the amount of time a patient is on the operating table as well as to arrange surgeries to make recovery as easy and safe as possible. Your surgeon will outline this in great detail at your consultation.
Risks are pretty much the same as they are in the general population. The incisions may be longer and require more suturing, but overall risks of healing concerns or post-operative bleeding are quite similar to other patients. One risk that is of more concern is the potential for deep venous thrombosis or “blood clots” that form in the leg veins and can dislodge and go to the heart and lungs. For that reason, massive weight loss patients are often put on blood thinners after surgery to minimize this risk. Early ambulation and activity are imperative to help minimize this potential risk.
The cost of surgery is dependent on what the patient needs to achieve their goals.

* Disclaimer: As with all medical procedures, individual results and experiences may vary.