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Body Sculpting

Post Bariatric After Weight Loss Plastic Surgery

What is Body Sculpting?


Dramatic weight loss has many benefits including to tighten skin after weight loss. But after weight reduction surgery, or any substantial amount of weight loss, the skin and tissues often lack the elasticity to conform to the reduced body size resulting in loose skin that needs skin tightening. Skin removal surgery following major weight loss removes excess sagging fat and skin while improving the shape of the underlying support tissue. The result is a more normal appearance with smoother contours. Is it right for me?  Body contouring procedures may include:

In general, good candidates for body sculpting are:

  • Adults whose weight loss has stabilized
  • Healthy individuals without medical conditions that impair healing or increase risk of surgery
  • Non-smokers
  • Individuals with a positive outlook and realistic goals
  • Individuals that are committed to leading a healthy lifestyle with proper nutrition and fitness

The Procedure

The procedures necessary to achieve your goals will be defined along with a plan for the timing of these procedures. Plastic surgery procedures that may be recommended by your physician include:

  • Lower body lift: to correct sagging of the abdomen, buttocks, groin and outer thighs
  • Breast lift: to correct sagging, flattened breasts
  • Arm lift: to correct sagging of the upper arms
  • Thigh lift: to correct sagging of the inner, outer and mid thigh

Step 1 - Anesthesia
General anesthesia is administered during the surgical procedures for your comfort. 

Step 2 - The incision
All body contouring procedures require incisions to remove excess skin. Incision length and pattern depend on the amount and location of excess skin to be removed, as well as personal preference and Dr. Kronowitz's surgical judgment. Advanced techniques usually allow incisions to be placed in strategic locations where they can be hidden by most types of clothing, but this is not always the case.


While it may have taken you two years or more to lose all the excess weight, it may take equally as long for the results of your body contouring to be complete. 

Body Lift
A complete lower body lift treats sagging buttocks, abdomen, waist, hips and outer thighs in one procedure. 

Breast Lift
The incision patterns for lifting a woman's sagging breasts will be determined based on the amount of excess skin to be removed. These may include one or a combination of incisions in a circular pattern around the areola, in a line extending from the areola to the breast crease, and horizontally along the breast crease. A breast implant also may be recommended to enhance breast shape and size.

Arm Lift
Sagging skin in the upper arms is treated with Vaser Liposuction through a small incision from the underarm area.

Thigh Lift
Reshaping of the thighs is achieved through incisions in the groin. Improving contours of the outer thigh may require an incision extending from the groin around the hip. Through these incisions Dr. Kronowitz will tighten tissues for a smoother, thigh.

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Risks and Safety

The decision to have body sculpting surgery is extremely personal. You will have to decide if the benefits will achieve your goals and if the risks and potential complications are acceptable. You will be asked to sign consent forms to ensure that you fully understand the procedure and any risks and potential complications.

Risks include:

  • Bleeding
  • Infection
  • Fluid accumulation
  • Poor wound healing
  • Skin loss
  • Blood clots, deep vein thrombosis (DVT) and pulmonary embolism
  • Excessive or widened scars
  • Numbness or other changes in skin sensation
  • Anesthesia risks
  • Unfavorable scarring

Residual skin laxity or contour irregularity These risks and others will be fully discussed prior to your consent. It is important that you address all your questions directly with Dr. Kronowitz.

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Recovery After Surgery

Following surgery, dressings or bandages may be applied to your incisions.

You will be given specific instructions that may include how to care for the surgical site(s), medications to apply or take orally to aid healing and reduce the potential for infection, specific concerns to look for at the surgical site or in your general health, and when to follow up with Dr. Kronowitz.

You may be instructed to avoid bending, straining, or lifting for several days to weeks. Where tightening of the abdomen or thighs is involved, Dr. Kronowitz may also instruct you to avoid standing fully upright and stressing any internal sutures as they heal, and to sleep with pillows elevating your knees.

To minimize the risk of DVT (blood clots in the legs) you will need be up and walking as soon as possible, and drinking plenty of fluid. Follow all instructions carefully - this is essential to the success of your outcome.


Follow all instructions carefully – this is essential to the success of you outcome. 

Be sure to ask Dr. Kronowitz specific questions about what you can expect during your individual recovery period.

  • Will I have dressings/bandages after surgery?
  • When will they be removed?
  • Are stitches removed? When?
  • When can I resume normal activity and exercise?
  • When do I return for follow-up care?


You'll need help.

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Results

The results of body contouring following aggressive weight loss are visible almost immediately; however, it can take two years or more to see the final results. Visible scars are something you must accept in your goals to achieving a body contour that matches your new weight and proportion. The results of body contouring are generally long lasting, provided that you maintain a stable weight and general fitness. As your body ages, it is natural to lose some firmness. However, most of your initial improvement should be relatively permanent.


Although great results are expected from your procedure, there is no guarantee. In some situations, it may not be possible to achieve optimal results with a single surgical procedure and another surgery may be necessary.


Following Dr. Kronowitz's instructions is critical to the success of your surgery. It is important that the surgical incisions are not subjected to excessive force, swelling, abrasion, or motion during the time of healing. Dr. Kronowitz will give you specific instructions on how to care for yourself.

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