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Special Considerations for Post-Weight Loss Plastic Surgery Patients

Special Considerations for Post-Weight Loss Plastic Surgery Patients


For our patients who have lost weight through traditional means or bariatric surgery in California, plastic surgery helps complete the journey to a new body and a new life. While every plastic surgery involves careful consideration and planning, for those who have already undergone such a major life transformation, this process can be even more involved. It is crucial that both patient and plastic surgeon understand the many unique factors both physical and emotional that apply to massive weight loss patients.

The Emotional Component

From an emotional standpoint, women and men who have undergone significant weight loss approach plastic surgery from widely differing mindsets. Some are very excited and eager to proceed with putting the "finishing touches" on their physical transformation. Others are more anxious or concerned, sometimes because they were not prepared for the possibility of body contouring surgery after weight loss. Many are still getting used to their new shape and the lifestyle changes that have come along with it. Frankly, for some feeling slim and attractive is a difficult adjustment to make.


We have learned that our Sacramento weight loss patients are reassured by the knowledge that their plastic surgeon will be a reliable partner in their transition to a new, healthier life. Offering emotional support to weight loss patients is a significant part of the role of the plastic surgeon. Listening intently to a patient's concerns, fears, and questions is a good start. Providing answers and validating the enormous accomplishment these patients have achieved is also key to boosting their confidence and preparing them for the next stage of their journey.

Physical Considerations

The physical changes that women and men undergo during and after massive weight loss involve more than just getting smaller. As the body shrinks in size, the skin does not always follow suit, leaving weight loss patients with bulky, sagging skin that can cause a host of problems. These include skin chafing and irritation, as well as a distorted body shape that does not reflect the newly healthy person underneath. Hanging skin on the face and neck can cause a prematurely aged appearance, and both women and men may be discouraged by sagging breast tissue.

Plastic surgery procedures for body contouring after massive weight loss can help alleviate most of these physical concerns. However, it is important to keep in mind some other unique physical considerations that often accompany significant weight loss. These include:

Modified nutritional and digestive needs due to bariatric surgery


Changing muscle tone due to increased physical activity

Compromised skin elasticity and stretch marks

Any unresolved health concerns such as heart disease or pulmonary issues

It is of the utmost importance that plastic surgeons thoroughly and candidly discuss with patients both the physical and emotional aspects of plastic surgery after weight loss. This helps the patients to feel valued and informed, and establishes realistic expectations for surgery, recovery, and results. An educated and prepared patient typically enjoys a more positive overall experience, which is the ultimate goal.
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Special Considerations for Post-Weight Loss Plastic Surgery Patients