After significant weight loss, whether through bariatric surgery, lifestyle changes, or newer medications like Ozempic®, many people are left with loose, hanging skin that diet and exercise cannot improve. Body contouring after massive weight loss involves a series of surgical procedures designed to remove excess skin, tighten underlying tissues and restore smoother, more natural body contours.

Body contouring can:

• Remove sagging skin from the abdomen, arms, thighs, breasts, and back
• Tighten and reshape the underlying support tissues
• Improve mobility and hygiene by reducing skin folds
• Enhance clothing fit and overall self-confidence
• Provide a more proportionate and defined body contour

You may be a good candidate if you:

• Have achieved and maintained a stable, healthy weight for at least 6–12 months
• Are in good overall health and do not smoke
• Have realistic expectations about results and scarring
• Experience significant loose or hanging skin after weight loss
• Are motivated to follow through with recovery and long-term care

Performed under general anaesthesia

Often staged in multiple procedures depending on the extent of skin removal needed

Excess skin is excised and tissues are lifted and tightened

Surgery time and hospital stay vary based on the areas treated

1. Lower Body Lift

• Addresses abdomen, buttocks, thighs, and flanks
• Removes circumferential skin for a smoother, more defined waistline

2. Arm Lift (Brachioplasty)

• Removes loose skin from the upper arms
• Restores a toned, slimmer arm contour

3. Thigh Lift

• Eliminates excess skin and fat from inner and outer thighs
• Improves leg shape and contour

4. Breast Lift / Reduction

• Restores breast shape and position after sagging due to weight loss
• May include implants or fat transfer for volume

5. Back & Chest Contouring

• Removes “bra rolls” or hanging skin from the back
• Improves chest contour, especially in men after massive weight loss

Possible risks include:

• Bleeding, infection or delayed wound healing
• Visible scarring (though placed strategically to be less noticeable)
• Fluid accumulation (seroma)
• Changes in skin sensation
• Longer recovery due to multiple surgical sites

Recovery after a facelift requires patience but is generally well tolerated.

• First 2 weeks: Swelling, bruising and soreness; compression garments is required
• Weeks 3–6: Gradual return to daily activities, though exercise is restricted; compression garments is required
• Months 2–6: Progressive improvement in contour and mobility
• Months 6–12: Final results visible with tighter skin and smoother shape

Body contouring after massive weight loss, whether from surgery, lifestyle changes, or modern medications like Ozempic® , is life-changing. It removes excess skin, restores body proportions, and helps patients fully embrace their transformation. Through procedures like lower body lift, arm lift, thigh lift and breast reshaping, patients can enjoy greater comfort, mobility and long-lasting improvements in confidence.