After Bariatric Surgery or after massive weight loss, the body has an excess of loose skin. This leads to deformity in the anterior, posterior and lateral aspects of the trunk, chest, upper back, breast, arms, thighs, and face.

Trunk deformity

The excess skin which hangs after massive weight loss leads to several cosmetic and lifestyle issues. It is not only a telltale sign of previous excess body weight but also offers a favorable environment for fungal infection below the hanging skin. Patient is not able to wear clothes of his choice due to excess skin. 

Am I the right candidate?

Post massive weight loss or post bariatric body contouring can be done when about 18 months after the bariatric Surgery procedure or when the weight loss has stabilized.
It is offered to non-smokers and healthy individuals. Candidates who smoke should leave smoking at least 1 month prior to the procedure. The patient should have realistic expectations.

Circumferential excess

The excess skin is not only in the anterior region but it extends to the lateral and posterior region as well.  Any procedure which addresses the anterior deformity only leads to an unsatisfactory outcome.


Breast laxity

After massive weight loss, there is lax breast tissue resulting in ptosis or drooping of the breast. This can be addressed with surgical procedures like mastopexy alone or in combination with Augmentation of the breast.

You should discuss what do you expect from Surgery, previous medical conditions and herbal nutritional supplement intake.

Arm laxity

Lax arm skin leads to cosmetic issues and patients are not able to wear clothes of their choice. This can be addressed with removing the excess skin and placing the scar in a favorable part of the arm so that it is least visible.

Will the procedure be done under local or general anesthesia?

Most post bariatric body contouring procedures are done under General Anesthesia. Individual small procedures of Brachioplasty can be done under local Anesthesia. 

Thigh skin laxity

Excess skin in the region of thighs leads to infections in the lax areas along with the cosmetic deformity. It can be addressed by a thigh lift procedure.

How many days of hospital stay should I expect.

Brachioplasty, Mastopexy, or small facial procedures of fat grafting can be done on a day care basis if done singly. When multiple procedures are combined or in the case of lower body lift, the patient is required to stay in the hospital for a couple of days. 

How much time will it take to return to my day-to-day activities?

The patient is allowed to move about in the evening on the day of Surgery after most of the procedures. Supplemental analgesics are given to provide relief from post operative pain.  The first couple of days are more sore and the discomfort slowly settles. One can expect to go back to work after a couple of days in smaller procedures and is expected to take a break for a week for a body lift. 

What precautions do I have to take after lower body lift. 

One has to wear an abdominal binder after the Surgery. It helps in recovery. Patients are encouraged to ambulate and eat a protein-rich diet. Exertional activities are avoided in the early days after Surgery.


Meet Your Surgeon

Dr. Shree Harsh is a board certified internationally trained Plastic Reconstructive and Aesthetic Surgeon. He has been trained in the prestigious and historical department of Plastic and Maxillofacial Surgery at G.M.C.Nagpur from where he completed his M.Ch. in Plastic and Reconstructive Surgery. He cleared his D.N.B. in Plastic Surgery from the National Board of Examination, New Delhi. He has received the international scholarship of Plastic Surgery Educational Network by the American Society of Plastic Surgeons in the year 2016-2017. He was awarded the prestigious DAFPRS fellowship by the Dutch Association of Facial Plastic and Reconstructive Surgery. He has been trained by Dr.Patrick L Tonnard and Dr.Alexis Verpaele at the MACS lift centre- Coupure Centrum in Ghent, Belgium in both Surgical and non Surgical Aesthetic Surgery procedures during his fellowship period. He has presented several papers at national and international level conferences and is the author of a number of publications in scientific journals. He is a soft-spoken dedicated Plastic Surgeon who believes in safety first for the patients

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Book Consultation with Dr Shree Harsh

It is very natural to be anxious about the outcome of your cosmetic surgery and it is best to openly discuss your concerns with Dr. Harsh. During your consultation Dr. Harsh will:

  1. Evaluate your general health status and any pre-existing health conditions or risk factors
  2. Explain the problem to you
  3. Ask for your photographs

Be prepared to discuss:

  • Your surgical goals and expectations
  • Medical conditions, drug allergies, and previous medical treatments.
  • Current medications, vitamins, herbal supplements, alcohol, tobacco, and drug use if any.
  • Details if you have undergone any previous surgeries.
  • Likely outcomes, and any risks or potential complications.