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Body contouring and reconstructive surgery after massive weight loss

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Obesity meanwhile has become a worldwide major health concern. It is not only a cosmetic problem. Obesity is a disease, , lifethreatening and progressive. Today in the western world there is a growing demand for reconstructive surgery after massive weight loss ( postbariatric surgery). This transformative surgery has a profound impact on the lives of the patients. Weight loss resolves or improves most co-morbidities going along with a significant reduction in the risk of mortality.

When the patient has lost weight and is stabilized, this is our time to be ready for surgical options. These are normally based on a combination of lipsuction and skin removing procedures. Massive weight loss generally results in redundant and amorphous skin in the abdomen, breasts, arms und thighs. Loose skin can cause physiologic problems, including intertrigo, difficulty in performing activities such as walking, urinating, or performing sexual activity.

Embarrassment about or dissatisfaction with appearance caused by loose skin may have psychosocial implications, adversely affecting an individual’s psyche and selfconfindence. Studies have found that body contouring after massive weight loss-surgery significantly improves the physical and emotional status giving the individual a mental kick for a better living in the future.

Almost all patients normally present with more than one area of the their body that they would like to improve. It is important to ascertain priorities and discuss the staging scenario. The most common order for treating problems is to address the lower trunk first, followed by the arms or overall thoracic region, with the thighs treated last.

To reverse the changes caused by massive weight loss in the region of the lower trunk a circumferential wedge of tissue liposuction-assisted has sometimes to be excised what we can call a lower body lift or a belt lipectomy.

Furthermore aesthetic contour deformities of the thigh and buttocks are areas of concern for patients after massive weight loss. Aging, pregnancy and sun damage additionally contributes to these laxity problems. By a body lift procedure we can produce in most patients a dramatic improvement in skin tightness and skin tone restoring more youthful contours and muscle definition to the buttocks and the thighs.

Aesthetic surgery may encourage our patients to be more attentive to weight maintenance, resulting in greater success in long-term weight loss by giving them a mental support for a better and more healthy living in the future.

Please note

according to german law the presentation of before and after photos in the internet is not allowed since 2005.

Be careful

Following your physician's instructions is key 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. Michel will give you specific instructions on how to care for yourself. Additionally it is of major importance to comply with the rules of the follow up intervals.

Costs of your operation

As aesthetic and reconstructive surgery is always a very individual procedure the costs can vary widely according to the extent of the operation. A concrete price note can be given with the first appointment.


If financing is desired the best is to contact your bank. German institutions financing beauty procedures might be available too.