How We Remove Excess Skin After Extreme Weight Loss

Dr. Atul Kesarwani is the medical director of the Cosmedical Rejuvenation Clinic. As a board certified plastic surgeon, Dr. Kesarwani has 30+ years of experience in the field. Read more about Dr. Kesarwani >


Massive weight loss often leaves unsightly, sagging skin that is difficult or impossible to remove by diet and exercise alone.

The world is experiencing an obesity epidemic, according to the World Health Organization. Obesity is a serious condition which, if untreated, can lead to diabetes, stroke, heart attack, and some forms of cancer. Obese people also have a higher risk of developing a host of other medical conditions.

But many obese people successfully lose weight—often massive amounts of weight. Some people follow a rigorous diet and exercise plan, and other may have bariatric surgery. Bariatric surgery is commonly known as weight loss surgery, and includes gastric bypass surgery and gastric band surgery.

Once the patient has a stable weight, and stable Body Mass Index, they are often left with sagging skin which cannot be dieted or exercised away. This is a great blow to self-confidence. Plastic surgery may be the best option for contouring the body, removing sagging skin, tightening abdominal muscles, and flattening the abdomen.

Dr. Kesarwani specializes in post-weight loss surgery. The after weight loss surgery can take a very long time, so to ensure adequate blood supply to the tissues, and reduce complications, Dr. Kesarwani usually offers a combination of staged procedures.


Abdominoplasty, also known as the tummy tuck, is an very popular plastic surgery procedure. It’s one of the most frequent surgical procedures Dr. Kesarwani performs.  Abdominoplasty tightens abdominal wall muscles, and removes fat and excess skin from the middle and lower abdomen.

Belt Lipectomy

Circumferential abdominoplasty, also known as the belt lipectomy, is a type of abdominoplasty. People who have lost large amounts of weight often have loose skin on their sides and back, as well as their abdomens.

This procedure involves an incision all the way round the abdomen, at belt level—hence the name. This tightens the skin and muscles of the abdomen and torso, and also lifts the thighs and buttocks.


Liposuction is the removal of fat from specific areas, through tiny incisions. Sometimes it is impossible to get rid of these pockets of fat through diet and exercise.

The fat removed is often used in other cosmetic procedures not related to weight loss. For instance, liposuction is used to transfer fat to the buttocks, in the Brazilian Butt Lift Surgery which is becoming very popular. Liposuction is also used in some breast augmentation surgeries.

Arm Lift

Arm lift surgery, also known as brachioplasty, is often needed when people have lost a great deal of weight and have excess skin flapping under their upper arms. This skin is almost impossible to remove by diet and exercise, so plastic surgery is needed to sculpt the arms to a more pleasing shape.

Thigh Lift

Extreme weight loss leaves sagging skin everywhere, including round the thighs and buttocks. Thigh lift surgery removes the skin, and sometimes also fat, helping to tighten the body.

After weight loss, surgery is the final step for people who have turned their lives around. Contact us for more information and to find out how you can become the person you have worked so hard to be!

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Cosmedical Rejuvenation Clinic is dedicated to providing you with the care and support you deserve in an open and supportive environment.

If you have any questions or concerns, or would like to book an appointment with our head plastic surgeon, Dr Kesarwani, please fill out this form and we will respond shortly.

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