Q: Dr. Eppley, Over the last two and a half years, I have lost 225lbs naturally through better eating and exercising. I am now stable at this weight and in need of surgery to remove a lot of thet excess skin, specifically around my midsection and groin. I couldn’t be happier with where am I today, but know that I am still not myself with all this excess. While there is a lot of extra skin now, where do you recommend surgically to start the process of remaking this thinner but saggy body?
A: Thank you for your inquiry and congratulations on your weight, loss all on your own efforts. Not many people could have made that much progress and sustained it on their own. With that amount of weight loss comes the expected skin excess throughout the trunk region. This is a very common issue that I see, in both men and women, after bariatic surgery where this amount of weight loss is more typical. Your pictures shows that a circumferential lower body lift is a good place to start to remove a lot of this excess skin. Tightening the waistline and getting rid of most of the redundant skin and overhang is always a good starting point on the body makeover process. This is the largest surface area of skin to be removed and needs to be done first before any procedures are considered above or below this area.
Dr. Barry Eppley