Q: Dr. Eppley, I am 35 year old man and I have always been heavy since I was a teenager. Last year I decided to do something about my weight and I worked out alot at the gym and started eating better and I lost 120 lbs. Doing this made me feel great while I am fully clothed. However when I am naked I look terrible and am not confident whatsoever. I have the classic excess skin around the tummy area and the back and the breast area. Also I have excess skin between my Scrotum and my Bottom cheeks between my legs. I would really appreciate some advice on what procedures I can have done for this excess skin. It is for me that I want to do this not for other people I want to be able to feel as good naked as I do fully clothed. What can I do? Any help you can give me would be gratefully appreciated.
A: The loss of a lot of weight, whether it be by bariatric surgery or non-surgical methods, creates a very classic pattern of excess skin. For men, the primary skin excesses are around the waistline, the chest and the inner thighs. These require a surgical approach which usually consists of a waistline tummy tuck with a low horizontal scar, chest lifts, and inner thigh lifts. These are the three primary targets of male body contouring after weight loss. They often can all be done at the same time. The key concept to grasp is that there are scar trade-offs for removal of this excess skin.
Dr. Barry Eppley