Adam J. Rubinstein, MD, FACS
Adam J. Rubinstein, MD, FACS
Adam J. Rubinstein, MD, FACS
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Crossing the Finish Line: Body Contouring After Weight Loss

After losing lots of weight, patients feel better and enjoy better health overall. But they often find themselves dealing with new issues that are sometimes similar to how they felt before weight loss. People that are much heavier than they would like to be often don’t feel comfortable with their body image due to the excess bulging fat they carry around. After losing 50 pounds, 100 pounds, or more, the excess fat is shed and a new, healthier, more trim body emerges. As a result of weight loss, however, many patients find themselves dealing with loose and sagging skin. This frequently keeps them from feeling comfortable with their body image. They have traded excess fat for excess skin. Definitely healthier, but sometimes no better in appearance, simply different. Here in Miami and other cities where the weather is warm year round, these patients may still not feel comfortable wearing lighter clothing. The good news is excess skin and any remaining troublesome excess fat can be improved. As one of the founding members of the American Society for Bariatric Plastic Surgeons, I see a good amount of weight loss patients. Whether through gastric bypass, lap band surgery, a gastric sleeve, or diet and exercise, thousands of people are losing more weight than ever. Once the weight is shed we can develop a plan for improving the remaining issues. Every patient has different concerns, different goals, and different bodies. There are some very common issues but each person has their own priorities. In my practice we form individualized plans for each patient. Here are some guidelines that may help. The timing of body contouring after weight loss is very important. For patients that lose weight with diet and exercise alone I recommend that we plan surgery once their weight is stable for three months. If patients have lost weight with bariatric surgery (ie. Gastric bypass, lap band, or gastric sleeve) it is good to wait until one year after the procedure and still look for stable weight for three months. There are a lot of ups and downs with weight loss. If procedures are performed too early the results may change with further weight loss. Once weight has been stable for three months it is safe to have procedures without worrying about more weight loss affecting the results.

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