So, the problem after this
significant amount of weight loss,
is that there's excess skin.
The surgery is great at getting rid of the fat,
but you're just left with a lot of excess skin
and so, you know,
you can almost just think about it from head to toe.
You have excess skin, a lot, on your face,
your neck –
those can all be lifted.
Face lift, neck lift,
excess skin on your arms,
they call it the "bat wings,"
that can be taken out,
and then,
the breasts as well,
ya know, whether you need a lift, or an aug,
or both usually,
patients need both a lift and an aug
meaning they need to have their skin removed
and have that
nipple and areola lifted up
but also, it's deflated.
So, they need just a little bit more volume put back in,
and then the abdomen, ya know,
and not just the abdomen but the whole trunk,
it just goes all around,
and all that skin can be removed
in what we call a belt lipectomy
so it just, literally, goes all the way around like a belt.
And then, ya know, a lot of times
the buttock is also
sagging and lost some volume,
and so that can be lifted up as well.
Then, you're going down to the thighs.
Usually, it stops right about at the knee,
not a lot needs to be done further down.
Some people will have some excess around the ankles.
Usually, that doesn't bother people too much.
