Body contouring encompasses a vast array of procedures which are used to improve the contours of many areas of the body including the arms, chest, abdomen, hips, flanks, thighs and legs. No area of the body is immune to the aging process and long term effects of gravity. Skin elasticity decreases with time. Fatty tissue deposits itself in the flanks, abdomen, thighs and upper arms. All of these factors contribute to the unsightly changes associated with advancing age. These same changes are also seen, to a much greater degree, in patients young or old who have experienced significant weight loss through diet and exercise or bariatric surgery. Body contouring procedures are focused on reversing the effects of the aging process and or extreme weight loss with respect to all areas of the body. Body contouring frequently incorporates liposuction as an conjunctive procedure.
Brachioplasty, or upper armlift, addresses the sagging and fatty deposition in the posterior upper arms, which presents usually at about age 50 or after extreme weight loss. Excess skin and fat is removed through incisions placed on the inner aspect of the upper arm.
Abdominoplasty, or the classic “tummy tuck” operation addresses the deposition of fat associated with the aging process in men and women. Additionally, the ravages of pregnancy on stretching the skin and abdominal musculature can be reversed through the removal of excess skin and the approximation of the abdominal muscles. It is a highly effective and necessary procedure in those patients who have experienced significant weight loss and are left with rolls of redundant abdominal skin.
In some cases these patients also demonstrate significant excess skin of the posterior lower back region, requiring a circumferential abdominoplasty or total body lift. This may be done in one or two stages and may be covered by private insurance. A letter of medical necessity and preoperative photographs are usually required by most insurance companies before authorization will be given.
Other body lifting surgeries, such as thigh lift and buttock lift, may also be employed to improve body lines and overall general appearance. These procedures are generally employed in our older patient population with inelastic skin or the extreme weight loss population who would not respond well to liposuction techniques alone. Significant redundant skin can collect in the thigh and buttock regions, and the technique greatly improves the shape, contour and integrity of those regions. Plastic surgeons sometimes employ traditional or ultrasonic liposuction techniques in conjunction with these procedures to obtain a more natural looking result. In each of these procedures the length and texture of the scarring is significant, and must be fully understood by the patient.
Plastic surgeons spend a great deal of time counseling and educating prospective patients with regard to all aspects of the postoperative result. Most patients understand this trade-off, but are greatly pleased to shed the excess skin and improve the contour of their body.
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