Body Contouring in Charlotte, NC

Body Contouring Overview

Body Contouring: The New Frontier After Massive Weight Loss

As our understanding of weight gain improves, particularly regarding the role of inflammation, sugar, and hormones like insulin in fat accumulation, extreme weight loss has become attainable for nearly everyone. In the past 20 years, surgical weight loss procedures like gastric sleeve and bypass have led to a new plastic surgery subspecialty focused on body contouring after massive weight loss.

What Is Body Contouring After Weight Loss?

In many individuals, massive weight loss is one of life’s ultimate achievements. It is a giant leap toward health, wellness, and longevity. With extreme weight loss, the incidence of having deflated, loose, redundant skin folds is almost inevitable. Extra skin on the stomach, breasts, lower back, arms, and thighs is not only frustrating aesthetically but can result in chronic chafing, fungal infections, self-consciousness, and, in some cases, depression.

Body contouring in Charlotte, NC, is designed to address the functional and aesthetic problems caused by excess skin.

Am I a Candidate for a Post-Bariatric Body Contouring in Charlotte, NC?

The best candidates for a post-bariatric body lift are patients who have recently undergone a massive loss of weight after having gastric bypass surgery or other similar procedures, as well as those who have lost large amounts of weight through dieting or exercise and who now have large volumes of excess skin. While a body lift can certainly be done almost immediately after losing significant amounts of weight, the ideal candidate is one who has also managed to maintain their weight at or near their ideal weight for three to six months after surgery.

Ideal candidates for a post-bariatric body lift in Charlotte, NC:

Have excess skin that hangs from the abdomen, buttocks, inner and outer thighs, knees, or arms
Have adopted a healthy lifestyle and maintained a stable body weight for 3 to 6 months
Have allowed the skin to settle and adjust following their significant weight loss
Have realistic expectations for the procedure and have allotted recovery time
Are non-smokers in good health, physically capable of safely undergoing surgery

Body Contouring After Massive Weight Loss Before & After Photos

What Is the Cost of Body Contouring?

Body contouring is a very personalized treatment that can vary greatly from one patient to the next. Depending on your unique aesthetic goals and which treatments are needed to effectively contour your body, the cost of the procedure has a large potential range. In addition to the procedures being performed and the extent of the treatment, the price of body contouring is also impacted by the anesthesia fee, facility fee, prescription medications, post-operative garments, and other variables. When you have your consultation with Dr. Pratt, he’ll work with you to devise a custom-tailored treatment plan. He’ll then be able to give you precise information about the price of your body contouring in Charlotte, NC, but it typically ranges from $12,000 to $20,000.

Surgery After Weight Loss Videos

What Are the Benefits of Body Contouring After Weight Loss in Charlotte, NC?

Body contouring after weight loss offers significant aesthetic and functional benefits, helping you truly embrace the results of your hard work and dedication. Key advantages include:
Enhanced Comfort: Excess skin can create physical discomfort, making everyday movements difficult. Body contouring removes this excess, improving your ease of movement and overall comfort.

Improved Hygiene: Skin folds can trap moisture, leading to chafing, rashes, and infections. By removing excess skin, body contouring promotes better hygiene, reducing the risk of these issues.
Boosted Self-Confidence: Shedding the extra skin can help you feel more confident and comfortable in your body, allowing you to enjoy new clothing, activities, and experiences.
More Proportional Contours: Body contouring addresses multiple areas, helping you achieve a balanced, harmonious appearance and accentuate the muscle tone gained through weight loss.
Longevity of Weight Loss Results: Removing excess skin makes it easier to maintain your results, helping you sustain the benefits of your weight loss journey.

What Procedures Are Available After Massive Weight Loss?

Tummy Tuck – Abdominoplasty, or tummy tuck, removes excess fat and skin from the belly, smoothing and flattening the stomach while tightening the underlying six-pack muscles.

Liposuction – The role of liposuction in massive weight loss is slightly different. Liposuction in this setting is used to debulk or deflate areas where fat loss may have plateaued or is still inadequate. Subsequent skin removal is maximized when liposuction is used to deflate areas such as the arms or thighs before skin removal.

Arm lift – An arm lift is performed to sculpt and trim the upper arms, removing unwanted fat and skin for a more streamlined, beach-ready appearance. The incision is well hidden on the inside of the arm between the elbow and the armpit.

Thigh lift – Redundant skin along the inner thighs and knees is common with massive weight loss. Removing this skin with a thigh lift helps to minimize contour irregularities and bring a more uniform shape to the lower extremities.

Breast lift – This surgery is helpful in treating breast ptosis or excess sagging. It can help remove droopy skin and restore the nipple to a more visually pleasing position. A breast lift can be performed in tandem with breast augmentation if the breast lacks sufficient volume.

Panniculectomy – Although not usually associated with weight loss, a panniculectomy is used to describe the removal of what is typically a large, burdensome wedge of skin and fat in the lower abdomen. Removing this skin apron (also known as a pannus) helps alleviate chronic skin infections, moisture problems, low back strain, and hygiene issues. A panniculectomy is reserved for people not suitable for a tummy tuck but who need relief from the heavy tissue burden to improve their quality of life. This is strictly a debulking operation, not a contouring one. Because of the potential source of post-operative infection, the belly button is typically removed during a panniculectomy.

How Can I Prepare for My Procedure?

Preparing for body contouring after weight loss with Dr. Pratt involves key steps to ensure the best outcomes and a smooth recovery. To start, reach and maintain a stable weight for at least three to six months before surgery. Dr. Pratt emphasizes that stability in your weight allows for optimal tissue positioning and more natural, lasting results.

Embracing a healthy lifestyle plays an essential role in your surgical journey. Dr. Pratt recommends a balanced diet and regular exercise to support your body’s healing process and improve overall outcomes. If you smoke, plan to stop at least several weeks before surgery, as smoking can impact blood circulation and slow recovery—a factor Dr. Pratt stresses for safe, effective healing.

As your surgery date approaches, plan for a comfortable recovery by setting aside time off work, preparing a restful space at home, and arranging for assistance in the first few days, as you’ll need to take it easy. Dr. Pratt will provide you with comprehensive pre-operative instructions, including any medications or supplements to avoid. Following his guidelines carefully is important to minimize any risks and promote a healthy recovery.

Finally, mental preparation is essential. Dr. Pratt understands that body contouring after massive weight loss is a transformative and deeply personal journey. Having a strong support system and realistic expectations will help you embrace this empowering process. With Dr. Pratt’s guidance, you can confidently approach your procedure and look forward to enjoying the renewed shape and self-assurance that come with your new, refined physique.

What Is Recovery Like After Body Contouring in Charlotte, NC?

Massive weight loss and the associated contouring that follows produce some of the most incredible transformations in our field. Since the amount of tissue removed can be excessive in many instances, swelling following surgery is also significant. Elevation of the extremities while lying down, longer use of compression garments, and lymphatic massage are encouraged following body contouring surgery to help expedite recovery.
Follow-up appointments are essential to monitor your progress, as incisions and any associated surgical drains are checked frequently.
Walking after your body lift is important to help prevent the risk of clots forming in the deep veins of the legs. In some instances, Dr. Pratt may prescribe a self-administered injectable blood thinner to further reduce this risk.

Why Choose Dr. Pratt for Your Body Contouring in Charlotte, NC?

Dr. Pratt, a plastic surgeon in Charlotte, NC, has a philosophy that the goal of any aesthetic surgery is to restore youth, shape, and function. Achieving these goals consistently involves understanding the many nuances of post-bariatric surgery in Charlotte, NC. The difference between simply removing a bunch of skin versus being intentional about its removal can be the difference in healing, scar quality, and scar positioning. His plan for you will be precise, calculated, and comprehensive. He recognizes this milestone in your life and will seek to sculpt the best version of your new and improved self.

Graduated with a medical degree from the University of Florida
Received the Ambrose Paré Award from the American College of Surgeons
Completed a general surgery residency at Carolinas Medical Center in Charlotte, NC
Undertook a research fellowship in minimally invasive surgery with Dr. B. Todd Heniford
Published research in top surgical journals and contributed a chapter to a textbook on minimally invasive cancer treatment
Provides emergency and facial trauma care at Charlotte’s Level One Trauma Center
Engaged in medical missions to West Africa and Haiti

Dr. Pratt sitting in a blue suit and smiling

Body Contouring After Weight Loss FAQs

I’ve had gastric sleeve surgery and need body contouring. How do I know when the timing is appropriate?

An 18-month interval between bariatric surgery and body contouring surgery is typical, however patients that have reached their goal weight or plateaued may undergo body contouring surgery earlier provided that their bariatric surgeon approves of an earlier intervention.

I had gastric bypass surgery and my anatomy is now different than most people. Is your anesthesia provider familiar with patients like me?

Absolutely. Both Dr. Pratt as well as the anesthesia providers are familiar with bariatric surgery patients. Dr. Pratt’s anesthesia personnel also work in the operating rooms of the area hospitals were gastric bypass surgery is done routinely. During his general surgery residency, Dr. Pratt performed dozens of gastric bypass surgeries, so he is quite knowledgeable about the anatomical variations associated with these procedures.

I think I need my entire body lifted. In what order do you prefer to do your surgeries for massive weight loss patients?

Patient preference is always taken into consideration, however based on the extent of contouring, Dr. Pratt will develop a stepwise plan that makes the most logical sense for both the operating room as well as your ability to effectively recover.

Does my tummy tuck incision need to go all the way around? I’ve seen a couple of plastic surgeons and I’ve gotten mixed messages.

Quite often, in plastic surgery, there can be more than one correct answer. This “shades of grey” outlook and different approaches amongst surgeons is inherently part of the artistic freedom seen in plastic surgery but tends to create more confusion for prospective patients. Following your comprehensive consultation with Dr. Pratt, he will assess whether or not a circumferential tummy tuck (also known as a belt lipectomy) is indicated to become the best version of yourself. Although usually not mandatory, if sagging skin is present over the lower back and buttocks, a belt lipectomy brings about a more uniform, harmonious, neater appearing mid-section. Although the incision length is slightly longer, this typically does not mean a lengthier recovery.

My insurance company said they would pay for a portion of my surgery. Does Dr. Pratt take insurance?

In very extreme cases, some insurance companies may cover skin removal for infectious and inflammatory conditions related to skin redundancy. Insurance may cover a procedure such as panniculectomy, but invariably will not cover a more aesthetically oriented procedure such as a tummy tuck.