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Post Weight Loss Cosmetic Body Contouring in Washington, D.C.

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Logo of American Society of Plastic Surgeons
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Logo of American Society for Aesthetic Plastic Surgery
American Medical Association logo design.
Facial plastic surgery logo and branding
Logo of American Board of Otolaryngology.
Logo of American Academy of Otolaryngology
Facial plastic surgeon board certification seal
Accredited Surgery Facility logo with star.
Logo of the Fellow American College of Surgeons
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Complete Your Transformation With Confidence

Post Bariatric Surgery at West End Plastic Surgery

Losing a significant amount of weight is a major personal accomplishment that often elicits compliments from friends impressed with your commitment and fortitude.

While their praise feels good, you might remain self-conscious about your body because excess skin — stretched to the point it can’t shrink back to your new shape — is draped over your waist like a deflated balloon.

At West End Plastic Surgery, our board-certified plastic surgeons Dr. Ruff and Dr. Arsalan are experienced in performing post‐bariatric surgery body contouring procedures at our Washington, D.C. practice. These advanced body contouring procedures are designed to remove excess skin, tighten underlying tissues, and restore a natural body shape after weight loss. With the latest techniques in plastic surgery, we help massive weight loss patients achieve lasting results that highlight their hard work. Request a consultation online to meet with our surgeons and learn about the options available, or call our office at (202) 785-4187, and a member of our knowledgeable staff will schedule a consultation.

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Post Bariatric Surgery at a Glance

  • Excess Skin Removal - Eliminate stretched or sagging skin after weight loss surgery
  • Custom Body Contouring Surgery - Target the abdomen, arms, thighs, breasts, and buttocks
  • Long-Lasting Benefits - Natural contours restored for comfort and confidence
  • Safe, Staged Approach - Sometimes performed in multiple procedures for optimal healing
  • Personalized Care - Plans tailored to the unique needs of bariatric patients

Want to see more of the incredible transformations our talented team of skilled surgeons, nurses, and aesthetic experts can achieve? Check out our gallery for more amazing before and after images! From surgical procedures to non-surgical treatments, our experts deliver stunning results that help our patients look and feel their best. Click to explore!

Refining Your Results. Restoring Balance.

What Is Post Bariatric Surgery?

Post-bariatric body contouring, also called skin removal surgery or bariatric body contouring, is a series of plastic surgery procedures performed after gastric bypass surgery, sleeve gastrectomy, or other bariatric procedures.

These surgeries address the challenges of excess skin, extra fat, and tissues that no longer have the ability to shrink after rapid weight loss.

Depending on your needs, you may benefit from procedures like a tummy tuck (abdominoplasty) for the abdomen, arm lift for the upper arms, thigh lift for the thighs, breast lift or breast reduction, or a comprehensive body lift procedure to improve the buttocks, back, or waist. The goal is to smooth, tighten, and reshape the body so you can move freely, wear clothing comfortably, and see the outcome you’ve truly achieved.

Tailored to Each Patient

What Is Post-Bariatric Surgery Like?

Every post-bariatric body contouring journey is unique.

Our plastic surgeons create customized treatment plans based on the amount of weight lost, current health factors, and your individual goals.

  • Planning – Some patients undergo one operation, while others require two procedures or staged surgeries to ensure patient safety and optimal wound healing.
  • During Surgery – Performed under anesthesia, body contouring surgery may take several hours to perform depending on the number of areas addressed.
  • Recovery – Most patients need several weeks before resuming normal physical activity, with ongoing support from our team to ensure the best outcome.
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Personalized Options

Body Contouring Procedures

Skin Reduction

his procedure eliminates excess, sagging skin on the arms, legs, trunk, or belly that resulted from significant weight loss, aging, or pregnancy. It’s often performed as a secondary procedure several years after initial post-bariatric procedures, as the skin, accustomed to being stretched to accommodate a larger body, can relax a bit over time, creating sagging.

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Lower Body Lift

A lower body lift is the answer to excess fat and skin on the lower body, buttocks, and thighs that occurs with normal aging as well as after massive weight loss. This hanging skin and tissue restricts movement and irritates the skin. Once the excess skin and fat are eliminated and the remaining tissues tightened, you’ll enjoy a much more attractive body contour as well as an increased comfort engaging in physical activities — not to mention fitting into those clothes you worked so hard to get into! Although often performed as a standalone procedure, it can also be done at the same time as a tummy tuck.

Upper Arm Lift

An upper arm lift eliminates the “waving” on the underside of the upper arm of loose tissue and skin left behind after weight loss or natural aging. The result is a tighter, more youthful upper arm contour that will have you going sleeveless again!

The cost of an Arm Lift starts at around $7,900. The price will vary depending on the extent of treatment necessary to deliver your desired results. During your consultation, our surgeons will assess your cosmetic goals and develop a treatment plan tailored to meet them.

The starting price is provided for your convenience, and it is important to note that it does not encompass facility or anesthesia fees. The comprehensive cost, inclusive of all potential fees, will be confirmed during your visit. We also offer financing options, including CareCredit® and Alphaeon®, to help you with the cost of your cosmetic surgery.

Thigh Lift

A thigh lift focuses on eliminating the sagging of the inner thighs, which occurs both with massive weight loss and normal aging. Following liposuction, tightening of the underlying structure is performed, followed by excising the extra skin. Both the inner and outer thighs can be treated with a thigh lift.

The cost of a Thigh Lift starts at around $9,500. The price will vary depending on the extent of treatment necessary to deliver your desired results.

During your consultation, our surgeons will assess your cosmetic goals and develop a treatment plan tailored to meet them. The starting price is provided for your convenience, and it is important to note that it does not encompass facility or anesthesia fees. The comprehensive cost, inclusive of all potential fees, will be confirmed during your visit.

Surgical procedure for lower body lift after weight loss.
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Part 1: Post Weight Loss Video by Dr. Paul Ruff

During the two videos below, Dr. Ruff is performing a Circumferential Torsoplasty with an Auto-Buttock Augmentation, Liposuction, and Renuvion Skin Tightening of the mid-back and thighs. The patient had a massive weight loss of 200 pounds and wanted to remove the excess sagging skin and fat.

Surgical procedure for post-weight loss torso adjustment.
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Post Weight Loss: Post-Op Appointments with Dr. Ruff

The video below shows what to expect at your 1-week, 1-month, and 3-month Torsoplasty post-operative appointments. Dr. Ruff performed body contouring to remove redundant skin and fat after a massive weight loss of over 200 lbs. More specifically, they performed a Circumferential Torsoplasty with Liposuction and Renuvion Skin Tightening of the chest, axilla, flanks, abdomen, and thighs.

Targeted Solutions for Every Concern

What Areas Can Be Addressed?

By combining body contouring procedures, we can reshape multiple areas while prioritizing patient safety and recovery.

  • Abdomen and Waist – Tummy tuck to tighten skin and muscles
  • Arms – Arm lift to remove sagging skin and improve tone
  • Thighs – Thigh lift to refine contours and reduce excess skin and fat
  • Breasts and Chest – Breast lift or breast reduction to restore proportion
  • Back and Buttocks – Body lift to smooth skin and redefine your shape

Complete Your Weight Loss Journey

What Are the Benefits of Post Bariatric Surgery?

Patients choose post-bariatric body contouring at West End Plastic Surgery to remove excess skin after massive weight loss.

Improve comfort by reducing irritation and chafing, restore mobility, and make physical activity easier. The results of these procedures also highlight the results of bariatric surgery and weight loss efforts, helping patients achieve a proportional, balanced body shape, improve clothing fit, and boost overall self-confidence.

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Designed Around You

Am I a Candidate for Post Bariatric Surgery?

You may be a good candidate for post bariatric body contouring procedures if you:

  • Have experienced major weight loss and have kept your weight stable for 6–12 months
  • Have extra skin, sagging tissues, or areas of excess fat affecting comfort
  • Are in good health, with no uncontrolled diabetes or severe nutritional deficiencies
  • Are prepared for a staged body contouring surgery if multiple areas need to be addressed
  • Have realistic expectations about surgical scars, recovery, and outcomes
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Post-operative torsoplasty surgical result displayed.
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Consultation for Post Weight Loss:

The video below shows a typical post-weight loss consultation with Dr. Paul Ruff. The patient came in for a consultation regarding body contouring to remove excess skin and fat after losing over 200 pounds.

Safe Healing. Lasting Confidence.

Post Bariatric Surgery Recovery

Recovery varies depending on the number of body contouring procedures performed. Most patients can expect:

  • Initial Downtime – Several weeks of limited activity to promote safe wound healing
  • Garments – Use of compression garments to reduce swelling and support tissues
  • Scars – Carefully placed incisions that fade over time, balanced against the benefits of smooth contours
  • Follow-Up – Close monitoring by our plastic surgeons to ensure a safe recovery

While recovery may take time, patients find the benefits of achieving a restored shape, improved comfort, and long-term confidence well worth the journey.

Your Transformation, Fully Achieved.

Post Bariatric Surgery Results

Results are long-lasting and reveal the body you’ve worked so hard for. By eliminating excess skin and reshaping contours, patients see:

  • Smoother, more proportional lines
  • Enhanced comfort for movement and activity
  • Results that reflect the substantial amount of weight lost
  • Greater confidence and quality of life

Final results improve as swelling decreases, scars fade, and your body adapts to its new shape.

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Expertise. Safety. Compassion.

Why Choose West End Plastic Surgery for Post Bariatric Body Contouring?

At West End Plastic Surgery, our board-certified plastic surgeons are experienced in treating bariatric patients and the unique challenges of post-bariatric body contouring. We focus on patient safety, careful planning, and advanced techniques to deliver the best possible outcomes.

We understand the journey of weight loss patients—from obesity and bariatric procedures to the final stage of reshaping. Our team provides premium, compassionate care that supports you at every step.

Post Bariatric Surgery

Frequently Asked Questions

Most patients should wait 6–12 months, maintaining a stable weight, before skin removal surgery.

Yes, some patients have combined body contouring procedures, but sometimes staging two procedures is safer for healing.

Yes, as long as you maintain a stable weight and healthy lifestyle, you should enjoy long-term results from your procedure.

Like any plastic surgery, risks include bleeding, infection, delayed healing, or unsatisfactory scarring. These are minimized with expert care and proper planning.

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