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Post-Weight Loss Surgery in Baltimore, MD

Introduction to Post-Weight Loss Surgery

Complete Your Transformation with Body Contouring

You have put in the hard work and effort to lose that weight, or you may have even undergone medical treatment such as bariatric surgery. Yet you may still feel unhappy when you look at your body. Sure, the weight may be gone, but folds of loose, sagging skin may remain, and your body’s contours may look disharmonious and irregular.

For the men and women of Baltimore, MD, and the surrounding communities, double Board-certified and fellowship-trained plastic surgeon Dr. Steven J. Rottman offers surgical body contouring to help you achieve the fit, healthy body image you desire and deserve.

Body contouring in Baltimore helps minimize the excess skin and fat that often remains after weight loss. The procedure reduces these problem areas, resulting in a smoother and more attractive body contour.

Undergoing body contouring after significant weight loss is the next step toward a healthier, more aesthetically pleasing body, with improved body image and self-esteem.

Before & Afters

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What Is Post-Weight Loss Surgery?

Being significantly overweight can stress your health in many ways. If you have restricted physical activity because of your weight, you may also have poor skin and muscle tone, and your skin may look stretched.

The different types of bariatric surgery represent one technique for generating significant weight loss for those who have a clinical diagnosis of obesity. After significant weight loss or weight-reduction surgery, skin often loses elasticity and no longer conforms to the smaller body size.

This causes the skin to be overly stretched and unsupported, commonly leading to sagging in the following areas:

  • The face, jowls, and neck, resulting in a haggard, sad appearance
  • Upper arms, causing a “bat wing” appearance
  • Thighs, buttocks, and groin, leading to hanging skin pockets
  • Breasts, resulting in a flattened appearance with nipples pointing downward
  • The abdomen, leading to an apron-like overhang that extends onto the lower back and sides

Sagging skin that is wet or infected, in addition to being unattractive, presents a health threat that should be addressed.

 

However, before deciding to have a body contouring procedure, you should stabilize your weight loss. Otherwise, continued weight loss can cause sagging pockets to reappear. If you quickly regain your lost weight, your already weakened skin will be further traumatized, leading to more skin stress, wide scars, and visible stretch marks.

If you undergo weight-loss surgery, Dr. Rottman will work closely with your surgeon to determine whether body contouring is right for you.

Surgical body contouring can improve the tone and shape of the underlying tissue supporting skin and fat. These procedures remove excess skin and fat, resulting in a healthier appearance with smoother contours. Body contouring is essentially the last step in your weight loss experience.

Generally, appropriate candidates for body contouring in Maryland are:

  • Adults with a stabilized weight
  • Healthy people without certain medical conditions that slow healing or increase the risks of surgery
  • Those who have a positive outlook and goals that are realistic
  • People who commit to a healthy lifestyle
  • People who do not smoke

Combining My Post-Weight Loss Surgery with Other Procedures

We will discuss the steps needed to meet your goals, as well as a timetable for the procedures. Dr. Rottman will discuss and may recommend the following plastic surgery procedures as a solution to your specific post-weight loss situation:

For correcting abdominal sagging and sagging of the outer thighs, groin, and buttocks. A body lift treats sagging buttocks, waist, abdomen, outer thighs, and hips, either in a single procedure or in phased procedures. Incision patterns may vary and may include removing excess skin and fat.

Who Are the Best Candidates for Post-Weight Loss Surgery?

Post-weight loss surgery is intended for patients who have successfully lost a significant amount of weight and are ready to address the remaining excess skin. Before recommending surgery, Dr. Rottman carefully evaluates your overall health, weight stability, skin quality, and long-term goals to determine the safest and most effective surgical approach.

In the Baltimore area, we often work with:

  • Adults who have achieved significant weight loss through lifestyle changes, GLP medication, or bariatric surgery.
  • Individuals whose weight has remained stable for several months and are close to their goal weight.
  • Patients experiencing excess skin on the abdomen, arms, thighs, back, breasts, or lower body.
  • Non-smokers who are healthy enough to undergo surgery and heal appropriately.
  • Individuals with realistic expectations who are committed to maintaining a healthy lifestyle after surgery.

What Are the Benefits of Post-Weight Loss Surgery?

Reaching your weight-loss goal is a tremendous accomplishment, but excess skin can sometimes prevent your physical transformation from feeling complete. Post-weight loss surgery addresses the loose, redundant skin and excess tissue that often remain after significant weight loss, helping improve body proportions while making everyday movement and clothing more comfortable. Many patients rave about the following benefits after having the surgery:

  • Removes excess skin that cannot contract after significant weight loss.
  • Creates smoother, firmer body contours.
  • Improves overall body proportions and silhouette.
  • Reduces skin irritation, chafing, and hygiene concerns caused by overlapping skin folds.
  • Helps clothing fit more comfortably and confidently.
  • Restores contour to multiple areas of the body.
  • Can improve mobility by eliminating excess tissue.
  • Provides long-lasting results when a stable weight is maintained.
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How to Begin Your Post-Weight Loss Surgery Journey

Your first step is a consultation with Dr. Rottman to understand the ways that body contouring can improve your appearance and help you achieve better health.

A consultation provides you with the opportunity to learn about your surgery in a relaxed environment and includes:

  • An evaluation of your individual case and a discussion of your goals
  • Body contouring options
  • Likely outcomes of the procedure and any related risks
  • Rottman’s recommended course of treatment

Your personal outlook and general health can significantly affect the outcome of your surgical procedure. We will discuss and review these during your consultation. For your procedure to be successful, you should openly discuss your expectations, fully disclose your medical history, and follow Dr. Rottman’s instructions carefully.

 

Surgery Preparation

Dr. Rottman will explain your body contouring plan in detail. Before surgery, you will receive specific instructions, including information on medications, diagnostic testing, day-of-surgery instructions, anesthesia instructions, and post-operative care information.

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What to Expect on the Day of Post-Weight Loss Surgery

Step 1: Anesthesia

  • The first step of the procedure involves administering anesthesia so that you will remain comfortable during your procedure. Anesthesia may include general anesthesia and intravenous sedation. Dr. Rottman will select the best option for your individual needs.

Step 2: The Incision

  • All body contouring procedures involving the removal of excess skin require incisions.
  • The pattern and length of the incision can vary depending on the location and volume of excess skin that needs to be removed, personal preference, and Dr. Rottman’s surgical judgment. The incisions will be placed in areas where they will go unnoticed, if possible.
  • Body contouring in Maryland may be done in phases. The development and timing of your surgical plan will depend on your individual needs and goals, as well as Dr. Rottman’s judgment. Although it may have taken years to lose all the needed weight, patience will be required for your body contouring results to be complete.

Post Surgery

After your procedures are complete, bandages or dressings may be placed over your incisions. Treated areas of the body may be wrapped in elastic bandages to reduce inflammation and brace your new contours during the healing process. Very thin tubes may be temporarily placed underneath the skin to drain any excess blood or fluid that may collect.

Before your release, you will be given specific instructions which may include:

  • Medication instructions for drugs to be taken orally to reduce infection risk or speed healing
  • Specific areas of concern to anticipate at the surgical site or your overall health
  • Instructions on how to care for the surgical site and drains
  • When to have a follow-up visit with Dr. Rottman

Post-Weight Loss Surgery Recovery

Your Guide to Post-Post-Weight Loss Surgery Care

At first, healing at the incision sites will be accompanied by some swelling. Some discomfort is common at this point and can be relieved with medication. You will need to resume minimal walking when you are able, to reduce any chances of developing blood clots or other complications.

You may also be instructed not to bend, strain, or lift for several days to weeks. If thigh or abdomen tightening is involved, Dr. Rottman may also tell you not to stand fully upright or stress internal sutures while they heal. He may also instruct you to sleep with your knees elevated by pillows.

Follow every instruction carefully – they are designed to support the healing process.

The first phase of wound healing can last from seven to 14 days. At this time, your sutures, if required, are removed. You should be able to resume normal work activities within a few weeks, as long as you refrain from engaging in any vigorous exercise or heavy lifting.

The healing process may take quite a number of weeks to resolve swelling and improve incision lines. A firm feeling and numbness in your skin will gradually improve over time. After you have recovered thoroughly from one group of procedures, you can begin preparing for any follow-up procedures needed in other areas.

How Much Does Post-Weight Loss Surgery Cost in Baltimore?

The cost of post-weight loss surgery in Baltimore varies considerably because every surgical plan is customized to the patient’s anatomy and goals. Factors such as the number of procedures performed, the complexity of surgery, anesthesia, facility fees, and whether treatment is completed in stages all impact the overall cost. When Dr. Rottman develops your personalized surgical plan during your consultation, he will explain each recommended procedure and provide a detailed estimate so you understand your treatment before moving forward.

Why Choose Rottman Plastic Surgery?

Dr. Steven J. Rottman is a cosmetic and reconstructive plastic surgery expert who serves the men and women of Baltimore and surrounding areas. Dr. Rottman is recognized for his approach to plastic and reconstructive surgery, which gives his patients exceptional, natural-looking results.

Since each patient is unique, Dr. Rottman uses both traditional and advanced techniques for his procedures.

Post-Weight Loss Surgery FAQ’S

  • I came to Dr. Rottman to have a Mommy Makeover. He completely changed my life. I am so happy with my results!

  • Excellent Surgeon and skilled injector who truly cares about all his patients. My results always have met or exceeded my expectations and his advice has always been great. I recommend him to all my friends!

  • I had a fabulous experience with Dr. Rottman and his staff. They were knowledgeable, kind, honest and made me feel extremely comfortable at each appointment. l’d highly recommend Dr. Rottman.

  • Dr Rottman and his staff were professional, spent time to answer questions and did not make you feel rushed for the next client. Results were amazing and lasted longer than I expected. Well worth the money.

  • I got a breast reduction and a lift two and a half weeks ago and my results are already amazing! This surgery was SERIOUSLY a breeze – Dr. Rottman is amazing at his job and I’m so happy I chose him as my plastic surgeon. He also has been so personable and is available to answer any of my questions literally 24/7. I highly recommend him!

  • I have no words to describe my happiness! Was a dream come true, was sure I chose the best doctor and his staff, all very responsible, safe, attentive, and very professional. The result was better than I imagined. Doctor Steven is the best! Thank you very much!

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