Post-Weight Loss Surgery in Baltimore, MD

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

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.

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.

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.

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