Weight loss is a major accomplishment, whether the result of diet and exercise, bariatric surgery, or medications like Ozempic, Wegovy, Mounjaro, Zepbound, Saxenda, Rybelsus, and other GLP-1 receptor agonists. We hear about the benefits of weight loss all the time. You feel healthier and more energetic. Weight loss lowers the risk of developing cardiovascular disease and diabetes and improves joint pain, to name just a few. What people don’t talk about as often following weight loss is the challenge of loose skin. It may hold you back from being able to enjoy your new figure. Loose skin often develops on the abdomen, arms, thighs, and back. Your breasts may lose volume and become saggy. Aside from aesthetic concerns relating to loose skin, it can also be uncomfortable and cause chafing or rashes. There are many options for body contouring after weight loss depending on your body shape, concerns, and aesthetic goals.
What is Body Contouring After Weight Loss?
Body contouring surgery addresses loose skin and soft tissue that result from significant weight loss – whether through non-surgical lifestyle modifications, GLP-1 medications such as Ozempic, Wegovy, Mounjaro, or Zepbound, or bariatric surgery. Common areas of concern are the breasts, abdomen, arms, and thighs. Dr. Power offers surgical procedures to resuspend the soft tissues and tighten loose skin in these regions, including:
- Mastopexy (breast lift) with or without breast implants
- Abdominoplasty (standard vs. circumferential depending on the degree of skin redundancy)
- Upper body lift
- Brachioplasty (arm lift)
- Thigh lift
You will receive a customized surgical plan based on your unique presentation and goals. A thorough consultation will be performed to understand your specific concerns, detailed weight history, and review of overall medical health. Maintaining a stable and healthy body weight for at least six months is generally recommended prior to surgery. It is important to maintain a stable weight following surgery to enjoy long-lasting surgical results.
How is Body Contouring After Weight Loss Performed?
Mastopexy
Cosmetic breast surgery following weight loss most often involves a breast lift – with or without implants depending on your presentation and goals. Breasts lose volume and skin elasticity following weight loss and often appear saggy. Mastopexy removes excess skin and lifts the breast tissue to reshape breast contour. Different incisions are used depending on the degree of ptosis (or droopiness). Surgery is less extensive if only a minor lift is required. Options include a periareolar (circular incision around the areola) or short vertical scar (similar in appearance to a lollipop, including a periareolar incision with a vertical extension) pattern. To correct more severe cases of ptosis, a Wise or anchor pattern (lollipop scar plus an incision along the inframammary fold) may be required. During your consultation, Dr. Power will speak with you regarding the best technique for your desired results. Breast implants can also be inserted during a breast lift, if desired, to increase breast size or improve symmetry.
Abdominoplasty
Tummy tuck or abdominoplasty is another common surgery for body contouring after weight loss. Options include a standard tummy tuck vs. circumferential vs. fleur-de-lis techniques. The most appropriate surgery for you will depend on your goals and degree of loose skin. A standard tummy tuck addresses loose skin of the upper and lower abdomen, which requires an incision from hip to hip and a circular incision around the belly button. The lower abdominal incision is similar to but a little longer than a C-section scar. If your loose skin extends all the way around and onto your lower back, a circumferential tummy tuck may be required. For more severe cases, a fleur-de-lis tummy tuck is an option to achieve both vertical and horizontal tightening. In addition to standard tummy tuck scars, a fleur-de-lis abdominoplasty also requires a vertical scar to further eliminate loose skin
Upper Body Lift
An upper body lift is also tailored to your body shape and concerns after massive weight loss. It may involve an arm lift, breast lift, or removal of the bra rolls of the upper back. The incisions and resultant scarring will depend on the extent of surgery. Extra precautions are taken to hide the scars in areas that may be easily concealed by clothing.
Brachioplasty
This procedure, also known as an arm lift, is performed to eliminate excess skin from the upper arms. Incision options include a limited resection in the underarm area, a standard incision extending from elbow to underarm, or an extended incision that carries onto the chest wall. The extent of surgery depends on the degree of loose skin.
Thigh Lift
A thigh lift addresses loose skin on the medial or lateral thighs. Options include a medial thigh lift, which is limited to the upper inner thigh, and a lateral thigh lift, which addresses excess skin on the outer and frontal thigh regions. The appropriate technique will be determined during your consultation.
Panniculectomy vs. Tummy Tuck After Bariatric Surgery
Patients who have lost a significant amount of weight through gastric bypass or gastric sleeve surgery often develop a large, overhanging apron of skin and fat (a pannus) on the lower abdomen. A panniculectomy removes this excess tissue but does not tighten the abdominal muscles or reposition the belly button the way a tummy tuck does. Because a panniculectomy addresses functional concerns such as chronic rashes, skin infections, or difficulty with hygiene and mobility, it may be eligible for OHIP coverage when medically necessary, whereas a cosmetic tummy tuck or combined panniculectomy-abdominoplasty is not. Dr. Power will help determine which approach, or combination, best fits your anatomy and goals during your consultation. If you are exploring options after losing weight with a GLP-1 medication, our guide to body transformation after Ozempic weight loss covers the procedures most relevant to that journey.
Body Contouring After Weight Loss Recovery
Following body contouring after weight loss, you can expect to feel sore over the first couple of weeks. Drains may be placed to help collect any excess fluid during recovery. Overall recovery time will depend on the extent of surgery. Dr. Power will provide you with specific instructions on how to care for your surgical site(s) to ensure a safe and optimal recovery. Patients may generally return to office-based work within 1-2 weeks. It is important to refrain from exercise and heavy lifting for 4-6 weeks. Swelling gradually subsides and final results become apparent by one year post-operatively.
Body Contouring Cost in Toronto
Your surgical plan is tailored to you, so your quote depends on which areas are treated. Starting fees for the most common procedures:
Lower body lift
from $23,140
Circumferential tightening
Tummy tuck
from $14,150
Includes an overnight stay
Arm lift
from $12,040
Brachioplasty
Thigh lift
from $13,220
Varies with the extent of surgery
Prices shown are starting fees. Your personalized quote itemizes the fees that apply to your surgery, such as the surgeon fee, anesthesia, facility and nursing fees, supplies and HST. Quotes are valid for 6 months. A non-refundable 25% deposit secures your surgery date, and the balance is due 3 weeks before surgery. Monthly payment plans are available through Beautifi financing.
Body Contouring Recovery Timeline
A typical recovery with Dr. Power. Your recovery depends on the extent of surgery, and you will receive specific instructions for each area treated.
- First couple of weeksExpect to feel sore. Drains may be placed to collect excess fluid.
- 1 to 2 weeksMost patients return to office-based work.
- 6 weeksThe initial healing phase. Wear compression garments to minimize swelling and support the treated areas. Avoid exercise and heavy lifting for 4 to 6 weeks.
- 6 months to 1 yearSwelling gradually subsides and final results become apparent.
About Your Surgeon
Dr. Stephanie Power, MD, MSc, FRCSC
Plastic surgeon certified by the Royal College of Physicians and Surgeons of Canada
Your body contouring after weight loss consultation at Power Plastic Surgery is with Dr. Power. She earned her MD and completed her plastic surgery residency at the University of Western Ontario, where she also completed an MSc in Medical Biophysics. She received her Royal College certification in Plastic Surgery (FRCSC) in 2013, then completed fellowships in Aesthetic Surgery and in Trauma and Reconstructive Surgery at the University of Toronto. Before medicine, she graduated with honours from Princeton University.
Her Toronto practice has an all-female team.
Body Contouring FAQs
Will I Have a Scar After Body Contouring Surgery?
How Long Will My Body Contouring Results Last?
What Are the Risks Associated with Body Contouring After Weight Loss?
How long does the body contouring process take from start to finish?
When is the best time to undergo body contouring after weight loss?
What is the typical recovery time for body contouring surgery?
What are the most common areas treated with body contouring?
How should I prepare for body contouring surgery?
How soon after losing weight with Ozempic can I undergo body contouring?
Will insurance cover body contouring after weight loss with Ozempic, Wegovy, Mounjaro, or Zepbound?
How do I maintain my body contouring results after weight loss with Ozempic, Wegovy, Mounjaro, or Zepbound?
Is body contouring necessary after weight loss with Ozempic or other GLP-1 medications?
Are there non-surgical body contouring options for people who lost weight with GLP-1s?
How long should I wait for body contouring after bariatric surgery?
What is a panniculectomy, and how is it different from a tummy tuck after weight loss surgery?
Does insurance cover lower body lift?
How much is a 360 body lift?
What does a lower body lift consist of?
What is a full body lift surgery?
What is a circumferential body lift?
What is a skin lift?
How do they remove excess skin after weight loss?
What is a 360 body lift?
What is the recovery time for a body lift?
Does a lower body lift include thighs?
How much does a body lift cost?
What is included in a body lift?
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"My patients are real women. Mothers and next-door neighbors, not models."
- Dr. Stephanie Power