Plastic surgery after drastic weight loss can reduce the excess skin and fat tissue that are left over. These not only destabilize the self-image but can also be a hindrance to daily activities. The purpose of a body reshaping procedure is to reestablish proportions by removing sagging skin on the face, neck, upper arms, breasts, abdomen, buttocks and thighs. Sagging skin and underlying fat tissue can create an unpleasant contour of the body. While these procedures leave behind permanent scars, patients consider this an excellent compromise to achieve a considerably improved physical aspect. When should you consider complete body lifting? – If you have suffered a dramatic weight loss after bariatric surgery or intense physical exercise and strict diet; – If you have sagging skin on multiple areas of the body such as the face, neck, breasts, arms, tummy, back, thighs and buttocks; – If your weight has been stable for at least a year after bariatric surgery or a weight loss program. What are the advantages? – It eliminates sagging skin so that the clothes will fit much better on the new contours of the body; – It removes excess skin that can cause pain, cutaneous eruptions and even infection; – Considerably improves self- esteem. What are the disadvantages? – The results may not satisfy your physical expectations; – You will be left with permanent scars. However, a talented plastic surgeon will be able to hide them in the natural folds of the body and in discreet areas; – The results can be negatively impacted in time by weight gain, weight loss, the natural aging process, and unhealthy lifestyle habits. These are the main pros and cons when considering plastic surgery for body reshaping. Of course, there are other aspects that are related to specific cases and the particular situation of each patient. This is why we strongly recommend to discuss them with the plastic surgeon and to make sure you are aware of all the benefits, as well as the risks associated with body contouring procedures. Do I need to follow a specific diet before and after the surgery? Your plastic surgeon will advise you to avoid going on a diet just before the intervention is scheduled. The patient should have a stable weight for at least a year prior to the surgery. If you feel that you still want to lose more weight, postpone your intervention until you are close to your ideal weight and happy with it. The diet after the surgery should have plenty of calories and nutrients. The body needs them to restore and heal, so it is recommended to choose healthy, nutritious food, high in iron, vitamin C, and proteins. I am a smoker. Is this a problem? Smoking is strongly discouraged before and after plastic surgery, especially complex procedures such as body reshaping. The lack of proper oxygenation in the tissues caused by smoking can delay the healing process and trigger more severe complications such as wound opening. What are the areas of the body that can be targeted by body reshaping procedures? With the help of body lift procedures, we can correct the abdominal area, thighs, buttocks, and upper arms. Liposuction can be combined with these procedures to provide more impressive results. Why do I need a body lifting procedure? Is liposuction not enough to contour the body? Liposuction is a good choice to reshape the body when there is no sagging skin on the areas to be treated and the skin has a good tonus. When performing liposuction in areas with droopy skin, the aesthetic result will be less desirable as the sagginess will be even more accentuated. To be able to determine if you have good skin quality, check to see if you have stretch marks and cellulite. These are usually the signs of a poor skin condition. How long is the recovery period? The recovery period varies from patient to patient, depending on the procedures that were performed. When several interventions are performed in one sitting, the recovery time is longer. Usually, you can expect for the healing process to last between a few weeks to a few months. The scars take much longer to mature, up to one year after the procedure. What are the risks? Among the potential risks are excessive bleeding, infection, fluid accumulation at the incision site in the form of a hematoma or seroma, vicious scarring, delayed wound healing and soft tissue necrosis. Extended scars can also occur due to the excision of large areas of tegument. Numbness and changes in sensitivity in the areas targeted are also possible, but keep in mind that these are just temporary and will disappear on their own with time. Conclusion Body reshaping procedures can help you achieve a more aesthetically pleasing body after weight loss, pregnancy, or to erase the aging signs that have a negative impact on the body. A talented plastic surgeon with plenty of experience in the field will be able to answer all the questions you might have about the intervention and help you make an informed decision. Body lift interventions are extensive and complex, and the patient should be fully aware of the risks and complications prior to scheduling the intervention. It might be useful to have a list of questions for the surgeon that you can take to the initial consultation.