Post-Bariatric Body Contouring

Post-bariatric body contouring at Texas Surgical Arts Houston for patients who have achieved significant weight loss through bariatric surgery or diet and exercise, and have excess skin that limits comfort, function, and self-confidence. Dr. Ricardo M. Bonnor offers the full range of skin-removal procedures including tummy tuck, Fleur-de-lis abdominoplasty, arm lift, thigh lift, upper back lift, and 360 body lift, staged as appropriate for safety. Consultation required.

Post-bariatric body contouring at Texas Surgical Arts in Houston addresses the excess skin that remains following massive weight loss — whether achieved through bariatric surgery (gastric bypass, sleeve gastrectomy) or sustained dietary and lifestyle intervention. Skin that has been chronically stretched over years of excess weight does not retract proportionally when the underlying fat is lost: the elastic and collagen fibres within the dermis undergo irreversible structural changes, leaving pendulous skin folds that cause friction, skin breakdown, hygiene difficulty, intertrigo, and significant psychosocial distress despite the patient's dramatic health achievement. Dr. Ricardo M. Bonnor offers the full spectrum of post-bariatric skin removal procedures, staged as appropriate based on the patient's current weight stability, nutritional status (protein levels and micronutrient stores are critical to healing following bariatric surgery), and surgical risk profile. The abdominal component typically involves either a standard abdominoplasty or — for patients with significant vertical skin excess in addition to horizontal excess — a Fleur-de-lis abdominoplasty using a combined horizontal and vertical incision pattern that more completely addresses the skin in both dimensions. Arm lift (brachioplasty) addresses the hanging skin of the upper arm medial surface that is particularly prominent after massive weight loss and represents one of the most functionally and cosmetically impactful areas for post-bariatric patients. Inner thigh lift addresses the medial thigh skin excess from groin to knee. An upper back or bra line lift removes skin rolls in the back that create rolls at the bra strap level and are otherwise not addressable. A 360 body lift (circumferential body lift) combines the tummy tuck and outer thigh/buttock lift in a single procedure, addressing the entire circumference of the lower trunk in one session for appropriate candidates. Texas Surgical Arts generally stages procedures to limit anaesthetic time and optimise safety, with consultations determining the sequence and intervals based on each patient's situation. Consultation with Dr. Bonnor is required for full assessment and staged procedure planning.