After weight loss surgery is a follow-up cosmetic surgery for those who have lost a significant amount of weight of around 100 pounds. It is commonly performed for bariatric weight loss patients where loose skin resides on the body. One of Dr. Domanskis’ specialties is body contouring after a very large weight loss. He has extensive experience and expertise in this field, and he also founded the American Society of Bariatric Plastic Surgeons and serves as its current President. During weight loss, as the body shrinks to the ideal weight, the skin grows noticeably loose, especially around the areas of the abdomen, breasts, arms, legs, buttocks and even the face. This surgery helps to complete the weight loss transformation by trimming the excess skin and tightening the underlying tissues. Patients who are considering this surgery should be close to their goal weight.
After Weight Loss Video
"Excellent experience with Dr. Domanskis! I had abdominalplasty and liposuction. He explained the procedures very thoroughly as well as what to expect immediately following my surgery. He was in contact with me by phone as well during the first week post op I felt very safe in his hands. My results are absolutely phenomenal I couldn't be more pleased!"- W.P. / Yelp / Aug 29, 2015
"Dr. Domanskis is top notch. He is a perfectionist, cares about what his patient thinks and listens to what your concerns are. He is very honest and when he does not think you need a specific procedure he will tell you. I have had 3 surgeries with Dr. D and every one has been amazing. The first surgery was a breast augmentation going from a B to a large C. He asked me to show him several pictures of what I would like and he nailed it to a T. That was over 10 years ago and they are still amazing and not in need of replacement whatsoever. My breasts are just as perfect as when he did my procedure.Three years ago I went to another person - BIG MISTAKE . Dr. Domankis is a plastic and RECONSTRUCTIVE surgeon. He took the ridiculously botched up job this Dr. did and fixed my face. He did scar revision which is impeccable. The outcome of his work is amazing. He's your man! Dr. D's nurse Rachelle is wonderful as well."- K.C. / Yelp / Feb 22, 2018
"I love Dr Domanskis. He saved my life when other plastic surgeons said live with it you don't qualify for reconstruction. He made me feel comfortable and was more knowledgable tan the others I saw. He and he office worked with me since I live five hour away in another state. My results so far have been amazing."- Anonymous / Vitals / Oct 18, 2017
"Dr. Domanskis saved my life! He cares!I did a facelift with some other surgeon. Everything was ok until 1 week later, when some stiches had been removed. Hours later my temple artery exploded. The bleeding was profound. I was rushed by an ambulance to a hospital.Dr. Domanskis was a plastic surgeon on call at Mission Hospital at that time. He performed a surgery under a humongous stress,..."- A. / RealSelf / Jul 12, 2017
"I am alive because of Dr. Domanskis - Dr. Domanskis saved my life! He cares!I did a facelift with some other surgeon. Everything was ok until 1 week later, when some stiches had been removed. Hours later my temple artery exploded. The bleeding was profound. I was rushed by an ambulance to a hospital.Dr. Domanskis was a plastic surgeon on call at Mission Hospital at that time. He performed a surgery under a humongous stress,..."- A. / RealSelf / Jul 12, 2017
Weight loss patients often realize the need for skin removal surgery when the following conditions become evident as they near their goal weight:
- Sagging breasts
- Loose folds of skin around the abdomen
- Hanging skin and fat pockets around the hips
- Sagging skin and excessive wrinkling around the buttocks area
- Hanging skin from the inner thigh to the knee area
- “Bat wings” or loose skin on the underside of the arms
- “Turtle neck” or loose skin around the neck
Many of these conditions are inevitable after any major weight loss because skin, when stretched for a long time, loses its elasticity and fails to shrink back as the body becomes smaller.
After weight loss surgeries are ideal to trim down this excess of skin resulting in a tighter and firmer appearance. Many surgeons recommend grouping certain treatments together as they relate to the lower or upper body in order to minimize the risks of complications. An example of how a surgeon may group the surgeries include:
- The upper body: Procedures such as liposuction, breast lift, tummy tuck and arm lift may be performed.
- The lower body: Procedures such as liposuction, butt and thigh lift, lower body lift may be performed.
After weight loss surgery is considered a major operation in which the patient is put under general anesthesia. The number of hours it takes to complete this surgery varies, but on average it is between 4-7 hours. Overnight stay in the hospital is required so that patients can be closely monitored. While scarring is a part of this surgical process, a skilled plastic surgeon will make every effort to ensure that the incisions are kept as inconspicuous as possible. Post-surgery care is also prescribed so that the scars will heal properly. For many patients, the results after surgery are so positive and impactful, they are life-changing.
Since this type of surgery is often a combination of procedures, the cost will vary based on the number of procedures performed. There are also other factors that will increase the costs such as surgical settings, hospital stay, existing medical conditions, etc. On average, patients should expect to pay a minimum of $10,000-$15,000.
Plan Your Procedure
- Average Cost
- $5,000 - $20,000
- Recovery Time
- 2-4 Weeks
- Average Procedure Time
- 2-6 Hours
- Post-op Follow-up
- 6 Months
- Procedure Recovery Location
After Weight Loss Surgery FAQs
Common Areas Treated?
Typical body parts that are addressed for surgery are the abdomen, buttocks, upper thighs, breasts, arms and neck. The most common areas for improvement include the breasts and abdominal area, which can usually be done at the same time. During the course of losing weight, the areas of loose skin will become more obvious and it is usually around this time that patients begin consulting with a plastic surgeon.
Before moving forward with this procedure, patients should be at or near their goal weight. Sometimes, removing the loose skin helps accelerate weight loss. This is the case when loose skin gets in the way of the patient’s daily physical activities.
Will Insurance Cover The Cost?
Insurance companies, for the most part, will not cover the expenses associated with cosmetic surgery. However, coverage does vary and sometimes may apply to weight loss patients where loose skin becomes a medical problem. Our billing coordinator works to provide accurate estimates and will thoroughly check the benefits of each provider.