Even after a weight loss goal is accomplished, a patient can still be left with excessive skin as a reminder of being overweight. To successfully get rid of this extra skin, Seattle area plastic surgeon, Dr. Marosan, can employ any number of procedures known to give you back a toned body. These various procedures can target skin of the abdomen, thighs, buttocks, arms, breasts, hips and neck. In Dr. Marosan’s opinion, he achieves the best results by first doing a tummy tuck and a lower body lift and then moves onto other body areas as needed.
When excessive fat is leftover as well, Dr. Marosan will perform liposuction to further contour the area. While multiple procedures can be done at one time, sometimes it’s best to do them separately, so Dr. Marosan works carefully with his patients to perform the least amount of surgeries possible, while providing maximum safety and results.
"Labiaplasty and Thermiva - At 47 years old, I'd dealt with the discomfort of oversized labia for far too long. I met with Dr. Marosan and his staff and decided to do labiaplasty and then Thermiva. It has been a life-changer for me. Wearing underwear was ALWAYS uncomfortable, but going without was worse. It's amazing how removing a small part of your body makes such a difference. I'm now dressing with ease, and even started running. The entire team here is top-notch. I wholeheartedly recommend them to any woman thinking about labiaplasty."- P. / RealSelf / Mar 10, 2021
"I Booked my Surgery Date with Dr. Marosan - After breastfeeding, my breasts are a little saggy and deflated especially my upper pole. I also got fat pockets around my stomach, abdomen and back. I'm not able to wear clothing that requires a strapless bra and I haven't wear a bikini for years. With a push-up bra, I can easily hide all of these problems but I don't feel confident without my clothing. I have spent years reading reviews, looking at pictures, and doing my research here and finally I made my decision to have a surgery. I want to do a 360 vaser lipo to get rid all of my unwanted fats and transfer them to my breast in order to increase the upper pole fullness. I make a consultation with Dr. Marosan on 12/9. He answered all of my questions, went through the process with me, took pictures of me, and then use myTouchMD to draw the lines on my picture so I'm able to know what kind of results should I expect. I told Dr. Marosan that I'm obsessed with a tiny waist with muscle line and a flat stomach and showed him the picture of the results I was looking for. I arrived at 11.10 and left his office at 12.40 so you know it went really well. Actually before I came to his office, I already knew he is the best, I saw lots of good reviews and beautiful results here. Since I'm already in the area, I also booked a consultation with another doctor in Bellevue as well but there is nothing to compare of. I didn't have a chance to meet another doctor in person but with his assistant, I mean his assistant is nice but maybe because I already decided to go with Dr. Marosan from my deep heart, I didn't feel comfortable, so I only spend 20 minutes there and all I was thinking about was when can I get my quote from Dr. Marosan. I got my quote the next following day and made my deposit immediately to lock my surgery day in January. I just couldn't wait any longer. So doctor Marosan is the only doctor I saw before I made my decision, I just don't think it's necessary to see the other doctors because I believed him and my mind is at ease when I think about under the knife with his hand and his experience. I'll keep updated and hope to help anyone who is looking to do the same procedure as me."- N. / RealSelf / Dec 10, 2020
"Outstanding Experience with Entire Team - I had a great experience with Dr. Marosan and his entire team. Surgery is always difficult and they were with me and my family each step of the way For those concerned about safety protocols, Dr. Marosan has implemented them in a way which is seamless and still allows for human interaction. I would recommend Dr. Marosan's practice for any surgery you may be contemplating."- J. / RealSelf / Dec 08, 2020
"360 Lipo with BBL and Hip Fat Transfer - 42 years old, 5'8, 150lbs, 2 kids. I had a Tummy tuck about 4 years ago, and had some lipo done at the same time. I am fairly fit, and didn't have too much body fat. However, as I have gotten older, I have noticed more back fat, my "curves" have been slowly going away (I used to have an hourglass figure in my youth), and I had love handles I wanted to get rid of. I also had this "shelf" like thing from my Tummy Tuck scar that really annoyed me. I also had the "violin" deformity, or the hip dips that I wanted to fix. So I was really excited to get a BBL/hip aug and the 360 sculpting. I am also planning on getting a labiaplasty and Renuvion with lipo to my legs 2 weeks after my first procedure. I'll do a separate review for the labiaplasty. I went with Dr. Marosan, as I had a friend that went to him that was thrilled with her results. I have to say that I am SO happy that I went with him!! Dr. Marosan is so skilled at what he does. I wish I had done my tummy tuck with him 4 years ago. He is also really down to earth and funny, and I immediately felt comfortable with him. And his assistant, Sarah, and the admin, Marci, are great. I am currently 6 days post-op, so I will post some before pics and a little more info in my next review!"- M. / RealSelf / Nov 23, 2020
"Highly Recommend Dr. Marosan, MD - Dr. Marosan, MD came highly recommended and I am completely satisfied with the results of my surgery. I was apprehensive when I was diagnosed with gynecomastia; but Dr. Marosan was the right choice for me. From my initial consultation, surgery, and follow-up appointments have been flawless. Dr. Marosan and his entire staff are polite and professional."- J. / RealSelf / Aug 24, 2020
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, surgery is ideal to remove this excess 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, and arm lift may be performed together.
- The lower body: Procedures such as liposuction, buttock and lower body lift may be performed together.
- Lower extremities: Major thigh lift I prefer to do it last and not combine this with any other procedures. This requires longer and more painful recovery and has a higher potential complication rate.
After weight massive loss, surgery is considered a major operation in which the patient is under IV sedation and tumescent solution is used for local anesthesia and to eliminate blood loss. The number of hours it takes to complete this surgery varies, but on average it is between 4-7 hours. 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 very positive and impactful, they are life-changing.
Plan Your Procedure
- Average Cost
- $12,000 - $19,000
- Recovery Time
- 3-6 Weeks
- Average Procedure Time
- 8 Hours
- Post-op Follow-up
- Next Day
- Procedure Recovery Location
After Weight Loss Surgery FAQs
Common Areas Treated?
Typical body areas that are addressed for surgery are the abdomen, buttocks, upper thighs, breasts, arms and neck. The most common areas for improvement include the breasts, abdominal area, back rolls, sagging and deflated buttocks, thighs and arms. 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. You should wait at least 6-12 months after your weight loss and maintain a stable weight. Often, patients who underwent major weight loss, may undergo a secondary skin relaxation after their plastic surgery. This is not a surgical failure, this is a common occurrence and need to be aware of it.
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. Expect further skin excision with further weight loss.
Will Insurance Cover the Cost?
We do not bill or accept insurance and will not provide paperwork for insurance submission.
We do not bill or accept insurance and will not provide paperwork for insurance submission.