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TriBeCa Plastic Surgery

Sydney R. Coleman, MD  |  Mary Lombardi, PA-C

Even though weight loss dramatically changes the appearance of your body, it may not achieve the aesthetic goals you would expect. The number on the scale reflects your accomplishments, but the excess, sagging skin left behind hides the results. The more massive your weight loss, the more excess tissue gets left behind. For the majority of men and women, restoring elasticity to their skin is almost impossible through simple diet and exercise. For many, realizing that losing weight didn’t provide them with the body they envisioned leaves them frustrated and just as self-conscious as they were before losing weight.

Body contouring is a set of procedures designed to eliminate excess skin and fat, enhancing the new lean curves of your body.


Ideal candidates for body contouring procedures are in good health and have realistic expectations about their results. These men and women have excess fat and tissue that is the result of the natural aging process or, more commonly, weight loss. Patients considering body contouring after weight loss should be close to their goal weight and have maintained that weight for at least six months. Additional weight loss or gain following your body contouring procedure can affect the quality of your results. People considering body contouring may experience excess tissue in one or more of the following areas:

  • Abdomen
  • Hips
  • Thighs
  • Buttocks
  • Back
  • Arms
  • Neck

Body Contouring Procedures

There are a number of body contouring procedures available to target your specific needs. Each patient’s treatment is tailored to focus on their trouble areas. Contouring not only eliminates excess skin and fat, but it is also used to highlight the new, lean curves of your physique. Multiple body contouring procedures can be performed in conjunction with each other for quicker and overall better results.  


Liposuction can be performed as a preliminary part of any body contouring procedure. It is utilized to remove excess fat to highlight or create definition in various areas of the body, such as at the hips or neck. Liposuction is performed through small incisions in the treatment area, and a cannula is used to suction out the excess fat tissue. The focus Dr. Coleman’s liposuction techniques is to achieve even fat removal that looks natural and complements your natural contours.

Tummy Tuck

Tummy tuck surgery targets excess skin and fat that has accumulated around the abdominal area, and it is one of the most popular body contouring procedures. Dr. Coleman creates an incision along the lower abdomen through which unwanted skin and fat are trimmed away. During this time, loose abdominal muscles, which may be present in patients who’ve lost significant weight or women post-pregnancy, can be tightened. Patients with more extensive weight loss may require an extended tummy tuck, which involves an incision that extends around the hips and along the lower back. In addition to addressing the abdominal area, this technique also treats excess skin accumulations on the hips, buttocks, and back.

Thigh Lift

Thigh lift surgery corrects sagging skin that has accumulated around the thighs. Depending on the location of the skin, you may require an outer lift, an inner lift, or a combination of both. During an outer thigh lift, Dr. Coleman creates an incision from the hips down as far as the knee. The inner thigh lift requires an incision that runs from the groin down as far as the knee. While a thigh lift improves the aesthetic appearance of the lower body, many patients choose thigh lift surgery for the relief it provides from chronic, painful chafing.

Arm Lift

Arm lift surgery is designed to eliminate excess skin along the upper arms. Following weight loss, patients often have skin that hangs from the arm, commonly referred to as “bat wings.” Depending on how the skin hangs, an incision is created either on the inner arm or the back of the arm. Excess skin and fat are trimmed away. The remaining skin is draped smoothly to highlight the contours of the arms.

Breast Lift

Breast lift surgery treats sagging, deflated breasts, often for women following weight loss or pregnancy. Many women experience tubular breasts or breasts that have an “empty” appearance after weight loss due to a loss of fat and the long-term stretching of breast tissue. Depending on the grade of breast sagging, incisions are created around just the border of the areola, around the areola and vertically down the breast tissue, or around the areola, vertically down the breast tissue, and along the breast crease. Excess tissue is trimmed away, and the remaining tissue is reshaped, lifted, and sutured to the breast wall to provide extra support.

Neck Lift

Neck lift surgery treats sagging neck tissue and a weak platysma muscle. A drooping neck can lead to the appearance of a “turkey wattle,” and excess tissue accumulation around the neck can significantly age your appearance. To correct these neck issues, Dr. Coleman creates a small incision under the chin. The platysma muscle is pulled together and tightened. Excess tissue is trimmed away, revealing a slimmer, more graceful neck.


The length of your recovery will depend on the extent of your procedure(s). Some procedures require a longer recovery period than others. Generally, you will experience bruising, swelling, and redness following your procedure. You may experience some discomfort, which can be controlled using oral pain medication. Drains are placed to prevent excess fluid buildup. A compression garment may be worn to minimize swelling and improve healing.

You can expect to limit your physical activities for several weeks following your procedure. Most patients can return to work within two weeks of their surgery. With the doctor’s permission, you can resume your regular exercise routine after four to six weeks. Most major swelling should subside within six to eight weeks, after which your final results will become visible.


It is important to maintain a stable weight following your surgery for long-lasting results. Weight gain or loss following your surgery can lead to additional fat or skin accumulations and negatively affect the quality of your results.

If you wish to restore the appearance of your body following weight loss, pregnancy, or aging, schedule your consultation with TriBeCa Plastic Surgery today. Contact our office by calling (212) 571-5200, or fill out our online contact form here for additional information.