American Society of Plastic Surgeons
For Medical Professionals
Carlos Moya
4 years ago

Body contouring for Post-Op Gastric Sleeve Patient

I was 410 lb. and now I am at 180 lb and even though I have gone to the gym and got muscles, I still have a lot of loose skin. I want to know if it is possible to get Abdominoplasty, Gynecomastia Mastectomy and Inner Thighplasty all at once.

Procedure: Body Contouring
Location: Trelew, CH - Argentina

Replies 6

Karol Gutowski
ASPS Surgeon

While it is possible, it may not be a good idea. However, only an in person evaluation can help you answer that question,

Lawrence Glassman
ASPS Surgeon

After massive weight loss, more extensive abdominoplasty is often needed which require longer surgery times and increased recuperation. The number of surgeries performed at the same time depends upon patient overall health, length of time for each procedure, and the specific type of operations. That being said, I normally separate lower body surgery and upper body surgery.

Edward Domanskis

I am President of the American Society of Bariatric Surgeons and post bariatric bpody contouring is my specialty. I do usually combine procedures. I judge how long the procedures will take and set a maximum of 6 hours in one operation but I can usually do at least two if not three procedures in that time frame. I would need to see photos to evaluate.

Dr. Edward Jonas Domanskis is Certified by the American Board of Plastic Surgery

Newport Beach, San Francisco,Miami, EU, Anguilla

Assistant Clinical Professor of SurgeryWOS-Plastic,University of California (Irvine)

Orange County’s Physician of Excellence/America’s Top Physicians/Top Doctors

Plastic Surgery- 2005-2018

President,American Society of Bariatric Plastic Surgeons

Organoderm Skin care/ScaRxTape

Nelson Castillo

Thank you for sharing your excellent question. Although combining procedures is routinely done, safety should guide the opportunity to do so. Expecting a lot of excess skin with a weight drop of 230lbs it may be best to stage the procedures. Only an in-person examination can offer you the best treatment advice.

Rahul Vemula
ASPS Surgeon
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Excellent question! One we get asked all the time.

It is definitely possible to do all of those procedures at once, however I wouldn’t advise it. I limit my cosmetic surgeries to no more than 6 hours under anesthesia. You should probably split the surgeries into two or 3 surgeries. I would pick the procedures that are the most important to you. In addition, be wary of some places that advertise that they can do all of this at bargain basement prices. You get what you pay for and can end up with severe complications.

Please consult with a board certified plastic surgeon to determine which procedures are best to achieve your goals.

Best wishes!

Benjamin Van Raalte


This is too much surgery to do at once with markedly increased risks. In addition the recovery would be a multiple and much longer, not shorter. You should stage the surgeries for overall faster recovery and less risk.


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