Patients who have lost a significant amount of weight often visit Orlando board-certified Plastic Surgeon Dr. Armando Soto at Aesthetic Enhancements Plastic Surgery to consult about after weight loss surgery. In Dr. Soto's expert hands, these procedures remove and tighten excess, loose skin in areas around the abdomen, hips, thighs, buttocks, arms, neck, and face. Today, advanced technology and techniques enable Dr. Soto to trim saggy skin and contour the body to the ideal profile patients are looking for, and with Bodytite and VASER technologies, he is often able to achieve these goals for his patients with less scarring and recovery than older techniques allowed. Those considering these procedures should be at or near their goal weight, and have a BMI (body mass index) of less than 30. Results produce a transformed, trim figure that allows patients to enjoy their new body to the fullest.
"Bridget and Amanda made a super weird and uncomfortable procedure quite easy! I was really nervous, but their calming manner and conversation relaxed me. The Geneveve treatment was completely painless and there was no down time. My significant other thoroughly enjoys the results as well."- K.M. / Yellowpages / Jun 26, 2017
"Lower Body Lift After 3 Kids and 65 Pound Loss - I’ve always been a yo-yo dieter. I’ve also had 3 kids that spanned from 2004 to 2016. At my highest weight I was 215 pounds. Somewhere between 2016 and 2020, I lost about 25 pounds. In January of this year, I weighed in at 188 and I decided enough was enough. So I started my journey. It never even occurred to me to get a lower body lift at that point. I just wanted to lose the weight. Well, in July, I broke into the 140’s. I was so pleased with my commitment, however I was left with a ton of skin after the babies and weight loss. I have very fair skin and have been told the fairer the skin, the thinner and therefor more saggy. Of course! I decided to go see Dr. Soto, after having a few other consultations with other doctors. I don’t know what it was but I felt more comfortable that he knew exactly how to mold me. I had my Lower body lift surgery on July 29th so I’m now 5 days post op. The first few days were rough. The first night I had immense acid reflux that wouldn’t go away. They tried, I just have a history of acid reflux and I would usually control it with Nexium. Well because my muscles were stitched and tightened, it put on that extra pressure and the acid just traveled upward. This was actually the worst part the first day. I opted for the Exparel, which I think was a huge reason I wasn’t in immense pain. It lasted for the first 3 days and now I just take a painkiller as needed, which isn’t often. Another side effect I wasn’t prepared for was the phlegm. It’s a side effect of the anesthesia but once you get that tickle in your throat, it’s very difficult not to cough. Coughing is not fun when you’ve had your muscles fixed. However, sometimes it’s necessary to rid yourself of the phlegm. On day 5, it doesn’t hurt as much as it did on day 2. So my biggest complaint up to this point has really been the acid reflux. I’m trying to learn how to control it with the foods that I eat. I’m instructed not to drink water and to opt for the fruit juices and Gatorades (something that won’t wash away those important electrolytes). Apple juice proved to be an acid builder so now it’s just Gatorade. It’s all trial and error for me right now but I wanted to share my first before and after photos with you all. Dr. Soto and his team have been very helpful, as I have had a lot of questions along the way. I was so sure he would have to do liposuction, however he did not and I’m still very pleased with my new body, even as heavily swollen as it is. I cannot wait to see my final result! You will see a pic of me at 215, then a before surgery body pic at 149 and then 1 day post op."- F. / RealSelf / Aug 03, 2020
"I Have Never Been So Happy! - Dr Armando is truly a perfectionist. He did such an amazing job on my Mommy Makeover. I waited 20 years for this procedure and I never expected to be this happy. My abdomen was a mess and I was so insecure it affected so much of my happiness. He has restored my confidence and I have the cutest belly button! Best decision I have ever made to choose him as my surgeon."- J. / RealSelf / Jul 23, 2020
"So Happy I Chose Dr. Soto! I ended up with 300cc’s moderate plus profile under the muscle - Dr. Soto is an amazing surgeon. His before and after photos caught my attention when I was searching for a plastic surgeon and after my consultation I knew he was the one! I booked the same day and had my surgery two weeks later! We discussed the results I wanted to achieve and the different options for the surgery. I ended up with 300cc’s moderate plus profile under the muscle with the incision in the crease under the breast. I wanted them a bit bigger but unfortunately my skin was too tight to stretch to my desired size. I don’t blame Dr. Soto for that though, he gave me a size that would fit my body and got me as close to my goal as he could. I emphasized I wanted fullness and cleavage and he definitely gave me that. On the day of surgery he asks for a photo of your desired results so he can get as close to it as possible, and I love that approach. We didn’t talk cc size at the consultation and I appreciated that because it’s so easy to get caught up with cc’s when really the same size implant will look different on everyone. Overall I highly recommend Dr. Soto, everyone told me he was the best in Orlando and I wholeheartedly agree!"- M. / RealSelf / Jul 22, 2020
"Dr. Armando Soto is amazing! - During my pregnancy with my beautiful son I unfortunately gained more weight than my skin could handle and I was left with stretch marks, loose skin and stretch marks all over my abdomen. I visited several surgeons but as soon as I met Dr.Soto I just knew he was the right surgeon for me. I had my Tummy Tuck and Breast Lift surgery with Dr. Soto July 1st. Leading up to the surgery I was extremely anxious, worried and I had panic attacks for days before the surgery. When I got to his office the morning of surgery I was extremely nervous, but he calmed me down so well and made me feel confident. Every staff member of his was very comforting, attentive and knowledgeable. And I loved his anesthesiologist too. I’m only 2 days post op and I look amazing!! My breasts look absolutely perfect, he has exceeded all of my expectations. When they took my binder off I saw my tummy and even though I’m very swollen, I already love my results. My scar is very low, and my belly button looks amazing. I am so so so glad that I put my trust into him. If you are considering getting a TT or breast lift, I highly recommend Dr.Soto. I’m looking forward to healing completely to see my final results, but as far as I’m concerned.. he’s made me beautiful!"- P. / RealSelf / Jul 03, 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, deflated 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. This lost elasticity, combined with a true excess of skin that results from the patient's loss of mass, results in sagging of the skin and deformity of appearance.
When performed by Dr. Soto, body contouring procedures and surgeries are designed to artistically remove excess skin, with reshaping in the body. This results in a tighter and firmer appearance and more attractive shape. Dr. Soto may recommend grouping certain treatments together as they relate to the lower or upper body in order to minimize the number of procedures necessary to achieve your goals, as well as the risks of complications. An example of how procedures might be combined include:
- The upper body: Procedures such as liposuction, Bodytite, breast lift, tummy tuck and arm lift may be performed.
- The lower body: Procedures such as liposuction, Bodytite, butt and thigh lift, and lower body lift may be performed.
After weight loss surgery is usually performed under general anesthesia. The number of hours it takes to complete your operation will vary according to the details of your procedure, but on average it will take between 3-7 hours. An overnight stay in our accredited facility may be required. While scarring is to be expected, Dr. Soto and his team will make every effort to ensure that the incisions are located in positions designed to be as inconspicuous as possible, and that they mature in the best possible way. It is critical for you to appropriately engage and participate in your postoperative care in order to maximize the safety and outcome of your procedure. For many patients, the results after surgery are so positive and impactful, they are life-changing.
Plan Your Procedure
- Procedure Recovery Location
After Weight Loss Surgery FAQs
Common Areas Treated?
Typical body parts that can be addressed after weight loss are the abdomen, buttocks, upper thighs, breasts, arms, and neck. The most common areas for improvement include the breasts and torso area, which can sometimes 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 seek consultation with Dr. Soto.
Before moving forward with this procedure, patients should be at or near their goal weight, and have a BMI (body mass index) of less than 30. Sometimes, removing the loose skin helps accelerate further weight loss. This may be 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.