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
"My recent mammogram showed leakage around my 45 year old implants. There was also severe hardened scar tissue surrounding them. I did an internet search and found Dr. Armando Soto’s site. He had the absolute best ratings! I will tell you he and his staff are super and deserve every star. Dr. Soto performed removal of old implants, cleanup of scar tissue, and then replacement with new implants.He and his staff are patient,understanding, reassuring, and caring. They answered every call text and question I had. I And my husband feel truly blessed to have been guided through my searching to have found Dr. Armando Soto. I would give them more stars if I could!!!!!"- Anonymous / RateMDs / Oct 26, 2020
"So Happy I Had the Procedure - It has been 2 months since my procedure. Amy at Dr. Soto’s Office in Orlando, Fl did the procedure and she was absolutely amazing. She injected my armpits to numb them and the procedure took about 15 minutes each arm. She set the machine to level 5, which was the highest. I applied ice for the next 24-48 hours to help with the swelling. It was uncomfortable the day off due to the swelling but very little pain as I was still numb. The next day it felt like a had a terrible sunburn in my armpits and was pretty uncomfortable but by day 3-4 the pain was pretty much gone. Swelling remained for the next week and I did get some lumps that eventually went away. About 2 weeks in I went through the purging stage which lasted 1-2 weeks. Fast forwarding to now, 2 months later, I do not wear deodorant 99% of the time. The 1% of the time to do apply very little to my right armpit as I still develop a very mild odor on a hot day. Additionally I’ve notice my armpit hair is pretty much gone. I’m super happy with the results and will decide ext summer if I want to have a second procedure done."- L. / RealSelf / Oct 20, 2020
"Anchor lift with 255cc implants - best surgeon - Only doing a review because I lived on this site pre & post op, looking for similar procedures (and I chose the best surgeon ever, so he deserves a review). I've always had saggy breast, and what I thought was extra breast tissue in my armpit region. It wasn't until I went to see Dr. Soto for liposuction that I was informed I actually had a slight breast deformity - ptosis 3 tubular breast. Dr. Soto respectfully informed me why my breast were so droopy, and that liposuction would not help get the goal I was desiring. He instead explained he could perform an anchor lift which would result in a youthful, perky and pretty breast shape. I had other consultations scheduled after him, but after speaking with him and seeing his amazing bedside manner and dedication to safety, I cancelled the others & booked my surgery with him that same day. The fact that he didn't try to also push liposuction really made me trust him and his judgement - Vs other surgeons wanting to perform any & everything, only for their benefit. He definitely has your best interest at heart & is very realistic about getting you to your goal image/body. I ended up also asking him for implants to make sure I got the shape and fullness that I really wanted. I showed him goal photos, and trusted him to make the best decision based on my body. I think he said I would be around his 3,500 breast augmentation, and his work 100% showed his talent. He's a true artist, I'm still in shock at how amazing my results are!!! My friends and family don't even believe the photos I show them are actually me. I am only 6 weeks post op and they look better every day. Photos speak for themselves. I also looked through hundreds of results from surgeons around the country, and Dr. Soto had some of the best scar results I had ever seen. Being in my 20s, that was a huge concern of mine and I am so so happy I went with him. My scars are already barely noticeable and continue to face. I only wish I had done this sooner!! The entire office (nurses, PA, coordinator, front desk) is beyond sweet, always making you feel comfortable and going out of their way to accommodate you. After surgery, Dr. Soto saw me at least 5 times within the first month to monitor my healing - just goes to show how much they really care for each patient. If my friends & family ever need any work done, I will be sure to send them to Dr. Soto and his wonderful office!!"- K. / RealSelf / Sep 20, 2020
"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
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.
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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.