Skin removal surgery after weight loss Essex

What Is Skin Removal Surgery After Weight Loss Essex?

Skin removal surgery after weight loss is also known as body contouring surgery Essex. People who have lost very large amounts of weight (known as “massive weight loss”) will often be left with large amounts of loose skin afterwards. People may achieve massive weight loss after bariatric surgery such as a gastric sleeve, gastric band or gastric bypass. Some people are able to lose the weight by diet and exercise. No matter how you manage to lose the weight, the resulting excess skin will require surgery to remove. This is where Mr Sierakowski can help.

The loose skin that results after weight loss commonly affects:

The upper arms
The breasts
The abdomen
The thighs
The back and buttocks

Depending on the parts of your body that are affected, the skin removal surgery Essex you need will be different, for example a mastopexy (breast lift), brachioplasty (arm lift), thigh lift or an abdominoplasty (tummy tuck). Sometimes, these procedures can be combined during one operation. In addition, they may be performed together with liposuction.

What To Expect From Skin Removal Surgery After Weight Loss?

Mr Sierakowski offers various operations to deal with loose skin after weight loss Essex, depending on the part of the body affected.

Mastopexy (Breast Uplift)

Otherwise known as a breast uplift, mastopexy involves removing excess loose skin from the breasts and reshaping them to make them look more youthful. By removing excess saggy skin, remodelling the breast tissue and moving the nipples to their optimal position, Mr Sierakowski, who specialises in cosmetic surgery Essex, can create breasts that look younger and more pert.

Before your breast uplift surgery Essex, Mr Sierakowski will see you in clinic, where you will have the opportunity to discuss your aims in an open and relaxed environment. Mr Sierakowski will explain how your goals could best be achieved. He will explain the surgery in detail and discuss the possible risks and complications, to help you make an informed decision. As with any surgery, there are certain risks associated with this type of body contouring surgery Essex, for example scarring, bruising, bleeding, infection and wound healing problems.

Breast uplift surgery Essex is carried out under general anaesthetic and takes about 2-3 hours. The operation involves making a cut around the nipple/areola and moving the nipple up higher on the breast. The excess skin around the nipple is removed and the skin is tightened up. Breast uplift surgery typically results in an anchor-shaped scar going around the areola, vertically down to the lower breast crease and then along this crease.

Brachioplasty (Arm Lift)

Another type of loose skin removal surgery Essex is brachioplasty, or arm lift surgery. This is suitable for patients with excess saggy skin on the upper arms, which can result from weight loss or ageing. The surgery involves removing a long leaf-shape of skin from the inner side of the upper arm. This is then carefully closed using special dissolving stitches under the skin. The result is a smoother, tighter, upper arm. The surgery leaves a long scar running along the inner aspect of the upper arm, from the elbow to the arm pit and sometimes onto the outer chest. The surgery is sometimes performed along with liposuction.

Mr Sierakowski will discuss the surgery in detail with you in your consultation before your surgery. He will examine your arms and explain what results can be achieved and how the scars will look afterwards. Brachioplasty surgery is performed under general anaesthetic and usually takes around 3 hours to complete. The procedure normally involves an overnight stay in hospital. After the brachioplasty surgery, dressings will be applied and, on some occasions, small tubes will be used to drain any excess blood or fluid from the wound. Mr Sierakowski will also apply elastic bandages to the arms for additional support, to reduce swelling. Medication will be provided to ensure you are comfortable afterwards.

As part of the consultation process, Mr Sierakowski will carefully explain the risks associated with brachioplasty body contouring surgery Essex, to help you make your decision. In addition to the general risks of any operation, such as scarring, bleeding and infection, with brachioplasty there are specific risks that Mr Sierakowski will explain. These include hypertrophic (lumpy) scarring, stretched scarring, nerve injury leading to pain or numbness, wound healing problems and asymmetry. If you have any questions about the surgery, Mr Sierakowski is happy to answer them in detail during your consultations. You will have as long as you need to decide if the surgery is right for you. Our team will support you in any decision that you make.

Thigh Lift

Another type of loose skin removal surgery after weight loss is thigh lift surgery Essex. This procedure is commonly performed in people who have loose, saggy skin around the inner thighs, which is often the case after major weight loss. A thigh lift is a body contouring procedure Essex that removes this excess skin after weight loss, giving a slimmer, smoother contour to the thighs.

Thigh lift surgery is performed under general anaesthetic. During the operation, Mr Sierakowski will create an incision along your inner thighs and remove the excess skin and fat from this area. The procedure can take up to 3 hours, due to the large area that the surgery covers. The procedure is often performed together with liposuction. Once the skin has been removed, Mr Sierakowski will carefully close the incision with special dissolvable stitches under the skin. This will result in a scar running along the inner thigh, from the knee to the groin. After the surgery, you will be fitted with a compression garment to provide support and help reduce swelling. 

Mr Sierakowski will discuss thigh lift surgery with you in detail during your clinic consultations, as well as explaining the potential risks and complications of this surgery, so you can make an informed decision. Specific complications associated with thigh lift surgery include hypertrophic (lumpy) scarring, labial distortion, nerve injury leading to pain or numbness, wound healing problems, swelling and asymmetry.

Abdominoplasty (Tummy Tuck)

Another type of loose skin removal surgery after weight loss is abdominoplasty surgery Essex. Massive weight loss can result in large amounts of loose, hanging skin over the tummy and pubic areas. Abdominoplasty, otherwise known as tummy tuck surgery, will remove the excess skin and fat from your abdomen and tighten your abdominal muscles. 

Depending on the amount of excess skin and fat that needs to be removed, various different types of tummy tuck are available. For patients with a moderate amount of excess skin affecting mainly the lower abdomen, a standard abdominoplasty can be performed where the skin is removed in a wide ellipse between the tummy button and pubic area. Where there is more skin excess, the skin excision can be taken wider around the hips in what is known as an extended abdominoplasty. This is often combined with liposuction. These types of abdominoplasty result in a scar around the tummy button and a long scar from hip to hip, which Mr Sierakowski will aim to keep hidden below the underwear.

For patients with large amounts of excess loose skin after weight loss, affecting both the upper and lower parts of the abdomen, a fleur-de-lis abdominoplasty can be performed. This involves removing a large vertical ellipse of skin from the middle of the tummy, as well as a horizontal ellipse from the lower tummy. The result is a dramatic tightening of the abdominal skin, like a corset. A fleur-de-lis abdominoplasty results in a long vertical scar down the middle of the abdomen as well as a long horizontal scar from hip to hip.

For people with saggy buttocks and loose abdominal skin after weight loss, the skin scan be removed from all the way around the lower torso in a belt pattern. This is called belt lipectomy surgery or lower body lift surgery. In addition, excess loose skin folds in the upper back can be removed in an operation called an upper body lift.  

During your consultation, Mr Sierakowski will listen to what your particular goals are and suggest which tummy tuck procedure is best suited to you. A tummy tuck is performed under general anaesthetic and usually involves at least one overnight stay in hospital. After your surgery, it is important that you wear a compression garment for at least 6 weeks, to help reduce swelling and fluid collection.

Mr Sierakowski will discuss tummy tuck surgery with you in detail during your clinic consultations, as well as explaining the potential risks and complications of this surgery, so you can make an informed decision. Specific complications that can be related to tummy tuck surgery include wound healing problems, a hypertrophic (lumpy) or stretched scar, numbness of the abdominal skin and seroma formation. A seroma is when fluid collects under the skin and can sometimes need draining off with a needle and syringe in clinic.


Liposuction is an important part of body contouring surgery Essex. It involves sucking out excess fat using a special suction tube. It can be performed on its own, or in combination with the body contouring operations described above. Common areas to be treated by liposuction involve the abdomen, flanks, hips, arms and thighs. Afterwards, you will be asked to wear a compression garment for 6 weeks. This is to reduce swelling and help prevent the build-up of fluid under the skin.

At your consultation, Mr Sierakowski will listen to your goals and explain which type of liposuction is best for you. He will carefully explain the procedure, as well as the risks and complications that are associated with it, so that you can make an informed decision that you are comfortable with. Depending on the amount of liposuction involved, it can be performed either as a day case or with an overnight stay. It is performed under general anaesthetic. The main risks associated with liposuction are swelling, bleeding, bruising, infection, seroma, asymmetry and uneven skin.

Skin Removal After Weight Loss Surgery Essex

Skin removal after weight loss surgery Essex will be performed by our expert professional surgeon, Mr Sierakowski, who is available at a number of locations in Essex. These include Wellesley Hospital in Southend, Phoenix Hospital in Chelmsford and Springfield Hospital in Chelmsford. It may be possible to perform combined operations at the same time, for example breast uplift and abdominoplasty surgery. Mr Sierakowski may recommend that he performs the surgery with another Consultant Plastic Surgeon in order to help keep the anaesthetic time to a minimum and maximise safety. It is recommended to wait at least 6 months between surgeries for skin removal after weight loss.

Key Facts


Length of surgery
About 4 hours

General Anaesthetic

Overnight or day case

2 to 4 weeks off work (depending on occupation)
No driving for up to 3 weeks
Return to the gym 6 weeks

1 week, 2 weeks, 2 months, 6 months

Potential Risks and Complications Of Skin Removal Surgery After Weight Loss

Bruising, swelling, minor wound problems, uneven or stretched scars, seroma, recurrent loose skin.

Infection, bleeding, major wound breakdown, skin or tummy-button necrosis (a rare but important complication). Deep vein thrombosis (DVT) and pulmonary embolus (PE) are blood clots that may occur in the leg (DVT) and travel to the lung (PE) – these are rare but can be very serious; we take careful measures in order to prevent them.