Body Contouring After Weight Loss

Body contouring after weight loss is a category of plastic surgery procedures that remove excess skin and reshape the body after significant weight loss— whether from diet and exercise, weight loss medications (GLP-1), bariatric surgery, or a combination. Often, the skin loses elasticity and cannot contract fully on its own, leaving folds and loose tissue on the abdomen, back, arms, thighs, and chest. Plastic surgery can address each area individually or in combination, restoring smooth contours that reflect the transformation you have already worked so hard to achieve.

At The Wall Center for Plastic Surgery in Shreveport, Louisiana, Holly Casey Wall, MD, FACS is our primary expert in post-weight loss body contouring. A Stanford-trained, board-certified plastic surgeon, Dr. Holly Wall emphasizes nutritional optimization and pre-habilitation before surgery, individualized surgical planning, and a sensitive, high-touch standard of care throughout recovery. Also a Stanford-trained, board-certified plastic surgeon, Simeon Wall Jr., MD, FACS brings additional depth to these procedures as the creator of SAFELipo® and through his expertise in complex and revisional body surgery.

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After Massive Weight Loss
Before & After Photos

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Fat Grafting — Natural fullness right where you want it

Using fat transferred from another part of your body, fat grafting can add lasting, natural-looking shape and volume.

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Why Choose The Wall Center for Body Contouring After Weight Loss?

Holly Casey Wall, MD, FACS, is a Stanford-trained, board-certified plastic surgeon with more than two decades of experience and specialized expertise in body contouring after massive weight loss. Dr. Holly Wall performs the full spectrum of post-weight-loss procedures, including extended abdominoplasty, arm lift, bra-line back lift, and thigh lift, with an approach that emphasizes nutritional optimization and prehabilitation before surgery to improve outcomes and support recovery. During brachioplasty, she uses advanced nerve- and lymphatic-preserving dissection and Brijjit® Force-Modulating Tissue Bridges for postoperative support.

Simeon Wall Jr., MD, FACS is a Stanford-trained, board-certified plastic surgeon and the inventor of SAFELipo, a three-stage liposuction technique that delivers smoother, more refined body contours and is frequently integrated into body contouring plans. A recipient of the Ted Lockwood Award for Excellence in Body Contouring — one of the most prestigious peer honors in the specialty — Dr. Wall Jr. has also contributed abdominoplasty technique chapters to surgical textbooks and is an internationally recognized educator in advanced body contouring surgery.

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Who Needs It

Those who have lost a significant amount of weight, are in good health, and have been at our near their goal weight for at least 6 months are the most likely candidates for post weight loss plastic surgery in Louisiana.

Post-Weight Loss Body Contouring Procedure Options

Body contouring after weight loss typically involves a customized plan that addresses multiple areas, either in a single surgery or a staged series of procedures. Our surgeons work with each patient to identify the areas of greatest concern, assess surgical safety, and sequence procedures in the order that makes the most sense for cosmetic goals, health, and recovery.

Extended Abdominoplasty / Lower Body Lift

An extended abdominoplasty continues the standard tummy tuck around to the flanks and lower back. When the incision is carried all the way around the body, it becomes a lower body lift, tightening the abdomen, waist, outer thighs, and buttocks in a single procedure. This is often the foundational surgery in a post-weight loss surgical plan, addressing the area of greatest concern for most patients.

Thigh Lift

A thigh lift (thighplasty) removes excess skin from the inner and/or outer thighs. Incisions may be placed in the groin crease, along the inner thigh, or over the hip for outer thigh contouring. The result is a smoother, more proportionate thigh contour with improved comfort in clothing and during activity.

Bra-Line Back Lift

This procedure targets excess skin and fat deposits across the upper and mid-back that are left after weight loss. Using an incision placed along the natural bra line, the surgeon can remove the excess skin and tighten the back, with the resulting scar concealed beneath a bra strap.

Brachioplasty (Arm Lift)

Brachioplasty removes loose, hanging skin from along the inner upper arm, often called “bat wings,” that develops after significant weight loss and as part of the natural aging process. The incision is placed along the inner arm and, when necessary, may extend toward the armpit or chest wall. Dr. Holly Wall uses nerve- and lymphatic-preserving dissection techniques to minimize postoperative swelling and protect long-term arm function. She also incorporates Brijjit® Force-Modulating Tissue Bridges that eliminate tension on the incisions to minimize scarring.

Breast Lift

Weight loss commonly leaves the breasts sagging and deflated. A breast lift (mastopexy) tightens lax skin, reshapes the breasts and areolas, and elevates them to a more youthful position on the chest. Patients who desire fullness can combine their breast lift with implants. Dr. Holly Wall and Dr. Wall Jr. co-pioneered a footprint-elevating mastopexy-augmentation technique they teach to surgeons worldwide that enhances breast shape and upper pole fullness with long-lasting results.

Male Chest Contouring

After weight loss, men can be left with excess skin and residual fullness across the chest that causes self-consciousness. Male chest contouring may involve removal of excess skin, fat, and glandular tissue, and SAFELipo® contouring to restore a flatter, more masculine chest profile. Dr. Wall Jr. is a global educator on male chest shaping and approaches these cases with careful attention to preserving masculine contours and camouflaging the scars rather than simply reducing volume.

SAFELipo®

Our surgeons frequently incorporate SAFELipo®, the three-stage liposuction technique invented by Dr. Wall Jr., into body contouring after weight loss to pockets of residual fat, smooth transitions between treated zones, and refine the overall silhouette. Unlike standard liposuction, SAFELipo® uses a separation-aspiration-equalization sequence that produces smoother, more even results without relying on heat. It can be combined with skin tightening procedures to address both excess fat and loose skin in a single surgical plan.

Your Best Choice for Liposuction

Dr. Simeon Wall Jr. was named best plastic surgeon for liposuction in Louisiana in a 2021 Newsweek poll.

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Preparation

During your initial consultation with one of our plastic surgeons, you will weigh your options and decide if plastic surgery would be beneficial for you.

If you are still on your weight loss journey, we offer a medically managed weight loss program through our Jade MediSpa. Learn more about the Slim Shot by Jade

Dr. Simeon Wall Jr. speaking to a patient

BMI Calculator

While body contouring surgery isn't about weight loss, it can be a great way to target certain "trouble spots" when you drop the extra pounds. Quickly calculate your body mass index (BMI) here.

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Underweight Below 18.5
Normal 18.5–24.9
Overweight 25.0–29.9
Obese 30.0 & Above
Dr. Simeon Wall Jr. wearing surgical garb, operating on a patient

The Surgery

During the operation, excess fat and skin is removed to smooth out the contour of the lower body area. An incision will be made all the way around the stomach and back. The scar from this incision should not be noticeable in most swimsuits. The procedure is performed under general anesthesia.

Meet Our Surgeons

Simeon Wall Jr., MD, FACS

Simeon Wall Jr., MD, FACS

Dr. Wall Jr. has pioneered and perfected revolutionary advances in breast enhancement and body contouring surgery, including SAFELipo®, footprint-elevating mastopexy-augmentation, and minimal-incision gynecomastia surgery. He is an international leader in complex and revisional surgery, as well as the aesthetic field at large.

Meet Dr. Wall Jr.
Holly Casey Wall, MD, FACS

Holly Casey Wall, MD, FACS

Dr. Holly is a Stanford-trained, board-certified plastic surgeon whose expertise in breast and body contouring has earned her national acclaim, over 1,000 five-star patient reviews, and multiple “Top Doctor” honors. Her refined expertise and unique perspective as a woman and mother create lasting connections with her patients.

Meet Dr. Holly
Seth Fruge, MD

Seth Fruge, MD

During his plastic surgery residency at Harvard and prestigious fellowship at The Wall Center, Dr. Fruge trained under world-renowned innovators. A natural leader on the field as LSU football captain and in the OR, Dr. Fruge is at the forefront of the next generation of plastic surgeons.

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Results

After a lower body lift, patients are usually much more comfortable wearing clothes and feel more confident about themselves as their skin is smoother and tighter following the surgery.

Simeon Wall Jr., MD, FACS, Holly Casey Wall, MD, FACS, and Seth Fruge, MD standing together

Request a Consultation

Our surgeons and staff look forward to helping you understand all your cosmetic options. Request a consultation at The Wall Center or call our office at  (318) 795-0801. Arkansas, Louisiana, and Texas residents trust our practice to help achieve their cosmetic surgery goals.

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We're Worth the Trip

Patients come from all across Ark-La-Tex and around the globe to receive world-class care at The Wall Center for Plastic Surgery and Jade MediSpa. We frequently see patients from many communities:

  • Lake Charles, LA
  • Marshall, TX
  • Alexandria, LA
  • Baton Rouge, LA
  • Houston, TX

Take the first step today and request a consultation or call (318) 795-0801. Ask about our special programs for patients who travel, including our beautiful on-site guest suites. We can't wait to greet you!

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