Successful gastric bypass puts patients in a unique position. It can have great benefits to health: eliminating or greatly reducing the health risks of diabetes, high blood pressure and high cholesterol, etc. It can also produce amazing transformations in people to which it can be hard or impossible for friends and family to adjust.

As cosmetic surgery candidates, patients test the limits of conventional cosmetic operations frequently requiring extensions and re-design of traditional procedures. The amount of SKIN left hanging, drooping and otherwise draped around the body can be enormous. The loss of soft tissue volume is welcome in some areas and annoying (or heart-breaking) in others. Gastric Bypass patients (and patient following large weight loss via other methods) frequently may benefit from:

• Extended Abdominoplasty (Tummy Tuck) or Body Lift
• Brachioplasty (Arm Lift)
• Breast Lift with and without Breast Augmentation
• Inner Thigh Lift
• Facelift
• and more

No individual patient "should" have any or all of these procedures. They are just operations that can help correct problem areas with which people come to consultation. The patient directs my attention by her (or his) complaints.

Take into account that in modifying these operations to correctly "fit the bill," the nature and quantity of that lax skin can test limits. The general limits are how much surgery can patients have in one sitting and how long an incision will they permit to correct the problem for which they come to consultation. Each individual patient is evaluated individually and the operation tailored to her (or his) goals. It frequently amazes me how the lax skin can be pulled so tight and will again loosen post operatively. Re-operation in this patient population for this reason is not uncommon.