Following weight reduction surgery, or any substantial weight loss, the skin tissues often lack elasticity and cannot conform to the reduced body size. As a result, the skin has been stretched and is now unsupported and begins to sag. Skin affected generally includes the face, neck, jowls, upper arms, breasts, abdominal area, buttocks, groin and thighs. Surgical body contouring can possible improve the shape and tone of the underlying tissue and reduces excess sagging fat and skin. The result can possibly be a more normal appearance to the body with smoother contours. Before undergoing this procedure following major weight loss, your weight loss must be stabilized.


An abdominoplasty, or tummy tuck, is a common term for the surgical procedure to correct a protruding or loose, sagging abdomen. Areas to be treated may include the center of the abdomen, or may extend to the entire area between the lower rib cage and pubic bone, as well as to the sides and back. Contouring of the abdomen can be performed using a variety of techniques including liposuction and/or reduction of excess tissue and fat by excision. For individuals planning substantial weight loss or women who may be considering future pregnancies, Dr. Holland may propose postponing this procedure.


A panniculectomy means the surgical reduction of the pannus. The pannus is defined for the overhanging skin of the lower abdomen from substantial weight loss, pregnancy or both. It may be performed as a standalone functional insurance covered procedure (only treating the pannus) or combined with a tummy tuck, which would also tighten the abdominal muscles. Commonly, a panniculectomy is preformed with another abdominal surgery, such as hysterectomy, or with a repair of a belly button hernia or the abdominal wall.


Liposuction, also called lipoplasty and suction lipectomy, is the surgical reduction of localized or regional excess fatty tissue. There are three common variations to the procedure, and Dr. Holland will determine which is right for you. Localized fat deposits of the cheeks, face, neck, upper arms, breast or chest, back, abdomen, hips, buttocks, thighs, inner knee, calves and ankles can be reduced with this procedure. This procedure may be performed alone or in combination with other procedures.

Brachioplasty (arm lift):

A brachioplasty, or arm lift,  is the surgical reduction of sagging excess skin and fat from the underside of your upper arms. The procedure will also tighten and smooth the underlying supportive tissue that defines the shape of the upper arm. Dr. Holland will determine if arm lift surgery may be right for you.


Thigh lift surgery reduces excess skin and fat, which results in the reshaping of the thighs. A surgical lift may be right for you if fitness and weight control efforts have not achieved your goals of a firmer and better-proportioned contours of the thighs and lower body.


Labiaplasty, is the surgical reduction of the labia minora, the inner lips of the vaginal lips. There can be minimal discomfort associated with the procdure and the sutures that are used dissolve on their own.

Non-Surgical options: