When a patient has undergone the loss of a great amount of weight generally after bariatric surgery such as lap band or gastric bypass, the resulting excess skin can be present in practically the entire body. The removal of this excess is usually done in stages due to the extent of the problem and the need to maintain the surgical procedures within the bounds of acceptable risk.

Additionally, these patients present underlying alterations that must be addressed in a holistic medical and surgical approach. The surgeries are usually under general anesthesia and the resection of the excess tissue is direct and fairly straightforward with a focus on achieving a more functional contour of the body with the most esthetic appearance possible.