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Individuals who lose a significant amount of weight are often left with loose and hanging skin. Many look to one of Houston’s board-certified plastic surgeons, Dr. Lapuerta, for after weight loss surgery to complete their transformation. This surgery is a combination of procedures that remove loose skin while tightening the underlying tissue and muscles. It is a common surgery for individuals who lose 100 pounds or more and is especially common among bariatric weight loss patients. Dr. Lapuerta performs After Weight Loss Surgery in Houston, Katy, and Pearland, TX.

  • Review from K. P.
  • Source: Google
  • May 16, 2018
Dr. Lapuerta, Brandi, Residents and staff were all wonderful. I had a big surgery that included thigh lift, arm lift and mini tummy tuck all at the same time. Everyone kept me informed, up to date with my progress, and comfortable. My surgeries went very well, minimal pain and left me with absolutely no regrets. His handy work with the scalpel has me feeling more like my old self Great bedside/office manner explains things in detail and tells what will happen next I would recommend !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!


Weight loss patients will consider after weight loss surgery to correct or enhance one or more of the following conditions:

Deflated and sagging breasts with nipples that point downward
Loose and hanging skin on the abdomen
Excess skin and pockets of fat on the hips
Excess and deflated skin on and under the buttocks
Loose and hanging skin around the knees and inner thighs
Hanging skin on the underside of the arms (“bat wings”)
Loose and hanging skin on the neck (“turkey neck”)


The goal of after weight loss surgery is to reduce the amount of loose skin that collects and hangs on the body and to lift the body part, so it appears tighter. Multiple areas of the body may need to be addressed, depending on the needs of each patient. Most surgeons will group body parts together and stage them multiple surgeries. Doing so helps reduce the risk of complications, such as blood loss and infection. Examples of this grouping include:

Upper body (Liposuction, breast lift, tummy tuck, arm lift)
Lower body (Liposuction, butt lift, thigh lift, lower body lift)


After weight loss surgery is performed under general anesthesia in an accredited surgical facility. Patients are usually required to spend the night in the hospital so they can be monitored. The recovery following this surgery can be a slow process. While the post-surgical results can be life-changing for many weight loss patients, scarring is an unfortunate part of this process. Every attempt is made during surgery to minimize scarring as much as possible. Patients should adhere to a healthy lifestyle so that the results achieved through surgery are not compromised.


The cost for a combination surgery to remove skin following a massive weight loss will vary. Certain factors such as the number of procedures performed (abdominoplasty, liposuction, thigh lift, etc.), combined with the number of surgical settings, hospital stay, anesthesia, etc., will play a role in determining the final cost. On average, patients can expect to pay at least $7,000-$15,000.


  • Recovery Time
  • 1-3 Weeks
  • Average Procedure Time
  • 2-6 Hours
  • Post-op Follow-up
  • 1 Week
  • Procedure Recovery Location
  • In & Outpatient


Common body parts that may need skin reduction surgery include the abdomen, buttocks, upper thighs, breasts, arms and neck. The breasts and abdomen are among two of the most popular areas addressed. A large majority of individuals will address the breasts (with a breast lift), and the tummy (with a tummy tuck) in a single surgery. As you lose weight, you will notice which areas are most concerning, and you can begin discussing cosmetic surgery with your plastic surgeon.
Most plastic surgeons require patients to be at or near their goal weight before moving forward with this surgery. However, this isn’t always the case. Sometimes, removing the loose skin is all it takes to accelerate the loss of the final pounds—especially if the loose skin is getting in the way of exercise and mobility.
In most cases, no. Insurance companies consider this surgery to be cosmetic, and they usually do not cover any of the surgical expenses. However, each surgical case is different and may have a special circumstance. Our billing coordinator works to provide accurate estimates and thoroughly checks the benefits of each provider.
Leo Lapuerta Plastic Surgery