
Achieving significant weight loss is a profound milestone that marks a commitment to a healthier future. However, for many patients, the final reward of this journey is obscured by hanging skin that no longer fits their smaller frame. Skin removal surgery offers a comprehensive solution to these concerns, providing the structural refinement needed to complete your transformation. Dr. Pryor draws on his extensive background at Cleveland Clinic to perform these body contouring procedures, emphasizing safety, symmetry, and natural-looking results.
Purpose
Removing excess skin and fat to restore a firm, proportional body contour.
Procedure
Typically performed under general anesthesia as an outpatient or short-stay surgical experience.
Recovery
Initial healing occurs over a few weeks, with a gradual return to full activity by six weeks.
Results
A more toned appearance and improved comfort that persists as long as you maintain a stable weight.
Skin removal surgery includes a range of body contouring procedures designed to address sagging skin following dramatic weight loss. When a substantial amount of weight is lost, the skin often lacks the elasticity to retract, leading to folds of extra skin that can cause physical discomfort and emotional distress. Depending on your needs, Dr. Pryor may recommend a single procedure or a combination of excess skin removal procedures. These options include a tummy tuck for the midsection, a breast lift for sagging breasts, or more extensive interventions such as a lower body lift or upper body lift to address the entire torso.

On the day of your surgical procedure, you will be cared for in our private, accredited facility. Because these are often major surgeries, they are performed under general anesthesia to ensure your absolute comfort. Dr. Pryor begins by creating precise incisions placed, whenever possible, within a natural crease or areas easily hidden by clothing.
Through these incisions, he meticulously removes excess skin and fat, often tightening the underlying abdominal muscles to create a firmer abdomen. In cases where stubborn fat deposits remain, liposuction may be used to further refine the shape. The remaining skin is then redraped, often involving a repositioning of the belly button to maintain a natural aesthetic, and secured with fine sutures.
Skin removal procedures are highly versatile, allowing Dr. Pryor to address redundant tissue across almost any region affected by dramatic weight loss. To ensure a harmonious and safe transformation, he categorizes these treatments based on the specific zones of the body that require refinement:
Midsection and Torso: A tummy tuck (abdominoplasty) is the gold standard for restoring a firmer abdomen by removing excess skin and fat from the lower belly. For more comprehensive needs, a lower body lift treats the abdomen, buttocks, and lateral thighs, while an upper body lift addresses the back and bra-line area.
Upper Body: An arm lift (brachioplasty) eliminates the "bat wings" of hanging skin on the upper arms, while a breast lift (mastopexy) restores a youthful position to sagging breasts, often combined with implants for volume.
Lower Body: A thigh lift can be tailored as an inner, outer, or lateral thigh lift to remove the extra skin that often accumulates on the upper legs, while a buttock lift provides a more lifted and contoured rear profile.
Face and Neck: For patients who notice significant laxity in the jowl and neck area after weight loss, a neck lift or facelift can be integrated to ensure the facial profile matches the rejuvenated body.


Excess skin removal surgery provides a dramatic improvement in your physical proportions. Removing the hanging skin that obscures your frame reveals your true contours, resulting in a more sculpted, harmonious appearance.
Patients often discover newfound confidence that helps them engage in more activities, wear a wider range of styles, and put their best self forward in every setting. Post-weight-loss body contouring surgery can also significantly improve physical comfort and overall wellness. Folds of excess skin can lead to chronic skin rashes and recurrent skin infections that are resistant to topical treatments. By eliminating these folds, surgery can improve your health and overall quality of life.

Ideal candidates for skin removal are individuals who have reached their goal weight and have maintained a stable weight for at least six months. This is particularly important for those who have undergone bariatric surgery or weight loss surgery, as continued fluctuations can impact the final result.
During your physical exam, Dr. Pryor will assess your overall health and skin quality to ensure you have realistic expectations. Candidates should be committed to a healthy lifestyle and be prepared for the recovery period associated with these transformative procedures.

Recovery from body contouring procedures is a gradual process that requires a few weeks of dedicated rest. You will likely wear a compression garment to minimize swelling and support the surgical site as the tissues bond. While minor discomfort is expected, our team provides a personalized pain management plan to keep you comfortable. We will monitor you closely for potential risks, such as blood clots or delayed healing, providing concierge-level aftercare to ensure your journey is as smooth as possible.

The results of your skin removal surgery are often life-changing, offering an immediate sense of lightness and a more defined silhouette. While initial changes are visible as soon as the dressings are removed, the final contours will continue to refine over several months as the swelling fully dissipates.
These results are intended to be permanent, provided you maintain your stable weight. While the natural aging process will continue, the excess skin removed during the procedure will not return. Most patients find that the boost to their self-esteem and the elimination of physical discomfort make this the most rewarding stage of their entire weight loss journey.

Choosing a board-certified plastic surgeon is essential when considering major weight loss reconstruction. Dr. Landon Pryor’s triple-fellowship training and his experience at the prestigious Cleveland Clinic offer a level of precision and safety that is world-class. He approaches skin removal with the eye of an artist and the rigor of a scientist, ensuring that your transformation is handled with the highest degree of care and the personalized attention you deserve.
East Coast? West Coast? No matter where you are, getting high-end care from one of the nation’s leading plastic surgeons will be worth the trip. Dr. Landon Pryor is a triple board-certified, triple fellowship-trained plastic surgeon known for surgical excellence in both aesthetic plastic surgery and as a national leader in Breast Implant Illness (BII) care and explant surgery. His aesthetic highlights include a deep structural approach to procedures like facelift, rhinoplasty, and breast contouring, aiming for natural-looking, refined, and stable results. For BII patients, he is recognized as a "Surgeon Advocate" who utilizes innovative explant techniques, such as the En Bloc Capsulectomy, and integrates holistic recovery protocols.
Patients travel from across the country to see Dr. Pryor because he is a "National Destination for Explant Surgery & Aesthetic Excellence," offering a steady presence, an evidence-first approach, and compassionate care from a highly trained surgeon who validates their symptoms and provides a safe path to restoration.
You can schedule a consultation with Dr. Pryor at the following locations:

Yes, Dr. Pryor often performs body contouring on multiple areas, such as the breasts and arms, or the abdomen and thighs, in one surgical session. Combining procedures can shorten your recovery time, though the safety and duration of the surgery remain the primary considerations.
Most surgeons recommend waiting at least 12 to 18 months after weight loss surgery. It is vital that your weight has plateaued and remained stable for several months to ensure the best surgical outcome and minimize the risk of needing future revisions.
A panniculectomy is a functional procedure that only removes the pannus, or the apron of skin hanging below the belly button. A tummy tuck is a more comprehensive aesthetic procedure that removes excess skin and fat while also tightening the underlying abdominal muscles for a firmer abdomen.
As with any major surgery, risks can include infection, scarring, or reaction to anesthesia. Dr. Pryor mitigates these risks by using advanced surgical techniques and maintaining rigorous safety standards in his accredited facility.
Skin removal requires incisions, resulting in permanent scars. However, Dr. Pryor is an expert at placing these incisions in discreet locations, such as the pubic area or along natural body creases, where they can be easily hidden by undergarments or swimwear.