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Body Contouring Procedures

Arm Rejuvenation  

Belly Button Surgery

Body Lift

Brazillian Butt Lift

Buffalo Hump Correction  

Calf Enlargement

Fat Grafting Body 

Hand Rejuvenation

Inner Thigh Lift



Mommy Makeover

Tummy Tuck 

Post Bariatric  (Massive Weight Loss)

Post Bariatric Surgery (following Massive Weight Loss)

Many patients nowadays have undergone bariatric surgery, that is, bypass or stapling of the stomach. It has become a very safe and predictable operation well tolerated by patients of virtually any large size. The result of this is a large population of individuals with significant sized rolls of excess loose skin all over their bodies. The essentials of your anatomy that we are dealing with here are loss of skin elasticity, poor skin quality (stretch marks) and excess skin because the underlying fatty support framework has been deflated. Furthermore, the skin cannot totally contract back down enough because it has lost its elastic qualities.
The surgical categories for massive weight loss which Dr. Romano offers his patients may be selected and/or combined based upon the following spectrum of possible procedures:

  • Body Lift. (See our section on Body Lift as this is the main concern to patients in weight loss surgery. This is the usual approach to the trunk and torso. It may be combined with one or more of the following surgeries.
  • Outer Thigh Lift. This is where the abdomen and buttocks are mostly okay and just a lift to the outer thighs is needed. Here the incision is some length along the belt area and over the outer thighs.
  • Inner Thigh Lift  (Same as above which applies to the inner thigh) 
  • Tummy Tuck (Abdominoplasty). This may be done alone or in stages combined with body lift.  (See the separate Tummy Tuck section for further information.
  • Buttock lift  This can be done alone or as part of the staging, and involves an incision in the belt area just in the back and part way around the sides.
  • Breast Lift with Implants  Many patients wish to combine this with other body contouring procedures
  • Arm Lift (See earlier section)  .
  • Chest wall lift  Incisions are made along the bra line from the breast around the back to remove these rolls of skin when present.
  • Facelift. This is often requested by patients with excess facial skin and a loss of  elasticity   

Dr. Romano has in-depth experience with each of these procedures and has performed numerous operations over the years with very natural results. 

Dr. Romano personally provides additional information through his perspective on Post Bariatric Surgery. Click Here

We recommend you review Dr. Romano’s article on Body Contouring   to be found in the Procedures Article section under Resources


Before and After Photos

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Dr. James Romano, M.D.
San Francisco Plastic & Reconstructive Surgery
1650 Jackson St., Suite 101, San Francisco CA 94109