Budgeting for Post-Weight Loss Plastic Surgery

Significant weight loss is an achievement that often results in improved health and quality of life. However, it can also leave behind excess skin that may cause discomfort, skin conditions, or dissatisfaction with body appearance.

Excess skin removal surgery, or body contouring, can address these issues by enhancing the body’s contours and improving the patient’s comfort and self-confidence. This article will discuss the factors that influence the cost of excess skin removal after weight loss to help patients budget and plan for it.

Frontal view of a woman's abdomen while she holds dollar bills in relation to financing options after extra skin removal surgery or body lift surgery.
Budgeting for Post-Weight Loss Plastic Surgery

What Exactly is Excess Skin Removal Surgery?

Excess skin removal surgery is a cosmetic procedure that addresses the issue of loose skin left behind after extreme weight loss. This surgery is designed to remove sagging skin and fat, enhance the underlying support tissue, and create smoother, better-proportioned body contours. It often involves a combination of procedures customized to each patient’s unique needs and aesthetic goals. These procedures may include a tummy tuck (abdominoplasty), buttock lift, upper arm lift (brachioplasty), thighplasty, and breast lift (mastopexy). 

The surgery can target specific areas of the body where excess skin is common after weight loss, or the entire torso and lower body in a single procedure called a body lift. Liposuction might be included in the treatment plan to remove excess fat deposits that remain after weight loss, but lipo alone will not take care of the excess skin.

What Factors Affect the Cost of Excess Skin Removal Surgery?

Several factors can influence the cost of body contouring procedures. These include the number and type of surgeries performed, the geographical location of the procedure, whether the procedure is covered by insurance, anesthesia fees, and the surgeon’s fees.

1. The Number of Surgeries Performed

The cost of excess skin removal surgery will depend on the number of procedures performed and the complexity of each procedure. Here are some common surgeries performed for post-weight loss body contouring.


Brachioplasty specifically targets sagging and excess skin in the upper arms, or “bat wings.” Excess skin in this area can cause discomfort, make daily activities more difficult, and pose a risk for skin conditions. This procedure results in more toned, proportional arms.

Thigh Lift

A thigh lift is a type of skin removal surgery that targets the inner and outer thighs, a common issue for patients after major weight loss. The excess skin can create friction and chafing, causing discomfort and irritation and restricting everyday activities.

This procedure is designed to remove the extra skin folds and heavy skin to contour the thighs, make the person more comfortable, and improve his or her overall quality of life. 


A panniculectomy is a common type of excess skin removal surgery that specifically targets the lower abdominal area, often referred to as the pannus or apron of skin. The panniculectomy procedure involves the removal of heavy skin and fat that hangs over the pubic region and sometimes extends to the thighs. This fold of skin can cause discomfort, limit physical activities, and increase the risk for skin conditions such as chronic skin infections.

This procedure is distinct from a tummy tuck (abdominoplasty), which involves more comprehensive muscle repair and reshaping of the abdominal contours. However, both surgeries will result in a smoother and more contoured abdominal appearance, enhancing the overall aesthetics of the midsection.

Mastopexy/Male Chest Lift

Mastopexy is another type of skin removal surgery that addresses the issue of drooping skin in the chest area after significant weight loss. These procedures aim to remove the extra skin folds and reshape the chest for a firmer, more masculine body appearance, enhancing the patient’s self-confidence. 

2. Your Location/State

The geographic location where the surgery is performed can significantly impact the cost of the procedure. In areas with a higher cost of living, the costs of services, including medical and cosmetic services, are often higher. This is also true for locations where there is a high demand for body contouring surgeries. For instance, the cost of plastic surgery in a metropolitan area may be higher compared to the cost in a rural area. Board-certified plastic surgeons might be more in demand and charge higher fees, along with facility fees. 

While it’s essential to consider location and cost when budgeting for skin removal surgery costs, the primary factor in choosing a plastic surgeon should be their expertise, experience, and board certification. Patients should thoroughly research and consult with a qualified and reputable plastic surgeon who meets their specific needs.

3. Working with an Insurance Company

When considering excess skin removal surgery, you’ll want to know whether or not your health insurance provider will contribute to the cost. Most insurance carriers categorize skin removal surgeries as cosmetic procedures, which are typically not covered. However, there are instances where insurance coverage may be applicable.

For example, a panniculectomy may be covered (or partially covered) if it meets the correct insurance code for medical necessity. These criteria often include maintaining a stable weight for over six months and experiencing health-related issues such as skin maceration, ulceration, pain, frequent infections, or back strain due to the pannus.

4. Anesthesia

The administration of anesthesia is an integral part of any surgical procedure that ensures the patient’s comfort and safety. Typically, excess skin removal procedures are performed under general anesthesia; however, the type of anesthesia is determined by what is best for the patient.

Fees for anesthesia will vary and influence the overall cost of skin removal surgery. This also includes the fees for a board-certified anesthesiologist who will administer the anesthesia. The duration of the procedure also plays a role in determining the anesthesia costs, as longer surgeries require more anesthesia. 

5. The Surgeon’s Fees

The surgeon’s fees for excess skin removal surgery can vary greatly depending on the surgeon’s experience, reputation, and geographic location. Working with a highly experienced and reputable surgeon may cost more, but it can also provide peace of mind and increase the likelihood of achieving your desired results.

Working with a Board-Certified Plastic Surgeon

When considering excess skin removal surgery, it’s vital to choose a qualified surgeon who provides extensive expertise in body contouring surgeries. A board-certified plastic surgeon has undergone rigorous training and meets high standards of care and safety.

Excess skin surgery costs can vary greatly depending on the surgeon’s experience, reputation, and geographic location. While a board-certified plastic surgeon may charge higher fees, the investment can be worthwhile for the expertise, safety, and results they can provide.

To learn more about post-weight loss plastic surgery and the costs of removing extra skin, contact Dr. Vitenas at Vitenas Cosmetic Surgery at 281-484-0088 or fill out the online contact form