
Significant weight loss can leave stretched skin that doesn’t fully reflect the work it took to change your body. Even at a stable weight, some skin may remain loose enough to affect comfort, clothing fit, or the shape you see in the mirror.
At Spiro Plastic Surgery, expert surgeon Dr. Scott Spiro brings decades of body-contouring experience to skin removal surgery in New Jersey. His approach combines precise surgical planning with an artistic eye, helping patients refine their shape while considering excess skin in the full context of their body and features.
For patients with loose skin across multiple areas, Spiro Plastic Surgery can incorporate skin removal into a customized Weight Loss Makeover. This allows Dr. Spiro to combine procedures across the body for more comprehensive refinement after major weight changes.
What Are My Skin Removal Options?
Spiro Plastic Surgery offers standalone and combination approaches to skin removal surgery in New Jersey after significant weight loss. Dr. Spiro evaluates where excess skin remains and which procedures can work together to improve your overall shape. Depending on your anatomy and concerns, he may recommend one or more of the following approaches.
1. Total Upper-Body Lift
Significant weight loss can leave hanging skin along the upper arms, loose folds across the upper back and bra line, and breasts that appear lower or deflated. A Total Upper-Body Lift addresses these changes by combining procedures such as an arm lift to remove excess upper-arm skin, an upper-back lift to reduce skin folds, and a breast lift or breast augmentation to improve breast position, shape, or fullness.
These areas shape the upper body’s overall silhouette, so removing loose skin from the arms alone may leave noticeable folds along the back or sagging through the breasts. Dr. Spiro evaluates how these areas relate to one another and combines procedures to create a smoother, more balanced upper-body contour.
2. Total Mid-Body Lift
For patients with skin laxity throughout the midsection, a Total Mid-Body Lift may combine a tummy tuck with a hip lift, lateral thigh lift, or buttock lift. Loose skin often extends beyond the abdomen, wrapping around the hips and continuing toward the outer thighs and buttocks. Addressing these areas together helps avoid an abrupt transition between a flatter abdomen and untreated loose skin in adjacent areas.
Dr. Spiro also evaluates whether separated abdominal muscles (rectus diastasis) contribute to a rounded midsection, since a tummy tuck may need to address both excess skin and weakened abdominal support. When a patient needs a full tummy tuck to remove excess abdominal skin and repair separated muscles, Dr. Spiro performs liposuction in a separate surgical stage after the tummy tuck.
Related Article: 3 Questions Patients Ask Before a Tummy Tuck

3. Lower-Body Lift
Rubbing, irritation, and discomfort during everyday movement can become persistent concerns when excess skin gathers along the inner and outer thighs. For patients whose loose skin extends toward the knees, a Lower-Body Lift uses extensive thigh lifting to remove the excess tissue and create smoother leg contours.
When remaining fat also affects the shape of the thighs or knees, Dr. Spiro may incorporate liposuction into the surgical plan. Liposuction alone cannot correct loose skin and may make sagging more noticeable by removing the fat beneath it. For patients with significant skin laxity after weight loss, Dr. Spiro uses liposuction to complement thigh lifting, addressing excess fat and loose skin as separate concerns.
Can a Mommy Makeover Address Loose Skin?
A Mommy Makeover is another combination surgery that may include skin removal, but its procedures address different concerns. The tummy tuck portion removes loose abdominal skin and may also repair separated abdominal muscles. Breast lifts or augmentation focus on breast shape, position, or volume rather than serving as general loose-skin removal procedures.
Dr. Spiro customizes each Mommy Makeover based on the changes a patient wants to address after pregnancy or weight loss.
Does Liposuction Remove Loose Skin?
Liposuction removes excess fat, not loose skin. When stretched skin has lost elasticity, removing the fat beneath it can actually make the loose areas look more noticeable. Laxity develops when the skin no longer contracts enough to conform to the smaller shape underneath.
Dr. Spiro may recommend liposuction when the skin still has enough elasticity to settle around a slimmer contour after fat removal. When loose skin and excess fat affect the same area, he may recommend both liposuction and skin removal surgery in New Jersey. If a full abdominoplasty with muscle repair is necessary, he schedules liposuction as a separate procedure after the initial surgery.

How Does Dr. Spiro Choose the Right Skin Removal Procedure?
Dr. Spiro begins by studying the effects of weight loss, pregnancy, or aging on the patient’s body and where loose skin disrupts the overall shape.
During each consultation, he evaluates skin laxity, underlying support, and the areas that matter most to a patient before deciding which procedure or combination fits their unique anatomy and recovery goals.
His recommendations draw on decades of breast-shaping and body-contouring experience, as well as the judgment to understand how separate procedures interact. Improving one area can change nearby proportions, so he plans skin removal with the full body in mind.
Dr. Spiro also brings an artist’s eye to incision placement, scar visibility, and changes in tissue volume. When several areas need significant correction, Dr. Spiro may divide treatment into stages, allowing patients to recover between procedures.
Related Article: Your Guide to Loose Skin Removal After Weight Loss
Shape a More Balanced Silhouette
Removing excess skin may help you feel more comfortable in clothing, more confident in your shape, and more at ease with what you see in the mirror.
Meet with Dr. Spiro to discuss skin removal surgery in New Jersey and create a surgical plan that refines your shape with balance and intention.




