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Plastic Surgery/Excess skin removal after weight loss


I have lost a great deal of weight but am still at 350lbs (please don't judge, my weight was caused by prescription meds). I already have a lot of excess skin mainly in my thighs, pelvic area, belly and breasts but I am slowly starting to get some in the "bat wings" area. I realize I still weigh a lot but what is the maximum weight I would have to be at to have a plastic surgeon consider removing even just the knee to belly button area? I am asking you only because I just moved and the wait list for a family doctor is 1-2 years and the excess skin is affecting me being able to wear clothes, bathe and exercise and the excess skin on my thighs is getting in the way when going to the washroom.

from Dr. Alan Engler

Hi Kes,

Thanks for the question but there is no way I can answer it via this forum.  You would need to be seen in person by a board-certified plastic surgeon who can assess you, from both the anatomical and medical standpoints.

And "just the knee to the belly button area" is still quite a bit (nothing personal, of course...) and can involve, even for that region alone, more than one surgical procedure to achieve an adequate result.  And, of course, if you were to do the surgery now and then lose more weight, you might have to redo some of the areas.

The best thing is to get down to the lowest weight that you think you can reasonably maintain, and then be assessed in person by several surgeons.  That way you'll have several different opinions to choose from or, if they all say the same thing, you can be confident that that's the right direction to go.

I hope that this helps and good luck,

Dr. Alan Engler
Member of #RealSelf100

Plastic Surgery

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Alan M. Engler, MD, FACS


Dr. Engler has answered over 6500 questions on social media sites, including over 3500 on AllExperts alone. His expertise includes breast surgery (breast enlargement with implants, breast reduction, breast lifts), liposuction, eyelid surgery, tummy tucks, facelifts, lipomas, skin cancers, cysts, etc. Dr. Engler has been listed as one New York`s Top Doctors, and as "One of the World's Most Famous Aesthetic Surgeons" (Aesthetic Surgery, TASCHEN Books, Angelika Taschen, Editor). He is the author of 4 books, including "BodySculpture" (a best-selling plastic surgery book on breast surgery, liposuction and tummy tucks), "EyeScapes" (Plastic Surgery of the Eyelids), "Restylane," and "The Slim Book of Liposuction." Dr. Engler has two US Patents for surgical instruments that he's designed, and has appeared on numerous television shows, including The Tyra Banks Show, The Ricki Lake Show (four times), the Dr. Keith Ablow Show and Jerseylicious. Videos of his appearances are available on YouTube (search for "DR. ENGLER"), and his discussion of breast implants, also on YouTube is "How to Choose a Breast Implant." His website is Follow Dr. Engler: @AlanEnglerMD


Dr. Alan Engler is a board-certified plastic surgeon in New York and the author of BodySculpture - Plastic Surgery of the Body for Men and Women (ISBN 0966382749) one of the top-selling plastic surgery books on,, as well as EyeScapes - Plastic Surgery of the Eyelids.

Dr. Engler graduated from Yale University (BA, Russian Studies) and the Columbia University College of Physicians and Surgeons (MD). He did his residency training in General Surgery and, after that, Plastic Surgery, at the Montefiore Medical Center in New York. He is on the faculty of the Albert Einstein College of Medicine in New York in the Departments of both Surgery (Plastic Surgery) and Medicine (Dermatology), and is a Special Lecturer in the Department of Dermatology at Columbia University in New York. He has admitting privileges at Beth Israel Medical Center and Montefiore Medical Center, both in New York.

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