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Post Bariatric Surgery Cosmetic Treatments: Tightening the Skin after Massive Weight Loss




Our society has been making big strides in massive weight loss.  This includes people living longer and wanting to be healthy, society’s current attitudes for fitness and new less invasive surgical techniques.  In addition, television shows like “The Biggest Loser” have shown millions of Americans that “it can be done, it is never too late.”

While it is great to see these patients lose massive amount of weight and have a healthier life, the average person does not think about the “new enemy” and that is excess skin.  When patients lose large amounts of fat, the skin, unfortunately does not shrink at the same rate.  Patients that have lost many pounds now have the new problem of hanging skin.  It hangs on their abdomens, thighs, breasts, arms and faces.  The final step in transformation for many of these patients is surgical removal of the excess skin.  Most patients begin with the excess skin on the face and neck as it cannot be hidden with clothes.  I have performed face and neck lifts on numerous patients after massive weight loss.  They are always very motivated patients as they have been down a long road and removing the excess skin is the final chapter.  It is enjoyable as a cosmetic facial surgeon to have a big hand in this rejuvenation.

Name: Brenda Hernandez

Family: Husband Chico, and 3 children.  Two boys who live out of state and 1 girl who is local.  Six     grandchildren ranging in age from 3 months to 16 years old.

Age: 66

Occupation: Retired

Hobbies: Playing with Poo, her Yorkie pup.  Having a great laugh

Procedures Performed: Comprehensive face lift with chin implant.

Why did you have Cosmetic Surgery?

The reason I wanted cosmetic surgery is because I had bariatric surgery and I wanted and I had lose skin which made me look old and affected my self confidence

Why Did You Choose Dr. Niamtu?

After searching a myriad of cosmetic surgeons, I chose Dr. Niamtu because he and his staff answered all my questions in depth and to my satisfaction.  Also, he specializes in faces and necks and that was important to me.  All he does is cosmetic facial surgery.  A lot of doctors do some cosmetic surgery, but only a few limit their practice to only cosmetic surgery.  I wanted someone that did cosmetic facial surgery and nothing else.  They have the most cosmetic experience.

Dr. Niamtu and his staff were always available for me, before, during and after my surgery to answer any questions.  He really made me feel like a special patient.

What were you hoping to achieve with the surgery?

I lost my weight, I wanted to lose my skin, I wanted my life back.  I was hoping to end the years I spent looking in the mirror and not feeling good about myself.

How Do You Like Your Result?

I am overjoyed with the results.  I look and feel like a new person.

What advice would you give other women considering cosmetic facial surgery?

Anyone considering this type of procedure should move ahead and not look back.  Above all, do it for yourself.  The results clearly outweigh any indecision on your part.

Any special thoughts on your experience?

People ask me if I would have it done again; a big resounding YES!

Comments from Dr. Niamtu:

Cosmetic facial surgery after weight loss surgery is becoming more and more common.  All of these patients do their face and neck first as that is the only part of the body that can’t be hidden.  These patients have put a lot of time, money and energy into getting rid of the excess weight and are very motivated to get rid of the skin.  Brenda and her husband have been excellent and fun patients.

For more information on cosmetic facial surgery by Dr. Joe Niamtu, III visit





Office Address

Joe Niamtu III, DMD
11319 Polo Place
Midlothian, VA 23113

Office Hours

Monday - Friday
8:00am - 5:00pm

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