The AEDITION team covers Compounded vs. Branded GLP-1s: What’s the Difference & Is It Safe?

Compounded vs. Branded GLP-1s-pexels-darina-belonogova

If you’ve spent time scrolling social media, talking to friends, or researching weight loss medications online, chances are you’ve come across terms like “compounded semaglutide” or “compounded Ozempic.” You may have heard that these alternatives are often less expensive compared to brand-name [GLP-1](https://aedit.com/aedition/a-comprehensive-guide-to-semaglutide-the-current-skinny-on-the-worlds) drugs, like [Ozempic](https://aedit.com/procedure/ozempic) and [Wegovy](https://aedit.com/procedure/wegovy), and offer similar benefits. But what exactly does “compounded” mean and, more importantly, is it safe? Let’s break it down so you can make the most informed decision for your health (and wallet).

# **What is a compounded GLP-1?**

A compounded GLP-1 refers to a medication that has been custom-made by a licensed pharmacy rather than manufactured by a pharmaceutical company. Compounding pharmacies can mix, alter, or combine active ingredients to create a medication tailored for a patient’s specific needs. With GLP-1s, this often means preparing [semaglutide](https://aedit.com/aedition/a-comprehensive-guide-to-semaglutide-the-current-skinny-on-the-worlds) formulations when brand-name drugs are too expensive or unavailable for the patient. Unlike branded drugs, compounded medications are not FDA-approved. In other words, they don’t undergo the same rigorous clinical trials or quality checks before reaching patients.

# **What is a branded GLP-1?**

So, what is a branded GLP-1? They’re the FDA-approved versions you’ve probably heard of: [Ozempic](https://aedit.com/procedure/ozempic), [Wegovy](https://aedit.com/procedure/wegovy), Rybelsus, and [Mounjaro](https://aedit.com/procedure/mounjaro). Unlike compounded GLP-1’s, branded versions are manufactured by major pharmaceutical companies under strict regulatory oversight. Each batch must meet specified safety, efficacy, and purity standards. Their efficacy is also rigorously tested and backed by large-scale clinical trials.

# **What is the difference between compounded and branded GLP-1s?**

The biggest difference between compounded and branded GLP-1s comes down to regulation, safety, and consistency. Branded GLP-1s are FDA-approved, mass-produced, and subject to ongoing monitoring. Compounded versions, on the other hand, are produced in small batches and can have more variability in quality and formulation. This makes compounded drugs less predictable in terms of safety, dosing, and effectiveness. That’s why it’s so important to work with an experienced board-certified doctor and pharmacy.

# **Why are compounded GLP-1 medications available?**

When there’s a shortage of a commercially available drug or when a patient requires a different formulation, pharmacies will compound the medication. Because demand for Ozempic and Wegovy has far outpaced supply in recent years, insurance providers have offered compounded semaglutide as an alternative for patients unable to access brand-name products. In certain cases, AEDIT Founder and [Board-certified facial plastic and reconstructive surgeon Dr. William Kennedy](https://aedit.com/provider/william-kennedy-md-26292#google_vignette) shares, “Compounded GLP-1 formulations may be combined with additional agents like Vitamin B12 to ease gastrointestinal discomfort, low-dose naltrexone to combat cravings, and metformin to improve insulin sensitivity. These adjustments are tailored to the patient and can help support individual needs.”

# **Are compounded weight loss drugs legal?**

Yes, compounded medications are legal when prepared by a state-licensed pharmacy or FDA-registered outsourcing facility. That being said, there have been instances of pharmacies not having strict protocols or standards and distributing improper dosing and/or impurities. Whenever starting a new medication, always consult with a reputable board-certified doctor.

# **Is compounded semaglutide safe?**

Safety is the biggest concern with compounded versions of semaglutide. Because these medications don’t go through FDA approval, patients may face risks of impurities or incorrect dosing. While there are a number of telehealth services online that can prescribe compounded GLP-1, it’s essential that patients work with a trusted board-certified doctor to ensure the drugs are coming from a reliable pharmacy.

# **Why is compounded Ozempic so much cheaper?**

Without insurance, branded GLP-1 prescriptions can cost more than $1,000 per month. Compounded versions, on the other hand, are often a fraction of that price—sometimes just a few hundred dollars a month. "Brand-name medications like Ozempic undergo FDA approval and extensive quality control, which adds significantly to their price. On the other hand, compounded versions avoid these costs, which is why they’re more affordable, but the level of testing can vary between pharmacies. It’s important for patients to use a reputable source," says [board-certified facial plastic and reconstructive surgeon Dr. William Kennedy](https://aedit.com/provider/william-kennedy-md-26292#google_vignette).

# **Has the FDA warned about compounded GLP-1s?**

Unfortunately, yes, the FDA has issued multiple [warnings](https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/fdas-concerns-unapproved-glp-1-drugs-used-weight-loss) cautioning patients and prescribers about compounded GLP-1s. Concerns are mainly around fraud, improper dosing, unapproved ingredients, and salt forms. The FDA strongly urges consumers to purchase from [state-licensed pharmacies](https://www.fda.gov/drugs/besaferx-your-source-online-pharmacy-information/locate-state-licensed-online-pharmacy) rather than buying online because there is a heightened risk of counterfeit drugs, impurities, and dosing errors.

# **Can you get Wegovy compounded?**

Some compounding pharmacies do offer compounded versions marketed as “Wegovy,” though technically these are unapproved formulations of semaglutide. Earlier this year, the [FDA](https://www.fda.gov/drugs/drug-safety-and-availability/fda-clarifies-policies-compounders-national-glp-1-supply-begins-stabilize) gave pharmacies notice to cease production, saying the semaglutide shortage is resolved. Patients getting Wegovy compounded should understand that these products are not equivalent to the branded version. If you’re considering this route, it’s critical to ensure the pharmacy is reputable and legally compliant.

# **What are the risks of using compounded semaglutide or tirzepatide?**

When receiving any drug that has been compounded, there is a risk that the formulation doesn’t contain the correct active ingredient or could even be contaminated with other ingredients. There’s also a possibility that the compounded drug has incorrect concentrations, which would mean the person is unknowingly under- or overdosing. These risks can have real consequences for health and weight loss goals.

# **How are compounded GLP-1 medications dosed and delivered compared to brand-name?**

Branded GLP-1s come in pre-filled injection pens with standardized doses. Compounded versions, on the other hand, may be supplied in vials, requiring manual measurement and injection. Because there’s a risk of user error, there is an increased chance of dosing errors.

# **Are there risks of impurities with compounded GLP-1s?**

Yes. Without strict FDA manufacturing requirements, compounded medications carry a higher risk of contamination or impurities. Even small inconsistencies can impact safety and effectiveness, especially for injectable medications like GLP-1s, which is why the FDA has warned consumers about the risks of compounded medications.

# **Are compounded GLP-1s as effective and have the same clinical outcomes as branded ones?**

A GLP-1’s effectiveness will greatly depend on how well formulated it is.  [Dr. Kennedy](https://aedit.com/provider/william-kennedy-md-26292#google_vignette) explains, "When prepared correctly with the same active ingredient, compounded GLP-1 medications can be just as effective as branded versions in terms of clinical outcomes. The key difference is that brand-name drugs are backed by FDA approval and large-scale trials, while compounded formulations depend on the quality controls of the individual pharmacy."

# **Who should not take compounded versions?**

Patients with complex medical histories, underlying health conditions, or those at higher risk of side effects should avoid compounded versions. If a patient is eligible for insurance coverage for weight loss drugs, there’s no need for a compounded version.

# **Where can I get compounded GLP-1s safely?**

If you decide to pursue this option, make sure you are working with a state-licensed compounding pharmacy or an FDA-registered outsourcing facility. Always verify credentials, ask about ingredient sourcing, and confirm whether the pharmacy has experience with sterile injectable medications.

# **Will compounded GLP-1s remain available if brand-name shortages end?**

Probably not. The FDA typically restricts compounded versions once branded supply returns to normal levels. That means compounded semaglutide or tirzepatide may not remain an option forever, especially if the only reason for compounding was a shortage.

# **How should patients or prescribers vet compounding pharmacies?**

- Ask the right questions:
- Is the pharmacy licensed in your state?
- Is it registered with the FDA?
- Where are they sourcing semaglutide or tirzepatide?
- Are sterility and potency regularly tested?
- Do you test your medications for quality and safety?
- Are you following national standards?
- Can you show proof of testing results?

# **The Bottom Line**

Compounded GLP-1s may seem appealing due to lower prices and easier access during shortages, but they come with real safety concerns. Branded medications like Ozempic, Wegovy, and Mounjaro are backed by rigorous research and regulatory oversight, making them the gold standard for treatment. Ultimately, the safest approach is to work closely with a trusted healthcare provider to find the right option for you.


Expert Opinion

Compounded GLP-1s like semaglutide or compounded Ozempic may be cheaper than brand-name drugs like Ozempic and Wegovy, but are they safe? Learn the key differences, risks, FDA warnings, and how to choose a trusted pharmacy for weight loss treatment.

Compounded Semaglutide vs. Ozempic & Wegovy: Safety, Risks, FDA Warnings, and What to Know About Compounded GLP-1 Weight Loss Medications

Compounded vs. Branded GLP-1s: What’s the Difference & Is It Safe?

The AEDITION team covers Are GLP-1's covered by insurance? 

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Just a few years ago, you may have only heard about GLP-1 medications (aka [Ozempic](https://aedit.com/procedure/ozempic), [Wegovy](https://aedit.com/procedure/wegovy), [Mounjaro](https://aedit.com/procedure/mounjaro), etc.) through tabloid headlines or celebrity gossip forums. Fast forward to today, and it’s actually gotten hard to avoid the conversation; we’re constantly bombarded by influencers on Instagram and Tiktok, social media ads, and even our own personal networks.

If you’re thinking about jumping on the [GLP-1](https://aedit.com/aedition/a-comprehensive-guide-to-semaglutide-the-current-skinny-on-the-worlds) bandwagon, you might be wondering if your insurance covers it or how much it would be out-of-pocket. That’s why we’ve broken down exactly how coverage works—from private insurance to Medicare and Medicaid—so you’ll know what to expect and how to get the most out of your consultations.

# **Are GLP-1 drugs covered by insurance?**

When prescribed for FDA-approved uses, many patients can get insurance coverage for weight loss drugs. Each brand (e.g. Ozempic, Wegovy, Mounjaro, etc) has their own specific criteria set by the FDA. If you have type 2 diabetes, a BMI of 30 or higher, or a BMI of 27 or higher with at least one weight-related health condition (e.g. high blood pressure, high cholesterol, etc) then you’ll be more likely to find a GLP-1 drug covered by insurance. If your prescription is considered off-label (i.e. its use is not approved by the FDA) insurance is far less likely to cover it.

# **Is Ozempic covered by insurance for weight loss?**

Ozempic is FDA-approved for type 2 diabetes, not weight loss. While it may help with weight reduction, most insurers will only cover it for diabetes management. Some people with prediabetes, insulin resistance, or certain metabolic disorders may get coverage if their doctor can justify medical necessity, but this is not the norm.

# **Is Wegovy covered by insurance?**

Wegovy contains the same active ingredient as Ozempic but is specifically FDA-approved for chronic weight management in adults with a BMI of 30 or higher or a BMI of 27 or higher with at least one weight-related condition. If the criteria isn’t met, it’s unlikely that the insurance provider will cover the prescription.

# **Will insurance cover Mounjaro for weight loss?**

Insurance will most likely not cover Mounjaro® for weight loss since it is only FDA-approved for type 2 diabetes. If you want to take tirzepatide (vs. semaglutide) for weight loss, consider Zepbound™ which is FDA-approved for chronic weight management. Health insurance still has strict coverage criteria for Zepbound, similar to that of Wegovy.

# **What insurance covers GLP-1 medications?**

Coverage for GLP-1 medications varies significantly depending on the type of insurance plan you have. Some private health insurance plans include benefits for weight-management drugs while others exclude them entirely. Medicare will cover GLP-1 medications when they are prescribed for type 2 diabetes, but federal law currently prohibits coverage of medications prescribed solely for weight loss. Medicaid coverage is determined by individual states, so while some states have begun covering GLP-1s for obesity treatment, others continue to limit their use to diabetes management.

# **How do I get Ozempic or Wegovy approved by insurance?**

The approval process typically involves working closely with your healthcare provider to meet the insurance company’s coverage criteria. You will need to demonstrate that you meet the BMI and health condition requirements, and your doctor will usually have to provide detailed documentation of your medical history, including your weight over time, any past attempts at weight loss, and relevant lab results. This information is submitted to your insurer through a prior authorization request. If your initial request is denied, you can appeal the decision, and many patients do succeed in getting coverage after an appeal.

In [Board-certified facial plastic and reconstructive surgeon Dr. William Kennedy](https://aedit.com/provider/william-kennedy-md-26292#google_vignette)’s experience, he shares "when we prescribe a GLP-1 medication, the process usually begins with a prior authorization request submitted to your insurance company. If the initial request is denied, you have the option to appeal the decision, and many patients do succeed in securing coverage through this process."

# **Why won’t my insurance cover GLP-1s for weight loss?**

One of the main reasons insurers deny coverage is cost; GLP-1 medications can run over $1,000 a month. Many insurance companies still classify weight-loss medications as “lifestyle” treatments rather than medical necessities, despite growing evidence of their benefits for long-term health. For Medicare, there is an additional barrier: federal law currently prohibits the program from covering drugs prescribed solely for weight management.

# **Are GLP-1s covered by Medicare or Medicaid?**

Medicare will cover GLP-1 medications like Ozempic or Mounjaro when prescribed for type 2 diabetes. Medicaid’s policies differ depending on the state. In some states, GLP-1s are available for weight management if strict clinical criteria are met while in other states coverage remains restricted to diabetes treatment only.

# **Does insurance cover compounded semaglutide?**

Compounded semaglutide refers to a version of the medication that is mixed or prepared by a compounding pharmacy rather than manufactured by the original brand-name drug company. Because compounded versions are not FDA-approved, they are typically not covered by insurance. Patients may encounter compounded semaglutide if brand-name products are on backorder or if a prescriber is seeking a very specific dosing option that isn’t offered by the manufacturer. 

While compounded semaglutide can seem like a more affordable option, [Board-certified facial plastic and reconstructive surgeon Dr. William Kennedy](https://aedit.com/provider/william-kennedy-md-26292#google_vignette) reminds us to be cautious. "When it comes to GLP-1 medications, safety should always be the top priority. Unfortunately, there are online sources selling compounded or counterfeit products illegally, and the Drug Enforcement Administration has warned against using them. To protect your health, it’s essential to obtain treatment only through a trusted, licensed medical provider and reliable pharmacy, this ensures you receive authentic medication."

# **How much do GLP-1 drugs cost without insurance?**

Without insurance, GLP-1 drugs can be quite expensive. Ozempic typically costs between $900 and $1,200 per month, Wegovy can range from $1,300 to $1,600, and Mounjaro or Zepbound generally fall between $1,000 and $1,400. The exact GLP-1 prescription cost can vary depending on your pharmacy, location, and any available discounts.

# **What diagnosis is needed for insurance to cover GLP-1s?**

The most reliable path to coverage is a diagnosis of type 2 diabetes, which is the FDA-approved indication for several GLP-1 medications. Some weight-loss versions, like Wegovy or Zepbound, may also be covered if you have a BMI of 30 or higher, or a BMI of at least 27 with an additional weight-related health condition.

# **Can I get Wegovy or Mounjaro covered with a BMI under 30?**

It is possible to get coverage with a BMI under 30 if you have another qualifying health condition. For example, people with a BMI between 27 and 29.9 who also have high blood pressure, high cholesterol, sleep apnea, or type 2 diabetes may still meet the criteria for insurance approval.

# **How do prior authorizations work for GLP-1 prescriptions?**

A prior authorization is essentially your insurer’s way of confirming that you meet all their requirements before they agree to cover the medication. Your doctor will need to provide documentation of your BMI, medical history, and previous weight-loss attempts. The process can take days to weeks, depending on your insurer. If your request is denied, you and your doctor can submit an appeal with additional evidence. 

[Board-certified facial plastic and reconstructive surgeon Dr. William Kennedy](https://aedit.com/provider/william-kennedy-md-26292#google_vignette) elaborates on what this authorization could look like, "When insurers ask for proof of 'prior weight-loss attempts' as part of the prior-authorization process for GLP-1 medications, what they’re really looking for are structured, sustained efforts. This often means documenting three to six months of participation in a formal weight-management program such as medically supervised programs, working regularly with a dietitian or nutritionist, or following a defined exercise. These records, along with your BMI and medical history, are essential to show that lifestyle interventions were made under clinical guidance before moving to prescription treatment."

# **Are weight loss medications like GLP-1s ever covered for aesthetic reasons?**

No, insurance companies will not cover GLP-1 medications for purely cosmetic weight loss. Coverage is reserved for patients who meet specific clinical guidelines and whose health may be at risk without treatment.

# **Can I use a savings card if insurance denies GLP-1 coverage?**

A savings card, sometimes called a copay card or manufacturer coupon, is a discount program offered by the drug’s manufacturer that can lower your out-of-pocket cost if you have commercial insurance. These cards work by reducing your copay at the pharmacy, and in some cases, they can bring the price down to a small fraction of the retail cost. If your insurance denies coverage for a GLP-1, you may still be able to use a savings card, provided you meet the manufacturer’s eligibility requirements. Most programs exclude people on Medicare or Medicaid due to federal regulations, and the discount typically applies only to brand-name medications purchased at participating pharmacies.


Wondering if GLP-1 medications like Ozempic, Wegovy, or Mounjaro are covered by insurance? Learn how private plans, Medicare, and Medicaid handle coverage, what criteria you’ll need to meet, and what to expect with costs, prior authorizations, and appeals.

Are GLP-1 Medications Covered by Insurance? | What You Need To Know

Are GLP-1 Medications Covered by Insurance? What You Need to Know

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There’s a lot that goes into [preparing for cosmetic surgery](https://aedit.com/aedition/how-to-prepare-for-your-first-plastic-surgery-procedure). Choosing a procedure and finding the right board certified plastic surgeon are paramount. You’ll also need to make necessary plans for recovery ([we’ve got a guide for that](https://aedit.com/aedition/best-plastic-surgery-recovery-nurses-centers-products)). But all of this is naught if you are not physically fit to undergo the surgical or non-surgical procedure you are interested in. As we’ve covered, [cosmetic surgery is not a substitute for weight loss](https://aedit.com/aedition/why-you-should-lose-weight-before-plastic-surgery), nor is it safe or effective to treat patients who are not at a healthy weight. It increases the [risk of complications](https://aedit.com/aedition/guide-to-cosmetic-surgery-complications) and lessens the likelihood of an optimal result. 

Because of this, it’s important to understand what role weight and body mass index (BMI) play in cosmetic surgery. From there, you may also be curious as to how you should safely go about losing any necessary weight. While taking the time to drop the lbs will cost you exactly that – time – it will almost certainly lead to a safer and more satisfactory outcome. Here, we’re breaking down what you need to know about getting in shape before cosmetic surgery. 

## **The Relationship Between BMI & Cosmetic Surgery**
You want to be at your healthiest before undergoing any elective procedure — including cosmetic surgery. From an aesthetic perspective, it is often recommended to be as close to your ideal weight as possible prior to surgery to maximize the results. “For body contouring procedures, ideal weight on your surgery day is within five to 10 percent of your goal weight,” says [Olivia MaDan, MD](https://aedit.com/provider/olivia-madan-md-34660), a board eligible plastic and reconstructive surgeon in Nashville. “Maintaining this weight range post-operatively should allow for long-lasting surgical results.”

But, depending on your weight, there are additional, non-aesthetic factors to consider. In 2011, an American Society of Plastic Surgeons (ASPS) task force classified patients with a BMI over 35 as ‘high risk.’ A more recent [2018 study](https://pubmed.ncbi.nlm.nih.gov/29595724/), meanwhile, determined a BMI over 30 – coupled with other factors – to be ‘high risk.’ Today, it is generally accepted that ‘high risk’ patients include those with body mass index between 30 and 35, with an elevated BMI being identified as an independent risk factor for surgical complications. 

BMI is meant to act as a measurement of body fat based on height and weight, though all you have to do is think back to your high school health class to remember that BMI is not a perfect measurement. Even so, it can be helpful marker. “Sometimes an elevated BMI can be an indicator for other medical comorbidities – like diabetes, obstructive sleep apnea, hypertension,” Dr. MaDan explains. All of these conditions can interfere with both the surgery itself and the recovery process.

## **Why Lose Weight Before Cosmetic Surgery?**
The goal of any cosmetic procedure (surgical or otherwise) is to achieve a safe and effective result. Being in the best possible shape pre-op is an important part of that. “I view surgery as a partnership with the patient,” Dr. MaDan shares. “The patient may not be concerned about their weight, however, when it affects patient safety, I explain to them why I may not want to take that risk as a surgeon.” In such cases, they can work together to “develop a plan to optimize patient safety and surgical outcome,” she notes.

As Dr. MaDan explains, elevated BMI carries a “[significant increased risk](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3950544/)” of wound healing problems. This is especially true of patients with comorbidities. “Strict blood sugar control is essential to facilitate wound healing and minimize risk of infection,” she says. “Strict blood pressure control can help to minimize the risk of bleeding ([hematoma](https://aedit.com/aedition/risk-of-hematoma-after-facelift)) after surgery.” Furthermore, “patients with obstructive lung disease or obstructive sleep apnea may not be candidates for the ambulatory surgery setting and may be more appropriate in the hospital setting,” she adds.

While every surgeon will have their own parameters, Dr. MaDan has a “strict rule” of only operating on patients with a BMI under 35 for [body contouring surgeries](https://aedit.com/procedure/body-contouring-solutions). “For patients in the 30 to 35 range, I review some before and afters that aren't dramatic transformations – but not necessarily suboptimal – to gauge the patient's expectations,” she explains. “I tell them that a similar result is a realistic outcome and that I would rather disappoint them before surgery instead of afterwards.” This, she says, is usually what kickstarts a discussion about weight loss to achieve more optimal results.  

Depending on the circumstances, Dr. MaDan says she has “[bariatric](https://aedit.com/aedition/what-its-like-to-get-plastic-surgery-after-bariatric-surgery-weight-loss) surgeon and a weight loss clinic” to whom she refers prospective patients. While she offers “check-ins” during the journey, she believes these cases are often best managed by experts, especially when medications, nutrition, and other factors may be involved. Once the patient has made progress, “I will re-evaluate the patient in further consultation before booking surgery,” she explains. This will likely involve both a virtual and in-person appointment. “If a patient is not within that goal weight range, I do not schedule surgery,” she says.

There are, however, some notable exceptions to the rule. “In my practice, I discuss the risk factors associated with elevated BMI and have some leniency when considering certain procedures,” Dr. MaDan notes. A prime example: [breast reduction](https://aedit.com/procedure/breast-reduction). “Some breast reduction candidates have elevated body mass index,” she shares. “It can be understandable – the patient can't necessarily exercise easily due to the size and weight of their breasts.” As such, most patients she treats with elevated BMI are undergoing a breast reduction surgery.  

## **How to Safely Lose Weight Before Cosmetic Surgery**
To start, we have to acknowledge just how personal weight loss is. Each and everyone of us has a different relationship with our body. Regardless, the goal should always be about improving overall health in a safe and sustainable way. That will hopefully parlay itself into a lifetime commitment to your health and wellbeing, which is why we are here to remind you to be patient and kind to yourself on the journey. 

Whether you are preparing for a weight loss surgery or a cosmetic procedure, proper nutrition will be vital to success. “It’s important to note that weight loss surgery patients who achieve some weight loss before surgery actually get better results than those that leave it to surgery alone, and this includes aesthetic procedures such as [CoolSculpting®](https://aedit.com/procedure/cool-sculpting) and CoolTone®,” says [Jennifer Hanway](https://jenniferhanway.com/), a board certified holistic nutritionist. Education, or a lack there of, has a lot to do with this. “[Surgery] does not help the client with the negative effects of overweight or obesity, nor does it help to educate them on which foods nourish the body or build great eating habits,” she notes.

Regardless of whether you are preparing for surgery or not, Hanway approaches all clients who are looking to “achieve healthy weight loss and improve their metabolic health” in a similar way. “My approach is not about rapid fat loss or fad diets, as these can lower the metabolism and a client’s ability to lose weight,” she explains. “I help my clients to improve all aspects of their health, including insulin resistance and inflammation, which, in turn, leads to healthy weight loss.” Achieving “optimum health” is particularly important for those in a pre-op stage because “they will need to be able to recover quickly and easily post-surgery,” she shares.

For this sustained success, Hanway offers the following tips:

1. **Focus on Food**: In Hanway’s estimation, 80 to 90 percent of weight loss comes down to nutrition alone. But that doesn’t mean you shouldn't be working out. “Combining [exercise](https://aedit.com/aedition/best-fitness-classes-workouts-exercises-to-try-at-home) with a strategic weight loss diet is the best way to get results fast – and results that last,” she notes.
2. **Don’t Count Calories**: “There is a big difference between ‘diet culture’ and eating foods that create a state of optimum health in the body,” Hanway emphasizes. From the 1970s until about five years ago, the focus was (wrongly) on calorie counting, low fat diets, and deprivation. “New nutrition science actually shows us that these methods do not contribute to healthy weight loss and can actually be harmful to metabolic health,” she cautions. Instead, she says the key to “achieving a healthy weight” is “eating foods as close to their natural state as possible” and “minimizing processed foods.” 
3. **Skip Sugar**: This likely goes without saying, but [sugary, processed foods](https://aedit.com/aedition/the-impact-of-candy-sugar-sweets-on-teeth-and-skin) are no one’s friend. “Blood sugar balance and insulin sensitivity is the key to helping your body burn fat for fuel and boosting your metabolism,” she explains. “When we eat foods that are high in added sugar and refined carbohydrates, they spike your blood sugar.” That increase tells the pancreas to release insulin. “When insulin is present in the body, we store our food as fat, rather than burning it for fuel,” she says.
4. **Treat Food as Fuel**: “Eating a diet that is [high in veggies, protein, and healthy fats](https://aedit.com/aedition/how-food-impacts-skin-aging) keeps your blood sugar and insulin levels low, allowing your body to tap into its stored body fat for fuel,” Hanway shares. 
5. **Work With a Pro**: “It can be hard to switch from that calorie counting mindset that so many people grew up with, but I love to educate my clients on how to eat foods that nourish their body, help them feel full and satiated, and help them achieve a healthy weight,” Hanway shares. In addition to private coaching, she developed her [Lean & Clean 8-Week Online Program](https://jenniferhanway.com/8-week-clean-eating-meal-plan-for-weight-loss) with this in mind. 

Just as no two cosmetic surgery patients are the same, no two weight loss journeys are alike. With the correct approach, however, there are some general rules of thumb for what is feasible. But, for starters, you have to be clear about what you are working towards. “It’s important to clarify that when we are talking about ‘weight’ what we actually mean is body fat, as we do not want to lose any lean muscle mass as that will actually lower the metabolism,” Hanway says. 

With that in mind, she typically likes to see a 20 pound weight loss over the course of three months in clients that have 30 (or more) pounds to lose. “For me, this means that the client is losing body fat — not water or muscle mass — and will actually keep that weight off in the future,” she explains. From there, a 40 to 50 pound weight loss can be achieved in six months, with up to 100 pounds in a year.

## **The Takeaway**
Deciding to undergo a cosmetic procedure is an extremely personal decision, as is deciding to be at your healthiest prior to proceeding with it. If you are unsure about whether or not you are a candidate for surgery, a consultation with a [board certified plastic surgeon](https://aedit.com/aedition/finding-the-right-plastic-surgeon-dermatologist-or-cosmetic-dentist) will shed light on the safest and most effective course of treatment for your anatomy and goals. If lowering your BMI is necessary, working with a nutritionist or weight loss specialist can help ensure you do so in a sustainable way. Whatever you choose, it’s all about feeling healthy and confident in your body!

Wellness

A plastic surgeon and nutritionist share their tips for safely getting in shape before undergoing elective procedures.

Do You Need To Lose Weight Before Cosmetic Surgery?

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A [weight-loss journey](https://aedit.com/aedition/why-you-should-lose-weight-before-plastic-surgery) is exactly that — a journey. While it may come with its highs and lows, there is no better feeling than reaching your personal goals. As you achieve them, you will probably notice that your body has changed along the way. The fat may be gone, but loose and/or excess skin is often left in its place. One of the most common areas of concern? The [abdomen](https://aedit.com/concern/abdominal-contour). To better understand how to tone and tighten the stomach once you reach your weight loss goals, we spoke to a top dermatologist and plastic surgeon. Below, a guide to the best surgical and non-surgical treatments to treat loose stomach skin.

## **What Causes Loose Stomach Skin?**
No matter the cause, weight gain and loss can have significant effects on the elasticity of the skin. “After rapid weight loss or postpartum, often skin does not shrink back easily,” says [Dendy Engelman, MD](https://aedit.com/provider/dendy-engelman-md-312), a board certified cosmetic dermatologist in New York City. “As a result, some people are left with loose skin.”

As it turns out, collagen and elastin aren’t just the culprits behind sagging skin on the face — they impact laxity from head to toe. “A cause for loose skin is the stretching of the dermis beyond the limits of its elasticity,” explains [Cameron Francis, MD](https://aedit.com/provider/cameron-francis-md-29673), a board eligible plastic and reconstructive surgeon in Del Mar, CA. “After the loss of the underlying fat or birth of the baby, in some individuals, the skin is unable to retract because it has lost its elasticity, like a rubber band that has been overstretched and no longer snaps back to its original length.” It’s worth noting that this process also leads to [stretch marks](https://aedit.com/concern/stretch-marks). Stretch marks “actually represent fracture lines in the dermis,” he shares.

## **How to Treat Loose Stomach Skin**
When it comes to achieving a toned and natural-looking abdomen, Dr. Francis says there are a few key factors that come into play:
 
- Tight internal muscular core
- Sculpted subcutaneous tissues
- Taut abdominal skin
- A youthful belly button

Depending on the severity of the skin laxity, there are both [surgical and non-surgical skin tightening techniques](https://aedit.com/procedure/abdominal-slimming-solutions) that can achieve those results. While non-invasive procedures have little to no downtime, they may not be able to provide the same level of results as their more invasive counterparts. So, what are the pros and cons of each? We break it down:

### **Non-Surgical Skin Tightening**
Non-invasive skin tightening and toning options have come a long way in recent years and “utilize radiofrequencies and/or temperature to deeply penetrate the skin and tissue, stimulating collagen production to tighten skin and reduce fat cells,” Dr. Engelman explains. For the right candidate, “non-surgical treatments are generally the most effective for treating mild skin laxity in select locations [of the body],” Dr. Francis adds. 

Dr. Engelman recommends in-office radiofrequency (RF) procedures for patients looking to tone loose skin after weight loss. For example, [NuEra Tight](https://lumenis.com/aesthetics/products/nuera-tight/) features five different frequencies that allow for a more customized treatment. “This device uses intense radiofrequency to upregulate the dermal components of skin — collagen, elastin, and glycosaminoglycans,” she explains. “Increasing the thickness and density of the structures allows for an improved texture of the skin and also leads to tightening of the treatment area.” It usually takes three or four 30-minute sessions (Dr. Engelman likens the sensation to a hot stone massage) to see results, and there is little to no downtime.

Other popular non-surgical radiofrequency procedures include [Thermage®](https://www.thermage.com/#home) and [BodyTite™](https://inmodemd.com/workstation/workstation-bodytite/), both of which use RF energy to contract both skin and fat tissue. [Emsculpt Neo®](https://aedit.com/aedition/what-its-like-to-get-emsculpt-neo), meanwhile, combines RF with high-intensity focused electromagnetic technology (HIFEM) to reduce fat, firm skin, and strengthen the underlying muscle(s).

### **Surgical Skin Tightening**
On the surgical end of the spectrum, there are different types of procedures that can remove loose or excess skin and improve abdominal contour. The two most common are panniculectomy and abdominoplasty (a.k.a. tummy tuck). 

For patients who have undergone [bariatric surgery](https://aedit.com/aedition/what-its-like-to-get-plastic-surgery-after-bariatric-surgery-weight-loss) or an extreme weight loss, a panniculectomy may be needed to remove a remaining pannus (i.e. large flap of skin and fat that distends over the abdomen). The purpose of a panniculectomy is solely to address the excess skin and fat — not the underlying musculature.

Those who are experiencing less severe cases of loose skin, a [tummy tuck](https://aedit.com/procedure/abdominoplasty) tends to be the gold standard of surgical solutions. It removes excess skin, eliminates unwanted fat, and repairs the abdominal wall in one singular procedure.

“An abdominoplasty involves a two-layered approach to restoring a flat, toned abdomen,” Dr. Francis says. First, the internal structure must be addressed. In the case of pregnancy or a significant weight gain, it is not uncommon for the abdominal muscles to separate. This causes a gap known as [rectus diastasis](https://aedit.com/aedition/diastasis-recti-repair-abdominal-separation-post-pregnancy-weight-loss). “Fixing it is as simple as suturing the muscles back together into their pre-pregnancy [or weight gain] location,” Dr. Francis says. From there, liposuction may be performed to remove excess fat and skin will be resected as needed. “If significant skin laxity is present, liposuction alone can often make the problem worse and skin resection is usually necessary,” he notes.

Whether performed alone or as part of a larger [mommy makeover](https://aedit.com/aedition/mommy-makeover-recovery-healing-process) or [body lift](https://aedit.com/aedition/guide-to-surgical-nonsurgical-body-lifts) procedure, recovering from a tummy tuck requires patience. As Dr. Francis explains, there is “serious downtime” (lasting about five days) before patients carefully return to “some normal activities.” Light cardio can usually resume around two-weeks post-op, but “heavy lifting needs to be avoided for at least four weeks,” he cautions. While [swelling](https://aedit.com/aedition/how-to-treat-minimize-swelling-after-cosmetic-surgery) peaks in the first two weeks, it can linger for up to six months.

## **The Takeaway**
After a [pregnancy](https://aedit.com/aedition/best-questions-to-ask-before-a-mommy-makeover) or during your weight loss journey, loose skin can make an appearance — especially around your stomach. There are, however, an array of surgical and non-surgical procedures to firm and tone the skin. Consulting with a board certified dermatologist or plastic surgeon will help determine the best treatment plan for your anatomy and aesthetic goals.

Aesthetics

The fat may be gone, but loose and/or excess skin is often left in its place. So, what’s the best way to treat it? The AEDITION asked the experts.

Procedures To Tighten Loose Stomach Skin After Weight Loss

How To Tighten Your Stomach Skin After Weight Loss

shutterstock 1530317330

From facelifts and neck lifts to breast lifts and butt lifts, there are many ‘lifts’ in aesthetic medicine that target one specific area. But what about the so-called body lift? This umbrella term can treat an array of concerns below the neck, and we’ve tapped top plastic surgeons and a dermatologist to get the 411 on all things body lifts, skin tightening, and toning. Whether you’re interested in the full-on surgical body lift, minimally invasive alternatives, or even topical treatments, here’s what you need to know to help get that body into tip-top shape.

## **What Is a Body Lift?** 
Generally speaking, body lifts combine several procedures to remove [excess fat](https://aedit.com/concern/excess-fat) and skin. There are both surgical and non-surgical body lift options, but patients who are looking to address significant skin *and* fat concerns will most likely benefit from going under the knife for a ‘lift’ or ‘tuck.’ Surgical body lifts usually come after a substantial weight loss (think: [bariatric surgery](https://aedit.com/aedition/what-its-like-to-get-plastic-surgery-after-bariatric-surgery-weight-loss)), and, depending on the patient and areas of concern, the procedures can address the upper body, lower body, or both.

- **Lower Body Lift**: Body lifts on the lower body typically include a [tummy tuck](https://aedit.com/procedure/abdominoplasty) (abdominoplasty), panniculectomy, [thigh lift](https://aedit.com/procedure/thigh-lift), [butt lift](https://aedit.com/procedure/butt-lift), and/or [monsplasty](https://aedit.com/procedure/monsplasty). 
- **Upper Body Lift**: Body lifts focused on the upper body can feature an [arm lift](https://aedit.com/procedure/arm-lift) (brachioplasty) and back lift. Women may also add a [breast lift](https://aedit.com/procedure/breast-lift) and [liposuction](https://aedit.com/procedure/liposuction) (especially when part of a ‘[mommy makeover](https://aedit.com/concern/mommy-makeover)’).
- **Full Body Lift**: A full body lift combines the upper and lower body lift surgeries, though each set is usually performed several months apart to allow time to recover in between. 

While these surgeries can work wonders when it comes to improving the contour of an area, it’s important to note that they do result in an [unavoidable scar](https://aedit.com/aedition/minimizing-scars-after-surgery). “Some patients with loose skin extending around the lower torso in a donut-like fashion require a circumferential body lift with a scar running completely around the lower mid-section,” explains Chris Funderburk, MD, a board eligible plastic and reconstructive surgeon at [Neinstein Plastic Surgery](https://neinsteinplasticsurgery.com/) in New York City. “And, despite all of the scar creams and laser treatments in the world, a scar is still a scar. It will be visible to some extent.” 

## **Who Is a Good Candidate for a Body Lift?** 
The keys to deciding whether someone is a candidate for a minimally invasive body contouring procedure (like liposuction) versus a more invasive lift to achieve their body goals? The laxity and age of the skin, Dr. Funderburk says.  

New devices on the market, such as [Renuvion®](https://www.renuvion.com/), can tighten the skin to some extent, but these technologies have limits. “Experienced users will know these limits well, since treating a patient with a minimally invasive device who truly requires a skin excision leads to patient and surgeon dissatisfaction,” Dr. Funderburk explains. 

And then there is the influence of age. It is estimated that we lose approximately 6 to 8 percent of our collagen and elastin with each decade of life. These proteins are critical to the elasticity and rebound of the skin. As such, you can generally assume that the older the skin, the more likely it is to require a surgical lift or tuck. “Weight loss patients, especially those that lose weight later in life or lose high amounts of weight, exceed the ability of the skin to rebound and require lifts,” Dr. Funderburk adds. Often, the removal of the resulting loose skin is the final step of a patient’s weight loss journey.

## **What Does Recovering from a Body Lift Entail?**
It is always vital to [find a highly trained provider](https://aedit.com/aedition/finding-the-right-plastic-surgeon-dermatologist-or-cosmetic-dentist) who specializes in the procedure(s) you are interested in, but it takes on an even greater importance [when you are combining](https://aedit.com/aedition/best-surgical-and-non-surgical-cosmetic-procedures-to-combine) a series of complex surgeries. “We know from the scientific literature that the risk of complications increases as we add additional procedures, so the exact order and combination of procedures is something that is discussed in detail between the patient and the surgeon,” Dr. Funderburk shares. 

Specialized surgeons understand that certain combinations of lifts and tucks — such as performing arm lifts and thigh lifts at the same time — can make for a more difficult recovery. During the [consultation](https://aedit.com/aedition/questions-to-ask-your-doctor-during-plastic-surgery-consultation) and pre-op process, be sure you understand what procedures will be performed at what time and how that will impact your healing process. Unlike minimally invasive procedures, recovery from a surgical body lift is more involved.

[Compression garments](https://aedit.com/aedition/benefits-of-compression-garments-after-cosmetic-surgery) are useful in reducing [swelling](https://aedit.com/aedition/how-to-treat-minimize-swelling-after-cosmetic-surgery), and [lymphatic massages](https://aedit.com/aedition/benefits-of-lymphatic-drainage-massages-after-cosmetic-surgery) can help decrease edema or fluid buildup in the area. “Many lifts come with strict activity restrictions, such as no lifting the arms over 90 degrees, [sleeping](https://aedit.com/aedition/sleeping-better-after-cosmetic-surgery-aesthetic-procedures) in certain positions to avoid tension on the wounds, and avoiding [strenuous exercise](https://aedit.com/aedition/when-to-start-exercising-again-after-cosmetic-surgery-procedures) for longer periods of time,” Dr. Funderburk says. 

And don’t forget about those incision sites. Care and attention must be given to the scar(s). “Avoidance of UV light on the healing wound, as well as use of [effective scar creams](https://aedit.com/aedition/scar-minimizing-skincare-to-use-after-surgery) is key to a [less prominent scar](https://aedit.com/aedition/minimizing-scars-after-surgery),” he adds. 

## **Non-Surgical Body Lift Alternatives**
Surgical body lifts can deliver transformative results, but they are not for everyone. In the case of patients who are looking for less significant toning and tightening, there are an array of non-surgical [body contouring solutions](https://aedit.com/procedure/body-contouring-solutions) that can provide similarly impressive benefits.

### **Fat Reduction**
Dealing with stubborn fat that won’t budge with diet and exercise? There are a host of non-surgical fat reduction devices on the market to treat the arms (biceps and triceps), abs, butt, and legs. [CoolSculpting®](https://aedit.com/procedure/cool-sculpting) and [SculpSure®](https://aedit.com/procedure/sculpsure) are two such options (the former freezes away fat cells, while the latter melts them). “We recommend two treatments spaced two to four weeks apart, with full results at 12 weeks,” says [Jennifer Levine, MD](https://www.drjenniferlevine.com/), a double board certified plastic and reconstructive surgeon in NYC. Patients begin to see results at around four weeks. 

Dr. Levine also uses Emsculpt Neo, which combines synchronized radiofrequency (RF) with electromagnetic pulses to tone and sculpt. The electromagnetic energy tightens the skin and increases muscle mass by 25 percent, while the RF decreases fat by 30 percent. Four treatments over the course of four weeks are required, with full results seen around 12 weeks after the last session. One of the benefits of Emsculpt Neo is how it can be customized. “If someone does not want to lose fat and only tighten the muscle, the RF can be turned off,” Dr. Levine notes. 

### **Muscle Stimulation**
Muscle stimulation is one of the best ways to lift and tone the body sans surgery, says [Jessica Weiser, MD](https://aedit.com/provider/jessica-weiser-md-34640), a board certified dermatologist in NYC. Her go-to tool is [TruSculpt® Flex](https://cutera.com/trusculptflex). “It’s an electric muscle stimulation device that has 16 applicators, so it is able to treat eight muscle groups at the same time in three different modes,” she shares. The ‘Prep’ setting warms up muscles for patients who are less active, the ‘Tone’ mode is used to create long lean muscle, and the ‘Sculpt’ option can create muscle definition and muscle bulk, when desired.

As she explains, the treatment can be used on the abdominal muscles — including the rectus abdominis (i.e. the ‘six pack muscles’) and obliques on the lateral abdomen — to lean the stomach, on the buttocks to lift and tone the glutes, on the quadriceps (read: front of the thighs) and hamstrings (posterior thighs) to contour the upper leg, and on the arms. “By creating better muscle tone, the skin is better supported and lifted,” Dr. Weiser says. 

### **Skin Tightening & Smoothing**
When it comes to treating lax skin on the thighs, buttocks, and arms, Dr. Levine turns to [collagen-boosting fillers](https://aedit.com/aedition/everything-you-need-to-know-about-dermal-fillers) like Sculptra® and hyperdiluted Radiesse® to improve firmness, texture, and quality. “Hyperdiluted Radiesse® creates collagen induction over time, so there is gradual improvement,” she explains. Patients will see an initial benefit that continues to improve over the course of six months. 

For [cellulite](https://aedit.com/concern/cellulite), she uses [Qwo™](https://aedit.com/aedition/qwo-cellulite-injectable-treatment-fda-approved), a new injectable that breaks down the fibrous bands that cause dimpling. Three treatments spaced three weeks apart are needed, and the results last a year or more. 

### **Topical Toners**
Much like [skincare](https://aedit.com/aedition/maintaining-skin-with-devices-skincare-products-between-cosmetic-procedures) is a necessary complement to facial aesthetic treatments, Dr. Weiser says some topical treatments can enhance the appearance of body contouring procedures. “The [Susanne Kaufmann Toning Body Serum](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.susannekaufmann.com%2Fproducts%2Ftoning-body-serum) can plump the skin cells to create a smoother and less crepe-like skin surface to make skin appear more firm and texturally improved,” she shares. “And can be used alongside the brand’s [Restorative Toning Body Cream](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.dermstore.com%2Fproduct_Restorative%2BToning%2BBody%2BCream_85547.htm).” The combo boasts [caffeine](https://aedit.com/aedition/caffeine-in-skincare-products-for-eyes-body-cellulite), tiger grass, antioxidants, and more to stimulate the lymphatic system, firm the skin, and improve the appearance of cellulite. 

To give your arms a more sculpted look, try the [U Beauty The Sculpt Arm Compound](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.violetgrey.com%2Fproduct%2Fthe-sculpt-arm-compound%2F). The skin-strengthening serum reduces fluid accumulation, boosts collagen production, and improves oxygen supply for a visibly tightened and contoured effect. 

*All products featured are independently selected by our editors, however, AEDIT may receive a commission on items purchased through our links.*

There are a lot of ‘lifts’ in aesthetic medicine. So, what exactly does a body lift entail? The AEDITION asks the experts.

Guide to Surgical And Non-Surgical Body Lifts

Everything You Need To Know About Body Lifts

shutterstock 1177883428 (1)

Deciding to undergo bariatric surgery is a life-altering decision. Bariatric surgery refers to a number of weight-loss surgeries, with gastric bypass among the most common in the United States. These types of surgery procedures are typically for patients with a body mass index (BMI) over 40 for whom diet and exercise haven't yielded results.

The weight-related results are usually just one step in a much larger journey, as weight loss patients are often left with a body they no longer recognize. As a result, some patients decide to undergo cosmetic surgery once they have reached their desired weight to fine-tune their appearance and remove any lasting visible effects of their past weight.

The types of elective surgical procedures undertaken after significant weight loss vary from patient to patient but often feature body contouring surgery that removes excess skin and excess fat, including: 

- [Abdominoplasty](https://aedit.com/procedure/abdominoplasty) (a.k.a. tummy tuck)
- [Brachioplasty](https://aedit.com/procedure/arm-lift) (a.k.a. arm lift)
- [Breast Reduction](https://aedit.com/procedure/breast-reduction)
- [Mastopexy](https://aedit.com/procedure/breast-lift) (a.k.a. breast lift)
- Panniculectomy (a.k.a. excess skin removal)
- [Thigh Lift](https://aedit.com/procedure/thigh-lift)

While cosmetic surgery procedures are not typically covered by insurance, plastic surgery that accompanies weight loss may be partially or fully covered. Consulting with a board certified plastic surgeon will ensure that you get the right treatment and care for your body. Needless to say, the process of undergoing weight loss surgery and subsequent body contouring procedures can be long and both physically and emotionally challenging. We spoke to three weight loss patients who chose to undergo cosmetic procedures after successful bariatric surgery to find out more about their experience.

## **Jennifer, Long Island**
*Jennifer had gastric sleeve surgery in 2014 and went in for her the first of her cosmetic procedures two years later. After bariatric surgery, she lost 50 percent of her body weight. She saw big changes in the way she looked and felt, and her relationship with her body changed, too. That led to her deciding to have multiple cosmetic procedures, including a breast lift, excess skin removal, and neck lift. Here, she shares how cosmetic surgery was the final step in her feeling like herself again for the first time in a long time.*

<Dialogue>
  <Question party={The AEDITION}>
    Can you tell us a bit about your weight loss story?
  </Question>
  <Response party={Jennifer}>
    I had been overweight for as long as I could remember — always the chubby kid in the class at school. As I got older, I became self-conscious. I would hide my body in baggy clothes, which, in turn, made it easier for me to gain weight because I wouldn’t notice it as much. By the time I was in my late twenties, I was totally withdrawn socially because of it. I started to worry about my health. I lost a decent amount of weight through diet and exercise before the gastric sleeve surgery. I decided to have surgery because my weight loss plateaued for around a year. I discussed my options with my primary care physician and then my surgeon. After the surgery, I lost weight relatively quickly and maintained my target weight for six months, before I went ahead with the cosmetic procedures.
  </Response>
  <Question party={The AEDITION}>
    What pushed you to undergo cosmetic surgery after losing the weight?
  </Question>
  <Response party={Jennifer}>
    I started to appreciate my body again, which was big for me. I was seeing a therapist at the time and ended up going around in circles until I realized that there was nothing wrong with wanting to look pretty even if that meant getting surgery. I had the excess skin removed first. I thought that maybe it was all I needed to get to where I wanted to be physically, but after that, I went ahead with a [neck lift](https://aedit.com/procedure/direct-neck-lift) and [breast lift](https://aedit.com/procedure/breast-lift). Once I recovered from the second surgery, I looked in the mirror and finally liked who I saw looking back at me. It was an amazing feeling, and the only regret I have is not going ahead sooner.
  </Response>
  <Question party={The AEDITION}>
    How do you feel the procedures changed your relationship with your body?
  </Question>
  <Response party={Jennifer}>
    My relationship with my body changed a great deal from before the weight loss to after my last procedure. Before I think I just went through daily life without giving my body or wellbeing a thought. Now, it has shifted completely. I gear a lot of what I do around staying ‘well.’ Before I had the cosmetic procedures, in particular, I felt some shame around my desire to look better, but I’m pleased I was able to work through that. It’s a privilege to be able to alter how we look to feel more confident, and there shouldn’t be shame associated with that. I think I’ve gained more respect for my body, too, and I’ve become stronger emotionally. And, of course, I feel so much more comfortable with who I am now.
  </Response>
  <Question party={The AEDITION}>
    Do you have any advice for those considering weight loss surgery?
  </Question>
  <Response party={Jennifer}>
    I think it’s one of those things that has a lot of different factors that have to be taken into consideration before taking the plunge. Aside from the medical preparation needed before weight loss surgery, I think it’s really helpful to get some emotional support, too. I certainly went through a massive shift in attitude and seeing a therapist helped me navigate that more easily than I probably would have otherwise. I think patients should be aware that the way they feel about their bodies may not change in the ways they initially expected. It’s all a learning curve, but, personally, I can say it has been worth it.
  </Response>
</Dialogue> 

## **Zach, Portland**
*Zach gained weight rapidly in his late teens and throughout college. After trying to lose weight naturally, his doctors advised him to consider weight loss surgery. Due to his rapid weight gain and subsequent weight loss, he had a significant amount of excess skin that he chose to remove surgically. He spoke to us about his experience of the surgery and the recovery process.*

<Dialogue>
  <Question party={The AEDITION}>
    Can you tell us a bit about your weight loss surgery and excess skin removal procedure?
  </Question>
  <Response party={Zach}>
    The surgeon advised gastric bypass was the best route for me, so I had the surgery as soon as I was medically well enough to. Recovery from that surgery was pretty tough — especially in comparison to recovery from the skin removal. After around 18 months, I had reached a weight I was happy with. The symptoms I’d been having before surgery that were linked to the weight had disappeared or improved a lot. I had always envisioned needing to have skin removed after I lost the excess weight. I gained the weight quickly, and the weight loss after surgery was fast, too, so I guess my skin couldn’t keep up! I had spoken to my surgeon about excess skin removal during my first consultation. I wanted to have a clear picture of what to expect. I also needed to be certain I would be able to afford both steps if I needed to.
  </Response>
  <Question party={The AEDITION}>
    How did you decide when to have the excess skin removed?
  </Question>
  <Response party={Zach}>
    The decision was based in part on medical advice and partly when I felt ready. My bariatric surgeon explained I ideally needed to reach my goal body fat percentage and needed to maintain my weight for a while before considering it. There are also other factors I was told about, including the need for me to be able to find a diet that was rich enough in nutrients despite my new restricted appetite so I was strong enough for another major surgery. I went through a period when the weight loss was so exciting. I looked completely different, but then I started to notice the excess skin getting in my way. It became an issue when I wanted to exercise. It was sore and generally acted as a reminder of who I used to be. Honestly, I needed to psych myself up to have another surgery. Recovery from the first procedure was difficult. It was a total lifestyle change, but recovering from the second surgery was straightforward in comparison.
  </Response>
  <Question party={The AEDITION}>
    What was the recovery process from the excess skin removal procedure?
  </Question>
  <Response party={Zach}>
    The first stand-out thing is that it was 100 percent less of a struggle than the main gastric bypass recovery. It was more of a ‘follow the steps and it will work’ kind of recovery, whereas the first surgery was more trial and error — especially with adjusting when to introduce new foods. I was surprised at how soon I was able to move around freely, and the benefits from the skin no longer being there were quite incredible. I had no idea how much I hadn’t been able to do as a result of the skin. It was so nice being able to start feeling ‘normal.’ Aesthetically, it took some time for the swelling to go down and for the scarring to look less angry. It was such a smooth process that I am considering having a similar procedure for the excess skin on my arms and maybe a thigh lift, too. Eventually, I’d like to have the scars treated with lasers so they’re less visible.
  </Response>
  <Question party={The AEDITION}>
    Are you pleased with the results of your cosmetic procedure?
  </Question>
  <Response party={Zach}>
    Totally. To me, it’s still clear that my body’s been through a lot, and I guess if you’re trained or know what you’re looking for, you’d notice, too. I’m not in a position where I feel confident enough to take my shirt off at the beach, but that’s on me more than on the results of the surgery itself. I think clear and frank communication with your surgeon is important. Don’t be afraid to ask them honestly how good the results will be, what to expect from the scars, and so forth. It’s okay to take your time. I know for some people the excess skin becomes painful, so, obviously, there’s more of a rush there. But, if not, hold off until you feel ready. Once it’s done, you’ll see it’s not as bad as you thought it would be.
  </Response>
</Dialogue>

## **Rochelle, Texas**
*Rochelle’s weight loss came after gastric band surgery. She lost weight relatively quickly and ended up with a lot of excess skin, which made her feel like her body was not what she had hoped for after weight loss surgery. Once her weight stabilized, she underwent a number of procedures to tighten the skin on her stomach, thighs, and arms, as well as having a face and neck lift. We spoke to Rochelle about her experience with cosmetic surgery after major weight loss.*

<Dialogue>
  <Question party={The AEDITION}>
    Can you talk us through the sequence of your procedures?
  </Question>
  <Response party={Rochelle}>
    I had weight loss surgery and ended up with a lot of loose skin that I couldn’t sort out any other way aside from having surgery. I knew from the outset it was likely I would need to have excess skin removed after successful bariatric surgery, so I was kind of prepared for it. I had the stomach area seen to first, and the next step was the [thigh lift](https://aedit.com/procedure/thigh-lift) once I recovered from that. I then decided — after having a smooth recovery from those two procedures — to have my arms contoured. Finally, I had a neck and [facelift](https://aedit.com/procedure/smas-facelift). It sounds like a lot, but I waited a year or so between each step and considered it part of my recovery from past unhealthy habits.
  </Response>
  <Question party={The AEDITION}>
    How did you find the recovery time and process from each of the cosmetic procedures?
  </Question>
  <Response party={Rochelle}>
    Recovery from the first two procedures was very straightforward. I think probably because the only other experience of surgery I’d had was the gastric sleeve procedure, and, of course, recovery from that is more ‘drastic,’ for want of a better word. By the time I had the procedure on my arms, I was kind of over having to have another surgery. It took its toll on me emotionally more than anything else, which I think is often the case. But the neck and facelift were a whole other story. It felt like I’d found the missing piece of the puzzle. I’d been waiting to look at myself and see who I used to be before the weight gain, and that was the procedure that finally did it. From speaking to other patients on the same journey, I think recovering from bariatric surgery is as much about finding love for yourself again. The surgery was a key part of that for me.
  </Response>
  <Question party={The AEDITION}>
    Are you pleased with the results?
  </Question>
  <Response party={Rochelle}>
    On the whole, yes. I think one thing that shocked me somewhat was the extent of the scars. They just didn’t cross my mind. That’s something I’d say future patients could maybe look into a bit more. But that aside, the surgery has been life-altering in the best way. I was deeply unhappy before the procedures, and I can’t attribute my shift in attitude completely to the surgery, but it has been a great help. What surprised me most was the change that came from the [panniculectomy] surgery. The excess skin that was removed was able to show the true change in how my body looked, which was awesome.
  </Response>
  <Question party={The AEDITION}>
    Do you have any advice for other people who are considering a similar treatment process?
  </Question>
  <Response party={Rochelle}>
    My main advice is to pace yourself when it comes to scheduling subsequent surgeries. It’s a real temptation to rush through it all, but listen to your body and consult your doctors to see when the right time is for you. I found being a part of online support groups helpful. Some have a bit of a toxic atmosphere, but there are really good ones out there. They helped me to check whether little symptoms were normal or not and also gave me a community, so I felt less alone in going through such a big change. I’d also suggest being as open as you can be with your close friends or family. You will likely need their help a lot during recovery. I made sure to schedule my procedures for times when they weren’t too busy, so caring for me wasn’t a complete burden! It’s a long process, but I think it’s worthwhile.
  </Response>
</Dialogue>

Patient Perspective

Deciding to undergo bariatric surgery is a life-altering decision, and the weight loss results are usually just one step of the journey. Here, three patients who chose to undergo cosmetic procedures after bariatric surgery open up about their experience.

What It's Like To Get Plastic Surgery Procedures After Bariatric Surgery

What Happens After Bariatric Surgery?

shutterstock 721502398

The allure of the before-and-after photo can be so tantalizing: A patient showing off the seemingly instant gratification of a life-changing body transformation completed in a matter of hours. But do those snapshots — ubiquitous on social media — tell the whole story? The short answer is no.

While certain plastic surgery procedures (think: [facelift](https://aedit.com/procedure/deep-plane-facelift), [breast augmentation](https://aedit.com/procedure/breast-augmentation-with-fat-transfer), [rhinoplasty](https://aedit.com/procedure/open-rhinoplasty)) are relatively straightforward in their pre- and post-op immediacy, others — especially those related to the body — often have a backstory involving a commitment made months (or even years) prior to adhere to a healthy lifestyle. And, as it turns out, such discipline is the only way to truly guarantee long-lasting success after an aesthetically-altering procedure. Sure, some providers promise radical physical transformation in the blink of an eye, but there are a growing number of plastic surgeons who are taking a more holistic approach. 

## **Prioritizing Health** 
“When I first meet a body contouring candidate, I talk to them about where they are in their health and fitness journey,” says [Richard J. Brown, MD](https://aedit.com/provider/richard-brown-md-4646), a Scottsdale-based board certified plastic surgeon and author of *The Real Beauty Bible*. “Are they trying to lose weight or are they happy in their own skin?” His goal: create a practice that caters to patients who understand that a successful external transformation begins with an internal shift in mindset. “Surgery is not a weight loss procedure,” he explains. “It’s not a substitute for what you’re trying to achieve in your life.”

Krissy, for one, came to see Dr. Brown toward the end of her own fitness and weight-loss journey. The busy mom of five had gradually stopped exercising and eating well, which left her feeling “stuck” — until she began making small changes to her diet and lifestyle. 

After subbing her fast food and coffee habit for healthy meals at home, she immediately lost 10 pounds in the first month. Easing back into her exercise routine, she dropped 10 more. And while the number on the scale was changing, Krissy wasn’t satisfied. “I realized as the weight was coming off that I was left with this mess of sagging skin, and I couldn’t really even see the results that I was working so hard for,” she says. “I didn’t feel better when I was looking in the mirror.”

Through research, she realized that plastic surgery could be a solution for her excess skin and ended up booking a consultation with Dr. Brown. “It was very scary for me to be feeling super self-conscious and to go in and show a stranger all of my insecurities,” she recalls. “But his office is so kind, so compassionate, and so loving.” 

Dr. Brown believed Krissy could have a great result, but he said it would be even better if she continued to get fit prior to surgery. Taking his advice, Krissy upped her cardio, continued her clean diet, and lost five more pounds before scheduling her “[mommy makeover](https://aedit.com/aedition/the-mommy-makeover-how-to-bounce-back-after-a-baby),” which included a [breast lift](https://aedit.com/procedure/breast-lift), breast augmentation, abdominal muscle repair, [liposuction](https://aedit.com/procedure/power-assisted-liposuction), and [tummy tuck](https://aedit.com/procedure/abdominoplasty). 

Unsurprisingly, the hard work paid off. At four weeks post-op, she looks and feels like her “pre-mom” self. “It was definitely worth it to put in the extra effort before surgery,” she says. “If I hadn’t, I wouldn’t have had such an amazing transformation.”

## **The Risks of Operating On Patients Who Don’t Lose The Weight**
While some surgeons perform what has become known as the “plus-size tummy tuck" (i.e. cosmetic surgery touted as weight loss surgery), operating on overweight patients can carry serious risk. “We know that if your body mass index (BMI) is above 30, you’re at higher risk for pulmonary, cardiac, and healing complications,” says Dr. Brown. 

Obese patients have an increased likelihood of experiencing infections like pneumonia as well as potentially fatal pulmonary embolisms, and, post-surgery, patients with a high BMI are more likely to encounter issues with wound healing due to a propensity for insulin resistance, chronic high blood sugar, and/or poor circulation. “Chronic high blood sugar narrows blood vessels, so basically there’s minimal blood flow through the tiny blood vessels,” Dr. Brown explains. “These patients don’t build strong wounds, so they can rip open their incision, and, suddenly, we’ve got a chronic wound that we’re battling.” It’s also more likely for diabetics to get flesh-eating diseases that a healthy system could normally fight off and kill, he adds.

The simplest way to reduce the chance of such complications is for a plastic surgeon to thoroughly assess a patient’s health prior to any procedure. The first thing Dr. Brown does during a body contouring consultation (be it for liposuction, abdominoplasty, [brachioplasty](https://aedit.com/procedure/arm-lift), [thigh lift](https://aedit.com/procedure/thigh-lift), or body lift) is evaluate the patient’s fitness for surgery. And, while he’s been known to turn down patients looking for quick fixes, it’s never without a plan. “I explain to them that I could cut off this big ol’ thing of skin and they’d feel great, but guess what’s gonna happen in six weeks if they don’t have a healthy lifestyle in place, or if they continue to eat a bunch of junk,” Dr. Brown says. “They’re gonna be right back where they started before surgery.”

After giving birth to twins, Jocelyn* lost 60 pounds of pregnancy weight through a healthy diet and exercise. It was only then that the Arizona mom decided to look into a mommy makeover procedure. She met with four different doctors, and ultimately chose Dr. Brown for her [mini tummy tuck](https://aedit.com/procedure/mini-tummy-tuck) (to eliminate the loose skin of her lower abdomen) and a [breast lift/implant](https://aedit.com/procedure/breast-augmentation-with-implants) exchange procedure because of his extensive medical training and holistic approach. She couldn’t be happier with her results. “It’s an extremely vulnerable moment — you already feel awful about your body, and you’re standing there having someone pick you apart,” she shares. “I felt like when I met with Dr. Brown, I wasn’t meeting with just a doctor but a friend.”

## **Considering All The Factors** 
Dr. Brown is quick to acknowledge that matters of weight aren’t always black and white. While BMI is a helpful tool, it doesn’t always present the full picture. “I don’t always take a hard stance on the number,” he says, noting that increased muscle mass can elevate a healthy person’s BMI. “Part of the process is me looking at the patient and saying, ‘Yeah, your BMI is high, but clearly you’re healthy. You have a bunch of extra skin on your belly because you’ve lost all this weight and built all this muscle. So your BMI may be 35, but you’re an exception to the rule.’”

When faced with a potential patient who is not far enough along in his or her fitness journey, Dr. Brown doesn’t mince words. “When I’m honest with them and I smack them in the face with real talk about losing weight and getting healthy, they’re like, ‘Yeah, I knew that,’” he says, adding that he recently met with a woman who appreciated the candor. Having already met with three surgeons who were ready to operate, “she said, ‘Every single one of them gave me a quote and said they hoped to see me back for surgery. Not one of them told me that to have the best result I needed to lose weight, and I appreciate you saying that.’”

Dr. Brown understands that this philosophy costs him patients with a “want it now” attitude, but it’s a sacrifice he’s willing to make. While he used to operate on patients with a BMI around 32 or 33 who still had weight to lose, he now knows it’s not worth it for either party involved. “I’ve shifted my thinking with this whole wellness mindset,” he says. “I’d rather lose them as a patient than do a surgery that’s not really doing them any service.” For those willing to look at the bigger picture, however, the results can be transformative. “If they want to engage in the process and they’re with me 100 percent on this life-long change, that’s the person I want,” he says. “That’s who I’m after.”

*Patient’s name has been changed

Social media may be filled with dramatic before-and-after pictures of patients turning to plastic surgery to create the illusion of weight loss, but The AEDITION spoke to the experts about why it’s important to get in shape before going under the knife. 

Why Plastic Surgery Is Not A Substitute For Weight Loss

Get Fit First: Why Plastic Surgery Isn't A Sub For Weight Loss

shutterstock 417086011-min

We’ve all entertained some version of the same fantasy: skipping the gym in favor of a Netflix marathon while still losing weight. Well, what was once dismissed as a daydream is increasingly becoming a reality. Recent advances combined with new applications of existing technology have turned non-surgical body contouring into big business, providing both plastic surgeons and patients with a range of alternatives to traditional subcutaneous [fat removal](https://aedit.com/procedure/power-assisted-liposuction). While surgeons universally agree there is still no substitute for [liposuction surgery](https://aedit.com/procedure/tumescent-liposuction), several technologies do deliver subtle results with significantly less recovery time.

Let’s be clear: non-invasive body contouring treatments are not a substitute for significant weight loss or maintaining a healthy, active lifestyle. According to board certified Beverly Hills plastic surgeon [Payman Danielpour, MD](https://aedit.com/provider/payman-danielpour-md-797), good candidates for these cosmetic fat reduction treatments are “those who diet and exercise but who have resistant fat deposits. If they’re in shape, a non-invasive option is fantastic.” On the other hand, he says, “Sometimes I end up telling patients that they’re not going to get the results they’re looking for. If they are overweight or they have loose skin from losing weight, then surgery is the more realistic option. It all depends on the amount of fat being targeted and their goals. Each individual is different.”

Still, plenty of people fed up with their stubborn fat pockets are flocking to doctor’s offices and treatment centers for these body ‘tweakments’. They also pair well with other non-invasive treatments and/or surgical procedures. “We have clients who come in for CoolSculpting® on their love handles and we treat their six-pack with EMSculpt® as well,” says Dr. Danielpour. Multitasking frequently extends to facial treatments, too. “We’ll do [HydraFacials®](https://aedit.com/procedure/hydrafacial) while [body contouring](https://aedit.com/procedure/abdominoplasty), or [PRP microneedling](https://aedit.com/procedure/microneedling-with-prp)," he says. "The beauty of this is they just walk right out afterwards. The discomfort that you have with surgical treatment is far more than doing a non-invasive procedure.” 

Fantasizing about shedding fat from the comfort of your couch? While we can’t make any promises, here’s the skinny on three of today’s most popular fat-blasters.

## **Freeze It**

Since 2010, the Food and Drug Administration (FDA) approved [CoolSculpting®](https://aedit.com/procedure/cool-sculpting) and it has been helping patients eliminate excess fat from the belly, flanks, thighs, back, upper arms, and most recently, double chin. The machine, which requires “enough fat to pinch,” according to Dr. Danielpour, works by suctioning the skin that surrounds the fat cells, then cooling the area until the fat cells freeze and die – a process known as cryolipolysis. “In terms of non-surgical fat reduction, there is nothing better than CoolSculpting® on the market," he says. "You can take the probes and put them just about anywhere on the body, and on average, 25 percent of the fat will be gone in three months.” 

### **The Skinny**

- **Cost Per Session:** $750 per area per treatment. “The love handles are two areas,” says Dr. Danielpour. 

- **Treatment Sessions Required:** According to Dr. Danielpour, “Most people require two sessions per area.”

- **Duration:** About 30 minutes to an hour per area.

- **Pain/Discomfort:** Patients with sensitive skin may be uncomfortable as the machine numbs the skin, but after that, there is usually no pain. In Dr. Danielpour’s experience, “Sometimes there can be a little bit of nerve pain that will resolve in a couple of weeks," but it's usually temporary.

- **Downtime/Side Effects:** None.

- **Results:** Noticeable changes as soon as a few weeks; full results develop over two to six months as the body flushes out the dead fat cells. 

- **Fat Reduction:** According to company data and Dr. Danielpour’s estimates, around 25 percent.

- **Muscle Increase:** None.

- **FDA-Approved:** Yes.

- **Risks:** Temporary nerve damage that generally resolves in a matter of weeks, as well as something called paradoxical adipose hyperplasia (PAH) – a phenomenon that actually causes the fat cells to grow and harden in response to the extreme cold. Also known as the “stick of butter” effect for its rectangular resemblance to the machine’s suction probe, the complication occurs in fewer than one percent of CoolSculpting® cases. Fortunately, the problem is completely solvable, according to Dr. Danielpour. “I’ve never had a case of it in my practice, but I was referred to a patient who had it. I performed liposuction, and the patient was fine," he says.

- **Maintenance:** None.

### **What It's Like**

“I was concerned about stubborn fat on my flanks and lower abdomen,” says Athena, who got CoolSculpting® from Dr. Danielpour. The treatment itself was “very cold, but tolerable. The cold feeling eventually subsided and became numb," she says. "The two-minute massage of the treatment area immediately afterward was not very comfortable. It feels tender and numb, almost as if your skin is thawing out.” Athena was able to resume normal activities right away, including a workout the next day, in spite of being slightly sore in the treatment area. She began to see results in about six weeks, “although full results did not take effect until the three month mark.” Athena was so pleased with her initial CoolSculpting® results that she opted to re-treat the same area as well as other areas like her flanks and inner thighs. "CoolSculpting® helped the bulge on my lower abdomen decrease, where now my abdomen is almost completely flat,” she says. 

## **Melt It**

Promising shorter treatment times with similar results as Coolsculpting®, Cynosure's [SculpSure®](https://aedit.com/procedure/sculpsure) eliminates stubborn pockets of pudge by selectively heating fat cells through controlled, low-level laser energy. The body contouring treatment is currently approved by the FDA to address excess fat found in the abdomen, flanks, back, inner and outer thighs, and under the chin. According to company data, each 25-minute treatment permanently destroys up to 24 percent of targeted fat cells. The body naturally expels the dead fat cells through the lymphatic system over the course of six to 12 weeks.

### **The Skinny**

- **Cost Per Session:** On average, $400 per panel per treatment. Most patients require a maximum of four panels to treat the abdominal area, for an average total of about $1,600 for that area.

- **Treatment Sessions Required:** According to SculpSure®’s website, patients generally benefit the  most from a series of treatments.

- **Duration:** About 25 minutes per area.

- **Pain/Discomfort:** Most patients experience a strong warming sensation followed by periods of cooling. Because everyone’s pain tolerance is different, mild to moderate discomfort has been reported.

- **Downtime/Side Effects:** There are no activity restrictions, though patients have reported mild swelling and tenderness in the treated area for a couple of days. 

- **Results:** Full results develop over six to12 weeks as the body expels the dead fat cells. 

- **Fat Reduction:** According to company data, around 24 percent.

- **Muscle Increase:** None.

- **FDA-Approved:** Yes.

- **Risks:** While there are no known risks or complications, anyone pregnant should not use the technology.

- **Maintenance:** None.

## **Work It**

“We’re very excited about EMSculpt®,” says Dr. Danielpour. “It’s the only technology that builds muscle using a high intensity focused electromagnetic field, which induces powerful muscle contractions that you can’t do yourself.” FDA-approved for use in the abdominal and gluteal areas, one session with this machine essentially provides more crunches and squats than humanly possible. “It’s like doing 20,000 situps in 30 minutes or more squats than you could ever imagine.” Those intense repetitions, known as “supramaximal” muscle contractions, build muscle and induce lipolysis, or fat cell death. The machine has variable settings, which the provider controls according to the patient’s tolerance level. Four sessions over the course of a couple of weeks are purported to leave a relatively fit person looking like they’ve spent the last six months toiling in the gym. But like any workout regimen, this body contouring treatment requires regular maintenance: one session every three to six months is recommended to keep that sleek physique.

### **The Skinny**

- **Cost Per Session:** $1,000 per area.

- **Treatment Sessions Required:** Generally, four over the course of two to three weeks.
 
- **Duration:** About 30 minutes per session.
 
- **Pain/Discomfort:** While it’s not regarded as painful, the sensation has been described as a strange, slightly uncomfortable vibration by some. 
 
- **Downtime/Side Effects:** Mild muscle soreness afterward, similar to that of working out.
 
- **Results:** Patients describe feeling more toned immediately following treatment; full results develop within a few weeks following the fourth session.
 
- **Fat Reduction:** According to company data, 16 percent average.
 
- **Muscle Increase:** 19 percent on average.

- **FDA-Approved:** Yes.
 
- **Risks:** While there are no known risks or complications, anyone with metal in their body (like rods, pins, copper IUDs, pacemakers, etc.) cannot use the technology.
 
- **Maintenance:** One session every three to six months is recommended.

### **What It's Like**

CoolSculpting® patient Athena also opted for EMSculpt® sessions “to tone my abdomen in addition to reducing a small pocket of fat. You periodically feel your abdomen contract (I was able to tolerate it at the highest setting right away). The only uncomfortable part of this treatment was that the placement made it difficult for me to avoid feeling a contraction near my hip flexor.” Athena was able to resume her normal exercise routine the next day, with some slight soreness. “In comparison to CoolSculpting®, EMSculpt® treatment was definitely more comfortable. Immediately after the treatment, I saw a contraction of my abdomen with more definition of my muscles.” It took Athena close to two months to see the final results. “Initially, I did not think I saw any long term results. However, once I approached the eight-week mark, I noticed my abdomen felt tighter, and indeed the tiny pocket of fat on my lower abdomen had decreased.” Although she describes the results of EMSculpt® as significantly more subtle than that of CoolSculpting®, Athena recommends both, saying that EMSculpt® “provided extra definition to my abdomen.”

It’s important to remember that while these non-invasive body [contouring techniques](https://aedit.com/aedition/8-non-invasive-cosmetic-treatments-that-save-you-time) don’t carry the same risks associated with plastic surgery, they are medically regulated procedures best performed by highly trained professionals. When deciding which fat reduction method is right for you, it all comes down to the goals and expectations you discuss with your aesthetic surgeon. 

And before you get excited about having your cake and eating it, too, remember: although these non-surgical treatments really do get rid of fat for good, they’re not a free pass from living a sensible lifestyle. For optimal results, patients need to stick to a healthy regimen. Says Dr. Danielpour, “We’re all born with a set number of fat cells. These treatments actually kill the fat cells. In the treated area, you won’t be able to gain weight. The one thing I tell people is if you maintain your weight, you will see a very nice result. If you gain like 30 pounds, your arms and legs will get bigger. If you gain weight, all bets are off.”

Technological advancements in body contouring have made fat loss easier than ever before. As long as you know what to expect.