Jason Emer, MD, FAAD, FACS

From Skin Suit To Sculpted A Three Phase Body Transformation After Major Weight Loss

From Skin Suit To Sculpted: A Three Phase Body Transformation After Major Weight Loss

How Dr. Jason Emer rebuilds the body after massive weight loss using circumferential skin removal, high definition liposculpture, fat grafting and plasma skin tightening across three surgical phases.

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Still from the filmed session. Individual results vary.

THE DETAIL IS THE DIFFERENCE.See the results ↓

Dr. Jason Emer MD · FAAD · FACS

MD, FAAD, FACS: board-certified dermatologist and cosmetic surgeon
Former Chief Resident in dermatology, Mount Sinai, New York
More than 10,000 patient encounters
Male facial sculpting longer than anyone in the United States
The highest filler volume on the West Coast
West Hollywood and New York

The practice's own photographs

Before. After.

Patients of the practice, from Dr. Emer's published before and after gallery. Each case is one patient. Individual results vary.

Before and after, Torso Chest, patient 253172 — Torso ChestPatient 253172

Before and after, Torso Chest, patient 255769 — Torso ChestPatient 255769

Before and after, Torso Chest, patient 255792 — Torso ChestPatient 255792

Before and after, Torso Chest, patient 255795 — Torso ChestPatient 255795

Before and after, Torso Chest, patient 252971 — Torso ChestPatient 252971

Before and after, Torso Chest, patient 253014 — Torso ChestPatient 253014

See the full before and after gallery

Three-phase surgical reconstruction after massive weight loss: circumferential body lift, chest and arm lift, thigh lift, vaser liposuction, Renuvion plasma tightening, and fat grafting to the chest, shoulders and buttocks staged across months of continued training and peptide therapy.

Your plan starts with Dr. Emer.

Schedule Consultation

Reserve online. West Hollywood and New York.

From the filmed session

Inside the treatment. With Dr. Emer.

Unbelievable Skin Transformation: From SKIN SUIT to SCULPTED!

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What Dr. Emer did · MAXORIS

Every procedure. In order.

01

Phase One: Circumferential Body Lift with Fat Grafting MAXORIS^™ APEX

Full 360-degree skin excision from torso, vaser ultrasonic liposuction to harvest fat and undermine tissue, Renuvion plasma applied to upper back, mid back and lower back for skin contraction, three-layer closure with drains placed to collect fluid, fat purified and grafted to upper buttock for shape and to chest for foundation, intracuticular final layer following natural body curves.

“we're going to start in Phase One today doing a full body lift all the way around his body to remove skin so that he can feel better about himself look athletic see his penis more and just have all the that self-confidence back”
Dr. Emer, in the film
02

Phase Two: Chest Lift, Arm Lift and Shoulder Contouring MAXORIS^™ APEX

Full male chest lift with inferior pedicle technique and nipple repositioning, arm lift with anterior incision placement and tension-tailored closure, vaser liposuction to calves with aggressive treatment at bulk and blending to ankle, Renuvion plasma to calves and inner arms, Morpheus radiofrequency to outer skin for wrinkle prevention, fat grafting to shoulders for broader athletic appearance and additional chest volume.

“in a man just like a women's breast lift we got to do that today in him we also got to do that in his arm and we're going to use his fat to build out his shoulder a little more chest and buttock and really Contour his overall body”
Dr. Emer, in the film
03

Phase Three: Thigh Lift with Final Sculpting MAXORIS^™ APEX

Full thigh lift with anterior incision first, tension assessed before posterior cut, vaser and liposuction to inner and outer thigh, Renuvion plasma to areas not surgically lifted for cellulite reduction and skin contraction, additional purified fat grafting to upper chest and lower buttock for final shaping.

“we're covering a wide area this has medicine in it that will wake make it so that when he wakes up he doesn't feel pain but it also decreases um bruising and swelling and helps us remove the fat safely”
Dr. Emer, in the film

Why patients fly in

What Dr. Emer does differently.

Multi-phase staging around continued weight loss and training

The plan was built across three separate surgeries months apart, allowing the patient to continue losing weight on peptides and return to the gym between phases, with each surgery adjusted as his body changed.

“now he's on peptides has lost significant amount of weight and he's back in the gym so since this new body shape has taken form we are going to focus on his legs today”

Vaser undermining before every skin excision

Vaser ultrasonic liposuction was used not only to harvest fat but to undermine tissue and lift it away from muscle, ensuring tension-free closure and preventing streaks, fibrosis or indentations in sensitive areas like the calves.

“when we do this technique especially if we're going to do lipo we need to get it super wet so we are doing a large volume to this area he also has a lot of skin”

Renuvion plasma applied even to areas being surgically lifted

Plasma tightening was performed on skin that would later be pulled and excised, not just left-behind tissue, to improve skin quality, build collagen and ensure the final result was smooth and tight rather than relying on tension alone.

“a lot of people don't think to do this because they think they're going to do a tuck everything's going to pull tight we still want his skin to have good turer we want it to be tight even if we're pulling this down”

Fat grafting for masculine shape, not just volume

Harvested fat was purified and strategically placed in the upper buttock for a soccer butt lift, the chest for Gladiator cleavage and foundation, and the shoulders to create a broader, more athletic upper body as the arms and chest tightened.

“we want his upper body to look more Broad and athletic by adding fat to his shoulder help more of that rounder look and a little bit more athletic in appearance”

Visible scars accepted and placed for function, not hidden at all costs

Dr. Emer and Dr. Roos planned incisions to follow natural body contours and close without excessive tension, but the scars are visible and necessary to remove the volume of skin a massive weight loss patient presents.

“when you lose this much weight you actually have to have a visible scar on the outside to lift everything up in a man just like a women's breast lift we got to do that today in him”

THE THINKING BEHIND THE TREATMENT

The story.
The decisions.
The details.

Follow Dr. Emer’s approach through the stages described in this case.

Back to the video ↗

01Before
The starting point
A three phase surgical plan to remove loose skin and rebuild the body after massive weight loss.
This patient lost a significant amount of weight through diet, exercise and peptide therapy. The weight came off, but the skin did not. Loose skin covered his chest, stomach, arms and legs, hiding the shape he worked for under tissue that no amount of training could tighten.
02The plan
What Dr. Emer decided to do
Staged around recovery, healing and continued weight loss.
03The session
In the room, in order
Dr. Emer and Dr. Roos planned a three phase transformation. Phase one was a full circumferential body lift with fat grafting to the buttocks and chest. Phase two lifted the chest and arms while contouring the calves and shoulders. Phase three completed the legs with a thigh lift and final sculpting. Between surgeries, the patient continued losing weight on peptides and returned to the gym.
- Phase one: circumferential body lift
- Phase two: chest and arm lift with contouring
- Phase three: thigh lift and final sculpting
- Recovery and continued training

Read the complete story +

The patient story

What massive weight loss leaves behind

This patient lost a significant amount of weight through diet, exercise and peptide therapy. The weight came off, but the skin did not. Loose skin covered his chest, stomach, arms and legs. The shape he worked for was hidden under tissue that no amount of training could tighten.

Dr. Emer and Dr. Roos planned a three phase surgical transformation: phase one addressed the torso with a full circumferential body lift, phase two lifted the chest and arms while contouring the calves and shoulders, and phase three completed the legs with a thigh lift and additional fat grafting to the chest and buttocks.

Phase one: the circumferential body lift

The first surgery removed skin all the way around the body. Dr. Emer used vaser ultrasonic liposuction to break apart fat cells and harvest fat for later grafting, then applied Renuvion plasma to contract the skin before the lift. The goal was to undermine the tissue so the body lift could close without excessive tension.

Excess skin was removed from the upper back, lower back, flanks and abdomen. The incisions followed the curve of the upper buttock and lower back, closed in three layers with drains placed to collect fluid over the following days. Harvested fat was grafted to the upper buttock to create shape and to the chest to build a foundation for the later chest lift.

Phase two: chest lift, arm lift and body contouring

The second phase focused on the upper body. When you lose this much weight, a visible scar is required to lift the chest, the same principle as a breast lift in women. Dr. Roos performed a full chest lift with nipple repositioning using an inferior pedicle technique, moving the nipple from its descended position to the border of the pectoral muscle.

At the same time, Dr. Emer contoured the calves using vaser and Renuvion, sculpted the arms with skin removal and closure in three layers, and grafted fat to the shoulders to create a broader, more athletic upper body. Morpheus radiofrequency was applied to the inner thighs to tighten loose skin in areas not being lifted surgically.

Phase three: thigh lift and final sculpting

By the third phase, the patient had continued losing weight on peptides and was back in the gym. His new body shape had taken form, and the final surgery addressed the legs. Dr. Emer performed a full thigh lift with liposuction and vaser to the inner and outer thighs, then used Renuvion plasma to tighten areas not being lifted.

Additional fat was grafted to the upper chest to enhance the lift from phase two and to the buttocks for increased size and shape. The thigh lift incisions were tailored during closure to assess tension and ensure the skin came together without excessive pull.

Why this is a multi phase plan

Each phase was planned around recovery, healing and the patient's continued weight loss and training. Skin removal, fat grafting, plasma tightening and contouring were staged so the body could adapt and so each result could inform the next.

This is not a single surgery. It is a reconstruction of the body after massive weight loss, and candidacy depends on how much skin needs removal, how much fat is available for grafting, and whether your goals fit a multi phase surgical plan.

The treatment, explained

What is post-bariatric body contouring?

Also called post-weight-loss body reconstruction, massive weight loss body lift, circumferential body lift, lower body lift, thigh lift, arm lift, brachioplasty, male chest lift, gynecomastia surgery after weight loss, skin removal surgery, body lift with fat grafting, vaser liposuction, Renuvion plasma skin tightening, J-Plasma body contouring.

What it is: Post-bariatric body contouring, also called post-weight-loss body reconstruction, is a series of surgical procedures that remove excess skin, tighten remaining tissue, and restore shape after massive weight loss. The treatment combines skin excision (body lift, arm lift, thigh lift, chest lift), liposuction to remove remaining fat and harvest it for grafting, energy-based skin tightening (Renuvion plasma, Morpheus radiofrequency), and fat transfer to areas that need volume or definition. It is staged across multiple surgeries, planned around healing, continued weight loss and return to exercise.
How it works: Each phase begins with tumescent fluid infiltration containing anesthetic and vasoconstrictors to reduce pain, bruising and bleeding. Vaser ultrasonic liposuction emulsifies fat for removal and undermines tissue to lift it away from muscle, preventing irregularities and allowing tension-free closure. Renuvion subdermal plasma heats and contracts collagen in skin that will not be excised, improving texture and reducing sagging. Skin is then excised along marked lines, and the wound is closed in three layers: deep fascia, deep dermis, and intracuticular suture to bring skin edges together. Drains are placed to collect fluid during early healing. Harvested fat is purified through centrifugation or filtration and injected into the chest, shoulders or buttocks to create shape. Between surgeries, the patient continues weight loss, peptide therapy and training, and the next phase is planned based on the new body composition.
Who it is for: Candidates are patients who have lost a large amount of weight through bariatric surgery, diet, exercise or medical weight loss and are left with loose, hanging skin that does not respond to non-surgical tightening. Ideal candidates have reached a stable weight or are continuing to lose weight in a controlled way, are non-smokers or willing to quit, have realistic expectations about scarring and recovery, and are healthy enough for multiple staged surgeries. The treatment is not for patients still losing weight rapidly, those with uncontrolled medical conditions, or anyone expecting scarless results. Candidacy, the number of phases required, and the specific procedures in each phase are determined during an in-person consultation with review of weight loss history, current body composition, skin quality and goals.
Recovery: Recovery depends on the phase and the extent of skin removal. Circumferential body lifts and thigh lifts require the longest downtime, typically several weeks before returning to light activity and months before resuming full training. Drains remain in place for one to two weeks to prevent fluid buildup. Compression garments are worn continuously for the first weeks and then during activity for months. Swelling, bruising and discomfort are managed with prescribed medication. Patients are instructed to avoid heavy lifting, intense exercise and movements that place tension on incisions until cleared by the surgeon. Each phase is planned around recovery time, and many patients continue losing weight and training between surgeries. Scars mature and fade over one to two years but remain visible. The timeline, restrictions and follow-up schedule are set during consultation and adjusted based on healing.
When results show: Results are visible immediately after each surgery as excess skin is removed, but final results develop over months as swelling resolves, skin contracts, grafted fat settles, and scars mature. Most patients see continued improvement for six to twelve months after each phase. The body appears tighter, more athletic and proportional, with definition that was hidden under loose skin now visible. Fat-grafted areas like the chest, shoulders and buttocks gain shape and volume. Skin quality improves in areas treated with Renuvion plasma and Morpheus radiofrequency. Results are long-lasting if weight remains stable, though natural aging, future weight changes and skin laxity over time can affect the outcome. Maintenance with non-surgical tightening, continued training and peptide therapy helps preserve results. The transformation is not complete until all planned phases are finished, and the final result reflects the combined work of every surgery.

Signature procedures

Only at Emer.

Body / AETHRAFORM top tier

MAXORIS^™ APEX

The top tier of MAXORIS^™ body sculpting: high-definition liposculpture, fat grafting and internal tightening, planned as one masculine geometry rather than separate areas.

Book MAXORIS^™ APEX Explore

Peptides / biologic optimization

RECODEX^™

Peptide and biologic protocols for recovery, body composition and longevity, with epigenetic testing. RECODEX^™ peptides are available to purchase through the practice after consultation.

Book RECODEX^™Explore

Face / jaw

MAX-JZ

Dr. Emer's male jaw and face sculpting: a sharp mandibular line and defined angles, built with structural filler, debulking liposuction with internal heating, and hidden-scar neck lifting when the anatomy calls for it.

Book MAX-JZ Explore

From Dr. Emer's Instagram

The work, as he shows it.

@jasonemermd @recodexsystem

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Why Dr. Emer

Reconstruction is not contouring. It is surgery.

Two decades of results, a global patient base, and techniques other surgeons travel to learn.

Dr. Emer built his reputation on outcomes that read as natural at rest and unmistakable in motion. He pioneered high-definition body sculpting approaches that are now taught internationally, and he personally performs every procedure in his practice.

Post weight loss body reconstruction is a different category of work. It requires skin removal, fat grafting, plasma tightening and contouring staged across multiple surgeries, planned around recovery and the patient's continued training and weight loss.

MD, FAAD, FACS: board-certified dermatologist and cosmetic surgeon
Former Chief Resident in dermatology, Mount Sinai, New York
More than 10,000 patient encounters
Male facial sculpting longer than anyone in the United States
The highest filler volume on the West Coast
West Hollywood and New York

About Dr. Emer Schedule Consultation

EMER METHOD^™×RECODEX^™

Skin removal

Excess skin is removed from the torso, chest, arms and legs with incisions placed to close without excessive tension.

Fat grafting

Fat harvested during liposuction is purified and grafted to the chest, shoulders and buttocks to create shape and volume.

Plasma tightening

Renuvion plasma contracts skin in areas not being lifted surgically, improving texture and reducing sagging.

High definition sculpting

Vaser ultrasonic liposuction and contouring refine the body between skin removal stages.

Asked plainly, answered plainly

What patients ask before they book.

Is post-weight-loss body contouring one surgery or multiple?+

It is staged across multiple surgeries, typically two to four phases, planned months apart. Each phase focuses on a different area of the body and is timed around healing, continued weight loss and return to training. The number of phases and the procedures in each are determined during consultation based on how much skin needs to be removed, where it is located, and the patient's overall health and goals.

Where will the scars be and how visible are they?+

Scars are required to remove large amounts of skin and are visible. A circumferential body lift leaves a scar around the entire torso, following the curve of the lower back and hips. Arm lifts scar along the inner arm, thigh lifts along the inner thigh and groin, and chest lifts around the nipple and sometimes across the chest. Incisions are placed to follow natural body contours and close without excessive tension, but they do not disappear. Scars mature and fade over one to two years.

How much downtime is required after each phase?+

Recovery depends on the phase. Circumferential body lifts and thigh lifts require several weeks before returning to light activity and months before resuming full training. Arm and chest lifts have shorter recovery but still require weeks of restricted movement. Drains remain in place for one to two weeks, and compression garments are worn for months. Each phase is planned around recovery time, and many patients continue losing weight and training between surgeries.

Can I keep losing weight between surgeries?+

Yes. Many patients continue losing weight on peptides, diet and exercise between phases, and the next surgery is planned based on the new body composition. Continued weight loss can improve results by reducing remaining fat and allowing more aggressive contouring in later phases. Rapid or uncontrolled weight loss is not recommended, and the plan is adjusted during follow-up visits.

Will the fat grafting to my chest and buttocks last?+

Grafted fat that survives the first few months is permanent. Dr. Emer purifies harvested fat through centrifugation or filtration to increase survival rates. Some volume is lost as the body reabsorbs a portion of the grafted fat, which is why slightly more is placed than the final desired size. Results are visible immediately and settle over three to six months. Maintaining stable weight helps preserve grafted volume.

What is Renuvion plasma and why is it used even on skin that will be removed?+

Renuvion, also called J-Plasma, delivers helium plasma beneath the skin to heat and contract collagen, tightening tissue and improving skin quality. It is applied not only to areas that will remain but also to skin that will later be pulled and excised, because tightening the skin before removal improves the final texture and reduces reliance on tension alone to smooth the area. It also helps prevent wrinkling and sagging in areas adjacent to the lift.

Am I a candidate if I am still losing weight?+

Ideal candidates have reached a stable weight or are losing weight in a controlled, gradual way under medical supervision. Rapid or uncontrolled weight loss makes it difficult to plan incisions and predict how much skin to remove. Many patients continue losing weight between phases, and the plan is adjusted accordingly. Candidacy is determined during consultation with review of weight loss history, current body composition and goals.

How long does the entire transformation take from first surgery to final result?+

The timeline depends on the number of phases required and how quickly the patient heals between surgeries. Most transformations take one to two years from the first surgery to the final phase, with several months between each procedure. Final results continue to develop for six to twelve months after the last surgery as swelling resolves, skin contracts and scars mature.

Discuss your plan

A consultation reviews your anatomy, goals and history, and maps which options apply to you.

Schedule Consultation

West Hollywood and New York City