Jason Emer, MD, FAAD, FACS
Gladiator Lipo After Major Weight Loss: How Dr. Emer Sculpts When Loose Skin Hides The Work
A 360 body sculpting plan for a patient who lost over 70 pounds: liposculpture, skin removal, pectoral implants, fat grafting and internal tightening to reveal the structure underneath.
Dr. Jason Emer MD · FAAD · FACS
The practice's own photographs
Patients of the practice, from Dr. Emer's published before and after gallery. Each case is one patient. Individual results vary.
After 70 pounds lost, loose skin hid the muscle he earned: Dr. Emer performed 360 vaser liposculpture, extended tummy tuck from hipbone to hipbone and around the waistline, pectoral implants under the muscle, fat grafting to the buttock and shoulders, and Renuvion internal heating to shrink wrap the tissue in one coordinated session.
Your plan starts with Dr. Emer.
Schedule ConsultationReserve online. West Hollywood and New York.
From the filmed session
What Dr. Emer did · MAXORIS
Vaser ultrasound steam heats the fat to make it easier to remove and contract the skin. 360 liposuction debulks the flanks, love handles, chest and torso. Fat is harvested for grafting to the buttock and shoulders.
“the vaser an Ultra sound that's going to steam heat the fat that Fat's going to be easily movable so that we can get rid of it and use it for his buttock and for sculpting of his shoulder”
Dr. Emer, in the film
Vertical and central lines are carved into the abdomen so that as the patient trains, the definition will show through the skin. Horizontal adhesions are limited because of the loose skin.
“we are creating the marks you see on the vertical and the central so that when he works out he'll be able to really get a lot of definition”
Dr. Emer, in the film
Renuvion applied to the upper back, sides, upper torso and all areas not being cut to contract the tissue from the inside and shrink wrap the skin.
“renuvion all the areas that we're not going to be removing such as the upper torso the sides and the adhesions besides the chest and the stomach to really get more contoured and tight look”
Dr. Emer, in the film
Silicone pectoral implants placed under the pectoralis major muscle, on top of the minor, through a small incision in a tight pocket to create a permanent foundation for the chest when there is not enough fat to graft.
“when you don't have enough fat you need to build the muscle by creating a foundation with an implant”
Dr. Emer, in the film
Harvested fat grafted to the buttock and shoulders. Sculptra PLLA, exosomes and PRP injected to build collagen and help the fat survive.
“we're going to inject a combination of Sculptra PLL this is going to help build collagen it's going to help the fat survive mixed with exosomes and PRP”
Dr. Emer, in the film
Extended tummy tuck from hipbone to hipbone and around the waistline to remove loose skin. Abdominal muscles tightened with plication because they were stretched from prior obesity. Incision closed in multiple layers for minimal scarring.
“in his case is an extended tmy tuck so I'm going all all the way around the waistline cuz he has loose skin in the waistline and also in the back”
Dr. Emer, in the film
Glandular tissue removed through the small pectoral incision. Nipple areola complex tightened and reshaped to be perfectly circular, loose skin around it removed.
“I'm going to tight his nipple arola complex I make it more perfectly circular like on the other side and tighten this get rid of the loose skin around it”
Dr. Emer, in the film
Why patients fly in
Traditional liposuction alone cannot reveal muscle when the skin will not contract. Vaser ultrasound steam heats the fat to make it easier to remove and causes the skin to tighten as it heals, which is critical when the tissue is loose from major weight loss.
“traditional lipos section alone's not going to cut it so doing the ultrasound is going to help Steam Heat the fat and give more skin tightening”
Renuvion is applied to the upper back, sides, upper torso and all areas not being removed to contract the tissue from the inside and give more tightening without additional incisions.
“the key components to really getting the tightening along the muscle and getting the best results is to do this renuvion”
When a patient does not have enough fat to harvest, pectoral implants placed under the pectoralis major muscle create a permanent foundation that fat grafting alone cannot provide.
“when you don't have enough fat you need to build the muscle by creating a foundation with an implant”
An extended tummy tuck removes loose skin from hipbone to hipbone and around the waistline. The abdominal muscles are tightened underneath because they were stretched from prior obesity and the laxity stays after weight loss.
“his muscles were loose because he was obese before and he lost a lot of weight so it was stretched out after he lost the weight the laxity stays there”
Sculptra PLLA, exosomes and PRP are injected to the buttock and shoulders to build collagen and help the fat graft survive, giving an even better result.
“we're going to inject a combination of Sculptra PLL this is going to help build collagen it's going to help the fat survive mixed with exosomes and PRP all of that's going to go to the buttock so that when we do the fat grafting he's going to get an even better result”
THE THINKING BEHIND THE TREATMENT
Follow Dr. Emer’s approach through the stages described in this case.
Back to the video ↗He was athletic and disciplined, but the skin would not contract on its own.
The patient in this video lost over 70 pounds. He trained consistently, built muscle, and committed to the work. But loose skin from the weight loss was hiding the contour underneath, and traditional liposuction alone would not have been enough.
Coordinated as one procedure: liposculpture, skin removal, implants, fat grafting and internal tightening.
Dr. Emer built a complete plan: 360 liposculpture with vaser ultrasound to remove the remaining fat and steam heat the tissue, skin removal with an extended tummy tuck from hipbone to hipbone and around the waistline, pectoral implants to create a foundation for the chest, fat grafting to the buttock and shoulders, and Renuvion internal heating to shrink wrap everything that stayed.
The result is designed to work with continued training: as he lifts, the carved lines will deepen, the implants will anchor the chest, and the skin will continue tightening from the inside.
This patient will heal in stages. The tummy tuck incision is closed in multiple layers and placed low enough to stay hidden. The chest will settle over weeks as swelling resolves and the implants integrate.
The result is designed to work with continued training: as he lifts, the carved lines will deepen, the implants will anchor the chest, and the skin will continue tightening from the internal heating.
When loose skin hides the work you earned / Patient story
He was athletic and disciplined, but the skin would not contract on its own.
The patient in this video lost over 70 pounds. He trained consistently, built muscle, and committed to the work. But loose skin from the weight loss was hiding the contour underneath, and traditional liposuction alone would not have been enough.
Dr. Emer built a complete plan: 360 liposculpture with vaser ultrasound to remove the remaining fat and steam heat the tissue, skin removal with an extended tummy tuck from hipbone to hipbone and around the waistline, pectoral implants to create a foundation for the chest, fat grafting to the buttock and shoulders, and Renuvion internal heating to shrink wrap everything that stayed.
The result is designed to work with continued training: as he lifts, the carved lines will deepen, the implants will anchor the chest, and the skin will continue tightening from the inside.
The patient in this video lost over 70 pounds. He is athletic, disciplined, and committed to training. But loose skin from the weight loss was hiding the muscle underneath, and traditional liposuction alone would not have been enough to reveal the contour he worked for.
Dr. Emer calls this a major weight loss case, and it required a complete plan: 360 liposculpture to remove what fat remained, skin removal where the tissue was too loose to contract, pectoral implants to build a foundation where there was not enough fat to graft, and internal tightening to shrink wrap everything that stayed.
This was not one procedure. It was a coordinated sequence built around what the patient had to work with and what he wanted to achieve.
Dr. Emer started with 360 liposculpture: vaser ultrasound to steam heat the fat and make it easier to remove, then liposuction to debulk the flanks, love handles, chest and torso. The fat that came out was processed and used for grafting to the buttock and shoulders.
Because the patient did not have much fat to harvest, Dr. Emer also injected Sculptra, exosomes and PRP to the buttock to help build collagen and support the fat graft. He carved vertical and central lines into the abdomen so that as the patient trains, the definition will show through.
Renuvion internal heating was applied to the upper back, sides and areas not being cut to contract the tissue from the inside. Then came the skin removal: an extended tummy tuck from hipbone to hipbone and around the waistline, plus tightening of the abdominal muscles that had stretched during the weight gain.
Pectoral implants were placed under the muscle through a small incision to create a foundation for the chest. Dr. Emer also removed glandular tissue and tightened the nipple areola complex to finish the shape.
How the procedure is built
Coordinated as one procedure: liposculpture, skin removal, implants, fat grafting and internal tightening.
Vaser ultrasound steam heats the fat to make it easier to remove and tighten the skin. Liposuction debulks the flanks, love handles, chest and torso, and the fat is harvested for grafting.
Lines are carved into the abdomen so that as the patient trains, the definition will show through the skin.
Applied to the upper back, sides and areas not being cut to contract the tissue from the inside and shrink wrap the skin.
Placed under the muscle through a small incision to create a permanent foundation for the chest when there is not enough fat to graft.
Harvested fat is grafted to the buttock and shoulders. Sculptra, exosomes and PRP are injected to help build collagen and support the graft.
Loose skin is removed from hipbone to hipbone and around the waistline. The abdominal muscles are tightened and the incision is closed in multiple layers.
The treatment, explained
Also called body sculpting after weight loss, 360 liposculpture, extended tummy tuck, pectoral implants, vaser liposuction, Renuvion skin tightening, male body contouring, post weight loss body lift, high definition liposculpture.
Signature procedures
Body / AETHRAFORM top tier
The top tier of MAXORIS™ body sculpting: high-definition liposculpture, fat grafting and internal tightening, planned as one masculine geometry rather than separate areas.
Peptides / biologic optimization
Peptide and biologic protocols for recovery, body composition and longevity, with epigenetic testing. RECODEX™ peptides are available to purchase through the practice after consultation.
Face / jaw
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.
Why Dr. Emer
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.
Patients come to him when the result has to be precise: athletes protecting a physique they earned, men and women rebuilding after major weight loss, and people who have been elsewhere and want it done right.
Steam heating the fat makes it easier to remove and causes the skin to contract as it heals, which is critical when the tissue is loose from weight loss.
Internal heating with Renuvion contracts the tissue in areas that are not being cut, giving more tightening without additional incisions.
When a patient does not have enough fat to harvest, pectoral implants create a permanent foundation under the muscle that fat grafting alone cannot provide.
An extended tummy tuck removes the loose skin that will not contract on its own, and tightening the abdominal muscles underneath gives the torso a firm, athletic shape.
Asked plainly, answered plainly
It is one coordinated session: 360 liposculpture, skin removal, pectoral implants, fat grafting and internal tightening performed together under anesthesia. Dr. Emer performs every procedure in the plan himself.
When a patient does not have enough fat to harvest, pectoral implants placed under the pectoralis major muscle create a permanent foundation that fat grafting alone cannot provide. The implants anchor the chest and give structure that will show as the patient trains.
Recovery is staged. The tummy tuck incision heals over weeks, the chest settles as swelling resolves, and the result continues improving as the patient returns to training. The plan and recovery timeline are set during consultation based on the procedures performed and the patient's healing.
The plan is designed to reveal the muscle the patient built, not replace it. As the patient trains, the carved lines deepen, the implants anchor the chest, and the skin continues tightening from the inside. The result reads as natural at rest and unmistakable in motion.
Traditional liposuction alone cannot reveal muscle when the skin will not contract. Vaser ultrasound steam heats the fat to make it easier to remove and causes the skin to tighten as it heals, which is critical when the tissue is loose from major weight loss.
Renuvion is internal heating applied to the upper back, sides and areas not being cut to contract the tissue from the inside and shrink wrap the skin. It gives more tightening without additional incisions, which is important when the patient has loose skin from weight loss.
Candidacy is determined during consultation based on your weight loss history, skin quality, muscle foundation and goals. Patients who have lost major weight, typically 50 pounds or more, and have loose skin that hides the muscle they built are candidates for this plan.
The plan is designed to be performed in one coordinated session. Whether additional procedures are needed is determined during consultation based on your case, your goals and how your body heals.
A consultation with Dr. Emer covers your history, your goals, and whether a complete body sculpting plan fits your case.
Schedule ConsultationWest Hollywood and New York City