Staged surgical plan designed as one body, not separate procedures
The entire reconstruction is mapped before the first incision: legs and lower body in stage one, torso, chest, and arms in stage two, so every area balances and heals properly.
Jason Emer, MD, FAAD, FACS
The gym built the muscle. Surgery removed what was left behind.
Total Body Reconstruction After Weight Loss: Skin Removal, Liposculpture, And Chest Implants In One Plan
How Dr. Jason Emer rebuilds the male body after major weight loss using spiral thigh lifts, lower body lifts, abdominal etching, pectoral implants, and arm contouring in a staged surgical plan.
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.
Total body reconstruction after major weight loss: spiral thigh lifts, lower body lift with abdominal etching, pectoral implants, fat grafting with Alloclae, and arm contouring staged across two surgeries to remove loose skin, define muscle, and rebuild the male physique.
Your plan starts with Dr. Emer.
Schedule ConsultationReserve online. West Hollywood and New York.
From the filmed session
Inside the treatment. With Dr. Emer.
Total Body Rebuild After Weight Loss: Skin Removal, Chest Implants, Abdominal Etching | Dr. Jason Emer
Open on YouTubeWhat Dr. Emer did · MAXORIS
Every procedure. In order.
-
01
Spiral thigh lift
Incision hidden in the inner thigh crease, wrapping around the leg from hip to knee; liposuction, internal heating, and skin excision to eliminate laxity and rubbing after weight loss.
“We did a spiral thigh. We have an incision that hides right here, wraps all the way around. And what we did there is we tightened up his legs.”
Dr. Emer, in the film -
02
Gluteal lift with fat grafting
Incision in the gluteal crease to elevate the buttock; moderate fat grafting for cap projection and male contour, preserving existing tattoo work.
-
03
Liposuction and internal heating to back and flanks
Aggressive liposuction with internal heating to the back and love handles; fat harvested for grafting, lower back curve created, flanks brought in.
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04
Lower body lift with abdominal etching MAXORIS™
Circumferential lower body lift with super low incision wrapping around the torso; all loose abdominal skin removed, liposuction with internal heating, abdominal grid carved for high definition.
-
05
Pectoral implants
Implants placed through a minor incision in the armpit to lift and define the upper chest; no visible scar on the chest itself.
“We put a pectoral comes right in the armpit. Very minor incision right there. Put it in there. And now it's going to help elevate his whole chest.”
Dr. Emer, in the film -
06
Fat grafting with Alloclae to chest, shoulders, and biceps
Fat mixed with Alloclae placed to blend the pectoral implant, correct pectus excavatum, create a sharp border between chest and abdomen, and build the athletic V; fat with Alloclae added to shoulders and biceps for balance.
-
07
Arm contouring
Liposuction to create definition along the tricep; fat with Alloclae placed on the shoulder and bicep to balance the upper body.
Why patients fly in
What Dr. Emer does differently.
Aggressive peptide and IV protocols to accelerate healing and prevent fibrosis
Daily lymphatic massage, IV therapy with Matsi, BPC, TB4, NAD, and KPV, plus an aggressive oral and injectable peptide stack to reduce inflammation, speed recovery, and prevent scar tissue.
Chest, arms, and abdomen sculpted together to avoid the fake look
Pectoral implants, fat grafting with Alloclae, and arm contouring are performed in the same stage as abdominal etching so the upper body matches the defined core.
“If someone has a really tight ab with really defined abs and no chest and no arms, you know it was fake.”
Super low incision placement to hide scars under underwear and allow for tattoo work
The lower body lift incision wraps low enough to remain invisible under clothing, and the spiral thigh incision hides in the natural crease; existing tattoos are preserved and matched.
“When he's wearing underwear, shorts, you're never going to see that. He's going to get tattoos. You'll never know it was done.”
Alloclae mixed with fat for longer lasting volume and structural correction
Fat grafting is enhanced with Alloclae to correct pectus excavatum, blend pectoral implants, and build the chest-to-abdomen border with improved retention.
“We add some fat on his shoulder with alo clay to make it stay longer and a little bit on the bicep.”
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
He lost the weight. Training built the muscle. Surgery removed what was left behind.
The patient in this video lost a significant amount of weight. The muscle underneath was strong, but the skin stayed loose: thighs that rubbed, a stomach that hung, a chest that descended. No amount of gym work was going to tighten that.
“Look how much loose skin our patient had. That's after a lot of weight loss. No matter how much you go to the gym, you're not going to get your skin tight from that.”DR. JASON EMER · FROM THE VIDEO
- 02The plan
What Dr. Emer decided to do
Planned as one body, not separate surgeries.
“When you're doing these very big procedures with lots of skin removal and lots of aggressive liposuction, he needs to recover quick and he needs to recover properly or it's not worth doing this at all.”DR. JASON EMER · FROM THE VIDEO
- 03The session
In the room, in order
Dr. Emer rebuilt the body in two staged procedures. The first addressed the legs and lower body with spiral thigh lifts, a gluteal lift with fat grafting, and liposuction to the back and flanks. The second handled the torso, chest, and arms: a lower body lift to remove all the loose skin from the abdomen, high definition liposculpture to carve the abdominal grid, pectoral implants placed through the armpit, fat grafting with Alloclae to blend and build the chest, and arm contouring to balance the upper body.
- Spiral thigh lift
- Gluteal lift with fat grafting
- Lower body lift and abdominal etching
- Pectoral implants
- Fat grafting with Alloclae to the chest
- Arm contouring
- 04The result
What changed
Two weeks after the first stage and one week after the second, the patient is already tight, defined, and healing ahead of schedule. That is what aggressive aftercare and peptide protocols make possible.
“I can't even pinch it. That's how firm that's how tight his stomach is now. There's zero movement there.”DR. JASON EMER · FROM THE VIDEO
- 05What comes next
Recovery and what to expect
“That means that we're doing lymphatic massage each day. We are doing IV therapy with Matsi, BPC, TB4, NAD, KPV, all that's in there to help him heal, reduce inflammation, and reduce the risk of complication.”DR. JASON EMER · FROM THE VIDEO
Explore the full treatment details +
Skin removal, muscle definition, and structural enhancement in one plan / Patient story
Two stages. One plan.
He lost the weight. Training built the muscle. Surgery removed what was left behind.
The patient in this video lost a significant amount of weight. The muscle underneath was strong, but the skin stayed loose: thighs that rubbed, a stomach that hung, a chest that descended. No amount of gym work was going to tighten that.
Dr. Emer rebuilt the body in two staged procedures. The first addressed the legs and lower body with spiral thigh lifts, a gluteal lift with fat grafting, and liposuction to the back and flanks. The second handled the torso, chest, and arms: a lower body lift to remove all the loose skin from the abdomen, high definition liposculpture to carve the abdominal grid, pectoral implants placed through the armpit, fat grafting with Alloclae to blend and build the chest, and arm contouring to balance the upper body.
Two weeks after the first stage and one week after the second, the patient is already tight, defined, and healing ahead of schedule. That is what aggressive aftercare and peptide protocols make possible.
What weight loss leaves behind
The patient in this video lost a significant amount of weight. Training tightened the muscle underneath, but the skin stayed loose: thighs that rubbed, a stomach that hung, a chest that descended. No amount of gym work was going to fix that.
Dr. Emer rebuilt the body in two staged procedures. The first addressed the legs and lower body. The second handled the torso, chest, and arms. Two weeks after the first stage and one week after the second, the patient is already tight, defined, and healing ahead of schedule.
The lower body: spiral thigh lift and gluteal enhancement
The spiral thigh lift removes loose skin from the inner thigh and wraps all the way around the leg. The incision hides in the natural crease and allows Dr. Emer to tighten the thigh, reduce rubbing, and create a clean line from hip to knee. Liposuction and internal heating firm the tissue as the skin is pulled tight.
For the buttock, Dr. Emer performed a gluteal lift with fat grafting. The incision sits in the gluteal crease, hidden when standing. The lift perks the buttock, and fat is placed for moderate projection and cap, shaped for a male contour rather than the wider female shape. A tattoo on the buttock was preserved and matched during closure.
How the body is rebuilt
Six procedures. Two stages.
Planned as one body, not separate surgeries.
- 01
Spiral thigh lift
Removes loose skin from the inner thigh, wraps around the leg, and tightens from hip to knee. The incision hides in the natural crease.
- 02
Gluteal lift with fat grafting
Perks the buttock through an incision in the gluteal crease, with fat placed for moderate projection and cap shaped for a male contour.
- 03
Lower body lift and abdominal etching
Removes all loose skin from the abdomen and back, pulls the torso tight, and allows high definition liposculpture to carve the abdominal grid.
- 04
Pectoral implants
Placed through a small incision in the armpit to lift and define the upper chest, with no visible scar on the chest itself.
- 05
Fat grafting with Alloclae to the chest
Blends the implant, builds the border between chest and abdomen, and corrects any sunken areas in the center of the chest.
- 06
Arm contouring
Liposuction creates definition along the tricep, and fat with Alloclae is placed on the shoulder and bicep to balance the upper body.
The treatment, explained
What is total body reconstruction?
Also called body lift after weight loss, post bariatric body contouring, massive weight loss surgery, spiral thigh lift, lower body lift, abdominal etching, pectoral implants, male body sculpting, skin removal surgery.
- What it is
- Total body reconstruction after weight loss is a staged surgical plan that removes loose skin, defines muscle, and rebuilds the male physique through a combination of body lifts, liposuction, implants, and fat grafting. It addresses the thighs, abdomen, back, chest, arms, and buttocks in a coordinated sequence so every area heals properly and the final result looks natural and athletic.
- How it works
- The surgery is performed in two stages. Stage one removes loose skin from the thighs with spiral thigh lifts, lifts the buttock through an incision in the gluteal crease, and contours the back and flanks with liposuction and internal heating. Stage two performs a lower body lift to remove all loose abdominal skin, carves the abdominal grid with high definition liposuction, places pectoral implants through the armpit, grafts fat mixed with Alloclae to the chest and arms, and contours the arms with liposuction and fat placement. Incisions are placed to hide in natural creases and under clothing. Recovery is accelerated with daily lymphatic massage, IV therapy with peptides, and an aggressive oral and injectable peptide stack.
- Who it is for
- This surgery is for men who have lost a significant amount of weight and are left with loose skin that will not tighten with exercise. Candidates have stable weight, realistic expectations, and are willing to commit to the staged surgical plan and the aggressive aftercare protocols required for optimal healing. Consultation determines candidacy, staging, and whether the tissue can support the procedures.
- Recovery
- Recovery is measured in weeks. The patient shown is two weeks after stage one and one week after stage two, already tight and defined because of aggressive aftercare. Daily lymphatic massage, IV therapy with Matsi, BPC, TB4, NAD, and KPV, and an oral and injectable peptide stack reduce swelling, speed healing, and prevent fibrosis. Incisions are monitored closely, and the recovery plan is set at consultation based on the extent of surgery.
- When results show
- Results are visible immediately after surgery and continue to improve as swelling resolves over the following months. The skin is tight, the muscle is defined, and the scars fade and hide under clothing. Continued training after recovery builds on the foundation the surgery creates. Final results depend on tissue quality, adherence to aftercare, and the body's healing response.
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.
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.
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.
Why Dr. Emer
Reconstruction is not cosmetic touch up. It is structural surgery.
Two decades of outcomes, techniques taught internationally, and a reputation built on cases other surgeons refer.
Dr. Emer pioneered high definition body sculpting techniques that are now standard in the field. He personally performs every procedure in his practice, and his work is studied by physicians around the world.
Patients come to him when the surgery is extensive and the result has to be precise: men rebuilding after major weight loss, athletes protecting a physique they earned, and people who have been elsewhere and want it done right.
- 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
EMER METHOD™×RECODEX™
Daily lymphatic massage
Reduces swelling, moves fluid, and keeps the tissue soft as it heals.
IV therapy with peptides
BPC, TB4, NAD, KPV delivered intravenously to reduce inflammation and speed healing.
Aggressive peptide stack
Oral and injectable peptides to maintain results, prevent fibrosis, and reduce the risk of scar tissue.
Monitored recovery
Close follow up to catch any issue early and keep the healing process on track.
Asked plainly, answered plainly
What men ask before they book.
Why is this surgery staged instead of done all at once?+
The amount of work required to rebuild the body after major weight loss is too extensive to perform safely in one session. Staging allows each area to heal properly, reduces the risk of complication, and gives the surgeon control over the final result. The legs and lower body are addressed first, then the torso, chest, and arms, so the entire body balances.
How long is the recovery after total body reconstruction?+
Recovery is measured in weeks, not days. The patient shown is two weeks after the first stage and one week after the second, already tight and defined because of aggressive aftercare protocols. Most patients return to light activity within a few weeks and resume full training after the surgeon clears them. The exact timeline is set at consultation based on the extent of surgery.
Will the scars from the body lift be visible?+
Incisions are placed to hide in natural creases and under clothing. The spiral thigh incision wraps in the inner thigh crease, the lower body lift sits low enough to remain invisible under underwear and shorts, and the pectoral implant is placed through the armpit with no scar on the chest. Existing tattoos are preserved and matched, and new tattoo work can cover any remaining lines.
Can I build muscle after this surgery?+
Yes. The surgery removes loose skin and defines the muscle you already have. Continued training after recovery will build on that foundation. The abdominal etching, pectoral implants, and arm contouring create the structure; the gym adds the size.
What is Alloclae and why is it used with fat grafting?+
Alloclae is an acellular dermal matrix mixed with fat to improve retention and create longer lasting volume. Dr. Emer uses it to blend pectoral implants, correct pectus excavatum, build the chest-to-abdomen border, and add structure to the shoulders and biceps. It helps the grafted fat stay in place and reduces the need for additional procedures.
What are the peptides and IV therapy used during recovery?+
Dr. Emer uses an aggressive peptide and IV protocol to accelerate healing and prevent complications. Daily IV therapy includes Matsi, BPC, TB4, NAD, and KPV to reduce inflammation and speed recovery. An oral and injectable peptide stack helps maintain results, prevent fibrosis, and reduce the risk of scar tissue. This is not optional for this level of surgery.
How much does total body reconstruction cost?+
The cost depends on the extent of surgery, the number of stages, and the aftercare protocols required. Consultation covers your tissue, your goals, and a detailed plan with pricing. Dr. Emer's practice does not quote prices without an examination because every case is different.
Will loose skin tighten on its own after weight loss?+
No. After major weight loss, loose skin will not tighten with exercise, diet, or time. The skin has been stretched beyond its ability to contract, and surgery is the only way to remove it. Liposuction with internal heating can tighten mild laxity, but significant loose skin requires excision with a body lift.
Find out what your body can carry.
A consultation with Dr. Emer covers your tissue, your goals, and whether total body reconstruction fits your case.
Schedule ConsultationWest Hollywood and New York City