Jason Emer, MD, FAAD, FACS
Total Body Rebuild After Extreme Weight Loss: Two-Phase Sculpting, Skin Removal, and Fat Grafting
How Dr. Jason Emer rebuilds the body after massive weight loss using two-phase contouring: definition and tightening first, then arm and leg sculpting with skin removal and fat grafting.
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.
Two surgical phases rebuilt the torso, chest, arms, legs and back after massive weight loss: VASER through scar tissue, Renuvion internal heating, superficial contouring to expose muscle, fat grafting for definition, and skin removal from the medial thigh, lower back and buttock roll.
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 broke through dense scar tissue from previous liposuction and body lift (the stone effect), lifted tissue away from muscle, contoured the stomach and chest border superficially to expose the upper abs and pectoral edge, and prepared tissue for plasma heating. Super wet tumescent technique used throughout.
“We call it like the stone effect that using the vasor, you can actually get right through it. Like look, it's lifting the tissue up so that I can now go directly through the tissue so easily.”
Dr. Emer, in the film
A hook device, typically used for cellulite, grabbed and cut adhesions and scar tissue left by previous fat grafting in the lower buttock and lateral areas. The hook pulled the adhesion to the exact location before cutting.
“we use the hook to grab the adhesion. You see? So it can pull the adhesion exactly where we want it to go and then we cut it”
Dr. Emer, in the film
Internal plasma heating contracted loose skin at the lower chest border, upper abs, shoulders, arms, outer thigh and entire leg. Applied to areas where skin removal was not planned, including the leg beyond the medial thigh lift zone.
“Now, we're doing internal heating. This is the part that's really important because we're only going to be removing the skin of the medial thigh, which is going to help a lot of the inner and part of the knee, but the rest of his leg is still very loose from all that weight loss.”
Dr. Emer, in the film
Fat grafted to the lower portion of the buttock as a revision to correct previous uneven grafting and reduce the hip appearance created by an earlier physician who injected like a female. Super wet technique lifted tissue before placement.
“this area had a lot of laxity. We're going to lift actually from here to get this more lifted”
Dr. Emer, in the film
Superficial fat removed from around the bicep, tricep and shoulder edge to expose muscle contour. Fat then grafted very superficially, just under the skin, to sit on the muscle and bring out definition as he trains.
“we're going really superficial here so we can actually see the definition coming in cuz this fat that he has is really thick. So this is going to actually sit really well on the skin and the muscle.”
Dr. Emer, in the film
Small amount of fat grafted to add stem cells and growth factors, improving long-term sexual function and helping filler perform better. A mixture of Voluma hyaluronic acid gel and Bellafill acrylic polymer placed in very small amounts toward the distal portion of the head. Approximately 2 to 2.5 inches of girth added.
“The fat grafting is going to help not only give him a little bit more in size, but it's going to help us actually add stem cells to this area because that's what we need for long-term sexual improvement.”
Dr. Emer, in the film
Skin removed from the medial thigh and knee. Light superficial fat removal preceded the lift. Renuvion applied to the rest of the leg, which remained loose after weight loss, to contract tissue where skin was not excised.
“we're only going to be removing the skin of the medial thigh, which is going to help a lot of the inner and part of the knee, but the rest of his leg is still very loose from all that weight loss.”
Dr. Emer, in the film
Skin excised from the lower back and lateral hip, following marked lines. The proposed excision brought the tissue up to create tightness and smoothness across the posterior and lateral contour.
Why patients fly in
Phase one addressed torso and chest definition and tightening. Phase two handled arms, legs, fat grafting and skin removal. The staging allowed him to return to the gym between phases so the result could improve as he continued lifting.
“That's what we're going to create today so that when he gets back in the gym, he can get even better of a result.”
Earlier liposuction and a body lift left dense connective tissue and adhesions. Dr. Emer used VASER ultrasound to penetrate what he calls the stone effect, lifting tissue away from muscle so contouring was still possible.
“We call it like the stone effect that using the vasor, you can actually get right through it.”
Skin was excised only from the medial thigh, lower back and buttock roll. Renuvion contracted the rest of the leg, outer thigh, arms and shoulders internally, reducing the number of incisions while still addressing laxity from weight loss.
“we're only going to be removing the skin of the medial thigh, which is going to help a lot of the inner and part of the knee, but the rest of his leg is still very loose from all that weight loss. So, we need to get this area to contract.”
Superficial fat was removed from around the bicep, tricep, shoulder and chest border to expose muscle contour. Fat was then grafted just under the skin so it sits on the muscle and becomes more defined as he trains, rather than masking the work he did in the gym.
“we're going really superficial here so we can actually see the definition coming in cuz this fat that he has is really thick. So this is going to actually sit really well on the skin and the muscle.”
An earlier physician had grafted fat to the hips, creating a female shape. Dr. Emer reduced that area and redistributed fat to the lower buttock to restore a masculine contour.
“we're going to bring this down in size and make him look more masculine again because the previous physician injected him like a female, giving him hips, which is not what we wanted.”
THE THINKING BEHIND THE TREATMENT
Follow Dr. Emer’s approach through the stages described in this case.
Back to the video ↗Years of discipline, and the skin had not caught up.
The patient in this video lost a significant amount of weight and then spent years in the gym building muscle. He arrived strong and consistent, but loose skin masked the definition he had earned. Previous procedures, including liposuction, a body lift, and fat grafting, left some areas uneven and others with significant scar tissue.
“He started working out a lot, getting really defined. Now he has less definition and a little more loose skin.”DR. JASON EMER · FROM THE VIDEO
“So we're going to work in two phases to work on his torso, chest, and then arms and legs. Part one, we're going to do definition. We're going to define his stomach the best that we can, the edges of his chest.”DR. JASON EMER · FROM THE VIDEO
Dr. Emer designed a two-phase plan. Phase one focused on the torso and chest: Vaser ultrasound to break through scar tissue, contouring to expose the abs and chest border, and plasma heating to tighten the skin internally. Phase two addressed the arms, legs, buttock, and back with sculpting, skin removal, and fat grafting.
“Now, we're doing internal heating. This is the part that's really important because we're only going to be removing the skin of the medial thigh, which is going to help a lot of the inner and part of the knee, but the rest of his leg is still very loose from all that weight loss.”DR. JASON EMER · FROM THE VIDEO
Both phases were built around his training schedule. The contouring, tightening, and grafting were placed to work with muscle as he continued lifting, not against it.
“And we're able to kind of give him a little more definition than I thought.”DR. JASON EMER · FROM THE VIDEO
Torso, chest, arms, legs, and back in two phases / Patient story
Years of discipline, and the skin had not caught up.
The patient in this video lost a significant amount of weight and then spent years in the gym building muscle. He arrived strong and consistent, but loose skin masked the definition he had earned. Previous procedures, including liposuction, a body lift, and fat grafting, left some areas uneven and others with significant scar tissue.
Dr. Emer designed a two-phase plan. Phase one focused on the torso and chest: Vaser ultrasound to break through scar tissue, contouring to expose the abs and chest border, and plasma heating to tighten the skin internally. Phase two addressed the arms, legs, buttock, and back with sculpting, skin removal, and fat grafting.
Both phases were built around his training schedule. The contouring, tightening, and grafting were placed to work with muscle as he continued lifting, not against it.
The patient in this video lost a significant amount of weight and then spent years building muscle. He arrived disciplined and strong, but the skin and underlying tissue had not caught up to the work he was putting in. Loose skin masked the definition he had earned, and previous procedures left some areas uneven.
Dr. Emer designed a two-phase plan: phase one focused on the torso and chest with definition and tightening, and phase two addressed the arms, legs, buttock, and back with contouring, fat grafting, and skin removal. The goal was to give him the body shape that matched the effort, so when he returned to the gym, the result would continue improving.
Phase one started with tumescent fluid placed under the skin to lift the tissue away from the muscle. Because the patient had previous liposuction and a body lift, there was significant scar tissue. Dr. Emer used Vaser ultrasound to break through the adhesions and allow contouring of the stomach, the edges of the chest, and the lower abdomen.
Fat was removed where possible and filtered for grafting. Plasma heating was applied internally to tighten the skin to the muscle, particularly along the border of the chest and upper abs. A small amount of fat grafting was placed in strategic areas to add definition and introduce stem cells that support long-term tissue quality.
The patient also received a combination of hyaluronic acid gel (Voluma) and polymethyl methacrylate (Bellafil) in the genital area to add girth and length, with fat grafting layered in to provide stem cells and improve the integration of the filler.
How the two phases work
Phase one defines and tightens. Phase two sculpts, removes skin, and grafts fat. Both phases are designed to improve as you train.
Vaser ultrasound breaks through scar tissue, contouring exposes the abs and chest border, and plasma heating tightens the skin to the muscle. Fat grafting adds definition and stem cells where needed.
Superficial fat is removed to expose muscle contour, Renuvion tightens loose skin internally, and fat grafting is placed just under the skin to add definition.
A thigh lift removes loose skin from the medial thigh and knee. A back lift and buttock roll lift remove excess skin from the lower back and lateral hip. Renuvion is applied to areas where skin removal is not planned.
Fat is grafted to the buttock to add volume and correct previous uneven grafting. The result is a more masculine contour that works with continued training.
The treatment, explained
Also called post weight loss body sculpting, two phase body transformation, VASER liposuction for weight loss skin, Renuvion skin tightening, thigh lift, back lift, buttock roll lift, fat grafting for muscle definition, body lift revision, male body sculpting after weight loss.
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.
Male enhancement
Penile enhancement with filler or the patient's own fat, staged and performed personally by Dr. Emer, with private consultation.
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 study.
Dr. Emer pioneered high-definition body sculpting approaches that are now taught internationally, and he personally performs every procedure in his practice. His reputation is built on outcomes that read as natural at rest and unmistakable in motion.
Patients come to him when the result has to be precise: athletes protecting a physique they earned, people who have lost massive amounts of weight and want the skin to match the muscle, and those who have been elsewhere and want it done right.
Contouring, tightening, and fat grafting are placed to mold into the muscle you build, not sit on top of it.
Vaser ultrasound breaks through scar tissue from previous procedures, and fat grafting corrects uneven results.
Renuvion contracts loose skin internally in areas where skin removal is not planned, reducing the number of incisions.
Two-phase plans allow recovery between sessions and let you see how the first phase integrates before the second.
Asked plainly, answered plainly
Two phases reduce the total time under anesthesia, allow recovery between sessions, and let Dr. Emer see how the first phase integrates before planning the second. It also allows the patient to return to training between phases so the grafted fat and tightened skin mold into the muscle as it is built.
Most patients wait several weeks to months between phases to allow tissue to heal and see how the result develops. The exact timeline is set during consultation and adjusted based on how the first phase goes.
Yes. Training between phases helps the grafted fat and tightened skin mold into the contour you build. Dr. Emer will clear you to return to the gym based on how each phase progresses and what procedures were performed.
Dr. Emer routinely corrects previous work. VASER ultrasound breaks through dense scar tissue and adhesions left by earlier procedures, lifting tissue away from muscle so contouring is still possible. Fat grafting can even out areas that were over-treated or under-treated.
Skin is removed where laxity is most severe, such as the medial thigh, lower back and buttock roll. Renuvion contracts loose skin internally in areas where skin removal is not planned, reducing the number of incisions while still addressing laxity from weight loss.
Fat is grafted very superficially, just under the skin, so it sits on the muscle and becomes more defined as you train. This is different from grafting for volume alone. The fat also adds stem cells and growth factors that help tissue quality and long-term results.
The contouring, tightening and fat grafting are placed to work with muscle, not replace it. If you stop training, the result will soften but the skin will remain tighter and the contour more defined than before surgery. The best results are maintained with consistent training.
Skin removal requires compression garments, limited activity and follow-up visits. Most patients experience swelling, bruising and tightness for several weeks. Dr. Emer clears you to return to the gym based on how the tissue heals. Specific recovery timelines are set during consultation based on the extent of skin excised.
A consultation with Dr. Emer covers your tissue, your goals, and whether a two-phase body rebuild fits your plan.
Schedule ConsultationWest Hollywood and New York City