Body

Body contouring procedures are designed to sculpt, refine, and restore natural proportions—helping you achieve a more confident, balanced silhouette.

Comprehensive restoration after pregnancy and childbirth

Refined contouring through targeted fat removal

Abdominal tightening and contour refinement

Restoring shape after significant weight loss

Natural enhancement using your own fat

Liposuction
Tummy Tuck
Mommy Makeover
Brazilian Butt Lift
Post-Weight Loss
Before and after comparison of a woman's abdomen showing skin tightening and contouring improvements.

Liposuction

Liposuction is a body contouring procedure designed to remove localized fat deposits that are resistant to diet and exercise, helping create smoother contours and improved definition. The goal is refinement, not weight loss, with results that appear natural and balanced. Dr. DeSano is trained in advanced body contouring techniques and approaches liposuction with meticulous planning and precision. Each procedure is tailored to the individual, focusing on safety, proportion, and outcomes that complement the patient’s natural anatomy.

Procedure Details

    • Individuals near a stable, healthy weight

    • Localized fat in areas such as abdomen, flanks, thighs, hips, arms, or lateral chest

    • Good skin elasticity and realistic expectations

    • Enhanced body proportions

    • Improved clothing fit

    • Long-lasting fat reduction with weight stability

    • Outpatient procedure

    • Swelling and bruising subside over several weeks

    • Most patients return to work within 5–7 days

  • Side-by-side comparison of a woman's abdomen before and after skin tightening treatment, showing a flatter and more toned stomach in the second image, with the woman wearing purple lace underwear.
  • Side-by-side comparison photograph of a woman’s back and buttocks showing before and after results of a cosmetic procedure, with the woman wearing black underwear. The left image shows more skin irregularity and stretch marks, while the right image shows smoother skin.
  • Comparison of a person's lower abdomen, hips, and thighs before and after body contouring, with the before on the left showing excess skin and fat, and the after on the right showing a more toned and smoother appearance.
  • Side-by-side comparison of a person's abdomen and thighs before and after cosmetic surgery, showing a significant reduction in loose skin and improved body contour.
  • Before and after comparison of skin on a person's buttocks showing reduced stretch marks.
Comparison of a person's abdomen before and after cosmetic or medical treatment. The left side shows loose, sagging skin with stretch marks. The right side shows smoother, tightened skin with a scar near the bikini line.

Mommy Makeover

A Mommy Makeover is a customized combination of procedures designed to address the physical changes that can occur after pregnancy and childbirth. It often includes procedures such as a tummy tuck, liposuction, and breast surgery, selected based on each patient’s individual needs and goals. Dr. DeSano performs Mommy Makeover procedures with careful planning and attention to proportion, safety, and balance. Because no two patients are the same, every surgical plan is tailored to a patient’s anatomy, priorities, and stage of recovery, allowing for results that feel natural, thoughtful, and well considered.

Procedure Details

    • Women finished with childbearing

    • Stable weight and good overall health

    • Desire for comprehensive rejuvenation

    • Full-body restoration in a single surgical plan

    • One recovery period

    • Customized, harmonious results

    • Recovery varies based on procedures performed

    • Most patients resume normal routines within 4–6 weeks

    • Final results continue to refine over several months

  • Side-by-side comparison of a person's lower back and buttocks before and after a procedure, showing noticeable reduction in fat and improved contour, with the person wearing a blue disposable garment in the first image and black underwear in the second.
  • Comparison photo showing a woman's bare chest before and after breast surgery, with the after photo on the right.
  • Side-by-side comparison of a woman's abdomen before and after a body contouring procedure. The left shows loose skin and stretch marks; the right shows smoother skin with improved body shape.
  • Before and after images of a woman's midsection showing skin tightening and contouring improvement.
  • Side-by-side comparison of a person's back before and after treatment showing marked reduction in skin blemishes and improved skin smoothness.
  • Side-by-side comparison of a woman's torso before and after cosmetic surgery, showing improved contour and skin tightening.

Tummy Tuck

A tummy tuck is designed to address excess skin, separated or weakened abdominal muscles, and residual fat to restore a flatter, firmer abdominal contour. Dr. DeSano approaches abdominoplasty with a comprehensive view of the entire core. When appropriate, advanced liposuction techniques are thoughtfully incorporated to enhance overall shape and definition, creating results that appear balanced, natural, and proportionate rather than overly tight or surgical.

Procedure Details

    • Post-pregnancy or post-weight-loss patients

    • Loose or sagging abdominal skin

    • Muscle separation (diastasis recti)

    • Initial recovery: 10–14 days

    • Gradual return to activity over 6 weeks

    • Long-term results at 2–3 months with healthy lifestyle maintenance

    • Compression garments required

    • Light activity resumed within 2–3 weeks

    • Gradual tightening and refinement as healing progresses

Comparison of a person's midsection before and after skin tightening or body contouring treatment, with the after image showing smoother, firmer skin.
  • Side-by-side comparison of a person's lower back and upper thigh, showing before and after results of a body contouring procedure, with black background and black underwear.
  • Comparison of a person's abdomen with loose skin and stretch marks on the left, and smooth, tightened skin on the right, both wearing black underwear.
  • Comparison of a woman's lower back and buttocks before and after a transformation, shown from the back in black underwear against a black background.
  • Side-by-side comparison of a woman's abdomen and thighs before and after a body transformation, showing smoother skin and a more toned appearance.
  • Comparison of a person's lower abdomen and waist before and after a cosmetic procedure, showing reduction in excess skin and improved body contour.
  • Side-by-side comparison of a woman's abdomen before and after body contouring. The 'before' shows loose, stretched skin with stretch marks, while the 'after' shows a smoother, toned abdomen with minimal marks.
  • Comparison of a person's thigh and buttock before and after a cosmetic or fitness transformation, with black underwear in both images.
  • Comparison of a woman's midsection before and after body transformation; left side shows loose skin and stretch marks, right side shows toned skin and defined abs.
  • Side-by-side comparison of a woman's torso before and after body transformation, focusing on abdominal area, with black underwear in both images.

Brazilian Butt Lift

A Brazilian Butt Lift uses a patient’s own purified fat to enhance the shape, projection, and symmetry of the buttocks while simultaneously contouring surrounding donor areas. Dr. DeSano approaches the Brazilian Butt Lift with an emphasis on proportion, safety, and natural movement. By combining meticulous fat harvesting, careful processing, and precise fat placement, the goal is to create results that look refined, balanced, and consistent with the patient’s overall body structure rather than exaggerated or artificial.

Procedure Details

    • Adequate fat for transfer

    • Desire for natural enhancement without implants

    • Commitment to post-operative positioning guidelines

    • Natural-looking curves

    • Dual benefit of fat removal and augmentation

    • Improved waist-to-hip ratio

    • Avoid sitting directly on the buttocks initially for 3 weeks

    • Compression garments required

    • Final results visible as swelling resolves

Side-by-side comparison of a person's thigh and buttock before and after a cosmetic procedure, with the after image showing a more lifted appearance.
  • Before and after comparison of a woman's lower back, buttocks, and upper thighs, showing improvement in skin texture and shape after a cosmetic procedure. The woman is wearing black underwear against a black background.
  • Before and after images of a person's Lower back, hips, and buttocks showing skin tightening or body contouring results.
  • Side-by-side comparison of a person's waist and hips before and after a body contouring treatment. The left image shows a slightly larger waist and hip area, while the right image shows a more sculpted and tightened appearance, with the person wearing black underwear.
  • Comparison of a person's buttocks before and after a cosmetic or fitness improvement, with black underwear against a black background.
Comparison of a woman's lower back and buttocks showing before and after a body contouring procedure, with the before on the left and after on the right.

Restorative Body Contouring After Weight Loss

Side-by-side comparison of a person's thighs and buttocks before and after skin treatment, showing improvements in skin texture and appearance.
Comparison of a person's underarm, showing before and after skin treatment or hair removal.
Side-by-side comparison of a person's torso and upper thigh before and after weight loss or body contouring, with visible changes in skin tightness and body shape.

Significant weight loss is an incredible achievement, but it can leave behind excess skin and changes in body contour that affect comfort, mobility, and confidence. Restorative body contouring focuses on reshaping and refining these areas through carefully planned surgical procedures tailored to each individual’s anatomy and goals. At West Maple Plastic Surgery, Dr. DeSano takes a thoughtful, patient-centered approach to post–weight loss surgery, combining advanced techniques with meticulous attention to balance, safety, and natural-looking results. The goal is not simply change, but restoration—helping patients feel more comfortable, confident, and aligned with the progress they’ve worked so hard to achieve.

Arm Lift (Brachioplasty)

An arm lift, or brachioplasty, addresses excess skin and residual fat of the upper arms to restore a smoother, firmer, and more proportionate contour. This procedure is often ideal for patients who have experienced significant weight loss and are left with loose or hanging skin that does not respond to exercise alone.

Dr. DeSano utilizes advanced brachioplasty techniques designed to enhance arm shape while placing incisions thoughtfully to minimize visible scarring. Each surgical plan is tailored to the patient’s anatomy and goals, prioritizing balance, comfort, and natural-looking results.

    • Loose, hanging skin of the upper arms

    • Difficulty finding clothing that fits properly

    • Skin irritation or discomfort during movement

    • Improved arm definition and tone

    • Emphasis on scar placement to avoid well-visible areas

    • Enhanced comfort and ease of movement

    • Increased confidence in sleeveless clothing

    • Outpatient procedure

    • Return to light activity within 2–3 weeks

    • Continued improvement as swelling subsides

Lower Body Lift

A lower body lift is a comprehensive procedure that addresses excess skin and tissue around the abdomen, flanks, hips, buttocks, and thighs in a single, carefully planned surgery. It is often the most effective option for patients seeking full circumferential contouring after significant weight loss.

Dr. DeSano applies advanced body lift techniques to improve shape and proportion while maintaining a strong focus on safety and incision placement. The goal is a more defined, harmonious lower body contour that supports both confidence and long-term comfort.

    • Circumferential loose skin around the waist and hips

    • Sagging buttocks and outer thighs

    • Skin discomfort, chafing, or hygiene challenges

    • Dramatic improvement in body shape and symmetry

    • Lifted, smoother contours of the lower torso

    • Improved comfort, posture, and clothing fit

    • Typically requires an overnight stay

    • Gradual return to normal activity over 4–6 weeks

    • Final results continue to refine over several months

Thigh Lift

A thigh lift removes excess skin and reshapes the inner and/or outer thighs to improve contour, comfort, and overall proportion. Following major weight loss, redundant thigh skin can cause irritation, difficulty with movement, and self-consciousness about appearance.

Dr. DeSano performs thigh lift procedures using refined surgical techniques that focus on restoring smooth contours while reducing tension on incisions. The approach is individualized to achieve a result that feels both functional and aesthetically balanced.

    • Sagging inner thighs

    • Friction, rashes, or discomfort during walking

    • Lack of definition despite weight stability

    • Reduced chafing and skin irritation

    • Improved thigh contour and symmetry

    • Enhanced mobility and confidence

    • Compression garments required

    • Light activity resumed within 2–3 weeks

    • Gradual tightening and refinement as healing progresses

Tummy Tuck

Significant weight loss is an extraordinary achievement, but it often leaves behind excess abdominal skin and weakened tissue that cannot be corrected with diet or exercise alone. A post-weight loss tummy tuck removes redundant skin, tightens the abdominal wall, and reshapes the midsection to better reflect the effort and transformation already achieved.

Dr. DeSano specializes in body contouring after massive weight loss and takes a comprehensive, detail-driven approach to abdominal reshaping. Incisions are carefully planned to remove excess skin while preserving natural contours and achieving the flattest, most balanced result possible. When appropriate, liposuction is incorporated to refine the waistline and improve overall proportion.

    • Excess or hanging abdominal skin

    • Skin irritation, rashes, or hygiene challenges in skin folds

    • Loss of abdominal tone or muscle separation

    • Difficulty achieving a smooth contour despite stable weight

    • Removal of excess skin and tissue

    • Improved abdominal contour and support

    • Greater comfort in clothing and daily movement

    • A result that reflects long-term weight loss success

    • Outpatient or short inpatient stay, depending on extent

    • Return to light activities within 2–3 weeks

    • Gradual improvement as swelling resolves and tissues settle

  • Comparison of a person's abdominal area before and after a procedure, showing reduction in skin sagging and improved skin tightness.
  • Side-by-side comparison of a person's thighs before and after skin treatment, showing improvement in skin texture and appearance.
  • Comparison of a person's lower body before and after skin treatment, showing improved skin texture and appearance.
  • Comparison of a person's midsection before and after weight loss or body transformation, showing a reduction in abdominal size and skin appearance.
  • Before and after images of a woman's lower back and buttocks showing skin tightening and smoothening after cosmetic treatment or exercise.
  • Side-by-side comparison of a woman's midsection before and after a body transformation, focusing on the stomach area with visible stretch marks.
  • Comparison of a woman's abdomen before and after cosmetic treatment showing reduced stretch marks and improved skin appearance.
  • Side-by-side comparison of a woman's midsection before and after skin tightening or cosmetic procedure, showing reduced sagging and improved skin appearance.
  • Comparison of a woman's abdomen before and after weight loss or body contouring, with the before image on the left showing loose skin and the after image on the right showing a toned abdomen with minimal loose skin, wearing black lace underwear.
  • Side-by-side comparison of a woman's lower back and buttocks before and after a treatment or workout, with black underwear on both images, against a black background.
  • Before and after side-by-side images of a person's midsection, showing a reduction in abdominal size and improved skin appearance following a cosmetic procedure, with black underwear on a black background.
  • Side-by-side comparison of a person's midsection, showing a before and after transformation. The left side displays excess skin and loose tissue, while the right side shows a more toned and tightened abdomen with minimal skin. The individual is wearing black undergarments in the after photo.
  • Side-by-side comparison of a person's torso and hips before and after weight loss or body contouring. The left image shows a fuller abdomen and waist, while the right image shows a slimmer waistline and toned abdomen, with black underwear.
  • Side-by-side comparison of a person's torso before and after cosmetic surgery, showing flattened and tightened abdominal area in the after image.
A beige-colored, stylized maple leaf with a textured appearance on a light background.

Care in every step. Confidence in every result. Where artistry meets expertise.

  • "Dr. DeSano’s expertise and attention to detail are unmatched. He listened and delivered exactly what I wanted. He answered all my questions and made me feel at ease about the recovery process. I truly feel as though my results are better than I expected and I couldn't be happier."

    - Jodie Z

  • "My experience with Dr. DeSano and his staff has been great. I’m early into my recovery but very happy with the results so far. Cynthia was truly exceptional, responsive and made me feel extra comfortable throughout the whole process. Would recommend Dr. DeSano to anyone looking to improve their confidence and comfort!"

    - Megan R.

  • "Dr. DeSano is amazing! I had a breast lift after my breast cancer was removed and never felt better. First surgery ever and couldn’t have asked for a better doctor and team! He’s amazing! Thank you Dr. DeSano!!!!"

    - Tary R.

  • "From the initial consultation through my final follow-up, I felt completely supported and informed. Dr. DeSano is incredibly skilled, attentive, and truly listens. The results exceeded my expectations and still look natural. The entire staff made me feel comfortable and cared for every step of the way. I would absolutely recommend this practice."

    - Donna B.

FAQs

  • Ideal candidates are in good health, at a stable weight, and seeking refinement—not weight loss—with realistic expectations.

  • Results are long-lasting when paired with healthy lifestyle habits. Fat cells removed do not return.

  • Initial improvements are visible within weeks, with final results emerging over several months as swelling resolves.

  • Patients should be weight-stable for at least 6 months before undergoing body contouring surgery.

  • Yes. Procedures such as an arm lift, thigh lift, or lower body lift are often strategically combined to reduce overall recovery time.

  • Yes. Removing excess skin can significantly reduce chafing, rashes, and hygiene concerns.

  • Results are long-lasting when weight remains stable and a healthy lifestyle is maintained.

  • Incisions are carefully placed and designed to fade over time. Scar management is part of every post-operative care plan.