Preparing for Body Contouring after Massive Weight Loss

Beautiful slim, happy woman sitting on her couchThe decision to undergo body contouring after bariatric surgery is significant and sometimes overwhelming. We have provided ample patient information to help you in your decision-making process. Dr. Peter Fisher is committed to educating you so you can make informed choices about plastic surgery. Since 1995, he has helped patients who have achieved massive weight loss to refine their figures with body contouring procedures. He can customize a surgical plan to suit your needs and desired results. To learn more about preparing for body contouring after massive weight loss, please contact our San Antonio, TX, office today.

Treatment Options

We provide any combination of the following body contouring surgeries to help you sculpt your figure:

Dr. Fisher typically performs multiple surgeries at once to reduce the amount of anesthesia required, shorten your recovery time, and provide results as efficiently as possible. He will go over all of these procedures and their variations in detail at your initial consultation.

Read Our Patient Information Booklet

Download our patient information booklet, written by Dr. Fisher, which will give you more extensive information on preparation and recovering from surgery so you can feel confident as you begin your body contouring journey.

Pre-operative Instructions

Dr. Fisher usually recommends that you begin the surgical process when you reach your goal weight, but this does not always have to be the case. Your specific weight requirements will depend on Dr. Fisher’s examination. If you have had bariatric surgery, this will also depend on your surgeon’s advice. At a minimum, your weight should be stabilized for three months. If you need to lower your weight to be eligible for surgery, Dr. Fisher may prescribe a low carbohydrate diet.

After you have been approved for surgery, you will need to undergo basic lab testing to ensure you are healthy enough for the procedures. This typically includes an EKG (electrocardiogram) to test your heart health, electrolyte assessment, and CBC (complete blood count) to check your general health.

Immediately before your surgery, Dr. Fisher will prescribe antibiotics and painkillers, as well as arnica medication to minimize bruising. We will also provide you with any post-operative tools such as a scrub for cleaning or compression garments. You should be able to continue taking most nutritional supplements, except for vitamin E. You will also need to stop taking NSAIDs (non-steroidal anti-inflammatory drugs) and estrogen for at least two weeks prior to surgery. Dr. Fisher does not operate on patients who currently smoke.

If your treatment plan includes a lower body lift or abdominoplasty, you should maintain a liquid diet with minimal dairy for two days before your surgery. Dr. Fisher will see you one to two days prior to your surgery to ensure that you are cleared for surgery, and to finalize your treatment plan.


Each patient’s post-operative care will vary depending on his or her unique surgical treatments and medical history. However, Dr. Fisher typically recommends some basic post-surgical instructions to minimize side effects or complications. Immediately after surgery, you should eat about 2,000 calories per day, rest, walk around the house a few times daily, and wear compression garments to reduce swelling. After three days, you can shower, gently cleaning your incisions with soap, rinsing, patting yourself dry, applying antibiotic ointment, and placing gauze. You will need to empty your surgical drains four to five times per day, recording your drainage amounts so this information can be reported to your surgical nurse.

After the first week, you can return to light activity and come in for an appointment with Dr. Fisher. At this point, he will tell you when you can go back to work, resume driving, and resume more strenuous activities. Most patients return to work between two and six weeks after surgery.

While minor side effects like rashes occur in most patients, serious complications like infection or tissue necrosis are rare. If you experience uncomfortable symptoms after surgery, or have any questions about our post-operative instructions, do not hesitate to contact us.

Experience a Beautiful Figure

Contact our office today to schedule a consultation. We are prepared to help you have an informed and successful body contouring experience.

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Dr. Fisher has been available to answer all of my questions and provide me with not only professional medical expertise, but also a much appreciated level of personal empathy. I would 100% recommend Dr. Fisher to anyone who is considering plastic surgery.



San Antonio Office

7950 Floyd Curl Dr
Ste 1009
San Antonio, TX 78229

Open Today 8:30am - 5:00pm


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