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Darren M. Smith, MD, FACS

Before & after

GLP-1 Weight Loss Case 2: Breast, Abdominal & Arm Contouring

Before and after photographs from Dr. Darren Smith’s practice. Individual results may vary.

Case 2 · Breast, abdominal and arm contouring

Skin-only tummy tuck, extended brachioplasty and breast reduction/lift with auto-augmentation

After significant GLP-1 weight loss, this patient in her 40s underwent a skin-only tummy tuck, an extended arm lift, and an inverted-T breast reduction and lift with auto-augmentation. Her case includes three views focused on the abdomen, arms and breasts.

Patient goal
Address excess abdominal and arm skin and reshape sagging breasts after weight loss
Treatment
Skin-only abdominoplasty, extended brachioplasty, and breast reduction and lift with auto-augmentation
Technique
Inverted-T breast reshaping; remaining breast tissue repositioned for upper-pole fullness
Photographed
6 months
Age range
40s
Implants
No breast implants
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Individual results may vary.

Case 2a: Before and 6 months after skin-only tummy tuck following GLP-1 weight loss. Her treatment also included an extended arm lift and breast reduction and lift with auto-augmentation.View larger ↗
Case 2a: Before and 6 months after skin-only tummy tuck following GLP-1 weight loss. Her treatment also included an extended arm lift and breast reduction and lift with auto-augmentation.
Case 2b: Before and 6 months after extended brachioplasty to remove loose upper-arm and underarm skin after GLP-1 weight loss.
Additional view of this case
Case 2c: Before and 6 months after breast reduction and lift with auto-augmentation. Her own breast tissue created upper-pole fullness without implants.
Additional view of this case
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One patient, three areas of concern

This patient in her 40s came to Dr. Darren Smith after significant weight loss with a GLP-1 medication. Loose skin affected her abdomen and upper arms, while her breasts had changed in shape and position. Her plan addressed these areas together while preserving a natural breast contour without implants.

Abdomen: skin-only abdominoplasty

The view labeled 2a highlights her skin-only tummy tuck. This abdominal procedure addressed the loose skin remaining after weight loss. Its role was skin removal and contouring, distinct from the breast and arm procedures in her plan.

Arms: extended brachioplasty

View 2b shows the arm component. Her loose skin extended along the upper arms toward the armpits, and an extended brachioplasty addressed this area. Skin removal and recontouring treated the hanging skin along the upper arms. You can also read the arm-focused account of this same patient.

Breasts: how can reduction include auto-augmentation?

View 2c shows the result of an inverted-T breast reduction and lift with auto-augmentation. These terms describe different parts of the operation:

  • Reduction decreased her overall breast volume.
  • Lifting raised and reshaped the breasts, including nipple and areola position.
  • Auto-augmentation repositioned remaining breast tissue to create fullness in the upper part of each breast.

Her total breast size could therefore become smaller while fullness was redistributed toward the upper pole. No breast implants were used. All three photograph sets belong to this patient and show different portions of her treatment.

Explore body contouring after GLP-1 weight loss and arm lift surgery, or discuss a personalized plan with Dr. Smith in New York City.

When were the photographs taken?

All three before photographs (2a abdomen, 2b arms and 2c breasts) were taken at the same preoperative visit. All three after photographs were taken at the same six-month postoperative visit.

Individual results vary.

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