Completing your transformation with balance and precision
Post-Weight Loss Surgery in London
Significant weight loss is a major achievement, but for many people, it can leave behind loose, heavy skin that doesn’t reflect the hard work they’ve put in. These physical changes can make movement uncomfortable and affect clothing, confidence, and self-image.
At her London practice, Dr Nicki Bystrzonowski performs post-weight loss surgery to help patients complete their transformation safely and confidently. Her approach focuses on restoring body shape and proportion while prioritising health, comfort, and natural results.
With specialist training in reconstructive and body-contouring surgery, and a background in psychology, Dr Nicki understands both the physical and emotional journey patients experience after major weight loss. Every treatment plan is personalised, respectful, and designed to deliver results that feel truly your own.
What Is Post-Weight Loss Surgery?
Post-weight loss surgery (also known as body contouring after weight loss) is a tailored combination of procedures that remove excess skin and refine body shape following major weight changes. The goal is to create smoother, balanced contours while improving comfort and mobility.
Common areas treated include the abdomen, thighs, arms, breasts, and buttocks, where stretched skin is most likely to remain. Depending on individual needs, Dr Nicki may recommend combining procedures such as abdominoplasty (tummy tuck), arm lift (brachioplasty), thigh lift, or breast reshaping surgery.
These procedures are often performed in stages to allow safe recovery and optimal aesthetic balance. The result is a more defined, proportionate shape that supports both physical ease and emotional wellbeing.
Key Information
| Detail | Summary |
|---|---|
| Procedure Time | Varies; typically 3–6 hours depending on areas treated |
| Anaesthetic | General anaesthetic |
| Hospital Stay | 1–2 nights |
| Recovery Time | Light activity after 2 weeks; full recovery in 6–8 weeks |
| Compression Garment | Worn for 6 weeks to support healing and contour |
| Scarring | Depends on areas treated; placed discreetly and fades over time |
| Results Visible | Noticeable immediately, refining over several months |
| Longevity | Long-term when weight remains stable |
| Follow-Up | Regular reviews with Dr Nicki to monitor progress and healing |
How Post-Weight Loss Surgery Works
Consultation and Planning
Your journey begins with a comprehensive consultation with Dr Nicki Bystrzonowski, who will assess your skin tone, remaining elasticity, and overall health. Together, you’ll discuss which areas you’d like to improve and whether combining surgeries would provide the best outcome.
Anaesthetic and Preparation
The procedure is carried out under general anaesthetic. Incision lines are carefully marked to follow the body’s natural shape, ensuring scars are discreet. Depending on the treatment plan, surgery may focus on the abdomen, thighs, arms, breasts, or multiple areas in a single session.
The Procedure
Excess skin and residual fat are removed, and the underlying tissue is repositioned to restore a natural contour. Muscle tightening may be performed in some areas (such as the abdomen) to improve tone and definition.
Sculpting and Symmetry
Dr Nicki’s goal is always proportion, balancing the shape of the torso, limbs, and overall silhouette. Liposuction may be added to smooth transitions and enhance the natural flow between treated areas.
Recovery and Healing
Patients typically stay in hospital for one to two nights. Swelling and tightness are normal and managed with prescribed medication. Compression garments are worn to reduce swelling and support the healing process. Most people return to light activities after two weeks.
Long-Term Results
Results are visible immediately and continue to refine as swelling settles. Once fully healed, patients experience improved comfort, clothing fit, and confidence, often describing this stage as the true completion of their transformation.