At her London practice, Dr Nicki Bystrzonowski performs excess skin removal surgery with precision and care. Her approach focuses not only on restoring smooth, natural contours but also on helping patients feel more at ease in their bodies again.
With a background in both psychology and plastic surgery, Dr Nicki understands that this procedure often represents more than a physical transformation, it can be a meaningful step towards reclaiming self-assurance after years of change.
Excess skin removal, also known as skin excision surgery, is a procedure that removes loose or stretched skin that remains after weight loss or other body changes. It can be performed on multiple areas, including the abdomen, arms, thighs, back, and chest.
Depending on the areas affected, Dr Nicki may recommend combining treatments such as abdominoplasty, arm lift (brachioplasty), or thigh lift to achieve a balanced, natural result. The procedure is tailored to each individual’s anatomy, comfort, and recovery goals.
The aim is always to create smoother contours that look natural, improve mobility, and allow patients to wear clothing comfortably, without the physical or emotional burden of redundant skin.
| Detail | Summary |
|---|---|
| Procedure Time | 2–5 hours depending on areas treated |
| Anaesthetic | General anaesthetic |
| Hospital Stay | Usually 1–2 nights |
| Recovery Time | Light activity after 10–14 days; full recovery in 6–8 weeks |
| Compression Garment | Worn for 6 weeks to aid healing and contour |
| Scarring | Varies by area; positioned to remain discreet and fade over time |
| Results Visible | Immediate improvement with refinement over several months |
| Longevity | Long-term when weight remains stable |
| Follow-Up | Regular review appointments with Dr Nicki to support recovery |
A detailed consultation with Dr Nicki Bystrzonowski begins the process. She listens to each patient’s concerns, evaluates skin quality, and recommends the most suitable treatment plan. This may involve one or several procedures depending on where the skin excess is located.
Excess skin removal surgery is carried out under general anaesthetic. Dr Nicki marks incision lines carefully to follow the body’s natural contours, ensuring scars are positioned as discreetly as possible.
During surgery, excess skin and small pockets of fat are removed, and the remaining tissue is gently tightened and repositioned to create smoother, firmer contours. Dr Nicki may combine liposuction for additional refinement where necessary.
Once the desired contour is achieved, the skin is closed with fine sutures and dressings applied. Care is taken to maintain proportion across all treated areas, avoiding an over-corrected or tightened appearance.
Patients are usually up and moving the day after surgery. Mild swelling and tightness are expected but gradually ease. Compression garments support the healing process and help define the new contour. Most patients return to light activities within two weeks.
Results are visible soon after surgery and continue to refine as swelling settles. For many, this procedure represents the final stage in a long journey of personal transformation, restoring comfort, confidence, and ease in everyday movement.