For a new body feeling!
Have you successfully lost a lot of weight and now suffer from sagging skin on your stomach, legs or bottom? Unfortunately, this is not uncommon after a significant weight loss. The reason for this is that the skin, which has often been overstretched over many years due to the extra pounds, can no longer recover on its own. This excess skin and tissue then often appears as a flap of skin on the bottom or a fat apron on the lower abdomen and cannot be reduced by dieting or exercise.
Plastic and aesthetic surgery offers the option of surgically removing excess skin and then tightening the affected areas. This removes the last traces of your former excess weight and allows you to feel comfortable in your body again. Problems such as frequent inflammation under fat aprons can also be permanently eliminated.
If you would like to find out more about skin tightening after weight loss, Dr. Nichlos is the right person for you. Dr. Nichlos, who has many years of experience as a specialist in plastic surgery, will be happy to advise you personally at our practice in Frankfurt about the possibility of a skin tightening procedure. Call us now or use our online form to request a no-obligation appointment!
What is skin tightening after weight loss?
A skin tightening after weight loss isa surgical procedure in which excess and sagging skin is removed, which can no longer return to its original shape after significant weight loss. Due to the loss of elasticity, the skin often remains in the form of skin flaps or so-called fat aprons, particularly on the abdomen, legs, arms or buttocks. The aim of skin tightening is to remove this excess skin and tighten the affected areas of the body in order to harmonize the body contours and reduce functional and aesthetic restrictions.
Advantages of skin tightening after weight loss in Frankfurt
Table of contents
Skin tightening:
At a glance
In which areas is skin tightening possible after losing weight?
In principle, excess skin can be surgically tightened in almost any area of the body. After significant weight loss, the following surgical options are most frequently requested in our practice in Frankfurt:
- Tummy tuck / abdominoplasty: removes excess skin from the abdomen and shapes the abdominal contour
- Breast lift for women (mastopexy): lifts and shapes sagging breasts after pregnancy or due to ageing
- Breast lift for men: removes fat cells and glandular tissue and tightens the skin (also for gynecomastia / “man boobs”)
- Upper arm lift (brachioplasty): tightens sagging skin on the upper arms (“angled arms”)
- Thigh lift: removes excess skin on the thighs (e.g. also after liposuction for lipedema)
- Buttock lift: tightens and shapes the buttocks
- Pubic mound lift (monsplasty): reduces and tightens a bulging pubic area caused by fatty tissue or excess skin
- Body contouring: combines several tightening procedures on different parts of the body for a harmonious and aesthetically pleasing body silhouette (e.g. after gastric bypass surgery)
Depending on the extent and extent of skin sagging and the desired result, several procedures can be combined. Let Dr. Nichlos advise you on which tightening operations are best suited to you in order to optimally harmonize your body contours.
Why is skin tightening useful after weight loss?
After significant weight loss, excess, sagging skin often remains, which does not retract on its own, but forms folds where skin lies on skin. These can not only cause pain and restrict mobility, but the constant friction can also lead to redness, inflammation and even weeping wounds.
In addition to the physical discomfort that excess skin on the body can cause, many sufferers suffer just as much from the external appearance of the skin or fat apron. Shame and reduced self-esteem create a great deal of suffering, which can have a considerable impact on people’s everyday lives and quality of life and, in the worst case, can lead to social withdrawal and isolation. Many sufferers therefore look for a solution such as skin tightening.
What is important before a skin tightening procedure?
The prerequisite for skin tightening surgery after weight loss is that you have already reached your target weight and have maintained it for at least six months. You should also be in good general health. Please inform Dr. Nichlos of any chronic pre-existing conditions (e.g. high blood pressure, cardiovascular disease, diabetes) and medications that you take regularly. It may be necessary to temporarily discontinue certain medications after consultation. If you have an acute infection or inflammation, surgery is not possible; please postpone your appointment to a later date.
It is important to have realistic expectations of the procedure. Plastic and aesthetic surgery can surgically remove a fat apron or other excess skin folds and optimize the body silhouette in the best possible way, but cannot guarantee a “perfect shape”.
Even though Dr. Nichlos makes every incision as scar-sparingly as possible, scars remain after a skin tightening procedure, which – depending on the type of procedure – may be visible later as fine lines. You must also be aware that the results of the operation can only be maintained through permanent lifestyle changes, i.e. a change in diet, exercise and a stable weight.
Removing excess skin after weight loss: how does the operation work?
Depending on where and how much excess skin is to be removed, a skin tightening procedure takes 2-4 hours and is usually performed under general anesthesia. First, Dr. Nichlos marks out the excess skin to be removed in the relevant areas (e.g. abdomen, breasts, arms, thighs, buttocks). As soon as the anesthesia takes effect, he makes precise incisions and then removes the excess skin and, if necessary, some fatty tissue. The remaining layers of tissue are then tightened and re-stitched.
The compression garment that you will wear for the next few weeks is put on immediately after the lift. In most cases, a 1-2 day stay at the Berger Clinic is advisable in order to be able to monitor the healing process from the outset. Good aftercare is required during this and the following period, to which you can contribute a great deal through your behavior.
What happens after the skin tightening procedure?
One of the most important things to do after the tightening procedure is to wear compression garments consistently. It exerts constant pressure on the tissue in the treated areas of the body and thus supports the removal of wound fluid, the healing process and the result.
Depending on the location and extent of the treatment, the tips for the correct behavior after the treatment may vary slightly. As a rule, however, you should refrain from sport and other physical exertion while you are wearing the compression garment. Afterwards, start with light exercises and then slowly intensify your training.
Important: Subsequent weight fluctuations can change the result of the tightening procedure and should therefore be avoided at all costs. Make sure you get enough exercise and eat a healthy diet.
What are the risks associated with skin tightening after losing weight?
There are also general surgical risks when tightening the skin, including post-operative bleeding, wound healing disorders and infections. These can usually be minimized by having the procedure performed professionally by an experienced doctor.
Specific side effects of the treatment such as slight redness, bruising or swelling in the treatment area cannot be ruled out. Temporary numbness or numbness may also occur in the area of the wound or lymphatic or tissue fluid may accumulate in the tissue. This makes it all the more important to follow the aftercare instructions and attend the check-ups after treatment.
Frequently asked questions about
skin tightening after weight loss:
- What is obesity?
Obesity refers to morbid obesity. According to the WHO definition, obesity begins at a body mass index (BMI) of 30, which is the ratio of body weight to height (kg/m²).
- When is a skin tightening after weight loss useful?
If the skin does not regress after severe weight loss and causes physical or psychological discomfort, surgical skin tightening may be advisable. Chronic skin irritation or restricted movement are also possible reasons for the procedure.
- Which areas of the body can be tightened?
Typical regions are the abdomen, thighs, buttocks, upper arms or chest. Depending on the excess skin, several areas can be treated in one or more sessions.
- How long should the weight be stable before the procedure?
Ideally, the new body weight should be kept constant for at least six months before a tightening operation is performed.
- What requirements must be met for the procedure?
A stable state of health, a realistic goal and achieving the desired weight are essential prerequisites. The procedure is not performed during breastfeeding or in the case of acute illnesses.
- How does the skin tightening operation work?
Depending on the treatment area, the procedure is performed under local or general anesthesia. Excess skin is removed and the tissue is tightened. The incisions are made in such a way that scars remain as inconspicuous as possible.
- How long does the healing process take?
The wound takes a few weeks to heal. Light exercise is possible early on, but sport should be avoided for at least 4 to 6 weeks. Compression underwear supports healing.
- Do visible scars remain after skin tightening?
Yes, but Dr. Nichlos uses scar-saving techniques. The scars fade over time and are usually easy to conceal under clothing.
- Is it possible to combine several tightening areas?
Depending on the extent, a combination is possible. The abdomen and thighs or arms and breasts are often combined in one procedure. The decision depends on the individual’s state of health.
- When will the final result be visible?
The result is usually visible after a few months, when the swelling has completely subsided. Scars usually take a year to fully heal.
- Does the health insurance company cover the costs?
In medically justified cases – e.g. chronic skin irritation – it is theoretically possible for costs to be covered. Whether your health insurance company will pay depends on the individual case. In most cases, however, it is a private service.
- What does a skin tightening after weight loss cost?
The costs start from 5,500 euros, plus anesthesia, hospital stay, compression garments and, if necessary, accommodation costs.
Dr. Nichlos on Instagram
Current insights from our everyday practice – feel free to follow us!
Testimonials from our patients

Why Dr. Nichlos ?
Dr. Emmanouil Nichlos is a specialist in plastic and aesthetic surgery with over 16 years of experience.
- Specialist in plastic and aesthetic surgery
Over 16 years of clinical experience in leading clinics - Former senior physician and head of a surgical department at Markus Hospital in Frankfurt
- Since 2025, he has had his own practice for plastic and aesthetic surgery in Frankfurt
All content on this page has been personally reviewed by Dr. Nichlos and complies with current medical standards.
Skin tightening after weight loss: your plastic surgery practice in Frankfurt
Would you like to take the next step towards your new body image after losing weight and have the unwanted excess skin removed? At our plastic surgery practice in Frankfurt, Dr. Nichlos will be happy to welcome you for a personal consultation and explain to you which skin tightening options are available in your specific case. Call us now or use our online form to send us your appointment request.
![Zunächst wird eine spezielle Tumeszenzlösung in das Fettgewebe eingebracht. Diese dient dazu, das Gewebe schonend vorzubereiten, Blutgefäße zu verengen und die Fettabsaugung kontrollierter und gleichmäßiger durchführen zu können. Gleichzeitig erleichtert sie das Lösen der Fettzellen aus dem umliegenden Gewebe.
Im nächsten Schritt erfolgt die eigentliche Liposuktion. Dabei wird das Fett gezielt und präzise abgesaugt, um die Körperkonturen zu definieren und harmonische Übergänge zu schaffen. Die Technik und Tiefe werden individuell an Region, Fettverteilung und Hautbeschaffenheit angepasst.
Ergänzend kommt eine Laserstraffung zum Einsatz. Der Laser wird genutzt, um die behandelten Areale zusätzlich zu unterstützen und die Hautstruktur im Anschluss an die Liposuktion zu verbessern 🔬
Wie bei jeder Behandlung steht eine individuelle Planung im Vordergrund – abgestimmt auf Anatomie, Ausgangssituation und medizinische Voraussetzungen.
✍️KONTAKT⤵️
📞 069 663897034
✉️ info@dr-nichlos.de
🌐 www.dr-nichlos.de
[Link in der Bio]
#liposuktion #tumeszenz #laserstraffung #körperkontur #bodycontouring #plastischechirurgie #ästhetischemedizin](https://scontent-ams2-1.cdninstagram.com/v/t51.82787-15/620919347_17880889590450971_6238873382257182251_n.jpg?stp=dst-jpg_e35_tt6&_nc_cat=104&ccb=7-5&_nc_sid=18de74&efg=eyJlZmdfdGFnIjoiQ0xJUFMuYmVzdF9pbWFnZV91cmxnZW4uQzMifQ%3D%3D&_nc_ohc=0KVoc4et7wkQ7kNvwHCaGwj&_nc_oc=AdmfCEYUkRSsY99ijXkUmzDn20S6EQ4qtmnRDJyiApSYa_3o2Lv13Wao3Z7wRFOkL8Dob59XVDbDU6ktNHS_cb7k&_nc_zt=23&_nc_ht=scontent-ams2-1.cdninstagram.com&edm=ANo9K5cEAAAA&_nc_gid=CU30Ok2ig0PToN8hvDWBaQ&oh=00_AfrqAzxutAotfQ00sas4IlwjkBFReX3hxW_UxON7BEVVmA&oe=6977F63D)
![Theme of the Day: Hyaluron ✨
Viele Hyaluronpräparate – insbesondere für den Lippenbereich – enthalten Lidocain. Der Grund dafür ist, die Behandlung für Patient:innen möglichst angenehm zu gestalten.
Welche Präparate eingesetzt werden und ob sie geeignet sind, wird immer individuell ärztlich entschieden.
✍️KONTAKT⤵️
📞 069 663897034
✉️ info@dr-nichlos.de
🌐 www.dr-nichlos.de
[Link in der Bio]
#themeday #hyaluron #lippen #ästhetischemedizin #behandlung](https://scontent-ams2-1.cdninstagram.com/v/t51.82787-15/619900398_17880774507450971_8915107552271720670_n.jpg?stp=dst-jpg_e35_tt6&_nc_cat=103&ccb=7-5&_nc_sid=18de74&efg=eyJlZmdfdGFnIjoiQ0xJUFMuYmVzdF9pbWFnZV91cmxnZW4uQzMifQ%3D%3D&_nc_ohc=cM3P6CWcLVMQ7kNvwF-aMUZ&_nc_oc=AdnpAQxp7Gop8SaWOCp_AGzJ7SOvlv9zbS6Zi_OOCu1dUcRCAZy7dhe8vKYnfPf6CRiUQs4ygSsZUn5ZIqBhcq3u&_nc_zt=23&_nc_ht=scontent-ams2-1.cdninstagram.com&edm=ANo9K5cEAAAA&_nc_gid=CU30Ok2ig0PToN8hvDWBaQ&oh=00_Afpd-V_c5fKDlMsGgNihL7gv4mwbIwZt1G_L6pWkMEOPDw&oe=6978152C)
![Lipödem ist eine Erkrankung, über die sich viele Mythen halten.
Einer der häufigsten: dass Lipödem gewichtsabhängig sei oder durch Ernährung „verschwindet“.
Tatsächlich handelt es sich um eine eigenständige, chronische Erkrankung des Fettgewebes, die nichts mit fehlender Disziplin zu tun hat. Genau deshalb ist Aufklärung so wichtig.
✍️KONTAKT⤵️
📞 069 663897034
✉️ info@dr-nichlos.de
🌐 www.dr-nichlos.de
[Link in der Bio]
#lipödem #aufklärung #medizinischefakten #plastischechirurgie #gesundheit](https://scontent-ams2-1.cdninstagram.com/v/t51.82787-15/619734280_17880671280450971_2255397245006445489_n.jpg?stp=dst-jpg_e35_tt6&_nc_cat=111&ccb=7-5&_nc_sid=18de74&efg=eyJlZmdfdGFnIjoiQ0xJUFMuYmVzdF9pbWFnZV91cmxnZW4uQzMifQ%3D%3D&_nc_ohc=diamtEOj13gQ7kNvwFfIjw0&_nc_oc=AdlaiXiG3ygSTg5Y7oPFcOzBKl46GHXAt4zgHbcxHgHAh4sK_gYhD4EknKtlc45HSu_NmiCsNVyRy3zNSCIjMwes&_nc_zt=23&_nc_ht=scontent-ams2-1.cdninstagram.com&edm=ANo9K5cEAAAA&_nc_gid=CU30Ok2ig0PToN8hvDWBaQ&oh=00_AfqVB3pbsOtLmwOuWEqEayIzBPOdonn4FY7tqX71RsIeOw&oe=6977EF15)
![Bei dieser Behandlung wurde eine Rücken-Liposuktion mit der gezielten Auffüllung der Hip Dips durch Eigenfett kombiniert ✨
Im ersten Schritt erfolgt eine genaue Analyse der Rückenregion: Fettverteilung, Hautqualität und Übergänge zur Hüfte spielen eine entscheidende Rolle. Ziel ist eine gleichmäßige, natürliche Kontur ohne harte Kanten.
Das entnommene Fett wird anschließend sorgfältig aufbereitet, damit ausschließlich geeignetes Eigenfett für den Transfer verwendet wird. Für die Hip Dips wird das Fett schichtweise eingebracht, um die seitliche Hüftlinie sanft zu harmonisieren und Volumendefizite auszugleichen.
Ergänzend wurde der Rücken mit dem Leonardo Laser behandelt @lipolas_laserlift_dach @lipolas_laserlift Diese Laserstraffung kann die Hautstruktur unterstützen und das Konturergebnis zusätzlich verfeinern.
Jede Kombination aus Liposuktion, Eigenfetttransfer und Laserbehandlung wird individuell geplant und medizinisch abgestimmt.
✍️KONTAKT⤵️
📞 069 663897034
✉️ info@dr-nichlos.de
🌐 www.dr-nichlos.de
[Link in der Bio]
#rückenliposuktion #eigenfett #hipdips #körperkontur #laserstraffung #leonardolaser #plastischechirurgie #ästhetischemedizin](https://scontent-ams2-1.cdninstagram.com/v/t51.82787-15/619515279_17880548532450971_5878472662653684265_n.jpg?stp=dst-jpg_e35_tt6&_nc_cat=111&ccb=7-5&_nc_sid=18de74&efg=eyJlZmdfdGFnIjoiRkVFRC5iZXN0X2ltYWdlX3VybGdlbi5DMyJ9&_nc_ohc=YnI_UyGG0vMQ7kNvwFtTcE8&_nc_oc=AdmsARDJcj6FjjBJKGUH9yTCq4Azen_n2r0u1xryzB3PW8xLe23K2xZ9xBSMV00r30cpgsyveBCtZX6rDswewl_e&_nc_zt=23&_nc_ht=scontent-ams2-1.cdninstagram.com&edm=ANo9K5cEAAAA&_nc_gid=CU30Ok2ig0PToN8hvDWBaQ&oh=00_Afq0wfUWSiEPZqQQFwcaU6fiixqdNfHuMe3X3DzB3fVR6Q&oe=69780AE9)
![Sieht manchmal nach Stress aus 😄
Natürlich versuche ich nicht absichtlich beschäftigt zu wirken – aber Medizin ist nun mal kein Job, bei dem man einfach auf „Pause“ drückt. Zwischen OP, Gesprächen, Planung und Verantwortung gehört volle Konzentration einfach dazu.
✍️KONTAKT⤵️
📞 069 663897034
✉️ info@dr-nichlos.de
🌐 www.dr-nichlos.de
[Link in der Bio]
#praxisalltag #arztleben #medizin #plastischechirurgie #hinterdenkulissen](https://scontent-ams2-1.cdninstagram.com/v/t51.82787-15/616323671_17880424008450971_7051676510112990580_n.jpg?stp=dst-jpg_e35_tt6&_nc_cat=102&ccb=7-5&_nc_sid=18de74&efg=eyJlZmdfdGFnIjoiQ0xJUFMuYmVzdF9pbWFnZV91cmxnZW4uQzMifQ%3D%3D&_nc_ohc=IgDJ7fUSG_YQ7kNvwHa-ZAo&_nc_oc=AdnYYbMrLcCkarwLXXgKeM1xqu1XBzlIDUOUO-hs_KFL8PTJxRsCQIQkgvGvzR9y0uFY5PqadbPwIQllMO4IuV9M&_nc_zt=23&_nc_ht=scontent-ams2-1.cdninstagram.com&edm=ANo9K5cEAAAA&_nc_gid=CU30Ok2ig0PToN8hvDWBaQ&oh=00_AfovVIYvxcI_GE7QbcqTeLKv9K-0GCQlCYgwri5LRxBkFg&oe=6977F8FE)
![Botox – ein Wort, viele Vorurteile.
Rund um Botulinumtoxin gibt es zahlreiche Mythen, vor allem in sozialen Medien. In der Medizin wird der Wirkstoff seit Jahrzehnten in unterschiedlichen Fachgebieten eingesetzt – sowohl ästhetisch als auch therapeutisch.
Welche Wirkung es haben kann, wann es sinnvoll ist und wann nicht, wird immer individuell ärztlich entschieden.
✍️KONTAKT⤵️
📞 069 663897034
✉️ info@dr-nichlos.de
🌐 www.dr-nichlos.de
[Link in der Bio]
#botox #ästhetischemedizin #medizinwissen #faktenstattmythen #plastischechirurgie](https://scontent-ams2-1.cdninstagram.com/v/t51.82787-15/616294326_17880312747450971_7345873417923559944_n.jpg?stp=dst-jpg_e35_tt6&_nc_cat=111&ccb=7-5&_nc_sid=18de74&efg=eyJlZmdfdGFnIjoiQ0xJUFMuYmVzdF9pbWFnZV91cmxnZW4uQzMifQ%3D%3D&_nc_ohc=dSoF4kAwo_IQ7kNvwEiFuwV&_nc_oc=Adk9LTVtHWrlaWN73dF5UR_sijlPv702djCuEoS9Fj6l2tZzqyBp4RrB4Lq3CZ-xw63mqZkN_rdQb9ce4y9RXmwa&_nc_zt=23&_nc_ht=scontent-ams2-1.cdninstagram.com&edm=ANo9K5cEAAAA&_nc_gid=CU30Ok2ig0PToN8hvDWBaQ&oh=00_AfqILbYoWUKeZrZXohYpHJXtAcffCCjfQE8Yd8yoy5uv3A&oe=6977EED7)
![OP of the Day ✨
Heute: Brustaufbau mit Eigenfett.
Dabei wird zunächst im Rahmen einer Liposuktion körpereigenes Fett gewonnen, anschließend aufbereitet und danach gezielt in die Brustregion eingebracht, um Volumen und Form zu optimieren.
Dieses Verfahren nutzt ausschließlich körpereigenes Gewebe und wird individuell geplant, abhängig von Anatomie, Wunsch und medizinischer Ausgangslage.
✍️KONTAKT⤵️
📞 069 663897034
✉️ info@dr-nichlos.de
🌐 www.dr-nichlos.de
[Link in der Bio]
#opoftheday #eigenfett #brustaufbau #liposuktion #ästhetischechirurgie #medizin](https://scontent-ams2-1.cdninstagram.com/v/t51.82787-15/615580171_17880204729450971_2174397057185822313_n.jpg?stp=dst-jpg_e35_tt6&_nc_cat=107&ccb=7-5&_nc_sid=18de74&efg=eyJlZmdfdGFnIjoiQ0xJUFMuYmVzdF9pbWFnZV91cmxnZW4uQzMifQ%3D%3D&_nc_ohc=XwnJcT5ymioQ7kNvwHTVp2N&_nc_oc=AdkmSUGZMwvZz0GbpsUQtX4rpk3YdzV9NB9l61nUjJB3y9-jPqkYWKbIVjBN3_nlf6ajolBUhW5HfG6GtPbLMlnf&_nc_zt=23&_nc_ht=scontent-ams2-1.cdninstagram.com&edm=ANo9K5cEAAAA&_nc_gid=CU30Ok2ig0PToN8hvDWBaQ&oh=00_Afqz8v-M1SylECHesgKCzgKu-obpVRSklrdFez69-mk-mg&oe=69782352)
![Vorher & Nachher – aus medizinischer Indikation ✨
In diesem Fall wurde eine Brustverkleinerung durchgeführt, weil die Patientin unter einer sehr ausgeprägten Brustform gelitten hat, die körperliche Beschwerden verursacht hat.
Ziel solcher Eingriffe ist es, die Belastung für Rücken, Schultern und Haut zu reduzieren und eine funktionell wie ästhetisch stimmige Form herzustellen.
Jede Entscheidung basiert dabei auf einer ärztlichen Untersuchung und einer individuellen medizinischen Beurteilung.
✍️KONTAKT⤵️
📞 069 663897034
✉️ info@dr-nichlos.de
🌐 www.dr-nichlos.de
[Link in der Bio]
#vorhernachher #brustverkleinerung #medizinischeindikation #plastischechirurgie #körpergesundheit #ästhetischemedizin](https://scontent-ams2-1.cdninstagram.com/v/t51.82787-15/614674323_17880093708450971_74198750041399590_n.jpg?stp=dst-jpg_e35_tt6&_nc_cat=103&ccb=7-5&_nc_sid=18de74&efg=eyJlZmdfdGFnIjoiQ0xJUFMuYmVzdF9pbWFnZV91cmxnZW4uQzMifQ%3D%3D&_nc_ohc=rH-Uc-wH2TgQ7kNvwGz4tsn&_nc_oc=AdnypSbHxBUP7b3a-K9vLMvBsQ10uDHX-D5uaJnyh02O8n_rdSL1vtSAKgKZZRKUA5jAlKdwKjpR3inqPK-a7Oor&_nc_zt=23&_nc_ht=scontent-ams2-1.cdninstagram.com&edm=ANo9K5cEAAAA&_nc_gid=CU30Ok2ig0PToN8hvDWBaQ&oh=00_Afp7UOXTNfSDYTZH1lAWa4dvoLuhTdRnUHAMwJ1sKisSSQ&oe=69781126)