PLUS SIZE HIGH BMI TUMMY TUCK & BBL – Dr. Nick Masri

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What is Body Contouring Zones That High BMI Patients Overlook?

When people think of plastic surgery, the tummy tuck tends to dominate the conversation. Patients often focus solely on the belly or waist because it’s the most visible part of their body.

But ignoring surrounding areas can lead to an incomplete result and even affect the success of the main procedure. For example, removing belly fat without addressing the back can accentuate rolls instead of minimizing them. Tightening the waist without sculpting the thighs may leave the lower body feeling “unfinished.”

And while the tummy tuck is a powerhouse procedure—especially for high BMI patients—it’s just one piece of the body contouring puzzle.

What is Body Contouring?

For patients with a higher BMI, body contouring is reshaping the body to enhance natural curves, eliminate stubborn fat, and tighten loose skin. It’s more than just dropping sizes—it’s feeling confident in your body from every angle.

And here’s the truth: some of the most transformative changes come from areas patients tend to overlook. Back rolls. Arm fat. Thighs that rub. These aren’t just aesthetic concerns, as they can cause physical discomfort, affect clothing fit, and chip away at confidence.

That’s why these zones deserve just as much attention as your waistline.

Let’s break down the top three overlooked contouring zones for plus-size patients and how targeting these areas can completely change your silhouette.

Upper Back and Bra Bulges

Back rolls and bra-line fat are two of the most persistent problem areas, especially for women with a higher BMI. Even after major weight loss or improvements in core strength, back rolls tend to stick around, making even a well-fitted bra or tank top feel uncomfortable.

What is body contouring for this area? It often includes:

  • Upper back liposuction to remove stubborn fat.
  • Bra-line back lift to remove excess skin and smooth the contour.
  • In some cases, part of a more comprehensive upper body lift.

By addressing this area, patients can achieve a smoother, more streamlined shape under clothing. Many women report finally feeling comfortable in fitted tops and dresses without the need to adjust or hide unsightly fats.

Arm Fat and Bat Wings

“Bat wings,” as some patients call them, are incredibly common in higher BMI individuals, especially after significant weight loss.

For some, the issue is mostly excess fat. For others, it’s the loose, stretched-out skin that won’t bounce back.

Body contouring options for the arms include:

  • Arm liposuction, which targets localized fat deposits.
  • Brachioplasty (arm lift), which removes loose, hanging skin from the underarm to the elbow.

If you’ve ever avoided sleeveless tops or felt self-conscious in photos, this procedure can make a world of difference.

Inner and Outer Thighs

For high BMI patients, thigh fat can be one of the most frustrating issues to deal with. The inner thighs may rub, causing chafing and irritation, while the outer thighs may carry disproportionate fat deposits that throw off body symmetry.

What is body contouring in this zone?

  • Inner and outer thigh liposuction helps smooth the leg contour.
  • Thigh lifts (especially after weight loss) tighten and remove excess, sagging skin.

Contouring the thighs can dramatically improve mobility, clothing fit, and comfort during daily activities. Pairing thigh contouring with a tummy tuck or Brazilian butt lift can create a more balanced hourglass look.

Creating a Custom Plan for Your Body

high bmi plastic surgeon Nick Masri MDDr. Nick Masri emphasizes that body contouring isn’t one-size-fits-all, especially for plus-size patients. The best results happen when the entire silhouette is considered, not just the stomach.

During your consultation, Dr. Masri evaluates multiple factors:

  • Fat distribution
  • Skin quality
  • Overall health and surgical goals
  • Previous weight loss or medical history (like GLP-1 use)

From there, he helps build a step-by-step surgical plan that reflects your body’s specific needs—prioritizing safety, recovery, and the long-term results you deserve.

Ready to explore your options? Schedule a consultation with Dr. Nick Masri today to see what’s possible when your entire body gets the care it deserves.