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Extreme Body Contouring
in Long Island, NY

Age Focus offers extreme body contouring in Long Island, NY, for patients ready for a dramatic, full-body transformation. Led by Dr. Juan Gargiulo, a cosmetic surgeon with over 30 years of experience, our awake approach combines multiple sculpting procedures into a safer, more comfortable experience with minimal downtime. Every surgery is performed by Dr. Gargiulo himself.
Schedule a consultation today!
Shirtless male patient displaying defined abdominal and chest musculature against dark background
Person displaying defined abdominal muscles and toned torso in white athletic wear

What is Extreme Body Contouring?

Extreme body contouring is a comprehensive, multi-area surgical plan that removes excess skin and stubborn fat while reshaping the underlying tissue. Rather than treating one region in isolation, it addresses the abdomen, flanks, back, arms, thighs, buttocks, and chest to restore proportion across the entire silhouette.

UNDERSTANDING THE PROCEDURE

At Age Focus, extreme body contouring is performed using local anesthesia with light sedation. You remain awake and responsive throughout, which helps avoid the risks tied to general anesthesia.
The objectives are structural:
  • Excise redundant skin
  • Remove disproportionate fat deposits
  • Tighten lax tissue
  • Refine transitions between treated zones so the contour looks continuous and natural rather than patchwork
Your plan is built from the awake procedures we perform in-house, staged or combined according to your anatomy and goals. Surgical techniques may include:
Dr. Gargiulo also employs innovative approaches such as his proprietary “no-scar” belly button technique for combined procedures like Lipo 360 and tummy tuck.

Preparing for Your Procedure

Consultations are free and available in person at our office or by video call. Dr. Gargiulo evaluates your skin quality, fat distribution, and priorities, then maps a sequence and reviews before-and-after galleries with you.
You’ll receive personalized guidance on:
  • Medications to pause and adjust
  • Nutrition and hydration
  • Stopping nicotine
  • Arranging a ride home
  • Preparing garments, pillows, and help at home for the first several days
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The Body Contouring Procedure steps

Dr. Gargiulo numbs each treatment zone with local anesthetic and light sedation, keeping you awake and comfortable. This awake approach significantly reduces the risks and recovery time associated with general anesthesia.
Incisions are planned to fall within natural creases and garment lines wherever anatomy allows, using techniques designed to minimize visible scarring. Dr. Gargiulo’s meticulous planning is key to achieving a discreet final result.
Fat is removed or harvested and repositioned, redundant skin is excised, and deeper tissue is tightened. This comprehensive step sculpts the body’s underlying framework to create a smoother, more athletic silhouette.
Layered closure – often with dissolvable sutures – supports the new contour. This careful technique is crucial for minimizing tension and promoting optimal scar healing. You can communicate throughout and even stand for assessment.
Muscular male torso showing defined chest and abdominal muscles

Recovery and Aftercare

  • Expect swelling, bruising, tightness, and drainage in the first days
  • Compression garments are worn as directed
  • Short, frequent walks begin right away
  • Plan on assistance at home early on
  • Professional post-operative massages
  • Light daily activities: within a few days to a week
  • Desk work: typically one to two weeks, depending on scope
  • Heavy lifting and strenuous exercise: restricted for at least four weeks
  • Swelling continues resolving over several months

Achieving Your Desired Results

Contours emerge gradually as swelling subsides, with final results apparent over several months. Scars fade and flatten over a year or more. Results are meant to look proportionate and natural – not sculpted-on.
  • Maintain a stable weight with a balanced diet and consistent activity
  • Prioritize adequate protein and hydration
  • Protect healing incisions from the sun
  • Non-surgical treatments can address minor changes later

Is Extreme Body Contouring
Right For You?

Strong candidates typically:
  • Are at or near a stable weight after major weight loss, pregnancy, or bariatric surgery
  • Have significant excess skin or fat unresponsive to weight-loss efforts
  • Are non-smokers or willing to quit
  • Are in good general health with realistic expectations about scars and staging
  • Prefer to avoid general anesthesia
  • Contouring is not a weight-loss method.
  • If you take blood thinners, we'll need to know which medication and why before determining candidacy.
  • Extensive transformations may be safest across multiple sessions rather than one.
At consultation, Dr. Gargiulo reviews your anatomy, aesthetic goals, and full medical history.
Woman displaying toned abdomen and torso in black bikini, demonstrating body contouring results

benefits of body contouring

  • Better-fitting clothing and a more balanced waist-to-hip relationship
  • Relief from chafing and skin irritation caused by hanging tissue
  • Tighter, smoother skin and a more defined, athletic physique
  • Easier movement during exercise
  • Most patients are up and walking the same day thanks to local anesthesia
Reaching your goal weight only to be covered in loose skin can feel like an unfinished story. Contouring lets your body finally reflect the work you’ve put in – and that shift in the mirror often changes how patients carry themselves entirely.

potential risk and safety

All surgery carries risk: bleeding, infection, fluid collection, delayed healing, asymmetry, changes in sensation, and visible scarring. Temporary swelling, bruising, and discomfort are expected.
Avoiding general anesthesia removes one meaningful category of risk. Dr. Gargiulo’s extensive experience, thorough pre-operative screening, and staged planning reduce the rest.
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understanding body
contouring costs

Extreme body contouring in Long Island typically ranges from $10,000 to $35,000, depending on how many areas are treated, whether skin excision is required, surgical time, and staging. Pricing varies by provider, anatomy, and treatment plan.
Request a personalized quote at your consultation.
We accept cash, card, and all major payment methods, plus flexible financing through:
  • CareCredit
  • Cherry
These partners offer fast approvals, competitive rates, and flexible payment terms.
book a consultation

Why Choose Age Focus Cosmetic Surgery
for Your Extreme Body Contouring?

  • Dr. Juan Gargiulo – over 30 years of experience, performing every operation personally
  • Awake surgery is our specialty, not a sideline– local anesthesia with light sedation for reduced risk and faster recovery
  • Innovative techniques – including the proprietary "no-scar" belly button approach
  • Comprehensive aftercare – including professional post-operative massages
  • Free consultations – in person or by video call

Frequently Asked Questions (FAQs)

No. Local anesthesia and light sedation keep you comfortable while conscious. You remain awake and responsive, avoiding the risks and extended recovery associated with general anesthesia.
Sometimes. Dr. Gargiulo will advise whether staging across multiple sessions is safer for you.
Light activities resume within a few days to a week, and desk work within one to two weeks. Full recovery and final results take several months as swelling subsides and tissues settle.

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