A tummy tuck after children. A breast that never quite bounced back. Thighs, arms, loose skin around the waist and back, or contours that diet and exercise simply can't reach. These aren't vanity concerns — they're about feeling at home in your own body.
Dr. John LoMonaco is a double board certified plastic surgeon in Houston with over 5,000 procedures completed. Whether you're considering one procedure or a combination, the plan starts with your goals — not a package.
Pregnancy, nursing, genetics, aging, and honest weight fluctuations all reshape the body in ways no amount of discipline can undo. Skin that has been stretched loses its elasticity. Muscles that separated during pregnancy don't knit back together on their own. Breast tissue deflates and settles.
Loose skin, separated muscles, lost volume — these are structural changes. Surgery is the structural answer.
Loose skin and weakened muscles don't respond to diet or exercise — because they aren't a diet or exercise problem.
Pregnancy, nursing, and weight shifts change shape and volume in ways a bra used to hide.
When one area doesn't match the effort you put in, the whole picture feels off.
If you've had any of these thoughts, you're exactly who this practice was built for.
Some patients want a single, precise change. Others want a comprehensive plan that addresses everything at once. Each plan is customized to the unique anatomy of your body. There are no one size fits all solutions.
A flatter, firmer core.
Excess skin is removed, separated abdominal muscles are repaired, and the waistline is restored. The most requested procedure after pregnancy or weight fluctuation — because it corrects what exercise cannot.
Higher, younger, you.
The breast is reshaped and lifted, the nipple returned to its natural position, and excess skin removed. Ideal when size is right but sagging has taken over.
Fullness, sized to your frame.
Saline or silicone implants restore volume and shape — chosen to fit your proportions and your life, not a catalog number. Above or below the muscle, depending on your tissue and goals.
Position and volume, together.
When pregnancy, nursing, or weight loss left breasts both deflated and descended, a lift restores position while an implant restores fullness — planned together in a single operation.
One surgery. One recovery.
Breast surgery, a tummy tuck, and liposuction combined and personalized in a single operation — one anesthesia, one recovery, and a significant cost savings over separate procedures.
Sleeveless, without a second thought.
Loose skin along the upper arm is removed and the contour tightened, with the incision placed to sit along the inner arm where it stays private.
Comfort in motion.
Excess inner or outer thigh skin is removed so clothing fits comfortably and chafing stops being part of your day. Often combined with a tummy tuck or lower body contouring.
All the way around.
A circumferential lift that removes loose skin around the abdomen, flanks, hips, and buttocks in one operation — reshaping the waist and lifting the lower body from every angle, not just the front.
Back, sides, and chest, restored.
Loose skin along the bra line, upper back, and sides is removed and the chest or breasts reshaped, so tops and bras fit smoothly again. Often paired with a breast lift or arm lift.
Sculpting what diet can't reach.
Targeted fat removal to refine the waist, flanks, hips, and thighs. Best for patients at a stable, healthy weight with pockets of fat that resist both diet and exercise.
Lighter isn't a luxury.
For women whose breasts cause neck, back, or shoulder pain, reduction removes excess tissue and skin and reshapes the breast to a size that fits your frame and your life.
Most patients arrive with a procedure in mind and leave with a better one. Here is the plain-language version of the most common choices.
Best when loose skin or separated muscles are the problem — not stubborn fat alone.
Best when skin is healthy and elastic, and a localized pocket of fat is all that's standing in the way.
Best when size is right but the breast has sagged and lost its position.
Best when position is good and volume is what's missing.
Best when loose skin wraps around the waist, hips, back, or buttocks — more than a tummy tuck alone can address.
Then we'll build a plan specifically for you.
Different body types, different starting points, different goals. Actual patients of Dr. John LoMonaco. Individual results vary.
Actual patient of Dr. LoMonaco
Actual patient of Dr. LoMonaco
Actual patient of Dr. LoMonaco
Actual patient of Dr. LoMonaco
Actual patient of Dr. LoMonaco
Actual patient of Dr. LoMonaco
Actual patient of Dr. LoMonaco
Actual patient of Dr. LoMonaco
Actual patient of Dr. LoMonaco
Dr. LoMonaco has spent his career on one of the most technically demanding patients in plastic surgery: the person who lost 100 pounds or more. He helped pioneer the full body lift, has been featured on Skin Tight, Big Medicine, and My 600-lb Life, and is regularly asked to review complex reconstructive cases.
Dr. John LoMonaco on TLC Skin Tight
You'll know exactly what to expect before surgery day — from the first walk around the house to your final follow-up. Clear instructions, realistic timelines, and a team that answers when you call.
Labs, a medication review, and a caregiver plan for the first days home. Nicotine users stop at least six weeks before surgery.
You'll walk from day one to protect healing, with a compression garment supporting your results. Any drains typically come out within the first week or two.
Most desk work resumes in one to two weeks, depending on your procedure. A combined mommy makeover leans toward the longer end.
Walking begins immediately. Most activities return gradually, with core work, lifting, and higher-impact exercise at around six weeks.
Swelling peaks early and fades over weeks to months. The garment stays on as directed to help tissues settle into their new shape.
Taping, silicone, and sun protection begin once incisions have sealed. Incisions are planned to hide under clothing and swimwear, and fade substantially over 12–18 months.
Early results show within weeks, but the final contour emerges as swelling resolves — typically three to six months for breast surgery and six to twelve months for body procedures.
Tell us a little about yourself and how you'd prefer to meet. A member of our team will reach out within one business day to confirm your appointment.
Call (713) 526-5550You don't need to know exactly which procedure you need. You simply need someone who listens first and plans honestly. Whether you're local to Houston or traveling from across the country, we'll help you understand your options and create a personalized plan designed around your goals.
Speak with a specialist — Houston, Texas & virtual consultations nationwide