Exclusively for Blackrock WeightCare patients looking to complete their weight loss journey
Achieving significant weight loss through bariatric surgery is a major medical and personal success. However, for many patients, excess skin remains long after weight stabilisation – affecting comfort, movement, hygiene, confidence, and quality of life.
At Blackrock WeightCare, we provide specialist post-bariatric plastic surgery and body contouring for patients who have undergone weight loss surgery and now wish to address excess skin. This service is delivered at The Hermitage Clinic, ensuring access to a modern, high-quality surgical environment with the highest standards of patient care.
Our post-bariatric plastic surgery service is designed specifically for patients following significant weight loss and is supported by structured, expert aftercare with a strong focus on wound management, recovery, and ongoing follow-up.
Following major weight loss, the skin often loses its ability to retract. This is particularly common after procedures such as sleeve gastrectomy, gastric bypass, and SADI-S, where weight loss is rapid and substantial.
Post-bariatric body contouring surgery aims to:
Each surgical plan is individualised, reflecting the patient’s anatomy, weight loss history, and recovery goals.
Excess skin is frequently associated with ongoing medical and quality-of-life issues, including:
For many patients, excess skin becomes the final barrier to fully benefiting from their weight loss.
Skin removal surgery is usually considered when:
A detailed consultation is essential to determine appropriate timing and procedure selection.
Ms Silvia Marino
Consultant Plastic, Reconstructive & Aesthetic Surgeon
Ms Silvia Marino is a Consultant in Plastic, Reconstructive and Aesthetic Surgery at Blackrock WeightCare, with extensive training in both reconstructive and aesthetic procedures. She holds an MD, a PhD, and the European Board Certification in Plastic, Reconstructive and Aesthetic Surgery (FEBOPRAS).
She completed her specialist training in Italy and has held senior clinical roles in high volume teaching hospitals in Ireland and the United Kingdom, including St Vincent’s University Hospital in Dublin and the Canniesburn Plastic Surgery Unit in Glasgow. Her experience includes body contouring, breast reconstruction, skin cancer surgery and complex soft tissue reconstruction.
At Blackrock WeightCare, Ms Marino takes a patient centred and evidence based approach to care, with a particular interest in body contouring following weight loss. She places strong emphasis on careful patient selection, realistic goal setting and surgical safety, working closely with patients to achieve natural and proportionate outcomes. She is committed to clear communication and continuity of care throughout each patient’s transformation journey.
Mr Sergio Mitic
Consultant Plastic, Reconstructive & Aesthetic Surgeon
Mr Sergio Mitic is a highly experienced Consultant Plastic Surgeon with extensive expertise in body contouring following bariatric surgery. He works closely with the multidisciplinary team at Blackrock WeightCare to support patients in the final stage of their weight loss journey, helping them address excess skin and restore comfort, confidence, and body balance after significant weight loss.
He completed his specialist training in Plastic, Reconstructive and Aesthetic Surgery at University Hospital Virgen del Rocío in Seville, Spain, and undertook advanced training in hand surgery and microsurgery in Madrid and at the Hospital for Sick Children in Toronto, Canada. He has worked as a consultant in major public and private hospitals across Spain, including Seville, Cádiz, Málaga, Granada, Madrid, and Ciudad Real, and was part of a specialist microsurgery and reimplantation unit.
Having performed over 15,000 aesthetic procedures, Mr Mitic brings extensive international experience to Ireland and is now focused on developing a dedicated post-bariatric plastic surgery service for patients at Blackrock WeightCare.
His practice emphasises:
Patients are supported from initial consultation through surgery and extended follow-up.
Abdominoplasty addresses excess skin and tissue of the abdomen following weight loss. The extent of surgery varies significantly between patients, depending on:
Procedures may range from a limited lower abdominoplasty to a more extensive full abdominoplasty with muscle repair and repositioning of the umbilicus. In some cases, extended techniques are required to address skin excess toward the flanks.
Weight loss often leads to loss of breast volume, sagging, and altered shape.
A breast lift reshapes and elevates the breast tissue to restore contour and position.
In some patients, breast reduction may also be required if excess tissue remains following weight loss. The exact approach is determined during consultation, based on breast size, shape, and patient goals.
For selected patients, abdominoplasty and breast lift can be safely performed together.
This combined approach:
Brachioplasty removes excess skin from the upper arms, improving contour and ease of movement.
The extent of scarring and tissue removal depends on the degree of skin laxity following weight loss.
This procedure addresses loose skin of the thighs and buttocks, improving:
Techniques vary depending on where excess skin is concentrated.
For suitable patients, combined procedures may be considered to address multiple areas in a single surgery, which can also help reduce overall costs. These cases are carefully planned, with particular attention given to recovery, wound care, and patient safety.
You will meet your plastic surgeon for a comprehensive assessment, including:
Once surgery is agreed:
At Blackrock WeightCare, post-operative care following body contouring surgery is carefully structured around the individual needs of each patient. Recovery requirements will differ depending on the procedure performed, the extent of surgery, and the patient’s progress during healing. For this reason, our follow-up programme is not based on a fixed, one-size-fits-all model, but on clinical need.
As part of their treatment, all patients will have two scheduled follow-up consultations with their plastic surgeon. Where further review is required, this will be arranged as part of the aftercare pathway, without additional professional fees.
Throughout the recovery period, patients have access to:
This approach allows any concerns relating to wound healing, dressings, swelling, or recovery to be assessed promptly and managed appropriately by the clinical team.
The fee for your procedure is fully inclusive and covers:
We believe patients should have clarity and reassurance from the outset. Your treatment fee includes not only the procedure itself, but also the continuity of expert aftercare required to support a safe recovery.
Some patients will progress through recovery with routine post-operative review alone. Others may require additional wound assessments, dressing changes, or nurse-led support. The level of follow-up provided will depend entirely on what is clinically appropriate for you.
Our priority is to ensure that every patient has access to the care, review, and support they need throughout recovery, until healing is complete.
The cost of post-bariatric plastic surgery varies depending on:
Detailed cost information can be obtained by contacting our office and speaking with our support staff, who will be happy to guide you through your options following consultation.
