If you need extensive changes to your body contour due to excess weight, extreme weight loss, or a less attractive body contour inherited from your genetic background, Dr. Egrari can help you achieve the trimmer, more attractive shape you envision.

Who Is A Candidate For Extreme Body Sculpting?

  • Those who require a more extensive body sculpting and correction than the average patient.
  • Those who have been unable to achieve a healthy weight.
  • Those who have been turned away from other practices due to the complexity of their case.
Beautiful woman with contouring butt

Benefits Of Extreme Body Contouring

  • Removes excess skin on lower abdomen and flanks
  • Elevates the structures of your thighs, mons (vaginal area), buttocks,  and breasts
  • Tightens and re-shapes the abdominal wall flanks and lower back
  • Creates tighter, more youthful looking arms
  • Recontours and restore overlarge, droopy breastsReduces excess skin of the inner and/or outer thighs
  • Often motivates and inspires the patient to achieve further weight loss

Before & After Extreme Body Contouring

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Description Of Extreme Body Contouring

Patients are counseled, so they have realistic expectations in complex cases. Pre-operative analysis involves marking the specific areas that need to be addressed and planning the position of incisions for the procedure.

Segments of the lower abdomen, sides, and back are removed. The lower thighs and buttocks are elevated and sutured into a more attractive, appealing position. The abdominal wall is tightened with specialized sutures.

Many layers of deep sutures support this tremendous lift. Skin is sutured all from within and then covered with tape and dressings. Drains are typically necessary for this extensive surgical procedure. EXPAREL®, a long-acting numbing medication, is injected to help with patient comfort. A special surgical garment is placed on the treated body areas. Innovative intra-operative positioning protects the new dimensions of the upper and lower body. The operation is performed as an outpatient procedure under general anesthesia.

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Recovery From Extreme Body Contouring

Discomfort can be controlled with a proven regimen of prescription pain medication and muscle relaxants. Significant attention to the sleeping and in-motion positioning of the body is necessary after this operation. All sutures are dissolvable. Most patients take three or four weeks off work and can resume exercise or other vigorous activity at six weeks. The final result is evident in three months.

More Information About Our Advanced Extreme Body Contouring Procedure

This is an extensive surgical procedure that cannot be combined with other treatments. Liposuction is typically an important adjunct to this operation. Different procedures and stages are tailored to various sizes and presentations of each unique patient.

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We have been fully operational since May of 2020. With patience and with care, we all are returning to normalcy. Our office continues to use safety protocols, and we are eager to see you.


For patients who desire a virtual consultation, this option is available.
Our virtual web consultations can be done right in the comfort of your own home. All you need is a secure Internet connection and a computer, tablet, or smartphone.
If you would like to have a VIRTUAL CONSULTATION or have any questions, please give us a call at (425) 827-7878 or contact us via our website to set up your virtual consultation today.


Updated May 2022
We have been fully operational since May of 2020. This includes skincare and our non-invasive center (ENIC).
We know that so much of this pandemic caused an inconvenience for you, but we are delighted to see a return to normalcy. 
We will continue to be vigilant in our approach to Covid 19. For over two decades, we have considered safety as our most important prerogative — and there has never been a more important time to put that to use.
Here are some things we’re doing to ensure you are protected and that we maintain this facility as a Non-Covid Care (NCC) zone:

Patient Flow and Clinical Office Space

We now have a well-tested protocol of texting patients for control of flow for consultations.
We are assigning everyone to hourly wipe-downs of high-use areas with approved sanitizing wipes.
We are asking that no one wait in the waiting area.
We are coming up with protocols for room wipe-downs after each patient visit.
Every staff member will always wear a mask while in the office.
Every staff member will sanitize or wash hands after every interaction.
Implementation of virtual pre-ops, nursing visits, and questions.

Operating Room Experience

Similar precautions and questionnaires will be provided to establish Covid-19 Clear Status.
All staff will always wear a mask. All staff will always wear gloves.
Hand washing will be done for any patient interaction.
Specific wipe-down of our operating room, recovery, and pre-op areas will be performed.
We will minimize accompanying caretakers to only one. Those caretakers will be treated just like the patients.
Anesthesia Experience
Every anesthesia staff will wear goggles and other protective equipment during intubation.
Our anesthesiologists have been fully trained and are implementing all precautions for prevention of Covid-19 spread.
All circuits will be changed between each patient.
Full wipe-down of surfaces and floors will be performed.
We will implement a time-out protocol to confirm the Covid-19 Clear Status of every patient.

As you can see, we are taking this very seriously. We fully understand that this will cause some inconvenience in the short term, but realize that it is for the best.
Although Covid-19 has been a serious issue, we are seeing a resumption of normalcy. We continue to monitor this situation on a real-time basis, and we will not sit back until we know that we have done everything possible to avoid unnecessary exposure.
When you see us in action, you’ll realize that you have put your trust in the right practice.
Here are some links that might be useful:
State of Washington Department of Health
Centers for Disease Control and Prevention (CDC)
World Health Organization (WHO)
Please do not hesitate to contact us. We are always here to answer your questions!
Call us at (425) 827-7878
Email us at [email protected]

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