After massive weight loss i have extra skin on the side of my chest.in the pec area. what are my surgical options?

Cosmetic: Congrats on your weight loss! if you still have remaining "folds" they will eventually resolve with exercise/time as your body re-adjusts; however if you want them "gone" then the only was is through plastic/cosmetic surgery...Which is up to you as far as how you want to proceed. Ask you doctor his/her opinion; that can never steer you wrong.

Maintain stable weig: Because it is a living organ, your skin will slowly return to a shape that fits your new body. But since that process can take up to two years. Surgical option - wait at least six months after losing weight to ensure that you are at a stable weight. When the skin can become yeasty and infected, which is uncomfortable and a medical problem - insurance will pay to have surgery to remove the skin.

Open contouring: Only option other than living with it.

Surgical excision: After massive weightloss, your skin will not retract! there is too much excess and most likely loss of elasticity. In such cases, removing the excess skin will make a good improvement if designed properly.

Direct removal: After someone loses a massive amount of weight, the skin retracts to a limited degree. Often, you are left with hanging, excess skin. People had tried to tighten skin using lasers and ultrasound, but those technologies have not proven to be reliable and provide very limited benefit. Removal of excess lateral chest skin can often be done in conjunction with an arm lift or breast reduction.

Excision: This area can be addressed with direct excision extending to the back.

Depends: Usually the only option for excess skin after massive weight loss is excision. You might get some tightening of the skin with exercise to build the underlying muscles but usually not enough to make a significant difference. Congrats on the weight loss!

Common concern: This is a very common concern and depending on the pattern and extent of the laxity is commonly performed on combination with an arm lift (thoracobrachioplasty) or an upper back lift. Gynecomastia is also frequently associated with this condition.