Post Bariatric & Body Contouring
Gastric Bypass procedures that result in a weight loss of more than 100 lbs. have a tremendous effect on the entire body. Several medical problems are improved, such as diabetes, hypertension, and obesity. As patients balance nutrition and gradual exercise postoperatively, significant changes in body contour and skin elasticity become apparent.
Patients who have chosen to lose weight through bariatric surgery must accept a lifetime of changes; eating habits, lifestyle adjustments, and medical risks must all be taken into account. In addition to these commitments, post-bariatric surgery cosmetic procedures may be considered as a way to remove excess skin that causes skin irritation and prevents post-weight loss patients from fully enjoying their new bodies. Surgery to remove the excess skin and fat includes such body contouring options as tummy tuck, liposuction, and body lift. These procedures have been successfully used after weight loss surgery to refine patients’ bodies and help them enjoy everyday activities.
The loose skin under the arm can be excised in a long, lazy "S" shape. This tightens the skin and leaves a scar on the underside of the upper arm.
A breast lift reshapes the breast by excising loose skin and repositions the breast in a more natural position. The scar is somewhat anchor shaped. Breast implants can also be placed to add fullness to the breast.
Full abdominoplasty or combined vertical and horizontal skin excision can significantly improve abdominal wall contour. Abdominal hernias can also be repaired at the same time.
Lower Body Lift
Lower body lifts are the ultimate procedure to re-contour the abdomen, buttocks, and thighs in one operation. This extensive operation involves excision of skin and fat around the entire circumference of the lower trunk. It lifts the buttocks and outer thighs and tightens the abdominal wall. In carefully selected patients this can be done at an outpatient surgical facility with 8 to 10 hours of supervision postoperatively. In other patients this may need to be done in a hospital setting with an over night stay.
Inner Thigh Lift
This involves aggressive skin and fat excision in the inner thigh. The skin and deep layer are lifted up and anchored to the muscle attachments for support. The scar hides nicely in the groin region and can also be closed in a "Y" fashion if more skin is excised.
Bariatric patients need to be carefully evaluated in a consultation in order to select the optimal procedure with minimal risks.