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Post Bariatric

Post Bariatric | Plastic Surgery Antalya

● What is post-bariatric surgery?

When a person is morbidly obese, his or her skin naturally stretches to accommodate the extra fat. When skin is stretched to its extreme in this manner, it becomes damaged. Overstretched skin loses its elasticity, which is what allows it to maintain its tone and tightness. Thus, when a person loses a massive amount of weight, the damaged skin does not conform to the new shape of the person’s body. This can result in significant amounts of sagging skin after weight loss. In addition to cosmetic problems, folds of sagging skin can be a health issue, causing rashes and infections to develop.

Nothing can restore the skin’s elasticity, so, in order to tighten sagging skin after weight loss, post-bariatric body contouring surgery will likely be necessary. A body lift procedure raises and tightens areas of excess skin, including the thighs, buttocks, hips, groin, waist, and abdomen. Generally, this procedure involves removing excess skin from the front and back of the mid-section, and tightening the underlying muscles to create a more comfortable and desired body.

How is a body lift done?

Body lift patients are usually those who have lost weight but continue to have an unsightly physical appearance and potentially some physical problems due to the extensive amounts of loose skin, primarily in their mid-sections. The best candidates are non-smokers in good health, who have maintained a stable weight, and who have realistic expectations of the procedure.

  • Who is a good candidate for a body lift?

Body lift patients are usually those who have lost weight but continue to have an unsightly physical appearance and potentially some physical problems due to the extensive amounts of loose skin, primarily in their mid-sections. The best candidates are non-smokers in good health, who have maintained a stable weight, and who have realistic expectations of the procedure. The number of patients with history of extreme overweight and massive weight loss has risen significantly all over the world. Majority of patients are left with loose, ptotic skin envelopes, and oddly shaped protuberances seen anywhere on the body. Body contouring surgery after massive weight loss is a very active field in plastic surgery. Lower trunk contouring should be performed first followed six months later by breast, lateral chest and arm procedures. Thighplasty is usually undertaken at the end. Body contouring operations are staged at few months’ intervals and often result in long scars. Staging is important as each procedure can have positive impact on adjacent areas of the body. Secondary procedures are often required.

How long is the recovery from a body lift?

While there can be significant weight lost from a body lift procedure–anywhere from five to ten percent of the total amount of weight originally lost–the amount of weight lost varies, depending on each individual procedure performed.

Post Bariatric | Plastic Surgery Antalya

The objectives of lower body contouring include flattening of the abdomen, excision of the lower back rolls, relocation/recreation of the umbilicus, creating a waist line in women, reshaping/redefining the buttocks, lifting the antero-lateral thigh and elevation and/or reduction of the mons.

The regions included in the evaluation of upper body are the breasts, lateral chest, arms, upper and mid back. The circumferential lower body lift operation performed previously exerts a significant positive impact on breasts, flanks and upper back. It reduces the magnitude of the upper body contouring procedures required or may occasionally even eliminate their need. However, in women it can also result in significant downwards migration of the inframammary folds. Precisely for this reason, it is recommended not to perform the breast contouring surgery before or even with a body lift operation.

The upper arms, lateral chest and the breasts are intimately related and all need contouring separately or simultaneously. The staging sequence if the former is preferred is decided with the patient. The goals of upper body contouring are to restore projection and fullness of breast parenchyma with appropriate NAC size and position, to reposition or recreate the inframammary fold, to eliminate axillary skin rolls, mid and upper back rolls, and to reshape the arms by excising loose, hanging and redundant folds of excess skin and fat.

It is recommended to perform thighplasty six months after the upper body lift operation combined with arm lift (brachioplasty) and breast lift (mastopexy). Lower body lift procedures have beneficial effect on the lateral thigh and on the proximal anterior thigh. The improvement in the thighs often reduces the extent of the thigh reduction surgery. Rejuvenation of the medial thigh requires removal of the fat as well as excision and redraping of the entire medial thigh skin ending in a vertical scar along the medial thigh.

In addition to body lift, face and neck lifts are also required as part of postbariatric surgery.

Prof. Dr ASIM AYDIN

Plastik Cerrah

Sizi Arayalım

    Post Bariatric | Plastic Surgery Antalya

    • Is post-bariatric surgery safe?

    The safety, effectiveness, and results of post-bariatric body contouring have been proven again and again. The ever-increasing popularity of gastric bypass and lap band surgery as a treatment for morbid obesity means that more and more people are in need of surgery to tighten skin after weight loss. We are happy to provide patients with the most natural-looking, state-of-the-art surgical procedures to tighten skin after weight loss. Our surgeons are experts in body sculpting after gastric bypass and lap band surgery, and perform procedures such as neck or face lifting, body lifting, thigh lifting, arm lifting, tummy tucks and breast lifts.

     

    Kol germe (kol germe) ve meme dikleştirme (mastopexy) ile kombine üst vücut germe ameliyatından altı ay sonra uyluk estetiği yapılması önerilir. Alt vücut germe işlemlerinin  uyluk dış ve ön yüzü üzerinde yararlı etkileri vardır. Alt gövde ameliyatına bağlı uyluklardaki düzelme genellikle uyluk germe ameliyatının boyutunu azaltır. Uyluk iç yüzünün gençleştirilmesi, yağın çıkarılmasının yanı sıra medial uyluk boyunca dikey bir yara ile biten tüm medial uyluk derisinin eksizyonunu ve yeniden uyluğa sarılarak dikilmesini gerektirir.

    Vücut germe işlemine ek olarak, postbariatrik cerrahinin bir parçası olarak yüz ve boyun germe de gerekir.