Bypass /Weight Loss

Bypass /Weight Loss

Congratulations on your weight loss !

If you have battled with morbid obesity for most of your life and have lost large amounts of weight, either through bariatric surgery or by a combination of diet and exercise, you are on the threshold of an incredible life enhancing change. I assume you are visiting this page to get a know how post weight loss surgery can help you to herald that change in your life. Significant weight loss is a momentousachievement in life, but it can often result in excess and uglytyres of loose skin all over as your body contour changes. The excess, inelastic skin, as well as stubborn fat deposits after weight loss can be very disheartening. They can even lead to crease skin infections with issues of maintaining hygiene for these patients. Major weight loss loosens skin all over the body. Unfortunately skin tone is not something diet, exercise, lasers, or creams can improve.

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Our post-major-weight loss treatments can your skin tone and suppleness and give you the appealing results you were hoping for after losing weight. Body Lift Procedures

Most patients may require only a single body contouring procedure to achieve their goals, and in others a number of procedures may be necessary.The usual course after major weight loss is a series of one or two separate surgeries. It is safe to do multiple surgeries in one time. There is no particular order, but the areas which appear to be the most problematic are addressed first. A good start is to focus on the areas you are most bothered about. It could be your abdomen, your buttock, your thighs, or all of these and more. It is important to understand that its not possible to do everything safely in one surgery. For this reason, the surgeries are “staged.” A common course is extended lipoabdominoplasty in one surgery, followed by breast and thigh lift at a second surgery. Again, this will be tailored to your body and needs.

In your initial consultation, any concerns will be addressed, and a plan will be made for moving forward with repairing the residual aesthetic effects of significant weight loss.

Am I a Ideal candidate for Post Weight Loss surgery ?

You are an excellent candidate for post weight reduction surgery, if you have any of the following conditions. As a result, skin that has been severely stretched now is unsupported:

  • Upper arms sag and appear loose and full
  • Breasts may flatten and hang with nipples pointed downward
  • Abdominal area may extend below, around the sides and into the lower back area, resulting in an apron-like overhang
  • Buttocks, groin and thighs sagging which causes serious sagging of skin circumferentially in lower body.

The result is a more normal appearance to the body, with smoother contours. Body contouring is often performed in stages. Your surgical plan will be decided depending on your particular condition and goals.

Types of Body Lift

Lower Body Lift

In a lower body lift, excess skin and fat are removed from the midsection, which includes such areas as the abdomen, flank, hips and thighs. The incision goes 360 degrees around the body, incorporating an abdominoplasty, a lateral thigh lift, and a buttock lift. Once the excess tissue is removed, the remaining skin is pulled taut for a smoother, more toned midsection. The surgical scar runs low in the front near the pubis, and then curves up a little higher along the back in the so called string bikini line.

Upper Body Lift

An upper body lift is designed to eliminate sagging skin and fat on the arms, back and breasts. It is best and safest if upper body lift is done alone and not in conjunction with the lower body lift.

For patients who require lower body and/or upper body lift, the following procedures can be done at one time or in stages for a comprehensive body contouring makeover.

Arm Lift:Also known as a brachiaplasty, an arm lift defines the upper and inner arm area by removing excess skin and tightening the remainder for a smoother appearance.

Breast Lift:Also known as a mastopexy, a breast lift reduces excess skin in the loose breast and improves the appearance of sagginess. The remaining skin is tightened and the breasts restored to a firmer, more youthful appearance. The procedure is often supplemented with breast implants to add volume and enhance contour.

Breast Reduction:To alleviate the pain, discomfort, and self-consciousness that often comes with having breasts that are too large for your body frame, a breast reduction can be performed with results that are more proportionate to your body.

Facelift: The facelift procedure helps restore a more youthful, refreshed appearance by smoothing out wrinkles and firming up sagging skin.

Liposuction: Liposuction removes excess fat pockets in virtually any body area to improve body contour.

Thighplasty: To eliminate excess, sagging skin in the thighs, a thighplasty can be performed. This treatment tightens the skin of the upper legs for a more toned appearance.

Tummy Tuck: As significant weight loss often leaves folds of loose skin drooping on the abdomen, a tummy tuck is performed to eliminate excess tissue and tighten abdominal muscles. The remaining skin is pulled taut, which can ultimately lead to a flatter, more fit-looking abdomen.

The First Consultation

A consultation with Dr. Birraj will help to educate you about your particular condition andyour concerns needs and goals will be discussed thoroughly. During the consultation period, your goals will be established and a surgical plan will be put into motion. Your procedure will be tailored to your specific needs. A thorough body examination with specific measurements and photographs will be taken after the decision making is complete. . You should honestly share your expectation, fully disclose your health history, current medications, allergies and the use of drugs and smoking during this time.

General Guidelines prior to Body Lift Surgery

  • Many of the gastric bypass procedures result in poor nutrition and absorbtion of nutrients. This can affect your blood levels, resulting in a low level called “anemia.” Blood is vital to make your tissue heal, so you want your levels to be normal. Vitamin B and iron supplements are sometimes needed. Also if you have malabsorption, you can have poor healing from lack of nutrients and protein. Before considering surgery, have basic labs checked for your blood level and nutrition.
  • Take certain medications or adjust your current medications
  • Stop smoking well in advance of surgery
  • Avoid taking aspirin, anti-inflammatory drugs &herbal supplements due to risk of bleeding.
  • Maintain a stable weight for 2 months prior to the date of surgery

Your Surgery

Body Contouring Surgery is performed in a major hospital setup under General Anaesthetic.

A body lift is a lengthy procedure taking upto 5 hours in the operating room. You will need to stay back in hospital for over 2 nights following your surgery. During this procedure excess skin and fat are removed from the waist, outer thigh, and abdomen. The buttocks are repositioned. The abdominal muscles are tightened. Liposuction is used where needed.

The incision

All body contouring procedures require incisions to remove excess skin which in many cases, may be extensive. Advanced techniques allow incisions to be placed in tactical locations where they can be camouflaged by most types of clothing, but this may not always be the case.

Body Lift : A complete lower body lift treats sagging buttocks, abdomen, waist, hips and outer thighs in one procedure or in staged procedures. Incision patterns vary, and may include a circumferential incision around the body to remove the “belt” of excess skin and fat.

Arm Lift : Arm liftincision starts from the underarm area extending along the inside or back of the upper arm. Additional incisions on the arms may be necessary anywhere excess skin has formed sagging pockets.

Thigh Lift : Reshaping of the thighs is achieved through incisions in the groin that can extend downward to the knee along the inner portion of the thigh. Improving contours of the outer thigh may require an incision extending from the groin around the hip. The final appearance is a smoother and better toned thigh.

The smoother, tighter contours that result from any of the body contouring procedures are apparent almost immediately, although initially obscured by swelling and bruising.

After your body contouring procedure is completed, dressings or bandages will be applied to the incisions. A small, thin tube may be temporarily placed under the skin to drain any excess blood or fluid that may collect. Initially there will be some swelling numbness soreness, bruising and discomfort in the first few days.

The Recovery Period

A return to light normal activity is possible as soon as you feel ready and is encouraged to prevent blood clots and other complications. Stitches are generally absorbable and do not need to be removed. All wounds heal in 7-10 days. You will be asked to wear a snug compression garment around the treated area for 6-8 weeks after the operation.

You will be instructed to note any specific concerns at the surgical site and to follow up with your surgeon at regular intervals. Mild exercises can be started at 3 weeks but moderate exercises can be resumed only after 6 weeks so as not to strain the surgical incisions.

Final recovery will depend on the extent of surgery and how many procedures have been performed. As explained, some degree of scarring is unavoidable. Scars normally take 6 to 12 months to resolve and fade aided by scar ointments and massage. Residual scars are treated by laser resurfacingat a later date. It is advisable to massage the operated areas early on to reduce swelling and aid in lymphatic turnover.

Common Questions

The loose, excess skin left behind after massive weight loss will not contract on its own for most patients, even with diet and regular exercise. Many younger individuals may notice minor improvements and skin tightening but this is usually insufficient to resolve the issue withmajor weightloss. The vast majority of patients arebothered by this excess skin will require surgery if they desire to achieve a firm and more toned look.

Body lifting should not be considered as a weight loss surgery. Having said that, since excess skin and fat is surgically removed, body lift patients will definitely appreciate some decrease in overall weight. This is more so true for individuals undergoing a total body lift, which may remove as much as 7 – 10 kgs worth of skin and tissue.However, it must be emphasized that the aim of a body lift is to firm tone and shape. Weight loss is a byproduct of the surgery.

Scar formation is an inevitable part of any surgery. Body lift patients are given scars in concealed areas of their bodies so that it can be camouflaged underneath their clothing. For the vast majority the great relief of being free of heavy tyres of hanging skin far compensates any misgivings they had about scars in the first place.

Tyres of hanging skin can cause skin breakdown, rashes, and infections. It impairs the ability to exercise. It isn’t until their body is recontoured and the skin is removed that they see how small they have become. The improvement in their confidence, outlook, and self esteem can be enormous.

Withmajor weight loss you may find you lose weight at a steady pace and then plateau out. This can be a good time to use surgery to get you over the hump. While you are actively losing weight take advantage of that momentum. Surgeries such as breast lift or tummy tuck tighten the skin. If you lose weight after, you will loosen the skin. Stable weight for six months is ideal.