DR. MOHAN THOMAS
BEST COSMETIC SURGEON IN INDIA
After Massive Weight Loss
When people lose a lot of weight as a result of weight loss surgery or through diet and exercise is a major accomplishment that will enhance health, and outlook on life, and their appearance.
In a patient who has undergone a striking transformation from massive weight loss, everything changes - from self-image to quality of life to mood. Body contouring offers added benefits, but it also is possible that those who take this additional step cannot fully reap the psychological rewards of massive weight loss due perhaps to residual feelings of unattractiveness or self-consciousness.
Many people who have achieved great weight loss can be left with large amounts of heavy, loose folds of skin around the abdomen, arms, thighs, breasts, buttocks and face. Due to being stretched for a long period of time.
Excess skin can make getting dressed a chore, limit mobility, and cause hygiene and medical problems. Chronic skin-on-skin contact can result in rashes and other sores that can lead to infection. In addition, excess skin can be a cosmetic issue. Many times, the only way to remove excess skin left after extensive weight loss is through body-contouring plastic surgery.
The best outcomes from contouring surgery are achieved when these important criteria are met:
Weight trend : Has your weight been stable for at least 6 months with no further weight loss expected? For optimal results, body contouring should not be done for approximately 2 years following the start of any massive weight loss program. This time allows the skin to shrink as much as possible.
Overall health : Are you in good health overall? Do you have any medical conditions, such as diabetes or heart disease? People in poor health are not good candidates for body-contouring procedures. Patients should see their primary care physician for approval to proceed with surgery.
Nutrition : Do you have a healthy diet? Problems such as protein deficiencies can interfere with healing after surgery.
Smoking history : Smoking reduces the healing process and increases the risk of serious complications during and after surgery. You must quit smoking 6 weeks prior to surgery.
Psychological Status : Contouring procedures require positive mental health and psychological support. Are you psychologically prepared?
Expectations : Realistic expectations are a must. Surgery will lead to marked improvements in your shape, but it is impossible to restore the skin or body to what it would have been without the weight gain or to what it was in your teens or 20s.
Risks and side effects of Weight Loss Surgery
Most Body - Contouring procedures involve making an incision in the least obvious part of the area to remove excess skin, and suturing the area with fine stitches to minimize scarring. With these types of procedures, scars are unavoidable. Liposuction may be used in conjunction with some procedures.
Because of the significant amount of skin to be removed during contouring surgery, there are greater associated risks than with standard cosmetic surgery.
How Is The Operation Done?
Marking of excess skin and fat bulges is done in a standing position. The surgery can be done under local or general anesthesia The incision is made on the inner surface of the eyelid or in the natural crease of the lid. The excess skin is removed and the fat excised or relocated the incision is closed by fine sutures. This leaves a very thin scar in the area which fades over time.
The choice of surgery on the lower lid depends on the preoperative condition. Bulging fat from lower lid without excess skin is treated by transconjunctival blepharoplasty (Scar less and stitch less). Some time there may be too much looseness of the lid exposing the conjunctiva and causing tearing which requires tightening of the lid in the horizontal direction called "canthoplasty".
3. Separation of incision
4. Skin necrosis (tissue death)
5. Skin laxity (looseness)
6. Abnormal scar formation
7. Formation of a seroma (a mass or lump caused by fluid buildup in a tissue or organ)
8. Asymmetry (unbalanced appearance)
9. Unsatisfactory results
Rare risks include:
1. Deep vein thrombosis (blockage caused by restriction in a vein, possibly leading to the formation of a clot)
2. Pulmonary embolism (blood clot in the lung)
3. Myocardial infarction (heart attack)
Side effects include:
3. Soreness, pain
Multiple surgeries may be needed
Skin reduction is done in stages to minimize complications such as infection and blood loss, and is often done over a period of months as one or two areas of the body are addressed at a time. Also, touch-up surgeries may be required later.
Areas of attention
Following are the areas of the body most often treated through body contouring after massive weight loss. Your surgeon will work with you to identify areas that are the most problematic or bothersome to you.
2. Buttocks/upper thighs
4. Breasts and sides
6. Face & Neck
7. Genital areas
How long is the recovery time?
All surgeries are performed in the hospital under general anesthesia, and most patients stay in the hospital one to four nights. After surgery, tubes are usually placed in the wound to drain excess fluid, and medications are given to control pain and discomfort. A certain degree of soreness, swelling and bruising for two to three weeks after surgery is normal.
Most people can return to work after two weeks, but people with physically demanding jobs need to wait at least three weeks. During this recovery period, you will return to your doctor's office regularly to monitor your progress and for dressings.
The following procedures are commonly performed-
1. Tummy tuck
2. Thigh lift
3. Breast lift
4. Breast augmentation with lift
5. Facial rejuvenation
6. Lower body lift
7. Butt lift
8. Arm lift
9. Public lift