Significant weight loss after bariatric surgery, dieting, or pregnancy results in the excess in areas of the body. Post-bariatric surgery contouring techniques, including the body lift and other body sculpting procedures, are made use of to remove drooping left behind after weight loss.
Once the has been stretched beyond a certain limit – it’s elasticity is irreversibly damaged. This is when stretch marks appear. The elastic recoil of the is reduced and it does not re-drape with the loss of weight.
Dr. Gawai and Dr. Jacob have evolved the art of body lift surgery in Mumbai and are supported by the most bariatric surgeons in India for lower body lift surgery & total body lift surgery for their significant clientele.
People who have lost massive amounts of weight may need one or more of a combination of the following procedures in one or multiple stages.
The excessive floppy tissue which remains after massive weight loss in the inner thighs can be removed with a thigh lift. This tissue will create a fullness in clothing and may become excoriated with certain activities. Rashes may develop in this area, particularly in the summer months.
In certain cases of liposuction is performed alone, in other cases it is used with plastic surgery procedures such as facelift, breast reduction or a tummy tuck. Liposuction for men, not only for women, is very popular in Mumbai.
People who have been successful in losing a massive amount of weight are often left disappointed with the apron of excessive which remains around their waists. This tissue can be both on the front as well as around the back.
The ‘belt’ or circumferential lipectomy removes all of this excessive tissue, both in the front and the back. The first part of the operation is essentially the same as an abdominoplasty.
After the abdominoplasty is completed, the attention is turned to the back. The second part of the procedure follows immediately or can be performed at a later date as a staged operation. The post-operative course is similar to that described for the abdominoplasty.
In some situations an abdominoplasty may not be appropriate and an alternative procedure is an apronectomy.
This procedure is the simple removal of the excess abdominal which forms the overhanging abdominal apron. The surgery involves less undermining of the anterior abdominal wall. Classically the umbilicus is not moved. The simple excess and subcutaneous fat from the abdominal apron is removed and the wound is closed.
This generates less potential dead space and therefore less potential collections of serous fluid (seroma) or blood (haematoma). This is a good operation for patients who have lost a significant amount of weight but whose Body Mass Index (BMI) is still elevated above the normal range (18.5 – 25).
One of the most common areas requiring body contouring after weight loss is the buttocks. A plastic surgeon can lift and reshape this part of the body to create smoother, tighter contours.
It is important for weight loss patients to achieve weight stability prior to proceeding with any of the body contouring procedure. The weight should be stable for a minimum of 12 months. They must also have any prior medical conditions addressed and must undergo a formal general medical clearance. Smokers must go through a smoking cessation program and all patients should be nicotine free for a minimum of six weeks prior to and after any elective surgical procedure.
Since patients who have undergone bariatric surgery are at risk for nutritional deficiencies that can affect wound healing, they should undergo nutritional assessment and any deficiencies should be corrected. The risks of body contouring procedures are similar to any other major surgery and are related to wound healing, including wound infection, wound breakdown and seroma formation.
Quality is altered in patients who were previously obese and have subsequently lost significant weight. This leads to increased incidence of poor wound healing, scar-related issues including scar migration and laxity leading to aesthetic-related issues. These invariably lead to increased need for revision procedures.
Body contouring procedures require at least three months for the overall cosmetic results to be fully apparent. This allows enough time for all residual swelling to resolve and for soft issue to soften. Scars typically require 12 to 24 months to go through the remodeling process and because body contouring procedures require significant incisions, they (the scars) often are apparent during this time period.