Surgery after massive weight loss
If you have undergone Excessive weight loss either through diet and exercise or bariatric surgery, and you are at your optimum weight loss goal, you may be a good candidate for this surgery and may wish to consider undergoing this procedure.
The sagging skin commonly develops around the face, neck, upper arms, breast, abdomen, buttocks, and thighs and can make your body contour appear irregular and misshapen. Cosmetic Surgery after major weight loss reduces the excess skin and fat
that is left behind from the expansion of skin, loss of fat and lack of tissue elasticity that often occurs after a major weight loss. It is not uncommon, depending on individual patient factors, the extent of surgery needed and surgeon preference, for massive weight loss patients to have multiple operations performed in stages. In such cases, the waiting period between surgeries ranges from weeks to several months or longer.
Procedures that may be needed
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Face and Neck Lift
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Arm Lift
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Breast Lift
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Medial Thigh Lift
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Panniculectomy
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Lower Body Lift
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Face and Neck Lift
After excessive weight loss, the face skin can become flaccid, resulting in the cheek pads dropping, and jowls forming, resulting in the loss of a defined jaw line. In addition, the neck is loose and sagging.
A face and neck lift raises the cheek pads, corrects the jowls, and removes the loose and sagging skin. The incisions are inconspicuous. They are placed in front of and behind the ears, and extend into the hair above and behind the ear.
Arm Lift (Brachioplasty)
An arm lift, or otherwise known as brachioplasty, can remove the excess skin and fat deposits, leaving the upper arms with a more pleasing and youthful contour. As a person ages, upper arm skin can become loose and flabby. Upper arm excess in a massive weight loss patient usually crosses the arm pit and involves loose skin that extends onto the chest region.
Brachioplasty, or upper arm reduction surgery, usually involves reducing the skin through a scar that runs on the inner part of the upper arm, often crossing onto the arm pit.
The incision extends from the elbow to the underarm, and sometimes on to the side of the chest. In some instances, liposuction be used alone or in conjunction with an arm lift to remove excess fat in the upper arms.
Breast Lift
A breast lift will raise and firm sagging, flat breasts. Some patients also may require breast implants to improve the shape
and size. Incisions are placed around the nipple, from the nipple to the crease under the breast, and horizontally along the breast crease.
Medial Thigh Lift
The medial thigh lift will lift and tighten the sagging skin of the inner thigh. Incisions are usually placed in the groin.
Panniculectomy
A panniculectomy is performed to remove the hanging pannus, or apron of skin, from the lower abdomen below the belly button. The excess skin and fat above the belly button are not removed. A panniculectomy is often performed on patients who are still significantly overweight but have skin irritation from their hanging skin. After surgery, these patients have less skin problems but have little improvement in the contour of their bellies.
Lower Body Lift
In one procedure, the sagging skin of the abdomen, outer thighs, buttocks, hips, and waist is corrected. Incisions extend completely around the body to remove a "belt" of excess skin and fat. Another common name for this procedure is a "belt lipectomy."
To treat circumferential excess of the lower trunk in the massive weight loss patient, a lower body lift/belt lipectomy is most often employed. In this procedure, a wedge of tissue that goes around the lower aspect of the lower trunk is removed to treat the entire region so that the greatest amount of improvement can be attained. Although a tummy tuck/abdominoplasty, a procedure where only the front of the belly area is reduced, can be used in some massive weight loss patients, the results are often less than ideal because the sides and back are not adequately addressed.
It is not uncommon, depending on individual patient factors, the extent of surgery needed and surgeon preference, for massive weight loss patients to have multiple operations performed in stages. In such cases, the waiting period between surgeries ranges from weeks to several months or longer.
Other procedures which may be required for extreme makeovers:
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Breast implants
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Buttock Implants
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Cost
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