Surgery After Weight Loss

Surgery After Bariatric Surgery (stomach stapling)

Weight Loss and Bariatric Surgery

Many people who are overweight will try anything to lose weight and get back into shape. A small percentage of them are able to accomplish their goals through diet and exercise. An even larger percent of them, however, find that their weight interferes with exercise and confounds the problem. They find themselves in a "catch 22" - they can't exercise because of their weight and they can't lose weight because they can't exercise. One popular solution for people caught in this situation is to have bariatric surgery. This surgery modifies the stomach and intestines so that weight loss is feasible. Bariatric surgery has been very effective in producing significant weight loss for many people who feel they have no other option.

Whether a person loses weight through diet and exercise or through bariatric surgery, there are a few obstacles that arise BECAUSE of the weight loss. One of the most noticeable would be the loose skin that remains after the weight is gone. To understand why loose skin is an after-effect of weight loss, here's an explanation: when someone is overweight, the skin stretches to accommodate the increased volume of weight. After weight loss, the skin often fails to tighten, and so it sags. In many cases, it hangs. It acts as a constant reminder of the weight you once were. Further diet and exercise WILL NOT tighten skin (exercise never tightens skin - only muscles). The only way to tighten loose skin is through surgery.


If the problem is...

Then the solution is...

Loose abdominal skin

Tummy Tuck

Loose arm skin

Arm Lift (brachioplasty)

Loose breast skin

Breast Lift (mastopexy)

Loose inner thigh skin

Inner thigh lift

Loose thigh and buttock skin

Outer thigh and buttock lift

Most people who accomplish significant (100 pounds or more) weight loss often need or want to have all of these operations.

A body lift, by the way, is the combination of tummy tuck, inner thigh lift, and outer thigh/buttock lift (explained below).

Is Liposuction an Option?

Not if your problem is due to loose skin. The only time liposuction is a better choice is when there is a lot of fat and the skin is tight.

Incisions and Scars

As with any surgery, scars will be present. The more skin that is removed, the more extensive are the scars. For a body lift, they will extend from along the lower abdomen, around the hips, and toward the buttock crease. There is another scar in each groin crease due to the inner thigh lift. One way to look at it is that this operation exchanges one cosmetic problem (loose skin) for another (scars). In general, those with very loose saggy skin following significant weight loss are likely to find this exchange worthwhile. Those with a small amount of looseness will probably not want the scars.

Average Cost of Body Lift (in the U.S.)

Surgeon's Fee
Anesthesiologist's Fee
Operating Room Fee
Total

$9,000
$3,000
$2,500
$14,500

(The above listed fees do not reflect those of Dr. Loftus. For a complete listing, visit Fees at The Loftus Plastic Surgery Center.)

Body Lift: During and After Surgery

Anesthesia: General
Location of operation: Hospital.
Length of surgery: 4-6 hours
Length of stay: 1-4 nights.
Discomfort: Moderate. Anticipate 5-10 days of prescription pain medication.
Swelling: Improves over 2-6 weeks.
Bruising: Is not typical
Bandages: Will be removed in 1-7 days.
Stitches: Will be absorbable.
Back to work: 2-4 weeks.
Exercise: May be resumed in 4-6 weeks.
Final result: Will be seen after the scars have matured, which will be about six months.

 

Tips and Traps of Body Lift

  • Realize that this is a large operation that involves the exchange of one cosmetic problem (loose skin) for another (scars). If you are unwilling to accept scars, you should not have this operation, as no surgeon can predict how the scars will heal on you.

 

Dr. Loftus is the highly acclaimed plastic surgeon who authored The Smart Woman's Guide to Plastic Surgery, which is the #1 Best-selling book on plastic surgery in the United States. She has appeared on CNN, MSNBC, THE TODAY SHOW and THE VIEW, discussing all facets of plastic surgery. People from all over the world travel to Cincinnati to seek her care.

 

Loftus Plastic Surgery Center
Cincinnati, Ohio: 513-793-4000
Northern Kentucky: 859-426-5000
(A suburb of Cincinnati)

 

The Cincinnati office is located within 45 minutes of Dayton, Ohio
The Kentucky office is located within 45 minutes of Lexington, Kentucky.

 


This web site is for information only.
Do not use the information herein to diagnose or treat your plastic surgery or cosmetic surgery problems. You should contact your plastic surgeon with all questions and concerns.

 


Information for this website is provided by Dr. Jean M. Loftus, a nationally respected female plastic surgeon, who practices cosmetic plastic surgery in the greater Cincinnati, Ohio area.


Related Links

Body Lift Photos


Body Contouring Procedures

All Plastic Surgery Procedures