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.
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.

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