What is postbariatric surgery?
D
ramatic weight loss undoubtedly has many benefits. However, after a significant amount of weight loss due to weight loss surgery and/or lifestyle changes, skin and tissues often lack the flexibility to suit their shrinking body size.

Surgical body contouring following the main weight loss improves the shape of the underlying support tissue while removing excessively sagging skin and fat. The result is a better proportioned view with softer lines.

Postbariatric surgical procedures may include:

  • Arm stretching: correction of dangling arm skin
  • Breast augmentation: correction of sagging and flattened breast
  • Face lift: Correction of the middle face, chin and neck skin
  • Lower body stretching: correction of the abdomen, butt, inner and outer legs
  • Medial thigh stretching: correction of the inner thigh
  • Tummy tuck: Correction of excess skin hanging on the abdomen
Candidates for Postbariatric Surgery

In general, candidates for postbariatric surgery:

  • Weight loss stabilized adults,
  • Healthy individuals who do not heal or increase the risk of surgery, have no health problems,
  • Those who do not have a habit of smoking,
  • Individuals with a positive perspective and realistic goals,
  • People who are committed to maintaining a healthy lifestyle with proper nutrition and fitness are often candidates for Postbariatric surgery.
What should I expect before postbariatric surgery?

What should I expect during postbariatric surgery consultation?

Candidates who are considering shaping surgery on your body should be prepared for the following before the surgeon interview.

  • What are your surgical goals?
  • What are medical conditions, drug allergies, and previous medical treatments?
  • Current medicines, vitamins, herbal supplements, alcohol, tobacco and drug use
  • Previous surgeries

Your plastic surgeon:

  • It will assess your overall health and pre-existing health conditions or risk factors.
  • It will examine your body and take detailed measurements.
  • It will take pictures for your medical records.
  • It will create an appropriate treatment plan by telling you the options necessary to achieve your goals.
  • It will describe the possible consequences of postbariatric surgery and any risk or potential complications.

The success and safety of your procedure depends on your integrity during the consultation. So be sure to ask your surgeon the questions below. It is very important to understand all aspects of the procedure of postbariatric surgery. It is natural to feel excited and a little worried about your expected new look or some preoperative stress. Feel free to discuss any concerns with your plastic surgeon.

What questions should I ask my surgeon about Postbariatric surgery?

Use this checklist as a guide during the postbariatric surgery surgery interview:

  • Have you been trained especially in plastic surgery?
  • How many years have you received plastic surgery training?
  • Do you have hospital privileges to perform this procedure? If so, in which hospitals?
  • Am I a good candidate for this procedure?
  • What is expected of me to get the best results?
  • Where and how will you do my procedure?
  • What surgical technique is recommended for me?
  • How long will the recovery period be and what help will I need during my recovery?
  • What are the risks and complications related to my procedure?
  • How are complications handled?
  • What are my options if I am not satisfied with the cosmetic result of my procedure?
  • Do I have photos before and after that I can look for this procedure and what results do you find reasonable for me?
What are the risks of postbariatric surgery?

The decision to have plastic surgery is extremely personal and you need to decide whether the benefits will reach your goals and whether the risks and potential complications of body shaping surgery are acceptable.

You will be asked to sign approval forms to make sure you fully understand the procedure and all risks and possible complications.

Postbariatric surgery risks include:

  • Bleeding
  • Infection
  • Fluid accumulation
  • Bad wound healing
  • Skin loss
  • Blood clots, deep vein thrombosis (DVT) and pulmonary embolism
  • Excessive or wide scars
  • Drowsiness or other changes in skin sensation
  • Anesthesia risks
  • Negative scar
  • Remaining skin looseness or contour irregularity

These risks and others will be fully discussed before your consent is obtained. It is important to address all your questions directly with your plastic surgeon.

What are the steps of the postbariatric surgery procedure?

The procedures required to achieve your goals will be defined along with a plan for the timing of these procedures.

Step 1 – Anesthesia

Medications are applied for your convenience during surgical procedures. Options include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.

Step 2 – Incision

Whole body contouring procedures require large cuts to remove excess skin. In most cases, these incisions can be large.

The incision length and shape depend on the amount and location of the skin to be removed, as well as your personal preference and your doctor’s surgical decision. Advanced techniques often allow incisions to be placed in strategic positions where they can be hidden by most clothing types, but this is not always the case.

Postbariatric surgery is usually performed in stages. Your specific situation and goals and the thought of your plastic surgeon define how to plan the surgery.

While it may have taken you two years or more to lose your excess weight, your post-bariatric surgery surgeries may also take equally long periods of time.

What should I expect during recovery after postbariatric surgery?
  • During the recovery after post-bariatric surgery, dressings or bandages will be applied to the incisions following the procedure.
  • Small, thin pipes (resins) can be temporarily placed under the skin to drain excess blood or fluid that can be collected.

You will be given specific instructions that may include:

  • Care for the surgical area (s).
  • Medicines to be applied by mouth or on the wound to help heal.
  • Special concerns to look for at the surgery site or in your overall health.

When will you go to check your plastic surgeon?

Be sure to ask your surgeon specific questions about what awaits you in the healing process:

  • Where will I be taken after my surgery is completed?
  • What medications will be given after the surgery?
  • Will there be bandages / bandages / corsets after surgery? When will they be removed?
  • Will my stitches be removed? When?
  • When can I resume normal activity and exercise?
  • When should I come for the check?

Care after post-bariatric surgery at home

  • You should avoid bending, stretching or lifting something.
  • When it comes to tightening the abdomen or thighs, your plastic surgeon may also ask you not to stand upright and to avoid stretching while the inner seams heal and to lie down with pillows that raise your knees.
  • To minimize the risk of DVT (blood clots in the legs), you need to stand up and walk as soon as possible and drink plenty of water.
What results should I expect after postbariatric surgery?

ody shaping results are immediately visible after significant weight loss; however, it may take several years or more to see the final results.

Visible scars are something you need to accept to get a body distribution that suits your new weight and rate.

Postbariatric surgery results are usually long-lasting, provided you maintain a constant weight and overall fitness. As your body ages, it is natural for it to lose its tightness. However, the result is usually permanent.

Although good results are expected from your procedure, there is no warranty. In some cases, it may not be possible to achieve the best results with a single surgical procedure, and another surgical procedure may be necessary.

Following your doctor’s instructions is critical to the success of your surgery.

It is important that surgical incisions are not subjected to excessive force, movement, swelling or abrasion during healing. Your doctor will give you specific instructions on how to take care of yourself.