Bariatric surgery is indicated when obesity reaches above average limits, and is described as satisfactory. The main effect of this procedure is a rapid and significant weight loss , which causes an increase in the skin, which impairs not only the aesthetic appearance of the patient, but also some of its vital functions.
Problems such as poor posture and body balance, caused by excess skin, difficulties in social integration and even sexual relations, and physical discomfort caused by dermatitis in the folds of the skin are just a few examples of relapses associated with post- obesity.
Therefore, the complications that are caused by sagging, loss of elasticity and support of the skin – the consequences of significant weight loss. In this context, plastic surgery becomes necessary to correct the distorted image of patients who have lost, on average, half or more of their initial weight.
In general, plastic surgery will improve the shape of the body and improve the shape and color of the underlying tissues – responsible for supporting fat and skin. By doing so, the patient gains a greater quality of life, in addition to his physical and mental health.
When should plastic surgery be performed?
These surgical procedures should only be performed after the patient’s body weight has been stabilized , 1-2 years after bariatric surgery, while also taking into account a balanced diet in the postoperative period.
For this, the patient’s body mass index (BMI) must be less than 30. However, when the BMI is above this range, plastic surgery is only indicated for serious reasons – for example, when excess skin and excess fat make it difficult On someone to move.
What are the recommended surgeries?
But what are the effects that occur in the patient’s body after obesity surgery? In general, it is common for people to have flabby arms, flat breasts, downward-facing nipples, and an extended abdomen to the sides and lower back, as well as saggy buttocks, groins, and thighs.
Therefore, arm lifts, breast lifts, tummy tucks, liposuction and facelifts are most in demand by patients who have suffered from morbid obesity – and they can be performed alone or together.
Abdominoplasty removes excess skin from the body, and it is performed in patients who have gone through several pregnancies, weight fluctuations or excess skin after obesity. Mastopexy lifts the breasts, reflects their natural fit, repositions the areola and removes excess skin from the area. Arm lift surgery, in turn, removes sagging skin and excess fat from the arm area. A lower body lift corrects sagging abdomen, buttocks, groin and thighs.
Abdominal surgery should generally be the first surgical procedure. Then the chest, arms, thighs and face. But the order can be changed as directed by the specialist. In addition, those who have not lost much weight, but feel discomfort from the remaining skin on their stomach, for example, can undergo plastic surgery.
It is important to keep in mind that safety of the surgical intervention, complete stabilization of the patient and aesthetic re-integration with the body itself are the primary goals in the case of people who have undergone bariatric surgery.
The risk of serious complications is minimal considering that the patient was prepared by a multidisciplinary team for bariatric surgery before surgery and during the surgery, thus providing safety for plastic surgery later on.
In the postoperative period of these procedures, it is important to rest and maintain adequate dressings to avoid more serious complications. After a month, it is already possible to go for a walk, drive a car, work, do moderate physical exercises and have sex with proper guidance.
Up to three months after plastic surgery, the patient should wear belts and bandanas to prevent scar enlargement. Even with all these precautions, the results of body sculpting surgery, after significant weight loss, correlate with a stable weight, a balanced diet, skin type and genetic inheritance.