Top New York plastic surgeon Dr. Darrick Antell is board certified in plastic surgery, emphasizing aesthetic / cosmetic surgery. One of the cosmetic surgery procedures he performs is the Post-Bariatric Body lift (plastic surgery after major weight loss.)
Post-Bariatric Body Lift, after major weight loss is a major surgical procedure to remove excess skin and fat from arms, abdomen, legs, buttocks, face, breasts or other areas with loose sagging skin. The procedure can dramatically reduce the appearance of loose hanging skin. Bear in mind, it does produce permanent scars, which, depending on the extent of the original problem and the surgery required to correct it can be substantial.
If you are considering a Post-Bariatric Body Lift, this will give you a basic understanding of the procedure, when it can help, how it’s performed, and what results you can expect. It can’t answer all of your questions becuase a lot depends on the individual patient and the surgeon. Please ask Dr. Antell about anything you don’t understand.
The best candidates for a Post-Bariatric Body Lift are men or women who are in relatively good shape but are bothered by loose skin after major weight loss. The surgery is particularly helpful to men and women who have stretched their skin beyond the point where they can return to normal. Loss of skin elasticity in older patients, which frequently occurs with obesity or extensive weight loss, can also be improved.
A Post-Bariatric Body Lift can enhance your appearance and your self-confidence, but it won’t necessarily change your looks to match your ideal, or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with Dr. Antell.
Thousands of Post-Bariatric Body Lift procedures are performed successfully each year. When done by a qualified plastic surgeon that is trained in a Post-Bariatric Body Lift, the results are generally quite positive. Nevertheless, there are always risks associated with surgery and specific complications associated with this procedure.
Post-operative complications such as infection and blood clots are rare, but can occur. Infection can be treated with drainage and antibiotics. You can minimize the risk of blood clots by moving around as soon after the surgery as possible.
Poor healing, which results in conspicuous scars, may necessitate a second operation. Smokers should be advised to stop smoking as it may increase the risk of complications and delay healing.
You can reduce your risk of complications by closely following Dr. Antell’s instructions before and after the surgery, especially with regard to when and how you should resume physical activity.
In your initial consultation, Dr. Antell will evaluate your health, determine the extent of sagging skin, and carefully assess your skin tone. Be sure to tell him if you smoke, and if you’re taking any medications, vitamins, or other drugs.
Be frank in discussing your expectations with Dr. Antell. He will describe your alternatives and outline the risks and limitations of each. Dr. Antell will work with you to recommend the procedure that is right for you and will come closest to producing the desired body contour.
During the consultation, Dr. Antell will also explain the anesthesia he will use, the type of facility where the surgery will be performed and the costs involved. In most cases health insurance policies do not cover the cost of a Post-Bariatric Body Lift.
Dr. Antell will give you specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications.
If you smoke, plan to quit at least one to two weeks before your surgery and not to resume for at least two weeks after your surgery. Avoid overexposure to the sun before surgery. If you develop a cold or infection of any kind, your surgery will probably be postponed.
Whether your surgery is done on an outpatient or inpatient basis, you should arrange for someone to drive you home after your surgery and to help you out for a day or two.
Many surgeons perform surgery in an outpatient surgical center or ambulatory surgery facility
Dr. Antell may select general anesthesia, so you’ll sleep through the operation.
Surgery usually takes two to five hours, depending on the extent of work required. Surgery varies depending on the body part being contoured.
All Post-Bariatric Body Lift procedures require incisions to remove excess skin. In many cases these incisions may be extensive. Incision length and pattern depend on the amount and location of excess skin to be removed, as well as personal preference and Dr. Antell’s surgical judgment.
Advanced techniques usually allow incisions to be placed in strategic locations where they can be hidden by most types of clothing, but this is not always the case.
Post-Bariatric Body Lift surgery is often performed in stages. Your particular condition and goals, as well as your plastic surgeon’s best judgment, will all influence the surgical plan. While it may have taken you two years or more to lose all the excess weight, it may take equally as long for the results of your body contouring to be completed.
Lower Body Lift
A complete lower Body Lift treats sagging buttocks, abdomen, waist, hips and outer thighs in one procedure or in staged procedures. Incision patterns vary and may include a circumferential incision around the body to remove the “belt” of excess skin and fat. Get more details about Lower Body Lift Plastic Surgery
The incision patterns for lifting a sagging breast will be determined based on the amount of excess skin to be removed.
These may include one or a combination of incisions in a circular pattern around the areola, in a line extending from the areola to the breast crease and horizontally along the breast crease. A breast implant may also be recommended to enhance breast shape and size. Get more details about Breast Lift Plastic Surgery
Sagging skin in the upper arms is treated with an incision from the underarm area extending along the inside or back of the upper arm. Additional incisions on the arms may be necessary anywhere excess skin has formed sagging pockets.
The smoother, tighter contours that result from upper arm contouring are apparent almost immediately, although initially obscured by swelling and bruising. In addition, skin quality is dramatically improved in both appearance and texture. Get more details about Arm Lift Plastic Surgery
Reshaping of the thigh is achieved through incisions in the groin that can extend downward to the knee along the inner portion of the thigh.
Improving contours of the outer thigh may require an incision extending from the groin around the hip. Through these incisions your plastic surgeon will tighten tissues for a smoother, better toned thigh. Get more details about Thigh Lift Plastic Surgery
The decision to have a Post-Bariatric Body Lift surgery is extremely personal and you’ll have to decide if the benefits will achieve your goals and if the risks and potential complications are acceptable.
After your Post-Bariatric Body Lift surgery procedure is completed, dressings or bandages will be applied to the incisions. A small thin tube may be temporarily placed under the skin to drain any excess blood or fluid that may collect.
You will be given specific instructions.
The practice of medicine and surgery is not an exact science. Although good results are expected, there is no guarantee. In some situations, it may not be possible to achieve optimal results with a single surgical procedure and other surgery may be necessary.
Following your physician’s instructions is key to the success of your surgery.
Dr. Darrick E. Antell and his staff will be happy to discuss Post-Bariatric Body Lift Surgery with you. Please call for a private consultation or schedule an appointment online at our office.