Monday, April 15, 2024

Weight Loss Surgery Excess Skin

Your Post Weight Loss Plastic Surgery Consultation

EXCESS SKIN AFTER BARIATRIC SURGERY | How to Handle Loose Skin after Extreme Weight Loss

During your consultation, Dr. Holley will discuss your expectations and will help you understand all available surgical options. He will also review your medical history and design a plan based on your unique needs and aesthetic goals. Surgery after weight loss can be complex and is not without risks. It is often necessary to consider multiple, staged procedures to safely reach the goals that you have worked so hard to achieve. Dr. Holley will create a plan to reach those goals that is safe and cost-effective.

Lower Back And Buttocks

Saggy skin on the lower back and buttocks can alter your bodys silhouette, making you appear larger than you are. A lower body lift or butt lift can give you the contours you crave. Your cosmetic surgeon will employ a hip-to-hip incision across the back and above the buttocks to excise the excess tissue, giving you a slimmer appearance.

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So What Can We Do To Manage Or Prevent Excess Skin After Bariatric Surgery

  • First, we must remember that there is a genetic component to how much excess skin you will have after surgery. This is a non-changeable reality that you may have to live with and its OK! Genetics play a big role in many of the conditions we experience throughout our lives and we must make the most of it
  • Age is also a concern when evaluating if excess skin might be an issue. As we age, our skins elasticity is reduced. Excess weight and obesity will have stretched the skin significantly, and for some, the skin will recover more easily than for others
  • The procedure you undergo will also make a big difference. Procedures like the gastric bypass, which afford very rapid weight loss in the early postoperative period, are more likely to cause excess skin than, for example, the gastric sleeve, which might have slower initial weight loss, but comparable results after three or five years
  • Lastly, is the amount of weight that you ultimately lose. The more weight you have to lose, the more your skin will have been stretched before surgery. This, of course, will vary based on body style and size, but, greater weight loss means a higher chance of excess skin

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Why Does This Happen

Lets understand your skin. The largest organ of your body is made up of mostly collagen and elastin. Collagens role is to provide firmness while elastins is to provide elasticity. When you gain a considerable amount of weight, your skin will begin to expand. If the skin is stretched for a prolonged amount of time, the elastin and collagen will become permanently damaged and your skin will lose its capacity to shrink back. If weight loss surgery has finally helped you beat obesity, after years of struggling, it is highly likely that youll be left with excess skin hanging from different areas of your body.

It might be incredibly frustrating to look at the scale and see a number you feel satisfied with, look at your bloodwork numbers and know youve restored your body back to health and yet, look at the mirror and see excess skin hanging everywhere!

About Author: Ken Harris

Weight Loss Before And After Skin

Ken Harris is the proudest father and a writing coordinator for the Marketing & Communications division of OSF HealthCare.He has a bachelor’s in journalism from the University of Wisconsin-Madison and worked as a daily newspaper reporter for four years before leaving the field and eventually finding his way to OSF HealthCare.In his free time, Ken likes reading, fly fishing, hanging out with his dog and generally pestering his lovely, patient wife.

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The Ins And Outs Of Bariatric Skin Removal Surgery

Bariatric surgery can be a very effective way for people who are obese and have failed at traditional weight loss tactics to lose large amounts of weight. When done in combination with a commitment to healthy lifestyle changes, it can be a life-changing and even life-saving process.

But it can also create another issue for recipients of the surgery: excess skin.

Loose, saggy skin can be a functional problem, said Matthew Ranzer, MD, FACS, a surgeon with OSF HealthCare who specializes in plastic surgery. Your clothes dont fit well, and skin rubbing can cause irritation, pain and discomfort. We can remove the excess skin, which is creating unwanted problems, and give you back your normal contour.

People considering bariatric surgery and skin surgery should educate themselves before pursuing treatment options to make sure they handle their weight loss in a manner that is as safe as possible, to understand the requirements for success and to establish reasonable expectations for their results.

Surgery is not a magic wand, Dr. Ranzer said. We cannot undue what has happened to your body from weight gain and weight loss. We can restore the normal contours of your body, but it requires surgery, which means risk and scars. Most patients do very well, and complications are infrequent, but they do occur.

What Is A Tummy Tuck

Known medically as an abdominoplasty, tummy tucks improve the appearance of the stomach.

Surgeons remove excess skin and fat from the abdomen, and tighten connective tissues.

The end result is a more toned look. Many women, and men, have the operation to boost their body image.

A tummy tuck is also the go-to option for women who have given birth and have a prolonged mummy tummy.

The surgery repairs the rectus diastasis two abdominal muscles than can separate during pregnancy.

Figures show nearly 130,000 tummy tucks were performed in the US last year. There are nearly 3,000 performed privately in the UK each year.

The Mayo Clinic states: Like any other type of major surgery, a tummy tuck poses a risk of bleeding, infection and an adverse reaction to anesthesia.

It can also cause fluid to build-up beneath the skin, known as a seroma. They can become infected.

Normally I have to set everything down on top of my stomach, she writes in the caption of one video shared on December 26.

It was surreal today when I went to rest my arms and journal on my belly and it was gone. This is just one way that my life has been forever changed because of @drcharliechen and his amazing team.

In another video, Teresa shared her joy of being able to cross her legs.

I want to show you guys something that is so amazing for me, she says before flipping the camera around to face her lap.

An emotional Teresa wakes up from surgery, saying her excess skin was the last of her grief

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Q: What Are Some Benefits Of Surgery To Treat Extra Skin

Dr. Jones: The biggest gain is self-confidence. A lot of my patients have a long story behind their decision to pursue bariatric surgery. In some ways, the excess tissue serves as a reminder of the parts of them they wanted to leave behind, and it interferes with the way they want to present themselves to the world.

Excess skin can also cause medical issues like infections and skin rashes. And having a lot of loose, excess skin can make it difficult for people to fit into clothes. Some of my patients have already tried things like wearing shapewear clothing before they come to me to discuss skin surgery.

What Are The Types Of Excess Skin Removal Procedures

My 260lbs Weight Loss Left Me With 20lbs Of Loose Skin | BRAND NEW ME

There are several different procedures for removing excess skin. Most people need a combination of surgeries to get the look they seek. Your doctor can help determine which procedures will benefit you the most.

Excess skin removal procedures include:

  • Arm lift to remove excess skin that hangs down from your upper arm.
  • Breast lift to firm up breasts by tightening tissue and removing excess skin.
  • Facelift to give your face a smoother, younger appearance and get rid of excess skin around your neck.
  • Lower body lift to remove excess skin and fat from your stomach, butt and outer thighs.
  • Panniculectomy to remove the apron of excess skin that hangs below your belly button.
  • Thigh lift to give your inner thighs a sleeker appearance.
  • Tummy tuck to remove excess skin and tighten weak or separated abdominal muscles.

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Different Types Of Post Weight Loss Surgery And Excess Skin Removal Procedures

There are several different types of surgical procedures designed to eliminate excess skin. Youre Surgeon may recommend a combination of procedures to help you achieve the ideal look. You will be given customised recommendations on the most appropriate procedure or combination of procedures to allow you to make an informed decision that is right for you.

What Should You Know Before You Consider Surgery For Excess Skin

It’s not a good idea to undergo surgery for excess skin if you’re still in the process of losing weightor if there’s a good chance you’ll gain it back right away. “We look to see that a patient is at a healthy weight based on their body mass index or based on their lifestyle and how they feel,” Dr. Malin explained. “I want a patient to be at that stable weight for about six months since their weight loss, which gives the body time to get back to equilibrium.”

Sometimes, a plastic surgeon may refer you to a nutritionist or a personal trainer, to help with weight loss, before they address their excess skin. Healthcare providers will also consider the patients’ overall health when determining whether they’re a good candidate for surgery.

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Will There Be A Scar

The extent of scars varies from patient to patient based on the surgical technique used and the way the patient’s body responds to the healing process. You will have scars from incisions, but a good plastic surgeon will make incisions in strategic places that are covered or in natural creases for less visibility.

Each of these excess skin removal procedures addresses a different area of the body, which means scars will also vary. The most common excess skin removal procedure, a tummy tuck, involves an incision along the lower abdomen. Modern tummy tuck scars are often very thin, and low enough to be hidden by most undergarments. When the skin is pulled taut over the abdomen, the surgeon will also need to create a new belly button, which is a much smaller and less noticeable scar.

Arm and thigh lift scars are very similar, long scars that run along the inside of the limb where the most excess skin often collects. These surgeries are not typically recommended for patients with minimal excess skin because the size of the scars may not be worth it in comparison. The largest scar is for the lower body lift procedure. This incision runs all along the torso, similar to a belt. While scars can be a deterrent for some patients, it is important to remember that they fade over time. Following post operative care instructions, and using a scar improvement gel as you heal can also greatly improve the look of these scars.

Can Excess Skin Removal Take Place At The Same Time As Another Weight Loss Surgery

Man can finally move freely after having excess skin removed

No. Excess skin removal surgeries can only take place after bariatric surgery. A plastic surgeon cant remove the excess skin until you lose the extra weight. It may take one to two years to achieve your goal weight after bariatric surgery. You also need to maintain that weight loss for at least six months before getting body contouring procedures.

Also, two different types of surgeons perform these procedures:

  • Bariatric surgeons perform weight loss procedures like gastric bypass and gastric sleeve.
  • Plastic surgeons perform body contour procedures.

You may have heard that you can have liposuction and body contouring, such as a tummy tuck, at the same time. Liposuction can help remove stubborn fat deposits, but it isnt a weight loss surgery. Your surgeon can discuss if a combined procedure is right for you.

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Q: Can You Get Rid Of Loose Skin With Surgery

Dr. Christine Jones, plastic surgeon: Yes, there are several procedures that can help. The type of surgery recommended typically depends on the area or areas of concern for my patient. The abdomen, breasts, arms, or thighs are the most common areas for treating excess skin. Sometimes, surgery is performed on the area under the chin or on the face.

In general, the goal is to remove the excess tissue and then try to contour the remaining tissue. But the details of that come down to each patients specific area of concern, their anatomy, their current weight distribution, and other factors.

For the abdomen, the most common surgery performed is an abdominoplasty, or tummy tuck. That involves removing overhanging skin and contouring the mid-abdomen to match the contour into the thighs and pubic region. We can also smooth out the area around the belly button and make a new spot for the belly button.

For female breasts, we can perform a breast lift. In many cases, I use the bodys own tissue to augment sagging breasts. There are also options available for men, including chest contouring. These approaches vary based on a patients anatomy and body type.

For arms and legs, another option is an arm or leg lift, also called a brachioplasty or a thighplasty. These procedures involve making incisions in the inner part of the arm or the inner part of the thigh to help contour those regions.

Breast Lift Or Breast Implants

Many female patients experience deflated breasts after losing a significant amount of weight. A breast lift can remove excess skin and may restore contour and symmetry. However, it will not create or replace any volume that may have been lost. Breast implants can be added to restore lost volume.

Men also experience sagging breasts after losing a large amount of weight. This excess skin can be removed through gynecomastia surgery which flattens and enhances the chest contours. Male breast reduction surgery often involves surgically repairing the size or position of the areola.

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Tummy Tuck After Weight Loss

Belly skin removal after weight loss surgery

Also known as Abdominoplasty, a tummy tuck is one of the most popular plastic surgery treatments not only among post-bariatric surgery patients but also among anyone both men and women who are bothered about excess skin around the tummy area.

So, for the last three plastic surgery procedures, while you get rid of excess skin, you can also add some volume if you want to. For the ones who like enjoying the best of two worlds!

Gastric Sleeve Results After 5 Years

âDance Momsâ Starâs Excess Skin Removal After Losing 127 Pounds

Your gastric sleeve long term success in the truest sense can be measured at about four or five years after your weight loss surgery in Mexico. With a smaller stomach and a diminished production of hunger hormones, you would be in a position to maintain a balanced diet and an active lifestyle for the long-term.

Gastric results after 5 years in many cases are highly successful, and patients are able to maintain at least 75% of their excess weight loss. The symptoms of your obesity-related conditions such as autoimmune diseases and chronic illnesses would have significantly during this period. Your improved health and body image would have also boosted your performance on your personal and professional fronts.

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Plastic Surgery After Bariatric Surgery

Gudjon L. Gunnarson MD, specialist in plastic surgery and senior consultant. He has overseen the development of body contouring surgery at Telemark Hospital since 2009.

The author has completed the ICMJE form and declares no conflicts of interest.

MD, specialist in plastic surgery. He has had a private practice since 1992 and has been in charge of treatment of post-bariatric patients affiliated with the Obesity Clinic at Aleris, both privately and as part of an agreement with the Southern and Eastern Norway Regional Health Authority.

The author has completed the ICMJE form and declares no conflicts of interest.

Aleris Oslo

Rune Sandbu MD PhD and head of the Department of Surgery, Vestfold Hospital Trust. He is in charge of bariatric surgery at the Morbid Obesity Center, Southern and Eastern Norway Regional Health Authority.

The author has completed the ICMJE form and declares no conflicts of interest.

Morbid Obesity Center

Jørn Bo Thomsen MD PhD, specialist in plastic surgery and senior consultant, plus clinical lecturer at the Institute of Regional Health Research, Denmark.

The author has completed the ICMJE form and declares no conflicts of interest.

Department of Plastic and Reconstructive Surgery

Odense University Hospital

The author has completed the ICMJE form and declares no conflicts of interest.

Morbid Obesity Center

Department of Endocrinology, Morbid Obesity and Preventive Medicine

Gastric Sleeve Results After 6 Months

At about six months, your monthly weight loss pace would have slowed down compared to the first few months. If you have maintained your recommended dietary and exercise regimen with diligence, your vsg results after 6 months should indicate an excess weight loss of about 45% to 55%. This means you would have crossed the halfway mark in terms of your total excess weight by this stage.

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Tailoring The Dress Or Suit: The Benefits Of Skin Removal Surgery After Major Weight Loss

Bariatric surgery can be a transformative procedure for people who have lived for years with morbid obesity. Not only do many patients experience significant weight loss, but their blood pressure typically improves and other serious health conditions such as heart disease and diabetes become much more manageable.

After losing so many pounds, excess skin often will not shrink back to the underlying muscle and bone structure. Instead, it hangs from the body like a poorly fitted piece of clothing, making it tough to move on with your new, healthier life.

The excess “dress” or suit also called the skin-fat envelope can affect everything from how you look to how you feel and move.

Bariatric surgery was pioneered at the University of Iowa, and it was there that we first developed plastic surgery procedures tailored to meet the goals of patients following significant weight loss.

Eventually, we wrote the first book on the subject: “Body Contouring After Massive Weight Loss,” which is still considered the gold standard. Since then, our surgical techniques have been taught in more than 35 countries around the world.

As weight loss surgery became more common in the early 2000s, we developed safe, effective procedures to tighten the skin-fat envelope around the underlying musculoskeletal structure, bringing patients closer to their ideal shape.

Our approach offers tightening in four key areas of the body:

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