- Gluteal Prosthesis
- Calf Prosthesis
- Post-Weight Loss
POST-WEIGHT LOSS SURGERY (BODY CONTOUR)
After significant weight loss, the body contour loses its elasticity and leaves big amounts of skin, as a consequence of the loss of fat tissue. This excess of skin usually appears in the neck, arms, breasts, abdomen, glutes and thighs, causing an irregular and shapeless aspect.
If you suffered a dramatic weight loss, whether by diet or physical exercise, or by bariatric surgery (obesity surgery), and you have reached your ideal weight, then you can be a candidate for this type of surgery.
The body contour surgery can be recommended to lift the skin that is down and wrinkled, or to remove the excess of skin. The success of this type of procedure depends on the age of the patient, the shape, size, and quality of the skin on the treated area. The size and quality of the scars are also important factors. However, most patients consider the scars as acceptable and are extremely happy with the results.
The procedures necessary to reach your goals will be defined along with a surgical plan. The plastic surgery procedures that might be recommended by your doctor include:
• Lower body lifting: corrects the flaccidity on the abdomen, bottom, groin, and hips;
• Breast lifting: corrects the flaccidity on the breasts;
• Arm lifting: corrects the flaccidity of the arms;
• Thigh lifting: corrects the flaccidity of the thighs.
Stage 1 – Anesthesia
Medicines are injected for your comfort during the surgical procedure. The options include intravenous sedation and general anesthesia. Your doctor will recommend the best option for you.
Stage 2 – Incision
All the body contour procedures demand incisions to remove the excess of skin. In many cases, these incisions can be large. The size of the cut and its pattern will depend on the amount and location of the excess of skin to be removed, as well as personal preference and the surgeon’s judgment. Advanced techniques usually allow the incisions to be made in strategic locations, where they can be hidden by most types of clothes; however, that’s not always possible.
The body contour surgery is very often performed in steps. Your condition and expectations, as well as the plastic surgeon’s, will influence the way your doctor will define the surgical plan. Although it might have taken two years to lose the excessive weight, it can take the same amount of time for the results of the surgery to be completely perceived.
The full lower body lifting treats flaccid bottom, abdomen, waist, hips, and the lateral of the thighs in one single, or many, procedures. The types of incision can vary and may include a circumferential incision, around the body, to remove the “belt” of excessive skin and fat.
The incision patterns to remove the flaccidity of the breasts will be determined according to the amount of excessive skin to be removed.
These can include only one incision or a combination of cuts with a circular pattern around the nipple, in a line that extends from the nipple to below the breast and, horizontally, throughout the inferior part of the breast. A breast implant is recommended to improve the shape and size of the breast.
Flaccid skin on the arm can be treated with an incision around the underarms, extending until the internal or back part of the arm. Additional incisions may be necessary wherever there is an excess of skin. Softer and more defined contours can be seen almost immediately, despite being swollen and bruised.
The remodeling of the thigh contour can be done through incisions in the groin, which can extend down, until the knees, throughout the internal part of the thighs.
Improving the shape of the external part of the thighs can require a different incision. Through these incisions, the plastic surgeon will define the tissues, aiming for smoother contours.
After the surgery, bandages can be applied over the incisions. A drain can be temporarily placed under the skin to drain any excess of blood and fluids that might accumulate.