PROCEDURES

BODY

INDICATIONS

Body contouring after massive weight loss includes multiple procedures. In the consultation with Dr Sofianos, he will discuss the various options, and combinations of procedures that would be safe to perform. Options for procedures include

• Tummy tuck or lower body lift: correct apron of excess skin hanging over the abdomen, buttocks, thighs

• Breast-lift: correct sagging, flattened breasts

• Arm-lift: correct sagging of the upper arms

• Thigh-lift: correct sagging of the inner thighs

• Face-lift: correct sagging of the mid-face, jowls and neck

Individuals that are good candidates for the procedure are individuals -

1. Who have relatively stable weight and are near their goal weight

2. At least one year after the initial bariatric procedure

3. Who are nonsmokers

PROCEDURE

The procedure is performed under general anaesthetic and usually involves a minimum of two nights stay. All body contouring procedures after massive weight loss require large and extensive incisions to remove excess skin. The length and pattern of incisions depend on the amount and location of excess skin to be removed, and will be jointly decided with Dr Sofianos preoperatively. Body contouring is often staged and your particular condition and goals, as well as Dr Sofianos's best judgment, will ultimately influence the surgical plan as discussed preoperatively. While it may have taken up to two years or more to lose the excess weight, it may take equally as long for the body contouring procedures to be completed.

RECOVERY

After body contouring the incisions are covered in bandages and loosely wrapped to reduce swelling. Recovery takes time and patients are usually off work for a minimum of 2-3 weeks.

In the first few days after body contouring -

1. Be up and mobile as soon as possible, as well as drink plenty of fluids, to prevent deep vein thrombosis (clots)

2. Avoid bending, straining or lifting

3. Avoid physical or other activities with your arms that may stretch the incisions for six weeks after surgery.

4. Take pain medication as prescribed by Dr Sofianos and use topical or oral antibiotics as directed to prevent wound infections.

 

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