Surgery after weight loss

Plastic Surgery after massive weight loss is known as bariatric surgery.

This field has expanded with many advances occurring due to the rising popularity of bariatic surgery in the USA. There are a number of components to this, and usually a series of operations are required to improve one’s shape after massive weight loss.
These include:

  1. Lower body lift
  2. Medial (inner) thigh lift
  3. Brachioplasty (see section on brachioplasty)
  4. Breast lift with or without augmentation.
  5. Facelift (see facelift)
  6. Other plastic surgery procedures eg surgery to back rolls

It is best to have these procedures once the ideal weight has been reached. In patients undergoing gastric bypass or stapling procedures, this is often a year thereafter.

There are some important aspects to consider prior to commencing surgery. Firstly many patients who had surgery have borderline nutritional problems which are not picked up on routine tests and it is important to be on supplemention prior to surgery.

It is important to note that the skin has lost its elasticity as a consequence of massive weight loss. As a result it will not retract after surgery and further “touch ups” may be required. Many patients accept the additional scars required to improve shape.

Perhaps the commonest operation performed is a tummy tuck. However, in this case the scar forms a circle and extends right around the waist to the back above the buttocks. It has the benefit of lifting the buttocks and also lifts the outer thighs.

The inner thighs are addressed by a thigh lift.

The breasts often need both a lift and an augmentation. In men, a lift of the breast is required.