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Post-bariatric plastic surgery

What is it about?
Post-bariatric plastic surgery deals with the body remodeling of ex-obese patients suffering from serious physical deformities arising following weight loss. The result is a significant improvement in the silhouette.
post bariatric surgery
FAQ
Why is the intervention used?
Significant weight loss obtained thanks to bariatric surgery (the branch of surgery that deals with the treatment of obesity) can cause severe deformities, such as lipodrystrophies and severe dermatochalasis (excess skin) in critical points such as the abdomen, back, thighs, buttocks, breasts, arms, face and neck. Post-bariatric plastic surgery allows you to remedy the results of weight loss.
The specialist visit?
During the specialist visit, the surgeon will analyze the patient's medical history, evaluating his state of health and body composition, also taking photographs to include in the medical record. After examining the patient's expectations, the surgeon will present the available solutions, illustrating their advantages, risks and expected results. Since it is a set of interventions and a long journey towards achieving a goal, it is always important to discuss the outcomes, risks, results and benefits of the procedures with the patient. Post-bariatric remodeling of the body figure is a long and difficult physical and psychological journey, sometimes not without complications, which must be faced with motivation and perseverance. The incidence of post-operative complications is higher when patients are ex-obese: according to international case studies it can reach 20%. Fortunately, these are mostly minor complications, but they can obviously lengthen recovery times and cause discomfort for the patient.
What should be done before the surgery?
Before undergoing post-bariatric plastic surgery, your body mass index (BMI) must be below 30 and your weight must have been stable for at least 6 months. You will usually need to undergo laboratory tests, and you may need to stop or change some medications (including aspirin, anti-inflammatories, and herbal supplements that can increase the risk of bleeding). The ideal candidates are non-smokers, highly motivated by a healthy lifestyle characterized by adequate nutrition and physical activity.
How is the surgery performed?
Post-bariatric plastic surgery does not consist of a single operation, but of a set of procedures that allow you to reshape your silhouette after heavy weight loss. This can be a multi-step process that requires returning to the operating room several times over a few years; the accurate planning of the intervention is fundamental. Possible interventions include: brachioplasty, which allows you to correct excess skin in the upper part of the arms; mammoplasty (or mastopexy) to improve the appearance of the breasts; trunkplasty to remove excesses in the abdomen, buttocks and thighs; the crural lift, to eliminate excess tissue on the inner thigh; abdominoplasty, to reshape the abdomen; the face lift, for a reshaping action on the facial features, cheeks and neck.
What happens after the operation?
The steps to follow after post-bariatric plastic surgery vary depending on the procedure performed.
The scars?
Generally the incisions are made in strategic areas in order to make the scarring as little visible as possible. However, it is good to be aware that it takes many months, if not even years, for the scars to become less noticeable. No scar is invisible, and there is an individual predisposition to good or bad healing. However, refined surgical techniques and specific drugs (for example silicone gel to be applied to scars for long periods after operations) allow scarring to be limited. Generally the latter are far justified by the enormous functional, psychological and aesthetic benefit achieved.
The results?
The results of the individual interventions are noticeable in a short time. However, the process of redefining the silhouette after significant weight loss is long, and it can take as much time to achieve the definitive result as it took to lose weight.
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