PLASTIC SURGERY | BODY SHAPING

Postbariatric Surgery

Obesity has become an increasingly common problem worldwide, especially in developed societies. In order to combat obesity, diet, various slimming methods and bariatric surgery (surgical interventions directed to the digestive system) have come to the fore in cases of irreversible morbid obesity.

AESTHETIC AFTER SLIMMING

Bariatric Surgery initiatives such as Tube Stomach and Gastric Bypass, which have been in demand in our country in recent years, have an older history, especially in the United States, which is the cradle of Medicine and technology. With all these developments, a hope has arisen for morbid obesity patients who have reached 100-150-200 or even 300 kg, and irreversible vicious cycles and the main cause of many problems such as diabetes, blood pressure, hypercholesterolemia, heart and lung diseases, liver diseases, joint disorders. An escape route was found for obesity.

With all these positive developments, a new problem manifests itself in patients who have had the chance to get rid of their excess weight, which seemed impossible. Common body deformities, sagging and aesthetically unacceptable deformities show up. It is precisely at this moment that Post Bariatric Surgery interventions, a special area of ​​plastic surgery, come into play.

When the history of Post Bariatric Surgery is questioned, aesthetic interventions, which have become a second need after the weakening of thousands of morbid obesity with baritaric surgical methods, aim to shape the whole body as a whole of methods that were born in the United States as a separate field of activity in recent years.

In this equation, deciding when to operate the patient in Post Bariatric Surgery, selecting the most suitable BODY LIFT procedures based on the patient and informing the patient in the most accurate way, selecting the most appropriate method for the patient, preparing the patient for surgery in a controlled manner are critical. The adventure that ends with the weight loss should be crowned with a satisfying aesthetic.

There are several ways to achieve these goals.
  • Vision to evaluate the patient and determine the most appropriate method,
  • Awareness of which patient can be taken into operation when, what should be considered during the preparation of surgery,
  • Sufficient technical knowledge, many practical application experiences on patients,
  • Surgery area and patient follow-up in the early and late postoperative period,
  • Due to the inadequate response of the skin to rapid weight loss, deformities occur throughout the body. Be aware that these disorders can be corrected gradually through planned surgical procedures.
The ideal patient model for the surgeon:
About Post Bariatric Surgery interventions, which is of special interest before coming to the first examination for surgery;
  • Having general knowledge of what to expect from the doctor, having prior knowledge to direct questions to the doctor about the surgical results on the targeted area and to what extent the body will be changed.
  • Knowing that classical tummy tuck and body shaping methods cannot be sufficient for weight loss of more than 20 kg.
  • Being aware of the fact that scars may remain on the areas for the removal of deformities, but being aware of the fact that these marks can be minimized, being in cooperation with the doctor on this issue.
  • Being aware of the determination and importance of patient compliance, surgeon selection, correct technique and correct time concepts in success
  • Be aware that the concept of Post Bariatric Surgery is a series of operations gradually leading to the best and natural solutions.
  • Being aware of the fact that each patient has a unique body structure, eliminating all the deficiencies in order to positively change the postoperative recovery potential of the body during the preparation phase of the body.

Metabolic balance disorders that develop due to rapid weight loss in the first 1.5 years after bairathric surgery are eliminated and weight loss is almost at the end stage. This critical period has been determined as the starting date for aesthetic surgery for patients in the literature. Patients who are at follow-up to this stage are evaluated in terms of their metabolic status and whether they reached the suitable body mass index for the operation.The main goal is to protect the patient from the risks associated with general anesthesia and to provide the best possible result to the patient. Patients who want to have an early surgery should be guided by the doctor correctly.

The deformities in the body develop especially along the vertical and horizontal lines in the abdomen, on the side legs, butt area, inner legs, breast area, arms, back, face and neck. The sagging in all these areas should be determined and the patient should be informed about possible operation plans. The direction of the operation should be determined on which combined areas the phases will be about.

As a subcomponent of the Body Lift concept
  • Excess in vertical and horizontal lines in the abdominal region
  • YSide leg area sagging and hip areas consisting of undissolved fat tissues
  • Sagging in the butt area, decreased butt fullness

For aforementioned areas with a single operation, liposuction (removal of excess fat with a special system) can be used in combination to get rid of all deformities.

With the help of special corsets, which are brought to the patients who are followed up in the hospital for 2 days after body lift surgery, the surgery area is undergoing an accelerated and safe recovery process.

As with any surgery, various complications can be seen in Body Lift surgeries. It is helped to minimize these risks with appropriate technic and necessary equipment.

In order to eliminate the defects in breasts in terms of sagging and reduction of fullness , Post Bariatric breast shaping operations, which also include the use of silicone implants, are planned on patient basis,which will meet the breast plumping target from time to time. The incisions in the breast area are generally planned as a reverse T, fullness is provided in the breast decollete area, and the round structure of the breast is obtained, helping to make the sagging nipples upright. Upon the completion of the aesthetic breast surgery the patient is discharged after being kept in the hospital for 1 day.

Arm stretching surgery is aimed to perform leaving a hidden scar left on the inner surface of the arm by removing the saggy and fatty excess tissues in the arm area by using liposuction method as well. Arm stretching operation is generally combined with breast surgery. After arm stretching, patients are hospitalized for only 1 day and supported by special arm corsets.

Although the back stretching can be provided with an incision made to remain hidden in the back of the bra line, it can be combined with a special method with the arm stretching, with a back-to-back stretching on the armpit, without leaving any scars along the length of the back.

It is planned to strech the inner leg with an incision made from the hidden area, which will remain in the inner part of the leg, in order to remove the deformities in the vertical and horizontal lines in the entire leg area. If the complete removal of the fat in the leg area is not achieved with weight loss, this process can be completed in combination with liposuction. After surgery, the patient is followed up in the hospital for 1 day, using appropriate special corsets.

It is planned to provide stretching and proper facial fullness for the sagging parts of the face with the Face and Neck Lift processes. Face and neck stretching is planned in such a way that the scars will remain hidden or even scar-free facial aesthetic procedures will be provided to obtain a stretched skin structure and appropriate facial fullness. The patient is followed up in the hospital for 1 day after surgery.

When our article, which is organized for informational purposes on Post Bariatric Surgery, is evaluated in general, it is aimed to achieve a natural and acceptable result by approaching the common deformities developed in all areas of the body with special methods. With the successful achievement of this goal, the surgeon provides his professional satisfaction with the work he obtains, and the patient has the chance to continue his life with full self-confidence by getting the body she/he should have.