Surgery After Weight Loss
Body > Surgery After Weight Loss
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Weight Loss and Cosmetic Surgery
Those who are overweight often will try many modalities to lose weight and get back into shape. Some are able to accomplish their goals through diet and exercise, but many find that their weight prevents them from exercise. In other words, they can't exercise because of their weight, and they can't lose weight because they cannot exercise. Obesity can also be associated with other conditions such as high blood pressure, diabetes, and heart disease. Often, these people choose to have bariatric surgery to loose weight. This has proven to be very effective in producing significant weight loss.
Whether one loses weight through diet and exercise or through bariatric surgery, there are a few cosmetic problems that arise as a result of the weight loss. The stretched skin often fails to tighten, and so it sags. In many cases, it hangs in rolls. Exercise does not tighten skin. The only way to tighten loose skin is through surgery. Excessive skin laxity can be in the stomach, arms, thighs and buttocks. The breast becomes empty and saggy.
Dr. Shureih is a Board Certified Plastic surgeon, with a Certificate of Advanced Education in Cosmetic Surgery. He is also a member of The American Society of Bariatric Plastic Surgery. He has 20 years of experience and thousands of procedures. He was chosen TOP DOC in Baltimore Magazine and The National Guide of TOP DOCS for many years. We offer our patient a private, confidential safe surgical environment.
Our Certified Surgical Facility is a state of the art center.
Our surgical team along with Dr. Shureih, we have an MD. Anesthesiologist, for your safety. Experienced Registered Nurse, and an experienced surgical tech.
Most people who accomplish significant weight loss often need or want to have all of these problems corrected. They continue to feel they have not achieved the body image they want. Surgery is the only alternative to tighten loose skin; lifts of the areas of the body with skin laxity can be very gratifying. A body lift, arm lift, thigh lift, and abdominoplasty (tummy tuck) remain the only alternative.
Is Liposuction an Option?
Liposuction is not an alternative to tightening procedures. However many times there are still localized fat collections after weight loss. Liposuction is used along with the tightening procedure to achieve the desired body image you desire.
Incisions and Scars
Scars result any time skin is removed. The more skin that is removed, the more are the scars. For a body lift, they will extend along the lower abdomen, around the hips, and toward the buttock crease. There is another scar in each groin crease for the inner thigh lift. All these incisions are well hidden in a bikini line.
Breast scars vary depending on the amount of lift and the procedure needed. Dr. Shureih has extensive experience and cosmetic surgery creativity to leave you with the minimal scar possible. When implants are used to enhance volume the lift scars may be less.
To minimize risks and recovery time as well as control cost, these procedures can be divided into stages or several smaller surgeries.
The Surgery
During the initial consultation we will discuss your goals and priorities. A thorough examination of the areas of concern is done. All options are discussed and explored with you, and a plan is formulated.
Abdominoplasty, Lower Body Lifts
Abdominal skin laxity can be circumferential, extending laterally to the lateral thighs and back and buttocks. Medial skin laxity can extend down to the knees.
Circumferential lower body lift involves abdominoplasty, lateral thigh lift, back and buttock lift. The incision extends from the lower abdomen to the lateral thighs, then all the way to the buttocks. All scars are within the bikini line.
Abdominal laxity can be both vertical and horizontal. The optimal surgical procedure will be discussed with you, and the tightening effect of each procedure.
Medial thigh lift incision hugs the groin crease and meets the abdominoplasty anteriorly and to the buttock crease posteriorly.
Upper back laxity follows the lower breast crease to the back within the brassier line.
Timing the Cosmetic Post Bariatric Surgery
Ideal timing for cosmetic surgery is after all weight loss has been complete, and the weight has stabilized for few months. The Body Mass Index (BMI) as close to normal as possible.
Blood pressure, diabetes and any associated conditions must be controlled. This ensures minimal surgical risks.
To achieve your goal for your body image, you may require multiple surgical procedures, and accept the presence of scars on the body, and the need for revision surgeries. The laxity and loss tissue strength makes scars widen and migrate, and tissue and sutures not hold.
Extreme make-over is possible, but unlike T.V unrealistic depiction, it requires long recovery and realistic expectations.
Potential Risks
Surgery carries a certain amount of risk, those include, infection, bleeding, fluid collection skin loss, delayed wound healing, scarring, possible wide thick scars. Blood clots, fat emboli, stretching of the scars and resulting pull on the body parts.
As a result of your body contouring, you should be able to look as good as you feel inside and enjoy your new body.
Dr. Shureih a Baltimore Plastic Surgeon, with extensive experience in this field, will discuss with you all your options to achieve the look and results you desire.
5300 Dorsey Hall Drive, Suite 102, Ellicott City MD 21042
(410) 715-2000