Significant weight loss, whether through a strict diet or bariatric surgery, can sometimes lead to excess loose skin. While the skin has some ability to contract, it is limited, and excess skin in various areas can appear as prominent folds. Large amounts of excess skin can impede movement, cause recurring inflammation, various pains, and in certain cases, lead to the development of rashes. These physiological effects can significantly impact body image, self-confidence, and social and intimate functioning. In the context of post-weight loss plastic surgeries, excess skin is removed, providing the body with a tighter and more natural appearance.
These surgeries involve a combination of aesthetic and plastic surgery techniques. In many cases, along with the removal of excess skin, liposuction and reshaping of the treated area will also be performed. The drawback of these surgeries is the possibility of surgical scarring in the treated area, which may initially appear prominent. However, over time, the appearance of scars improves. Additionally, the department's team guides patients on preventive scar care to achieve the best possible outcome. For optimal surgical results, it is preferable to undergo the procedure when the patient has reached their target weight and maintained it for at least 6 months. Moreover, some patients may be asked to undergo comprehensive blood tests to ensure there are no nutritional deficiencies.
The Department of Plastic Surgery specializes in body contouring after weight loss and offers the most advanced treatments in the field. The biggest advantage of receiving treatment in the department is the comprehensive care package provided by a large hospital, which includes full pre-operative, intra-operative, and post-operative care. In cases where there is medical justification, treatment is covered by health insurance funds and private insurance companies. Other patients may prefer treatment under the SHARAP framework – a specialized private medical service operating within the medical center.
The department performs all necessary surgeries to assist patients. The most common types are:
-
Abdominoplasty (Tummy Tuck): The goal of this surgery is to remove excess skin and fat from the abdomen, which can cause discomfort, affect appearance, and potentially lead to back pain. In some cases, muscle tightening of the abdominal wall and liposuction of the area may also be performed, similar to procedures commonly done in aesthetic surgeries.
-
Buttock Lift: The aim of these surgeries is to remove excess skin in the buttock area and provide the entire region with a tighter and firmer appearance.
-
Arm Lift: These surgeries are intended to reduce the circumference of the arms and remove excess sagging skin. Sometimes, this excess skin extends towards the chest area, necessitating an extension of the surgery to that region.
-
Thigh Lift: Thigh lift surgeries are divided into two types: lateral thigh lift and inner thigh lift. In these cases as well, the surgeries are accompanied by liposuction and skin tightening in the area.
-
Breast Lift: These surgeries are intended to remove excess skin that has developed in the breast area and restore a lifted appearance.
The procedures mentioned above are part of the department's comprehensive approach to addressing the challenges that arise after significant weight loss. Each surgery is tailored to the individual patient's needs and desires, with the aim of achieving both aesthetic improvement and improved physical comfort. Patients who have undergone weight loss can benefit from these procedures to achieve a more balanced and proportionate body contour.
Recovery from the surgeries can take several weeks to months, depending on the type of surgery and the patient's overall health. In any case, typically after two to three days, patients can be discharged home for continued rest and recovery. Alongside rest, to avoid sun exposure, doctors will recommend that patients wear compression garments for several weeks. These garments apply pressure to the surgical area, aiding the skin in contracting.
Usually, desk job work can be resumed after about two weeks from the surgery, and full physical activity within 4 to 6 weeks. After a period of around two months and the stabilization of the surgical area, the final results of the surgery and improvements in appearance can be observed.
Like any surgery, surgeries after weight loss also carry potential side effects and risks, including infection, leakage, pain, and a sensation of discomfort in the area. The department's doctors will take steps to minimize risks and various sensations for each patient. Additionally, as in any surgery, there will be the formation of a scar in the area, which is expected to fade over time. The department also offers a range of treatments aimed at minimizing the extent of scarring, such as laser treatments and silicone dressings.