Body contouring and breast procedures after massive weight loss can help complete the transformation, helping patients realize the full potential their weight loss has delivered. Common procedures for these patients include a lower body lift (circumferential abdominoplasty or belt lipectomy), upper arm lift (brachioplasty), thigh lift, breast lift (mastopexy), and liposuction.
lower body lift (circumferential abdominoplasty)
A lower body lift, or circumferential abdominoplasty, involves a circumferential excision of excess skin and fat around the lower trunk. Of all post-bariatric surgery procedures, the lower body lift has the potential to give massive weight loss patients the most dramatic results.
The procedure involves removing extra skin and fat from the abdomen and tightening the vertical abdominal muscles, producing a flat and firm tummy. The excision continues around the lower back, trunk and upper thighs. This procedure also reshapes the buttocks and tightens the outer thighs and flanks. After completion of this procedure, patients regain their mobility and find that clothes fit and look the way they have always wanted.
Recover following a lower body lift
The recovery process usually involves a one to two-night stay in the hospital, followed by a period of rest for one to two weeks.
Swelling, mild pain and discomfort can be expected, but patients will be given pain medication and anti-inflammatories, which are immensely helpful during recovery. A compressive garment around the abdomen and lower back is worn to help reinforce the new body shape and provide support and comfort during the healing process.
Most patients will have drains under the skin for several days, and any non-absorbable sutures that are placed are removed after one week. However, the vast majority of stitches are absorbable and do not require removal. Most normal activities can be resumed after two weeks.
Arm Lift (Brachioplasty)
Brachioplasty is a great procedure for patients who feel uncomfortable wearing short sleeved shirts due to excess skin hanging on the upper arms. During a brachioplasty, problematic excess skin is excised in an elliptical shape, which results in an incision discreetly placed on the inside/back of the arm. When necessary, the procedure can be combined with liposuction to remove any residual excess fat. The end result will give patients the confidence and freedom to wear short sleeved and sleeveless garments without the insecurity of flabby arms.
Recovery after an arm lift
Drains may be placed under the skin and are removed after a few days, and drains are generally necessary when the procedure is combined with liposuction. Compression garments are worn to help with swelling and to keep the patient more comfortable during recovery. Stitches used in the skin closure are placed under the skin and are self-dissolving. Temporary numbness can occur on the inside of the arm above the elbow. Most patients can return to normal activity within a week.
Why choose Dr Beale for Post-Bariatric Surgery?
Dr Beale’s surgical goal is to provide beautiful results that are not contrived or unnatural in appearance. He does not subscribe to a one-size-fits-all mentality, but instead works with your unique anatomy so you retain your individuality and look. Plastic surgery is a matter of precision, measuring in millimeters, and Dr Beale’s common-sense approach combines advanced technical skill with an aesthetically artistic eye for proportion and detail.
In addition to providing beautiful results, Dr Beale will help you feel as comfortable as possible both in his care and as you interact with his excellent staff. After a thorough evaluation at his Dallas office, Dr Beale works in collaboration with you to create a plan that achieves optimal results in an uncompromisingly safe environment. He sets forth realistic expectations for outcomes and will not perform any procedure unless it is in your best interest.
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