Post Bariatic Body Contouring
Bariatric surgery for the treatment of obesity is becoming increasingly popular.
Procedures such as gastric bypass, and vertical banded gastroplasty can
produce a dramatic loss of weight, and promote a state of both physical
and emotional health.
Unfortunately, excessive hanging skin and fatty deposits of the abdomen,
thighs, breasts and arms are an unwelcome consequence for those successfully
losing more than 80 to 100 pounds.
After a weight loss plateau has been reached, plastic surgery is performed
both to improve aesthetics and to alleviate symptoms. Abdominoplasty (tummy
tuck), mastopexy (breast lift), brachioplasty (arm lift), or thigh lift
may be performed, in which excess skin and soft tissue is removed and
tightened leading to a smoother, more youthful, and more natural appearance.
Abdomen, Thighs and Buttocks
After fat beneath the skin and within the abdomen shrink, both excess abdominal
wall skin and loose abdominal muscles result. Often, there are medical
symptoms that are produced by the heavy, hanging skin along the lower
abdomen that can lead to moisture trapping, recurrent rashes, and infections
(intertriginous dermatitis and panniculitis). When these symptoms are
present, insurance companies may recognize the problem and provide coverage
for the surgical removal of the excess skin and fat, or panniculectomy.
Women with breasts that sag after bariatric surgery can be treated with
breast lift (mastopexy) alone, or in conjunction with enlargement (augmentation
mammoplasty). Men may develop breast sagging or enlargement, or gynecomastia.
Occasionally, liposuction alone may provide adequate treatment, however
skin removal and tightening is most often required in conjunction with
Loose, hanging skin and excess fat of the arms are treated by brachioplasty,
or arm lift. Excess fat is removed, and the skin is tightened, trimmed,
and redraped to restore a more youthful form to the arms
Face and Neck
With significant weight loss, wrinkles on the face become more prominent,
and neck skin may become excessive. The facelift is performed through
incisions concealed inconspicuously within the hairline and ears. The
muscles and deep tissues are tightened and the fat is sculpted to restore
a more youthful shape to the face and neck.