Obesity is one of the biggest diseases of our age. While some fight against obesity with professional help and a dietician in a healthy way, others try to practice it with false information by hearsay and they are a substantial majority. Apart from these, bariatric surgeries in which the stomach volume is narrowed by general surgery are applied to people who do not get successful results despite diet trials and whose body mass index exceeds certain values. As a result of all these, the surgical treatment procedure of skin loosening, sagging, and deformities caused by a very high amount of weight loss in a short time, especially as a result of diets that are not combined with dietitian and exercise, and after bariatric surgery, is called ‘Post-bariatric Surgery’.
The areas where deformities are most frequently observed are the abdomen, waist circumference, and buttocks, followed by sagging in the breasts, folds in the back, sagging in the face and neck, loosening of the arms, and sagging in the leg skin, especially on the inner side.
What is the best time for the operation?
After the obesity operation, the patient generally reaches the target weight between the 12th and the 18th months. To get good results from the operation, she should have fixed the target weight for at least three months. Besides, she should have quit smoking for at least 2 months before the operation.
What is the surgical sequence?
Although it varies according to the condition of the patient, body contouring is rarely performed with a single session; mostly it takes more than one series of operations. To correct deformities in the operations, excess tissues are removed from these areas, and stretching and tightening procedures are applied.
In the first place, the abdomen, waist, and hip area are handled. Secondly is breast, back, and arm. This is followed by an inner leg lift. Finally, face and neck lift surgery is applied.
What is a belt lipectomy?
In Belt Lipectomy surgery, sagging in the back, hips, side, and back waist area are treated by removing surrounding tissue in a belt style along with the abdominal skin.
With this surgery, a surrounding scar is left which starts in the form of a cesarean scar at the front, turns sideways, and ends on the buttock cleavage in the back. Just like wearing a pair of trousers, the procedure is performed in which the lower body is pulled to the upper body, the excess tissue around the abdomen and waist is removed from the body, the buttock is raised and the piles on the sides are smoothed.
How is breast lifting done?
Breast, back, and arm take the second place in correction operations. Since the sagging of the breasts will often be accompanied by loss of volume, that is, if the breasts have tissue loss to a great extent, then both breast lifting and breast implant (silicone prosthesis) are applied. The surgical incision to be formed during this procedure is usually a lollipop-shaped incision extending from the nipple to the bottom of the breast. Depending on the deformity of the person, this scar can be extended horizontally in the breast fold area. To remove the loosening in the back area, the excess skin is removed by making incisions that will remain in the swimsuit.
How is the arm lift performed?
Excess skin is removed with a line-shaped incision extending from the elbow to the armpit to eliminate arm sagging. In the presence of excess tissue, the incision can be extended and the tissues near the breast can be removed. It is combined with liposuction depending on the situation. When viewed from the front, the scars are not visible, and they may become visible when the arms are raised above the head.
What is a thigh lift?
Sagging on the inner sides of the leg requires a separate intervention, where the incision is made from the groin area and the scars are hidden in the groin area. In the thigh lift procedure, the excess skin is stretched into the leg, but if this is not enough, a vertical incision extending down the inner side of the leg can be added to the operation. As a result, a trace like a trouser stitch is left on the inside of the legs and usually extends to the knee. This operation can be combined with liposuction if necessary.