Body Shapıng After Losıng Weıght
Weight loss operations nowadays have become very popular. What are the problems that could occur in patients who lose weight after surgeries of the kind?
Overall body shape and contour disorders occur in overweight patiets who undergo weight loss surgery resulting in large-volume weight loss. The main problem here consists of the sagging of the skin. Patients in this group have lost weights ranging between 20 and 100 kilos. The skin cannot adjust itself to this rate of weight loss, it cannot recover and becomes loose and sagging. It’s possible to compare this to inflating a balloon. When you blow up a balloon and deflate it, it never regains its old shape, it rips and gets thin in many places. In our skin also rapid expansion causes some rents in its elastic fibers and in addition to the floppiness formed, various cracks appear in certain areas. The correction of such bodily deformities comprises the plastic surgeon’s specialty. We call it post bariatric surgery. In other words, a series of surgeries involving correction of deformations that occur after weight loss surgery come under this group. It has become increasingly popular in the last 20 years.
What is the real problem with these patients?
The whole problem in addition to weight loss is the inability of the skin’s tightness to adjust to this way of shrinking, which results in its getting loose and sagging. The deformity here is the disappearance of the feminine form in women and the masculine form in men. Actually, the problem is three-dimensional. That’s to say it’s not localized in a single spot, it affects adversely the entire body image.
Do these patients have a chance to regain a good body?
They certainly do. However, this requires a series of surgeries and each patient should be assessed according to his/her own characteristics and requirements.
What are these surgeries?
These patients need corrective surgery concerning each and every aesthetic area. That would include surgery involving the abdomen, waist, buttocks, and the front-side-inside of the leg, arm, back, neck and face. Surgery of each individual area is not the correct way to do it. By grouping and assessing the aesthetic continuity of the regions in question corrective surgery can be attained with a total of three or four operations. The first and most important of these regions is the center approach, that is, the waist area. It involves a single session corrective surgery of an area similar to a 360-degree belt covering the waist, tail end, buttocks, the front and side of the leg and the genital
areas. It’s called as “Belt Lipectomy.” At this stage it can be drawn the abdominal stretching scar backwards to leave a single scar and attain an assertive form. The second region involves the breast, arms and the back. It covers the upper part of the body. In this case, depending on the needs of the patient, surgeries involving arm stretching, back
stretching, breast augmentation and breast lifting are performed in a single session, sometimes leaving only one scar, to form the upper part of the body. The third region involves the leg. A leg stretching operation is performed to correct the area in question. The fourth region, if the patient needs it, involves the face and neck areas,
and includes facial and neck stretching surgery. Thus, with good planning, the body as a whole is recapitulated with
the least number of scars and surgeries. Of course, operations are personal. Each patient’s expectations, priorities and needs should be addressed when planning.
What are the ideal patient characteristics for these surgeries?
These patients generally include the young and the middle age group. Those with full body image and realistic expectations, psychologically prepared, have no additional metabolic diseases, and a body mass index of less
than 30-32 are ideal to undergo such surgeries.
Are scars left after these surgeries?
As in every surgery, scars are left after these surgeries also. Scars related to whole body shaping operations will be longer than those of regional surgeries. While scars in men and women differ, preoperative drawings and plannings comprise important details to consider. In surgeries of the kind, scars are usually planned to be concealed in the underwear and in not very visible areas. There are no scars in the cleavage. It should never be forgotten that the shape and form obtained is the most important. Scars will not be a problem as long as a good form is attained. Surgeons recommend the use of various creams and bandages containing silicone to conceal scars left after surgeries.