Body Contouring After Obesity

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Body Contouring After Obesity

The studies of the World Health Organization found out that 600 million people over 18 years of age are obese. It is known that 13% of the world’s population, 15% of men in the world and 11% of women are obese. In addition, the number of obese people has increased twice more worldwide since 1980.

Aesthetic Surgeries Required by Overweight Loss After Obesity Surgery (Post-bariatric Surgery)

Obesity, also known as being overweight among people, is one of today’s health problems that must be treated.

Body Mass Index (BMI) value is used when calculating whether the person is obese. The calculation is based on the reference range of the World Health Organization.

Body Mass Index is calculated by dividing the person’s body weight (kg) by the square centimetre of the height (cm). The result determines the obesity diagnosis and degree.

Classification of results obtained from calculation of Body Mass Index:

0 – 18.4: Weak

18.5 – 24.9: Normal weight (Indicates that you are at the appropriate weight for your height. You need to maintain your current weight.)

25 – 29.9: Overweight (weight is excessive for the height. Unless necessary precautions are taken, it will cause obesity.)

30 -34.9: Class I Obesity (weight is excessive for the height, you are included in the obese class, necessary precautions should be taken, it is a risky condition for hypertension, diabetes, cardiovascular diseases. With a schedule prepared by your dietician immediately under the supervision of a physician, it is necessary to lose weight up to the normal value which is ideal. Otherwise, obesity surgery, in other words, bariatric surgery can be considered.

35 -40: Class II obesity

40: Class III Morbid (life-threatening) Obesity

50: Super Obesity

60: Extreme Obesity

There are also two kinds of obesity according to the region where the fats deposit in the body.

1) PEAR TYPE OBESITY: Fats store in the hip circumference more.
2) APPLE TYPE OBESITY: The riskiest type of obesity is the apple-type obesity, as the fat accumulates in the abdomen, waist, and internal organs more.

Liposuction in obese people (overweight people) is not a weight loss method, as is known. Liposuction is a method of contouring to correct the body proportion, which is applied to regional fat deposits of the body.

  • If BMI (Body Mass Index) is greater than 30
  • If there are diseases and complaints such as obesity-related diabetes, blood pressure, fatty liver, snoring, etc.
  • If you are not addicted to drug, alcohol, substance
  • If you are not a cancer, liver cirrhosis patient
  • If you do not have a cardiological heart failure, and if you have not had a heart attack for the past year, you can be a candidate for obesity surgery.

Detailed examinations are performed before the operation by professional and experienced surgeons and then obesity surgery is performed after the determination of the obesity operation method (Sleeve gastrectomy, Gastric bypass, etc.).

Some of the patients apply to plastic surgeons for the deformations in their body after weight loss. The clothes worn by the patients before the operation become large after the operation and the loose and wide skin begin to sag due to obesity over the years.

What are the Aesthetic Surgeries Applied After Obesity Surgery (Post-bariatric Surgery)?

The aesthetic operations required as a result of excessive weight loss can be performed both separately in more than one operation according to the patient’s needs and can be combined in one session.

  • Aesthetic surgeries performed on the abdomen and breast area

Abdominal surgery can only be performed as a tummy tuck, but if there is sagging on the waist and hips, a 360-degree body lift can be performed.

In women, breast surgeries such as breast augmentation, breast reconstruction, and breast lift, and breast augmentation and breast lift with silicone implants are frequently combined with abdominal operations.
In men, some aesthetic surgeries are performed in order to remove problems such as gynecomastia (breast enlargement) and breast sagging problems. Gynecomastia and breast skin tightening operations can be combined with abdominal operations.

  • Surgeries performed for sagging and loosening of the arm and leg area

Generally, in the operations performed in excess skin and sagging, lifting treatment is performed by removing the excess skin in the armpit and inguinal area. However, vertical and horizontal arm and leg lift can be performed in the same session for the patients with excessive sagging.

  • Surgeries performed by combining sagging and deformities in the genital area with sagging in the face and neck areas

The weight loss and loosening of the genital area in men and women due to weight loss is a frequent complaint. In such a case, fat injections can be applied to tighten skin and correct the genital area. Applications such as lift operations for the face and neck, fractional laser treatments, fat injections, upper eyelid, and lower eyelid (blepharoplasty) operations, eyebrow lift operations, forehead lift operations and vaser liposuction in the area of the jowl can be performed.

The order of priority and surgery combinations can be changed according to the patient’s preference, social status, and job situation

What are the Harms of Obesity to Health?

Obesity, in other words, being overweight is a serious problem in terms of an appearance. It causes psychological problems in obese people, leading to a lack of self-confidence.
Obesity causes many health problems such as diabetes, hypertension, coronary heart disease, polycystic ovary syndrome, high cholesterol, sleep apnoea, degenerative joint diseases, vascular and circulatory disorders. Therefore, obesity should definitely be treated if the body mass index is above 35 or 40 in addition to significant diseases. Before the surgery, for obesity, weight loss methods such as diet, exercise, medication use should be tried.
Surgery should be applied if these treatments are tried and any result cannot be achieved in the long term. After examining the patient’s condition, one of the obesity surgery methods such as Gastric Bypass, Sleeve Gastrectomy or vertical banded gastroplasty is applied by surgeons.

What Are the Changes in the Body After Obesity Surgery?

After obesity surgery, patients begin to lose weight rapidly. Since weight will be lost quickly and excessively, large amounts of skin begin to loosen and serious excess skin occurs. It causes deformation of the body. These problems appear usually in the arms, breasts, breast sides, abdomen, abdomen sides, legs, and inner legs. And the buttocks become flatter and broader.

How Soon Can Body Contouring be Performed After Obesity Surgery?

This weight loss process must be completed in order to reshape the body. This process varies according to each patient. The weight loss process is completed within approximately 1,5-2 years. This period is determined by the dietician and the nutritionist together with the surgical specialist monitoring the patient. After the patient’s weight loss condition is stabilized, body contouring can be performed.

How Can he Body be contoured after obesity surgery?

Body contouring procedures to be performed by plastic surgeons in patients who have undergone obesity surgery are planned in detail and by gradually dividing into specific parts. Arm, breast, breast sides, upper back region due to being the upper part of the body are considered and operated together in this scope. Since the abdomen, lower back, pubis area, and legs are considered as lower regions, so these areas are operated together.
Some patients have deformed parts in the face and neck area, so the face and neck area may need to be further shaped. Patients are informed by their physicians about specific issues before undergoing this surgery. It is informed that there will be permanent scars after the operation.
In addition, since body contouring operations after obesity surgery include very significant and difficult procedures, the patient is informed that revision and retouching treatments can be required in accordance with the patient’s recovery process. Excessive skin is removed in body contouring procedures after obesity surgery and skin is filled in areas where skin volume is lost.

Breast Area

After weight loss in women, sagging breasts are lifted. For this procedure, both the implant and the patient’s own tissue can be used. For men, the excess sagging tissue in the breast area is lifted and the excess skin in the side of the breast is also removed, thus the contouring process is completed

Arm Area

After losing weight, the arm skin may sag down from the armpit to the elbow in the lower part of the arm area. Arm lift or liposuction can be performed to correct this sagging arm tissue.

Abdomen and Pubis Area

After losing weight, severe sagging and deformities may occur in the abdomen and genital areas. The excessive skin is removed from the abdomen, the belly button is re-formed and the abdomen is tightened and smoothened. In the pubis area, the sagging skin is removed and shaped.

Leg Area

Particularly in the inner leg area, severe sagging occurs; the excess skin is removed and shaped.

Back Area

Sagging and folding may occur in the back area after losing weight. Folds are smoothened by removing the excess skin. And the waist cavity is formed.
What should be taken into consideration in body contouring after obesity surgery?
In body contouring surgeries, the excess skin tissue is removed from the body and during this process, there is a loss of blood, protein, and electrolyte-fluid. For this reason, the operation should be performed with an experienced surgical team and in the health institutions where the intensive care is available.

Author: Doç. Dr. Erdem Güven
We're writing about our patients.

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