Post Bariatric Surgery Phoenix
Successful weight loss patients have unique skin issues that come with drastic changes to the body. Nearly 100,000 people have post bariatric surgery in the United States once the patient has achieved his/her weight loss goal.
The program at North Valley Plastic Surgery helps patients finish the journey and regain a contoured body that he/she is seeking.
All post bariatric body contouring procedures are done under general anesthesia on an outpatient surgery basis. Occasionally, patients will choose to recover at a hospital or a recovery center for the night after surgery.
Post Bariatric Body Contouring Procedures
Panniculectomy is the surgical removal of a lower abdominal skin apron. Insurance coverage may be available if the skin apron covers the genitals, if there is or have been documented skin infections and/or skin breakdown that have failed medical treatment. Panniculectomy does not include relocation of the umbilicus, tightening of the abdominal wall or the waistline, or liposuction. Panniculectomy amounts to about 15% of the workload of a full abdominoplasty. In cases where panniculectomy is covered by one’s health insurance and one chooses to have simultaneous abdominoplasty, the abdominoplasty cosmetic surgery surgeons’ fees will be discounted by 15%. This is estimation and if we are paid less than that we will absorb the loss.
Abdominoplasty, also known as a tummy tuck, allows for removal of more excessive skin and fat (more than a panniculectomy allows). The incision is located in the bikini line area, and the abdominal wall muscles will be tightened. Should there be any existing hernias; one’s doctor will repair them. Hernia repairs are always billed to one’s health insurance carrier.
Extended Abdominoplasty combines standard abdominoplasty (described above) with liposuction and lifting of the lateral thighs. The incision curved all the way around to the posterior hip bone.
Brachioplasty, also known as an arm lift, removes excessive skin from the upper arm, and is the most popular post bariatric procedure. We will give one’s arms a sleek and toned appearance. Minor touch-ups are often needed to smooth out the skin because of the amount of skin that we commonly remove from our weight loss patients’ arms.
Women who have had severe weight loss tend to need Breast Reconstruction. This procedure would be a breast lift, or mastopexy, which restores youthfulness to sagging breasts. This procedure will remove excessive skin and reposition the nipple and areola to a more perky and youthful position. Many patients will have shrunken or involuted breasts that are lacking volume. In such cases, a breast implant can also be placed in order to restore the lost fullness and again a much more pleasing appearance.
The circumferential body lift is more extensive than abdominoplasty, with the incision going all the way around the body. This procedure, essentially, combines extended abdominoplasty with upper buttock lift. Additionally, the tissues that we normally discard in the back can be kept alive and tunneled anteriorly in order to augment the central buttocks restoring fullness and curvature. Circumferential body lift will tighten the abdominal area, remove love handles and saddle bags, as well as lift the buttocks.
Face and neck reconstruction can remove forehead wrinkles, drooping jowls, and excessive skin around the neck. Face reconstruction uses a combination of fillers, whether it is with fat, Radiance, collagen, or implants.
Gynecomastia, a male breast reduction, will remove excessive breast and fatty tissue through liposuction, traditional surgical excision, or a combination of the two.
Thighplasty, also known as a hip and thigh lift, addresses the skin and fat in the hip and thigh areas. After excessive weight loss, these areas tend to store fat and stretched out skin. Here at North Valley Plastic Surgery, we frequently perform anterior, medial and lateral thigh lifting procedures alone or in combination.
What to Expect During the Recovery Period
Post-operatively, drains may have been placed into the surgical sites. With brachiplasty and gynecomastia, the drains are in the underarms; with abdominoplasty, circumferential body lift, and panniculectomy, the drains are placed on each side of the hip area and in the back if needed. The purpose of the drain is to collect excess fluid from the wound to lower the risk of infection. Drain logs will be provided to keep a record of the output of fluid. Drains will be removed when the output meets the doctor’s specifications.
Restrictions over the next six weeks may include but are not limited to: heavy lifting, pulling, or pushing. It will take several weeks for the swelling and bruising to dissipate.
The use of bath tubs, Jacuzzis, or anything that allows the body to submerge is not allowed, until clearance from the physician has been provided (usually three weeks after the surgery). Showering is allowed 24 hours after surgery. It is important to pat the operative areas dry and replace the dressings.
If you have any questions, please call one of our licensed providers at North Valley Plastic Surgery.
How many procedures will I have to have?
The number of body contouring procedures needed, will depend on one’s personal goals. North Valley Plastic Surgery will recommend procedures he feels will be the most beneficial during the initial consultation. Many patients will return to the operating room from 2-5 times as needed. Each visit to the operating room provides our surgeons with the opportunity to further improve upon any previous procedures that we have done. Without fail we will take advantage of those opportunities to optimize your outcome.
Will I have a lot of visible scars?
With virtually all types of surgery there is scarring. Our doctors will minimize the visibility of these scars through careful incision placement. Cosmetic scars will fade and become far less noticeable with time.
Does insurance cover body contouring after major weight loss?
If surgery is needed for medical reasons, insurance may pay for a portion of the operation. Possible coverage may be authorized for panniculectomy, hernia repair, excision and closure of any open wounds, and breast reduction. The staff at North Valley Plastic Surgery will spend as much time as necessary in an effort to try to have the procedure covered by insurance. However, the final decision is up to the insurance company.
How long will the effects of the procedures last?
Generally, the new look will be permanent. It’s important to maintain one’s new weight and lead a healthy lifestyle to realize the best results of your body contouring procedures. He encourages his patients to continue their healthy journey through education and support.
For more information on Scottsdale bariatric surgery, Phoenix bariatric surgery, bariatric treatment, bariatric advantages or the cost bariatric surgery please contact North Valley Plastic Surgery Scottsdale Phoenix at (480)991-6877.