What Is Post-bariatric Plastic Surgery,

Bariatric Plastic Surgery
Practically unknown a couple of decades ago, today post-bariatric surgery has become not only a common set of procedures but also a sub-specialty among plastic surgeons. With a globally sustainable number of increasing obesity cases in epidemic proportions, each day more patients become obese and receive some kind of weight loss procedure. Medical therapies, restraining procedures, as with intragastrical balloons and other weight loss surgeries have become the ultimate resource for morbid obesity. The risks of an obese patient are well known by both patients and doctors, hence it’s not a surprise that every day more patients seek medical attention for this condition while doctors work very hard to improve procedures and outcomes. Among all available procedures, bariatric surgery, with all its modalities and techniques is one of the most frequently performed and even when the imminent risks are controlled, once the patient begins to lose weight, problems are far from being resolved. Plastic surgeons have a major concern when dealing with the effects of dramatic weight loss.

Post bariatric surgeons as well those achieving normal weight with diet and exercise, must deal with the consequences of weight loss on their bodies. The skin that once was filled with many pounds of fat now is sagged, pendulous and flaccid, and some skin folds are so deep that even proper cleaning of the area is compromised leading to skin infections, rash and pain. Due to such negative consequences from weight loss, the challenge for plastic surgeons is to restitute normal function, and shape for not only on a particular area but the entire body. That’s why post-bariatric surgeon is so complex since it’s not just a single procedure but a group of procedures intended to restore normal body appearance. The very first moment after weight loss, patients are happy and enthusiastic about the results but it does not take them much time to realize the secondary problems to deal with after weight loss. Usually their bodies are disfigured, asymmetric and flaccid making it hard for them to wear tight clothes or to expose their bodies on the beach while wearing a swimsuit. This is when they look for advice from plastic surgeons to correct such bad conditions. To accomplish such goals, the surgical team utilizes many procedures such as panniculectomy, lipectomy, abdominoplasty, brachioplasty and thighplasty. All of them intended to remove the redundant subcutaneous fat as well as leftover skin to restore normal body contour, remove folds and return the patient a normal weight and nicely contoured body. Post-bariatric surgery is not an option but usually a mandatory complement for bariatric surgery. Once all the aforementioned procedures are performed, patients will achieve the ultimate goal regarding weight loss, and will feel good because of their normal weight and also feel normal as individuals again.

By bypassing the lower stomach and the first part of the small intestine, fewer calories will be absorbed as food passes through this new pathway. Banding techniques are restrictive procedures. They help decrease food intake in two ways— by shrinking the stomach to a small pouch and by making a tiny opening from the pouch to the rest of the stomach. Food moves slowly through this opening. These factors make you feel full quicker and for a longer time. In Vertical Banded Gastroplasty, also known as VBG or stomach stapling, your surgeon will cut a window in the upper part of your stomach. He or she will place staples in your stomach around the window and toward the esophagus to create a small pouch on top. Next your surgeon will pass a rigid plastic band through the window and wrap it around the small outlet of the pouch, which will prevent stretching.

Food will move from this pouch through a tiny opening into the lower stomach and the rest of the digestive tract. During an Adjustable Gastric Banding Procedure, also know as AGB or Lap-Band, your surgeon will wrap an inflatable ring around the upper part of the stomach. As the band is inflated, it will squeeze the stomach to create a small upper pouch and a narrow opening into the larger lower portion. This may be done through tiny incisions using a laparoscope. The band may be adjusted at any time. Biliopancreatic Diversion is a malabsorptive procedure that decreases the amount of calories absorbed in your small intestine. Your surgeon will being by removing part of the stomach, leaving only a small pouch behind. Next, he or she will sew the small intestine to the pouch. This creates a direct route from the pouch to the end of the small intestine. The duodenum and jejunum are bypassed so few calories and nutrients are absorbed. For all methods of bariatric surgery, your surgeon will close your incisions with staples or stitches. After your procedure, your breathing tube will be removed and you will be taken to the recovery area for monitoring. You will be given pain medication and your diet will be gradually advanced over several days.

Sagging skin on the face and around the eyes and neck is a common problem for many men and women. If you are among the millions of people experiencing loss of suppleness in the cheeks and around the jaw line then MACS facelift (Minimal Access Cranial Suspension) may be an ideal option for you. But getting any kind of facial rejuvenation procedure can be frightfully expensive, especially if you are living in any of the developed countries such as the US and the UK. In that case, affordable MACS facelift in India could be a sensible choice. The statistics provided by the American Society for Aesthetic Plastic Surgery show that at least 127,512 American had facelift surgeries in 2010. Developed by Drs. Patrick Tonnard and Alex Verpaele of Belgium, MACS-lift is an innovative type of minimally invasive face lift technique that corrects sagging facial features, giving you maximum and natural results.
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