Cosmetic Surgery For Moms
Cosmetic Surgery After Tremendous Weight Loss

Weight Loss | Bariatric Surgery

People who have lost a tremendous amount of weight should be applauded!  First, it is not easy whether you were able to do it on your own or whether you did it with the assistance of bariatric surgery.  Being overweight predisposes you to numerous medical problems including high blood pressure, diabetes, heart disease and the list goes on.  It also lends to an equally long list of psychosocial problems including not wanting to expose your body to friends or intimate partners or even to go to the gym.

So if you have lost a tremendous amount of weight, you should be applauded.  Losing all this weight immediately and dramatically reduces the risk of most of these medical problems.  

There is, however, a tremendous downside.  Once the fat is gone, the skin will unfortunately remain.  And because you have lost weight everywhere, the skin will sag… everywhere.  Tremendous weight loss patients will show excess skin in their face, breasts, arms, body, and legs.  

Thankfully, there are very effective and powerful procedure to help you look and feel better after your weight loss journey.

Obesity is an epidemic in the United States.  It is fueled by the encouragement of overly processed carbohydrates by large companies ( with government assistance ) as well a taking in foods and drinks with high sugar content such as sodas, wine, and deserts.   The medical consequences of being overweight can be catastrophic including diabetes, high blood pressure, and a limited life expectancy.  

Losing weight can almost immediately reduce these risks.  Patients report that they immediately feel better.  The consequence, however, is an abrupt change in their physical appearance.  In particularly, the skin that was stretched by the weight gain has lost much of its elasticity and will not shrink down to properly envelop the body again.  The skin of the breast, abdomen, arms, thighs, buttocks, and even face will sag.  

Treatment of tremendous weight loss patients is directed at re-tailoring the skin to fit the new body frame. 

Some potential procedures include:

  • Breast lift, breast augmentation, breast reduction, or combination
  • Abdominoplasty
  • Total body lift ( also known as a circumferential body lift )
  • Thigh lift
  • Arm lift
  • Face and/or neck lift

Insurance will often pay for bariatric surgeries such as gastric bypass, gastric stapling, or gastric banding.  This is because obesity is known to be responsible for highly expensive medical problems including diabetes, hypertension, congestive heart failure, and obesity-related infections.  

On the other hand,  medical insurance is very reluctant to pay for cosmetic procedures after tremendous weight loss;  it is their stance that the excess skin that results after the fat is removed is not a “medical necessity” that they should be responsible for.  This is not to say that they would refuse to do so.  It will depend on your policy.  

Limitations to how many procedures that you can have at the same time revolve completely to being able to perform the cosmetic surgery safely.  Factors that contribute to safety include the duration of the procedure and the potential for blood loss.

According to recommendations from the American Board of Plastic Surgeons, procedures should be limited to about 6 hours.  The longer the procedure, the greater the degree of fluid shifts and the higher potential for blood pressure and clotting disorders.

In addition, surgical removal of tissue obviously increases blood loss.  Blood loss in turn also increases the degree of fluid shifts and a higher potential for blood pressure problems during the surgery.  

For safety reasons, cosmetic procedures for tremendous weight loss should be limited to about 6 hours and about 2-3 body areas ( which is about how much can be completed in about 6 hours )

It is very important to optimize your health before any kind of surgery.  It is somehow more relevant, however, when considering elective cosmetic surgery.  

Some items to consider include:

Optimizing your weight loss:

Most patients will not complete and stabilize their weight loss for up to 6 months to a year after their weight loss surgery.  You will want to be stable on your weight loss before undergoing a cosmetic reconstruction in order to optimize the amount of tissue that can be removed and tailored.

Optimize your nutrition:

Many patients will have problems with vitamin and nutrients absorption after weight loss surgery.  You will also want to optimize protein intake.  Vitamins and and adequate protein are necessary to help you heal your incisions and fight infection after surgery.  Some important labs to check include

  • Vitamin levels including B, C, and D
  • Protein and albumin
  • Iron
  • Hemoglobin

Optimize your strength and endurance

Patients will not be able to exercise for about 3-4 weeks after surgery.  Optimizing strength and endurance will give you a cushion to tolerate the surgery.  

  • surgery is not a one time deal
  • delayed healing
  • wound necrosis
  • extra skin and dog ears
  • multiple medical problems 
  • cardiac problems including previous mi, chf
  • poor understanding of risks
  • poor nutrition
  • continued obesity
Cosmetic Surgery For Moms
Common Cosmetic Surgical Procedures for Weight Loss Patients

Weight Loss | Bariatric Surgery

Blurb

This is the ideal situation for the Fire and Ice Neck Fat Removal Package is in a patient with a little to a moderate amount of neck fat, good quality collagen, and minimal skin excess.  In this condition, the neck fat is removed and the skin is tightened using the nonsurgical SkinTyte Laser System.  

Treatment Package

  • Coolsculpting Mini–  Provides the majority of the bulk of fat
  • Kybella –  More precise and feathered removal of fat around the periphery of the Coolsculpting area
  • SkinTyte LaserNonsurgical tightening of the skin further insuring that the skin tightens around the now-missing fat.

See later pages to learn how the procedure is performed

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Common Mommy Makeover Procedures for the Breast

Breast Augmentation

Breast Lift

Breast Lift plus Augmentation

Breast Augment with Fat Transfer

Nipple Reduction

Areola Reduction

Common Mommy Makeover Procedures for the Body

Abdominoplasty

Mini-Abdominoplasty

Liposuction of flanks

Liposuction of thighs

Coolsculpting

Common Mommy Makeover Procedures for the Vagina

Vaginal Tightening

Labia Reduction

Liposuction of pubic fat

Diva Laser Vaginal Rejuvenation

O-Shot