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Post Bariatric Body Lift &
Contouring Surgery - Introduction |
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A body lift is a plastic surgery procedure that improves
the appearance of the abdomen, buttocks, thighs and
breasts. There are two main types of body lifts — the
lower body lift, or belt lipectomy, and the upper body
lift. When upper and lower body lifts are performed on
the same person, it is referred to as a total body lift.
In general, a body lift aims to improve the shape and
tone of the underlying tissue that supports fat and
skin. It is typically performed after massive weight
loss, including that which occurs after bariatric
surgery.
The top four body contouring procedures performed
following massive weight loss are:
you should wait 12 to 18 months before considering a
body lift. This should provide adequate time for you to
lose weight and adjust to the necessary diet and
lifestyle changes following surgery.
People who have had weight loss surgery often require
contouring procedures on various parts of their body,
including the face, breast, flank, stomach, thighs and
arms. The exact sequence of these multiple surgeries
will vary based on individual needs and expectations, as
well as the surgeon's style and experience.
The ideal candidate for the body lift procedure
exercises regularly, eats a healthy diet and has been at
a stable weight for at least three months; but hopefully
six. Special laboratory testing is important so that
mineral, vitamin and protein deficiencies — which are
common in people who have had weight loss surgery — are
identified and treated.
Typically, body lift surgery ranges from four to seven
hours and is performed under general anesthesia.
Lower body lifts typically begin with the belt-like
excision above the
buttocks and lateral (outer side)
thighs. The thigh skin may be separated to assist in the
lift.
After a tight closure, your surgeon will begin the
abdominoplasty procedure. He or she will make a
horizontal incision along the pubic area and remove the
tissues from the underlying muscles to the level of the
belly button. Your surgeon will then separate the skin
between the belly button and central rib cage. If fat
removal is required, he or she will perform liposuction
in this area and around the waist.
Once the excess skin has been removed, the surgeon
tightens the abdominal wall muscle. This second step of
the procedure is one difference between a tummy tuck and
a panniculectomy, since the latter only involves
removing the excess skin. The remaining skin and fat is
moved down from the area above the belly button and
sutured in position at the pubic area. Your belly button
can then be restored to its original position.
An upper body lift begins with a broad bra-line excision
of skin. Once this is securely closed, the back fat
rolls are removed and the waist is narrowed. Next, your
surgeon may remove any excess skin from under the
breasts or hanging over the lower rib cage. The
subsequent closure tightens the skin under the breasts.
The newly elevated abdominal skin must be deeply sutured
to the lower rib cage. |
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Total Body Lift |
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A total body lift combines the traditional body lift
procedure with supplemental treatments performed at the
same time, or at sequenced time intervals.
There are increased risks when having multiple
treatments performed simultaneously. Most surgeons will
perform a series of body contouring procedures in stages
after weight loss surgery to minimize these risks. For
example, this may start with a lower body lift (the
tummy, the thighs, buttocks and back) and be followed by
a breast lift and complete inner thigh reconstruction
several months later. The face, neck and arms may also
receive treatment several months down the road.
Two of the more commonly performed body lift follow-up
procedures include:
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Arm Lift: An arm lift, or brachioplasty,
reduces excess skin and fat between the underarm and
the elbow. This procedure reshapes your arm for a
more trim and toned appearance. The arm lift
procedure requires two relatively inconspicuous
incisions. One is made along the armpit, while the
other spans the elbow to the armpit. Your surgeon
will remove excess fat with liposuction and trim the
excess skin. The remaining skin is pulled together
and sutured in place. People who opt for the arm
lift procedure will have dressings applied to the
incision areas. A medical compression garment may be
prescribed for a month.
- Inner Thigh Lift: Typically, the inner
thigh lift procedure is performed via an incision
made where the thigh meets the groin. In severe
cases, a secondary incision extending from the groin
to the knee may be necessary. Your surgeon will
remove excess fat with liposuction and trim the
excess skin. The remaining skin is pulled together
and sutured in place. People who have inner thigh
lifts will have dressings applied to the incision
areas. A medical compression garment will be
prescribed for a month.
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What To Expect After
The Surgery |
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The body lift procedure is a major surgery that often
requires a hospital stay of one to three days. You
should expect a recovery period of six weeks or longer.
Intravenous or intramuscular medications are used
immediately after surgery for pain and discomfort.
Eventually, oral pain medication will replace these more
intensive treatments. Several drains are usually placed
to remove blood. When the output of drainage fluid is
low, these drains can be safely removed.
To limit the potential for body lift complications, your
surgeon will likely outline a specific dietary plan. A
complete instruction list will also be provided to help
you through your recovery.
Personal home care is required for up to two weeks after
the insertion of drainage tubes, which stave off fluid
buildup and swelling. Your body lift surgeon may also
prescribe a medical compression garment to aid recovery.
This should be worn at all times, except when bathing.
Your dressings will be removed within two weeks of
surgery, at which point you may shower.
As you begin to transition back into your normal
routine, it is important to make yourself aware of
certain restrictions on your activities following body
lift.
For example, your surgeon may restrict exercise — though
walking is encouraged — and lifting more than five
pounds. You should avoid placing any pressure on the
treated area. Within six weeks after surgery,
approximately 75 percent of the swelling should subside;
90 percent within three months.
The average recovery time is four to six weeks, after
which most people may adopt their normal routine. It is
wise to allow six to eight weeks before exercising.
Every situation is unique, so make sure to ask your
doctor when it is okay for you to get back to your usual
activities. |
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Body Lift Complications and Risks |
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There are complications and risks associated with any
medical procedure. Common complications associated with
the body lift procedures include the potential for small
skin separations and subcutaneous fluid accumulation (seroma).
Additional complications and risks that may result from
body lift include:
- Reduced sensation in the treatment area (may be
permanent.)
- Infection
- Bleeding
- Hematoma (a mass of clotted blood)
- Scarring. Although your scars will never heal
completely, and may appear to worsen during the
first weeks or months after treatment, they should
eventually flatten and lighten.
- Fluid accumulation
- Poor wound healing
- Skin loss
- Skin discoloration and/or prolonged swelling
- Fatty tissue found deep in the skin might die
(fat necrosis)
- Asymmetry
- Pain
- Deep vein thrombosis (blood clot in the legs)
- Pulmonary embolism (blood clot in the lungs)
- Persistent swelling in the legs
- Possibility of revisional surgery
Ask your surgeon to fully explain all risks and
complications associated with the procedure during your
initial consultation. |
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Recovery |
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It typically takes a month or two to recover from a body
lift. Patients experience some pain during the early
stages of recovery, but this can be controlled with
medication. Patients usually need to stay in the
hospital for one to four days after surgery.
Post-bariatric body lift surgery is a major procedure,
requiring up to 10 hours under general anesthesia to
complete. Though serious complications are rare, they
are possible – most being linked to anesthesia and
potential bleeding. Patients sometimes also experience
infections and blood clots after surgery. |
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Pre-Surgery Medical checkup
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Blood pressure, BUN, CBC, prothrombin & partial
thromboplastin times, EKG & HIV tests prior to the
surgery. |
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Cost |
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Post Bariatric Body Lift Surgery is a complex
procedure since each case has to be individually
assessed by teh surgeon before giving any price.
In-order to get a proper price quotation and the surgery
plan you need to send the following photographs to the
surgeon.
- Close up Photos of Face Frontal & sideways (both
sides) - (3 Photos)
- Front and back shot of upper body with arms
stretched - 2 photos
- Front, Back , and sideways (both sides) of lower
body - 4 Photos
- Front, Back , and sideways (both sides) of
full body - 4 photos
In addition to the cost of the surgery, you will
need to be prepared for the following additional
costs.
Stay
For this procedure you are required to stay in
Bangkok for at least 20 days of which you will be
spending the first night at the hospital, and then you
can choose whether to stay in the serviced apartment at
the hospital or a hotel outside until the post surgery
follow up appointment 7 days after the surgery. Surgeon
will allow you to fly only after the follow up
appointment, and therefore you need to plan accordingly.
Serviced apartment at the Hospital : Piyavate hospital provides a serviced
apartment manned 24/7 by registered Nurses within the
hospital complex, with prices ranging from US$ 45 - US$
195 /
night depending on the type of room you choose.
Hotel: If you wish to stay in a Hotel outside the
hospital it could cost you anywhere between US$
40 - 300 / night depending on the hotel you choose.
There are many Quality / Clean entry level hotels that
offer rooms for as little as US$ 40 in the near vicinity
of the hospital and the Up market hotels near the
Sukhumvit (10 mins in taxi) or Silom (25 mins in taxi)
Shopping districts, the rate could go as high as USD 300
/ night.
BMT Concierge Service : If you wish to have us
arrange you received at the airport and arrange the
round trip airport transfer, and Transfer to all of your
appointments and the surgery by one of our patient
co-coordinators, there will be an additional Fee of US$
169 which is to be paid after you confirm the surgery
plan. This fees only applies if you choose our
Concierge service. There are no additional fee if you
choose only the Surgery planning service.
All the fees
due for the surgery has to be paid directly to the surgeon or the hospital before undergoing the procedure.
There are no fees to be paid to us apart from the
fee for the Concierge service if you wish to have us
arrange all of your transportation.
If you are HIV+ve, there will
be an additional 60% fee will be levied to cover the
cost of additional equipment and personnel expenses.
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FACIAL PLASTIC SURGERY |
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FACE LIFT SURGERY
Improves sagging facial skin and loose neck skin. |
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EYELID SURGERY
Corrects sagging or drooping eyelids, as well as bags below the eyes. |
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EAR PINNING SURGERY
Reduces the size of large ears or sets ears back closer to the head. |
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NOSE SURGERY
Reshapes the nose by reducing or increasing size. |
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CHIN AUGMENTATION
Reshapes the chin by inserting an implant shaving the bone. |
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CHEEK AUGMENTATION
Restore the fullness to your cheeks if
it has been lost with aging. |
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FOREHEAD LIFT
Forehead lift is often performed to
treat conditions associated with aging. |
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BREAST PLASTIC SURGERY |
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BODY PLASTIC SURGERY |
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LIPOSUCTION
Surgical procedure that vacuums fat
deposits from under the skin. |
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ABDOMINOPLASTY
Flatten the abdomen by removing excess skin and fat. |
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CALF IMPLANTS
Performed to enlarge the calves,
resulting in a more defined appearance. |
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BUTTOCKS AUGMENTATION
Procedure to surgically enhance buttocks size with implants. |
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ARM LIFT
Reduces or removes loose, sagging skin
from the upper arm. |
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BODY LIFT
Body lift aims to improve the shape and
tone of the underlying tissue that
supports fat and skin. |
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OTHER PLASTIC SURGERY |
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WEIGHT LOSS SURGERY |
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GASTRIC BYPASS SURGERY
Gastric Bypass, Roux en-Y (Proximal) is
the most commonly employed gastric
bypass technique. |
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ADJUSTABLE GASTRIC BANDING
b Johnson, generally known as Swedish
Bandy Realize Adjustable Gastric Band
from Johnson & or SAG-BAND Surgery |
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