OP. DR. CAHİT VURAL
OP. DR. CAHİT VURAL
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Sagging Treatment After Weight Loss

It is now easier to say goodbye to high amounts of weight that cannot be lost with bariatric surgery. It is actually possible to lose weight with diet and various methods. While many patients can lose weight quickly with a strict diet programme and sports with such non-surgical methods, others despair and look for other remedies.

With the developments in bariatric surgery, it is now possible to lose weight more safely. Patients quickly regain both their health and their new appearance. In fact, this process is so fast that the body really has difficulty adapting to this contraction. In addition to all these beneficial effects, the weight lost faster than other methods manifests itself with sagging complaints in many areas. Facial features and lines become prominent and a weaker, sad and older expression may occur. Sagging occurs in the neck and lower jaw and neck muscle bands may become visible. A sagging similar to a bat wing may occur in the upper arms and underarms. Many different shapes may develop in the breasts, flattening of the breasts, downward displacement of the nipples, sagging of the breasts, large or small breasts according to body size, asymmetrical breast shape may develop. In the abdominal region, the areas below and above the navel in the abdominal region, in addition to the sides and on the back towards the lower part of the waist and apron-like sagging develops. Excessive volume increases and sagging may remain in the groin area and in the inner side of the upper leg and inner side of the knee, and excessive sagging and pockets appear in the hip area and buttocks. Sagging may occur in the genital organs and pubis area.

Before deciding on body shaping applications after weight loss treatment, it is essential to make sure that the weight is balanced and terminated and that the body weight is within normal values. If weight loss is continued after plastic surgery operations, sagging occurs again. After plastic surgery operations, if the lost weight is regained, the subcutaneous support tissue and thinned skin begins to stretch again. In addition to skin stretch marks, surgical scars also stretch and expand. Visible stretch marks and large scarring occur. For these reasons, the establishment, stabilisation and maintenance of weight balance is very important for plastic surgery operations to be performed.

Suitable candidates for body contouring are adult patients of any age whose weight loss process has been completed, healthy patients whose medical problems that may reduce healing or increase the risk of surgery have been corrected and whose diseases carried while obese are under control, non-smokers are also preferred for operations but are not an absolute obstacle.

The reshaping of body parts that have deformed after weight loss with aesthetic interventions is now widely applied surgeries. These operations should not be perceived as a cosmetic intervention. In younger patients, these sagging and deformations may be more smooth and appropriate with appropriate exercise and diet after excessive weight loss, and many areas may not require plastic surgery. Sometimes the accumulation of adipose tissue in various areas can be reduced by vacuum fat removal technique or similar techniques.

If there is excess skin, plastic surgery interventions involving tissue and skin excisions are applied for this. Plastic surgery body contouring surgeries to be applied after weight loss correct the shape and tone of the underlying fatty tissue and tissues such as fascia supporting the skin. It eliminates excessively thick, saggy fatty tissue and excess skin.

In general, body contouring interventions following an excessive weight loss and applied with plastic surgery techniques reduce excess fatty tissue and skin remaining in many parts of the body. Body contouring following such a weight loss with aesthetic surgery means having a healthier and more proportionate body. The weight lost by patients who reach normal weight from overweight may not be proportionally similar in every part of the body. While returning to normal with excessive deficiency in the body, patients may witness that their facial expressions change by losing excessive weight from their faces. For this reason, patients look older and sadder than they are. In this case, facial rejuvenation and aesthetic corrective applications are additionally performed on the face.

These applications are the most important stage of the slimming struggle that overweight patients devote a certain period of their lives.

Body Contour Correction Interventions

Abdominoplasty Tummy tuck: correction of excess skin apron hanging over the abdomen

Mamoplasty: breast lift, correction of flattened breasts, adding volume to small breasts

Gynecomastia: reduction of breast growth in men

Upper arm lift: correction of the sagging of the inner parts of the upper arms

Upper leg lift: correction of the sagging of the inner, outer and middle leg parts of the buttocks

Lower body lift: lifting the abdomen, buttocks, groin and outer parts of the buttocks, removal of excess

Liposuction: Vacuum fat removal method can be applied alone or combined with other applications. It should be used more carefully in patients with obesity.

Facial rejuvenation: reduction of the sagging of the middle part of the face, lower jaw and neck with the stretching technique, filling the sunken areas on the face

Genital stretching: Returning the sagging genital organs to their normal positions is necessary for the continuation of sexual life and reproductive function.

Although the surgeries performed here are basically similar to breast aesthetics, tummy tuck and vacuum fat removal operations performed for cosmetic purposes, the surgeries applied to obesity patients have differences. The most basic difference is: In cosmetic operations, the patient has normal structure and tissues. The patient undergoes surgery to improve the image or appearance. In interventions performed after obesity, the patient’s structure and tissues are different from normal. In these patients, both reconstructive and aesthetic interventions are applied. For this reason, it is wrong to consider these operations performed after obesity as cosmetic surgery.

There are many procedures to be performed after obesity. In a person who is overweight and who loses weight, there are many deformations that need to be corrected from the head, face to the ankle. It is necessary to do these in sessions. Body shaping following a major weight loss is often done in stages. However, in order to reduce the number of sessions, it is also possible to perform several operations in combination. In this way, the patient can return to normal life in a shorter time

The results of body contouring operations following an extreme weight loss can be evaluated immediately after surgery. They are immediately visible to the physician, patient and relatives. However, it may take one or two years or more for the final results of body contouring interventions to fully emerge. If it has already been applied in sessions, it would be correct to fill this period from the last session. Visible scars should not be taken too seriously after such an operation. There have already been so many positive changes in the body contours between before and after the surgery that the operation scars are acceptable surgical results for these improvements.