The process after bariatric surgeries should be considered as a new beginning for obesity patients. After bariatric surgery, in which the stomach is reduced or both the stomach is reduced and food intake is restricted, dietary habits should be changed and exercises should be included in daily life. Changes in lifestyle have the power to affect the general health status and the amount of weight to be lost after the operation.
In the post-obesity surgery period, patients must strictly follow the nutritional rules. The diet programs required by the liquid, puree and solid nutrition periods and to be applied during these periods will be explained in detail by the experts. In addition to nutrition, it is important to use some vitamin and mineral supplements after bariatric surgery. The reinforcements should not be interrupted in the specified time period.
Patients are expected to lose 50% of their excess weight in the first 1-1.5 years after bariatric surgery. However, each patient has unique dynamics. Some may have a faster metabolism and some may be more stable while walking to the target. For this reason, short, medium and long-term weight loss goals should be determined.
Realistic expectations should be kept after stomach reduction surgeries. Reaching the ideal weight should not be seen as the first goal, and patients should know how to maintain their motivation at every weight loss. Ignoring small victories can lead to loss of motivation and hopelessness in the weight loss process.
It is a common problem that patients feel lonely and prefer to be isolated in the postoperative period. If psychological help is needed, experts should be consulted.
After bariatric surgery, patients’ appetite will decrease and they will experience that some foods do not taste as good as before. It is possible to experience an extra sensitivity to food smells.
Alcohol consumption is not recommended after obesity surgery. Many alcoholic beverages contain excessive calories and can be absorbed faster by the body.
In order to lose weight after stomach reduction surgery, patients should follow their nutrition and exercise programs and adopt a new lifestyle. Otherwise, they may not lose as much weight as they expected, or they may gain weight again. In such cases, revisional bariatric surgery may be considered.
Obesity patients need to lose weight dramatically to reach their ideal weight. Skin sagging may occur in people who lose excessive weight. Skin sagging can be removed with post bariatric surgeries. Within the scope of post bariatric surgery, patients can apply to aesthetic operations such as face lift, arm lift, tummy tuck, back lift, leg lift and breast lift.
People who adapt to nutrition and exercise programs after bariatric surgery, adopt a healthy lifestyle and follow expert directives can lose weight dramatically. Due to excessive weight loss, skin sagging may occur in some areas of the body. While these sagging causes the person not to see the results of their weight loss, they can also deeply affect their daily life and self-confidence. For this reason, it may become necessary to apply to post bariatric surgeries in order to eliminate sagging skin caused by weight loss.
After the slimming process is completed and the person maintains their weight, aesthetic operations performed with the aim of body shaping are called post bariatric surgeries. Post bariatric surgeries, which should be planned for areas with sagging at a level that will disturb the patients, can be performed gradually in almost all body areas where skin wraps are encountered, in line with the needs.
As with every aesthetic operation, post bariatric surgeries should be planned in line with the expectations, general health conditions and needs of the patients.
While planning post bariatric surgeries, the body should be considered as a whole and the necessity of questioning whether the patients are in the process of losing weight and whether their body mass index values have stabilized come to the fore.
In order to minimize the risk of complications after these operations, which are performed to eliminate the skin sagging that occurs after body shaping and weight loss, time gaps of 4-6 months should be left between operations.
Post bariatric surgery is not just a single operation, it should be considered as a combination of many operations. Therefore, it cannot be planned as a single operation. In the first stage of the operations, skin sagging in the abdomen, waist and genital area is corrected. After this operation, a break is taken and then the arm, leg and breast areas are aesthetically improved. Finally, the treatment process of skin sagging in the face and neck region begins.
In order for post bariatric surgeries to be performed, patients must complete the weight loss process and maintain their weight.
Post bariatric surgeries should be spread over time. Although revision surgeries can be performed if necessary, it will be advantageous to get rid of the excess weight of the person while applying for these operations.
Body shaping operations after obesity surgery can sometimes be completed within a few months and sometimes within a period of up to a year. It is important for patients to be patient.
People who cannot lose weight with their own diet and exercise programs and who have secondary health problems such as type 2 diabetes, high blood pressure, cardiovascular diseases due to excess weight can start a new life by applying to obesity surgery. A miracle cannot be expected to happen all of a sudden after bariatric surgery, achieving the goal of losing weight requires a disciplined process. When the nutrition and exercise programs determined by the experts are followed and a healthy lifestyle is adopted, patients can lose a large part of their excess weight.
Depending on the amount of weight lost, skin sagging may occur in the body. For this reason, people who lose weight after bariatric surgery can get rid of skin sagging and shape their bodies by applying to post bariatric surgeries. Since post bariatric surgeries are performed as a combination of many different operations, patient selection and operation planning come to the fore as important variables.
In order to perform body shaping operations after bariatric surgery, patients must first lose weight dramatically and skin sagging should occur on their bodies due to the weight lost. Although this change will not happen all at once, and it will happen quickly, the weight lost must be maintained.
For all these reasons, it is recommended to wait 12-18 months after bariatric surgery for transition to post bariatric surgery. Although this waiting period may be too long for some patients, it is necessary to be patient as the important thing is to obtain permanent results with maximum efficiency from the operations.
If the suitability of general health and weight status for post bariatric surgeries is determined, the planning of the operations can be started. At this point, it is necessary to know that sagging in the whole body cannot be removed in a single operation.
Post bariatric surgeries are combinations of a number of different operations and a gradual strategy is followed during their planning. Post bariatric surgeries, where it is not possible to complete in a single session, are combined in a patient-specific manner and certain periods must be left between operations.
The interval that should be given after each operation may vary according to the patient. Sometimes, the durations that can be reduced to a few weeks may extend up to 4-6 months in some patients. For this reason, the completion of post bariatric surgeries may take a few months or a year.
Patients who have undergone bariatric surgery such as sleeve gastrectomy, Gastric Bypass and RNY Bypass can lose more than 50% of their excess weight in approximately 1-1.5 years when they adapt to nutrition and exercise programs. This loss is dramatic for the body and skin sagging may occur due to excessive weight loss in the body.
The need for post bariatric surgery arises when a general sagging occurs, not only in a few areas of the body. Post bariatric surgeries consist of a series of aesthetic operations targeting different parts of the body such as face lift, arm lift, tummy tuck, breast lift, back and leg lift. Post bariatric surgeries are generally put on the agenda 12-18 months after bariatric surgery, in line with the amount of weight lost and sagging.
The following are the requirements that must be met in order to execute post-bariatric surgery:
The person must have undergone bariatric surgery, and skin sagging should be seen over his body, not only in a few areas. Sagging that occurs in people who lose a lot of weight may be eliminated with a combination of procedures tailored to the individual, and the body can be restored to its original shape.
Post bariatrik operasyonlar yapılmadan önce kişinin kilo verme prosedürü bitmiş olmalıdır. Kilo kaybı ile birlikte cildin tekrar sarkma ihtimali bu ameliyatların istenilen kiloya gelmeden tercih edilmemesinin sebeplerinden biridir. Kişinin ağırlığı stabilize olduğunda post bariatrik prosedürler düşünülebilir.
Post bariatrik prosedürler uygulanmadan önce kişinin genel sağlık durumu derinlemesine gözden geçirilmelidir. Midenin küçültüldüğü ve gıda alımının kısıtlandığı bariatrik cerrahi sonrası hastalarda kan tahlillerinin yapılması kritik önem taşır. Kan testi ile vitamin veya mineral eksikliği tespit edilirse ameliyatlar hastanın sağlığı için tehlikeli olabilir.
Hastaların yeni ameliyatlara psikolojik olarak hazır olmaları, obezite sonrası ameliyatların yapılmasında önemli bir kriter olarak değerlendirilebilir. İyileşme sürecinde oluşabilecek komplikasyonlar hakkında bilgilendirilmelidirler.
Post bariatrik cerrahi için uygunluk kriterleri fiziksel olarak yerine getirilse de, hastaların sağlıklı kilolarını korumaya istekli olduklarından emin olunmalıdır. Obezite cerrahisi sonrası sağlıklı beslenme alışkanlığı kazanamayan ve egzersizi günlük yaşamının bir parçası haline getiremeyen hastaların tekrar kilo alabilecekleri gerçeği göz ardı edilmemelidir. Bu nedenle kilo kontrolünü sağlamak isteyen hastalar, vücut şekillendirme için yapılan post bariatrik ameliyatlar için uygun görülmektedir.
People who have undergone stomach reduction surgery, in other words, bariatric surgery, who have sagging skin because of losing weight dramatically in the post-operative period, and who are uncomfortable due to sagging skin on their body, can achieve a more shaped body with post bariatric surgeries.
Post bariatric operations, which are performed as a combination of a number of aesthetic operations such as breast lift, tummy tuck, leg lift, arm lift, face and neck lift, bring some question marks. For those who want to get rid of sagging skin, “Is there any scar after post bariatric surgery?” The answers to the question are important.
As has just been stated within the scope of post bariatric surgery, many different aesthetic operations are performed in combinations planned for the individual. As with all aesthetic interventions that require an incision, scars may remain after post bariatric surgery.
However, since these stitches are thrown aesthetically and will fade over time, there is no clarity. Since the suture marks are matched to the parts of the body that will not attract attention, the possible complaints of the patients can be reduced. For example, during Tummy Tuck, which is also called tummy tuck surgery, the sutures are made from the upper border of the genital area. Thus, it can be ensured that the scars that may occur after the operation remain in the underwear. In the same way, we can give an example of face lift operation. In the traditional facelift operation, the incisions start from the hairline and continue behind the ear. In this way, the formation of a directly obvious scar can be prevented. The same methods are used in all post bariatric surgeries.
Due to the nature of the operations performed, a scar will remain, albeit minimally. However, during the recovery process, patients must strictly follow the physician’s instructions. During the healing process, contact of the scars with the sun should be avoided. Likewise, the use of alcohol and cigarettes, which will delay the wound healing process, should be avoided. Alcohol and cigarettes adversely affect tissue blood supply, and the oxygen required for a healthy recovery may not be transmitted through the capillaries. Since it also increases the risk of infection, patients need to adapt to the requirements of the post-operative process.
With the dramatic weight loss after bariatric surgery, people’s general health improves and their mobility increases. Although losing weight is the ultimate goal, sagging occurs in the body when the amount of weight lost is high. Post bariatric surgeries, in which skin sagging in the body is removed and the body is reshaped, both improve the self-confidence of patients and correct the deformation in the body.
Post bariatric surgeries are planned in line with the needs of patients with sagging in their entire body. Changes that would normally be performed with several surgeries can be planned within a single operation. However, it should not be forgotten that post bariatric surgeries also require a planning in itself, and time should be left for recovery between operation combinations.
There are various opinions about when the return to daily life will occur after post bariatric surgeries. However, this process may vary depending on the type of operations performed and the scope of the operations performed on the body.
Patients need to stay in the hospital for 1-2 days after post bariatric surgery. During the time spent in the hospital, health checks are carried out comprehensively and then discharge procedures are carried out. The healing process may take up to 4-6 weeks. Patients can return to work within two to three weeks after the operation. At this point, the nature of their work should be taken into account. If the person has a job that requires physical effort and works physically, the process of returning to work will be longer.
15 days after post bariatric surgeries, slow-paced short walks can be started with the approval of specialist doctors. However, heavy sports should be avoided for a minimum of 6 weeks.
In line with the scope of the operations performed, it is necessary to wait for a while to have sexual intercourse. In general, it can be said that it takes 3-4 weeks for patients to have sexual intercourse in the post-operative period. Like high-tempo exercises that increase blood pressure, sexual intercourse can also negatively affect wound healing.
It is important for the patients to follow the instructions of the specialist doctors, rest and eat healthy in order for the recovery process to take place as healthy and as fast as possible after post bariatric surgeries. At the same time, habits such as smoking and alcohol that slow down the healing process and cause scar formation should be avoided.
Obese individuals who have failed to lose weight through diet or exercise and whose health is jeopardized as a result of their weight might embark on a new path with bariatric surgery. Obesity operations, which include reducing the stomach’s volume or restricting both stomach volume and food intake, result in mechanical modifications that help people lose weight faster. According to the nature of the procedure, people who develop good eating habits and exercise frequently throughout the post-operative period can lose more than half of their extra weight in the first 1-1,5 years. When a person loses a significant amount of weight, skin sagging happens all over the body.
Following significant weight reduction, post-bariatric cosmetic operations may be required to remove drooping skin and contour the figure. As a result, patients can feel better, develop self-confidence, and eliminate the odor and infection issues caused by skin sagging.
Since post bariatric aesthetic surgeries cause changes throughout the body, there are question marks about the severity of pain that these operations can cause. Post bariatric aesthetic surgeries, which include various surgeries such as leg lift, tummy tuck, back lift, arm lift, face lift, neck lift and breast lift, are performed under general anesthesia. Therefore, post bariatric surgeries are not a painful procedure. During the operation, patients do not feel any pain or pain. After post bariatric surgeries, a stay in the hospital for 1-2 days is required. It is normal to experience pain in the early period.
In the post-operative period, it is possible to experience pain in line with the number of operations and the scope of the operation. Experts will recommend the use of painkillers to cope with pain. Pain that may be experienced can be controlled with the regular and correct use of the recommended drugs.
In order to prevent pain after post bariatric surgery, it is necessary to adhere to the instructions of the specialists and the rules to be followed after the operation. It should not be ignored that there may be various complications that can be experienced during the wound healing process. It is very important to avoid intense sports before the recovery process is completed. After the pain that is likely to be experienced in the first few days has passed, the person should continue to pay attention to his preferences in the healing process. Not smoking and not consuming alcohol are the most important requirements in the postoperative period.
People who lose weight dramatically as a result of bariatric surgery, whose weight loss process has ended and who maintain their weight stably, can apply to post bariatric surgeries in order to eliminate sagging skin in their bodies.
Post bariatric aesthetic surgery face lift, neck lift, arm It covers various operations such as stretching, breast lifting, butt lift, plumping, tummy tuck, back stretching and leg stretching. All these operations are carried out in a certain order in line with the needs and expectations of the patients, their health status examinations and the surgeon’s decisions.
Post bariatric aesthetic surgeries have a combined feature. Although it can be done in one go for patients with favorable general health conditions and whose sagging is concentrated in a certain area, they are performed gradually when sagging occurs in many different parts of the body.
For patients with sagging skin in more than one region, operations that can be performed separately in two or three regions can be completed in one go within the scope of post bariatric surgery. For example, if there are skin sagging in the arm and back areas of the patients when the need for breast lift and lift is generally required, deformations in these parts of the body can be eliminated within the same operation. Thus, patients can be prevented from undergoing different operations, dividing the healing process into sections, and receiving more than one anesthesia for a procedure that can be done at once.
It is possible to apply post bariatric surgeries to more than one area at once and to perform them in combination. However, at this point, patients should be evaluated as usual.
The areas in which the sagging of the patient’s body is concentrated, the general health status of the patient after bariatric surgery, whether he is suitable for anesthesia, his expectations, and the opinions of the surgeons will guide the determination of the operations to be performed at once, and also in determining the other stages of post bariatric surgeries.
Patients who lose weight after bariatric surgery and lose their self-confidence due to sagging may act hastily to apply for post bariatric plastic surgery. However, in order for these operations to be concluded in the most efficient way and not to pose a risk to health, it is necessary to wait 12 – 18 months, if possible, a minimum of 18 months after bariatric surgery. In this process, patients learn to maintain the weight they lost with diet and exercises, and their weight becomes stable. Thus, the risks caused by behaviors that may cause weight gain after plastic surgery can be left behind.
Patients who lose weight after bariatric surgery and lose their self-confidence due to sagging may act hastily to apply for post bariatric plastic surgery. However, in order for these operations to be concluded in the most efficient way and not to pose a risk to health, it is necessary to wait 12 – 18 months, if possible, a minimum of 18 months after bariatric surgery. In this process, patients learn to maintain the weight they lost with diet and exercises, and their weight becomes stable. Thus, the risks caused by behaviors that may cause weight gain after plastic surgery can be left behind.
Due to different factors such as lifestyle, malnutrition and aging, deep wrinkles may occur along with sagging and sagging facial skin. At the same time, the skin in the facial area of people who experience dramatic weight loss with bariatric surgery can become a cosmetically disturbing problem and make the person look older than they are. In such cases, with facelift aesthetics, the excess of the facial skin is removed and the facial skin is tightened.
People who have deep wrinkles and sagging on their facial skin that cannot be removed with non-surgical medical applications, whose general health status does not constitute an obstacle to the operation, and who have realistic expectations about the postoperative process are suitable candidates for facelift surgery. It is considered. Completing the weight loss process and stabilizing the weight of the person are important criteria for performing facial aesthetics within the scope of post bariatric surgery.
Face lift surgery is an operation performed under general anesthesia and planned for the individual. It can be applied together with neck lift surgery within the scope of post bariatric aesthetic surgery. Traditionally, the incisions start from the hairline and continue from the area behind the ears, ending in the lower part of the head so that the scars are not visible. With facelift surgery, subcutaneous muscles are tightened, tissues are restructured and excess skin is removed.
Abdominoplasty, which is performed to remove excess skin from the abdominal skin and restructure the muscles, is among the most frequently applied post bariatric aesthetic surgeries in the post-bariatric period.
Due to rapid and excessive weight loss, sagging in the abdomen may cause cosmetic discomfort of individuals to continue despite weight loss. In such a case, tummy tuck surgery can be decided after the necessary health checks are made.
In order to perform tummy tuck aesthetics, patients should complete the weight loss process and achieve weight control after obesity surgery, have a body mass index value below 30, skin sagging in the abdomen due to weight loss, discomfort due to sagging, realistic expectations about the operation, and The general health condition should not pose a risk for the operation. Except for all these conditions, smoking and alcohol use should be stopped before and after the operation in order to avoid complications during the post-operative healing process.
Abdominoplasty operations are planned in line with the needs of the patients and are performed under general anesthesia. The technique to be used during the operation is determined in line with the degree of deformation in and around the patient’s abdomen. In this context, full tummy tuck surgery, mini tummy tuck surgery or circumferential tummy tuck surgery can be applied. Within the scope of post bariatric surgery performed after obesity surgery, back, abdomen and hip and leg aesthetics can be performed in combination.
Back lift surgery is performed under general anesthesia. During the operation, excess skin is removed and subcutaneous tissues are restructured. Back lift surgery can be performed alone or in combination with different stretching surgeries, as just mentioned. Patients should stay in the hospital for 1-2 days after the operation.
After operations such as tummy tuck and leg stretching performed within the scope of post bariatric surgery, butt lift and plumping are among the most demanded post bariatric aesthetic operations.
Excessive weight after obesity surgeries Depending on the injection, skin sagging and volume losses may occur in the hip area as well as in various parts of the body. In addition to creating cosmetic concerns, such a situation can also cause insecurity in women. Women who have problems such as excessive flatness of the hips, sagging and loss of volume can achieve a shaped body with butt lift and plumping aesthetics.
People whose weight loss process has been completed after obesity surgery, whose weight is stable, whose general health status is not an obstacle for the operation, and who are uncomfortable with their appearance due to the deformation in their hips, are considered suitable for butt lift and plumping surgery.
How is Butt Lifting and Augmentation Surgery Performed?
Buttock lift and augmentation is mostly performed under general anesthesia. During the operation, different techniques such as fat injection, filling and prosthesis can be used. When determining the technique, the patient should be examined in detail. The operation takes about 2 hours, the patients stay in the hospital for 1-2 days after the operation. Returning to daily life may take 10-15 days.
Aesthetic surgery performed for the purpose of removing the sagging skin concentrated on the inner parts of the legs and on the kneecap and at the same time shaping the legs is defined as leg stretching. Leg stretching can be performed alone or simultaneously with tummy tuck, back stretching and butt lift surgeries within the scope of post bariatric aesthetics. Which operations can be performed simultaneously with leg stretching or whether combined surgeries can be performed are clarified in line with the patient’s needs, general health status and surgeons’ decisions.
In order to have leg lift surgery, patients should have fallen to their ideal weight, stabilized their weight, have sagging skin that may cause aesthetic concerns, have no risk for their general health, and have realistic expectations about the surgery.
The operation performed under general anesthesia takes approximately 2 hours. Excess skin is removed over the groin line towards the inner part of the leg, the skin of the leg is stretched and the subcutaneous tissues in the area are restructured. It may be necessary to stay in the hospital for 1 day after the operation. Although the results of leg lift surgery are permanent, if patients continue to gain and lose weight in the post-operative period, deformation may occur in the leg area.
