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When to have surgery for excess skin after losing weight

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After a large weight loss, such as that caused by bariatric surgery, excess skin may appear in some parts of the body, such as the abdomen, arms, legs, breasts and buttocks, which can leave the body with a flabby appearance and little defined silhouette.

Normally, 5 or more surgeries are needed to correct excess skin. These surgeries can be done in 2 or 3 times.

In these cases, reparative surgery, or dermolipectomy, is indicated, which can even be done free of charge by SUS plastic surgery services and also has health insurance coverage. However, for this, surgery must correct problems that excess skin can cause, such as dermatitis in the folds, imbalance and difficulty in movement, not only being done in order to improve the aesthetic appearance.

In cases where the person just wants to improve the aesthetics of the body, this type of surgery can be done in private clinics.

Before and after reparative abdominoplasty

When can surgery be done

Reconstructive surgery is usually done in cases of rapid weight loss, such as after bariatric surgery. In these cases, the skin, which has been stretched by excess fat and does not shrink with weight loss, which causes complications, not only aesthetic, but which interfere with the person's ability to move and which accumulates sweat and dirt, causing rashes and yeast infections.

In addition, to be able to do this surgery, it is also important to meet the following requirements:

  • Being weight stabilized, no longer in the process of losing weight, as the flab may reappear; Do not show a tendency to put on weight again, as the skin may be stretched again and there will be more flaccidity and stretch marks; T er commitment and desire to maintain a healthy life, with the practice of physical activities and a balanced diet.

To perform the surgery free of charge or with coverage by the health plan, the plastic surgeon must make a report that demonstrates the person's need, and it may also be necessary to undergo the evaluation of an expert doctor for confirmation.

Which type of plastic is best

Dermolipectomy is surgery to remove excess skin, and there are several types, according to the location to be operated, being indicated by the plastic surgeon according to the degree of flaccidity and the need of each person. The main types, which can be done alone or combined are:

1. Tummy tuck

Also known as abdominal dermolipectomy, this surgery removes the excess skin formed on the abdomen after weight loss, which is quite flaccid and causes the so-called apron belly. In some cases, the skin coat can cause fungal infections so it is considered a necessary reconstructive surgery and not only aesthetic.

Abdominoplasty is done by pulling the skin and removing the excess part, and can be done in conjunction with liposuction or with the joining of abdominal muscles, to reduce the volume of the belly and narrow the waist, giving a slimmer and young. Understand how the abdominoplasty is done step-by-step.

2. Mammoplasty

With mammoplasty, the plastic surgeon reposition the breasts, removing excess skin and making them look firmer. This surgery is also known as mastopexy, and it can be done alone, or with the placement of silicone prostheses, which can increase the breasts, for women who wish.

3. Body contouring surgery

Also known as a body lifting, this surgery corrects the flaccidity of several parts of the body at once, such as the trunk, abdomen and legs, giving a more toned and outlined appearance to the body.

This surgical procedure can also be done in conjunction with liposuction, which helps to remove excess localized fat, narrow the waist and cause a better appearance.

4. Lifting of the arms or thighs

This type of surgery is also called dermolipectomy of the arms or thighs, as it removes excess skin that impairs aesthetics and hinders movement and disrupts professional and day-to-day activities.

In these cases, the skin is stretched and repositioned, to reshape the desired region. Understand how the surgery is done and how is the recovery from the thigh lift.

5. Facial lifting

This procedure removes excess flab and fat that fall on the eyes, cheeks and neck, helping to smooth out wrinkles and rejuvenate the face.

The facelift is very important to improve the self-esteem and well-being of the person who has undergone a very intense weight loss. Learn more about how the facelift is done.

How is recovery from surgery

The reparative surgery lasts about 2 to 5 hours, with general or local anesthesia, which varies according to the type of procedure and if there are other associated techniques, such as liposuction.

The length of stay is about 1 day, with the need to rest at home for a period of 15 days up to 1 month.

During the recovery period, it is recommended to use analgesic pain medications, prescribed by the doctor, avoid carrying weight and return to the return visits scheduled by the surgeon for reassessment, usually after 7 to 10 days. In many cases it may be necessary to do antithrombotic prophylaxis, taking blood-thinning drugs, under medical guidance. Check out what other precautions you should take after this type of surgery.

When to have surgery for excess skin after losing weight