Massive Weight Loss/Post-bariatric Surgery

Surgery After Massive Weight Loss (Post-bariatric Surgery)

There has been an increasing demand for post-weight loss/post-bariatric surgery in the North West and Liverpool recently.

Massive weight loss, either as a result of diet and exercise or after bariatric surgery, can leave the person with folds of excess skin. These folds of skin can be a cause of both social and functional problems for the patient. Hygiene difficulties, skin irritation and breakdown due to sweating, and difficulty finding suitable clothing are all frequently reported by patients after weight loss surgery (such as gastric band and gastric bypass surgeries).
Surgical removal of this excess skin may involve one or more of the following procedures:

These procedures are significant surgical undertakings and require both careful assessment of the patient (physically and psychologically) prior to surgery, as well high quality post-operative care after surgery.
A massive weight loss patient should have maintained his or her new weight for at least one year or more before considering corrective surgery for the excess skin. Assessments include physical and psychological evaluation to ensure a positive outcome for the patient.

Key Information


Duration of Surgery2-5 hours
Hospital Stay1-3 days
Recovery Period (approx)2- 6 weeks


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Gynaecomastia – Male Breast Reduction

Gynaecomastia – Male Breast Reduction


Male breast development or gynaecomastia (often referred to as man-boobs in tabloids) is more prevalent than commonly realised: up to 60% of adolescent boys are estimated to develop some degree of breast tissue, however, in the vast majority of cases, this tends to resolve over time and no intervention is needed. It is estimated that approximately 30-33% of the male population will have some degree of breast development, either on one side or both. This can lead to social embarrassment, with some men going to lengths to avoid recreational and sporting activities. Some cases of “breast development” in men are purely due to fat accumulation and this is referred to as pseudogynecomastia.

Causes:
While in up to 25% of cases no cause can be found, in others this male breast development is related to hormonal imbalance, steroid abuse, drug taking and the use of certain medicines etc.

Treatment:
Treatment in most cases includes investigation, to rule out hormonal imbalance. There are various options for treatment and surgical options depend on the type and extent of the problem. Options include excision or surgical removal of the breast tissue, liposuction, removal of excess skin or a combination of these procedures.

Surgery can be carried out as a day case or with an overnight stay in hospital, and can be performed under general or local (while awake) anaesthesia.

After Care:
Recovery from surgery usually takes about 2 weeks and patients can return to most activities after this period. Upper body exercise is not recommended for up to 6 weeks after surgery.

As with any surgery, gynaecomastia treatment carries risks. These include: haematoma (collection of blood in the tissues) infection, uneven or indented skin surface (saucer deformity), altered sensation, lumpy or wide scars and asymmetry. Other risks include DVT (deep vein thrombosis), PE (pulmonary embolism) and the risks of anaesthesia.

In the north-west, we offer surgery for male breast reduction by expert Consultant Plastic Surgeons who carry out these procedures on a regular basis.

Key Information


Duration of Surgery1-2 hours
Hospital StayDay Surgery or 1 day overnight
Recovery Period (approx)2-4 weeks



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Lower Body Lift

Lower Body Lift

After a successful weight loss following gastric bypass surgery people often find they are left with excess folds of skin that will not conform to their new body shape. This skin may not shrink once it has lost its elasticity, and surgery is the only way to reduce it. A lower body lift can reduce excess skin around the abdomen and buttocks, improving patient mobility and giving the lower body better shape. Depending on the patient’s condition, we may carry out abdominoplasty, belt lipectomy, liposuction, medial thigh lift, lateral thigh lift, or a combination of these procedures. If you are a bariatric surgery patient with excess skin on your lower body, a lower body lift might be the right procedure for you. This is extensive surgery and must be approached with caution.

These procedures carry significant risks and you are encouraged to discuss them with the plastic surgeon in detail before making any decisions.

Key Information


Duration of Surgery3 to 8 hours
Hospital Stay2-5 days
Recovery Period (approx)4-6 weeks


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Liposuction

Liposuction


Liposuction

Liposuction is ideally suited to remove stubborn areas of fat which are difficult to shift by diet and exercise alone and to improve the body shape at the same time. We offer liposuction to NorthWest residents who want to feel more comfortable with their bodies.
We undertake an advanced, mechanically enhanced liposuction technique (PAL system) to remove unwanted fat from specified areas. The techniue we use causes minimal brusing and swelling and allows quick recovery from the surgery. The Mcroaire system for liposuction (PAL) has been used for over a decade and has produced consistent high quality results.

Procedure   The procedure is carried out under Local (awake ) aneasthesia or general aneasthesia (asleep).

The liposuction starts with injection of a fluid into the area to be treated, this helps to reduce the brusing and swelling from the surgery. The surgeon makes small incisions around the area to be contoured, the liposuction tube attached to a vacuum is inserted into the area to be treated. The tube removes excess fat cells from the problem area. Consequences of liposuction include some swelling, bruising, and discomfort. However, these begin to disappear in a few days and patients can begin to enjoy the new contours of their bodies.

Though liposuction cannot promise perfection, the majority of liposuction patients are happy with their results and enjoy all the benefits of a leaner, more streamlined shape. A healthy life style following liposuction is essential to maintain the results.

Risks and potential complications

All surgery carries risks, however, complications are rare. Potential complications include haematoma (collection of blood in tissues), seroma (collection of tissue fluid in the tissues), infection, sensory changes, uneven surfaces, under and over correction of an area and asymmetry. Deep vein thrombosis (DVT)and pulmonary embolism (PE) are serious and potentially life threatening complications.

After care

Your welbeing is our primary concern. We offer free followup for a year following liposuction. You will be seen by the surgeon who operated on you until you are fully healed. If there are any complications directly related to your surgery,( which can be corrected with surgery,) we will provide this at no extra cost to you for up to one year following your original date of surgery. Our aim is to give you as good a result as possible within the limits of what is possible with liposuction.There is no substitute for a full and frank discussion about liposuction with your plastic surgeon.

Key Information


Duration of Surgery1-3 hours
Hospital StayDay case – 1 night
Recovery Period (approx)2-4 weeks (Final result may take up to 3 months to show)

Before/After




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Arm Lift Surgery (Brachioplasty)

Arm Lift Surgery (Brachioplasty)

Arm lift surgery (brachioplasty)can be desirable after massive loss of weight or simple aging changes, which may lead to excess skin being present in the upper arms. This skin may also interfere with dressing and full range of motion. Arm lift surgery (brachioplasty), can remove this excess skin and tissue, giving an improved appearance to the arms. This procedure can be combined with liposuction in selected cases to improve the results.

Procedure

The arm lift procedure involves measuring and making the excess skin on the arms. the length of the planned scar is dictated by the extent and distribution of excess skin. The scar is planned to be on the inside aspect of the arm, however, it is difficult to hide the scar and this may be visible during social interaction.
Once the plan is made, under aneasthesia, the excess skin is removed. The surgeon may also carry out liposuction in some selected cases.
The wounds are then closed, usually using disolving stiches. After dressings are applied, a compression garmant is used and usuallly need to be worn for 6 weeks.

Risks and potential complications

Bleeding, bruising, swelling and a scar along the inside of the arm can be expected after arm lift surgery.
Risks include haematoma, lumpy or wide scars, infection, loss of skin sensation, dog ears, skin loss and wound break down, contour deformity (telephone deformity), DVT and PE.

After care

As all of your care is directly with a consultant plastic surgeon, all your after care is directly with or under supervision of your consultant.
Following your arm lift surgery, you will be given detailed instructions about care you need to exercise. You will have the ability to get in touch with us any time, day or night should the need arise.
We operate a comprehensive aftercare policy, and you will be followed up until you are fully healed. In case there is a complication which is directly the result of your surgery, we will provide treatment, where possible, free of cost to you for up to a year after your surgery

Arm lift surgery is a procedure which requires very careful consideration on the part of the patient and there is no substitute for a detailed consultation to avoid disappointment. Minor degrees of skin laxity may be treated successfully with non surgical treatment like Thermage.

All surgical procedures carry certain risks and there are limitations of what can be achieved. A full and frank discussion with the surgeon is the only way to gain a clear insight into the procedure and allow you to make an informed decision about your surgery.

For more information, please visit this link about arm lift surgery.

Key Information


Duration of Surgery1-2 hours
Hospital StayDay case or 1 night
Recovery Period (approx)2-3 weeks

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Tummy Tuck / Abdominoplasty

Tummy Tuck/Abdominoplasty


Tummy tuck is a procedure to improve the appearance of the abdomen.Life events like pregnancy, previous surgery or dramatic weight changes, can cause excess accumulation of fat and/or skin around the abdomen. This may result in a fold of skin (an apron) in the lower front of the abdomen. This may result in physical discomfort, hygiene problems and uneasiness about the appearance of the body. The appearance of the abdomen can be changed with a tummy tuck or abdominoplasty to a leaner shape which would fit better into clothes.

Procedure

The abdominoplasty (tummy tuck) involves making an incision in the lower abdomen extending from hipbone to hipbone. The surgeon lifts the skin and fat to reveal the underlying muscle. He/she will usually tighten the muscles using a stitch. The surgeon will then stretch the skin back over the new, firmer muscle, removing any excess skin and fat. In cases where fat and excess skin is mainly in the lower abdomen, a mini tummy tuck, or partial abdominoplasty, may be an option. In this case, a smaller scar can be used. Stitches used are self-dissolving and dressings are removed after 2 weeks. You will be asked to wear a compression garment for 6 weeks. Surgical drains are usually used in these procedures and will be removed before you are discharged.

This procedure results in a scar in the lower abdomen and around the umbilicus.

In cases where there is excess fat in the upper abdomen and flanks, liposuction can be performed at the same time as an abdominoplasty. This can help to produce a better shape in selected cases. Not everyone requesting a tummy tuck (abdominoplasty) needs or desires liposuction.

Risks and potential complications

While the tummy tuck will result in scarring, the surgeon will try and make sure that this scarring is as inconspicuous as possible. Directly following the procedure, patients will experience some pain, soreness, swelling, or bruising around the abdomen. Potential complications include haematoma (accumulation of blood in the wound due to excessive bleeding), infection, loss of skin (which may need skin grafting ), wide or lumpy scars, loss of sensation in lower abdomen and upper thighs, dog ears (folds of tissue at ends of scars, which may need to be surgically corrected), seroma (collection of tissue fluid in the wound which may need to be darined), DVT and PE (seroious and potentially life threatning risks).

After care

Our patients remain under our care until fully healed. You will be seen by the surgeon who performed your surgery until everything if fully settled. If there is a complication or less then optimal result, which is directly related to the surgery and can be corrected or improved with surgery, we will provide that surgery as part of your package of up to a year from your surgery.

All surgical procedures carry certain risks and there are limitations of what can be achieved. A full and frank discussion with the surgeon is the only way to gain a clear insight into the procedure and allow you to make an informed decision about your surgery. For more information about tummy tuck surgery, please visit www.sthetix.co.uk

Key Information


Duration of Surgery1.5-3 hours
Hospital Stay1-2 days
Recovery Period (approx)2-4 weeks

Before/After



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