Post Bariatric Surgery (following Massive Weight Loss)
Many patients nowadays have undergone bariatric surgery, that is, bypass or stapling of the stomach. It has become a very safe and predictable operation well tolerated by patients of virtually any large size. The result of this is a large population of individuals with significant sized rolls of excess loose skin all over their bodies. The essentials of your anatomy that we are dealing with here are loss of skin elasticity, poor skin quality (stretch marks) and excess skin because the underlying fatty support framework has been deflated. Furthermore, the skin cannot totally contract back down enough because it has lost its elastic qualities.
The surgical categories for massive weight loss which Dr. Romano offers his patients may be selected and/or combined based upon the following spectrum of possible procedures:
Body Lift. (See our section on Body Lift as this is the main concern to patients in weight loss surgery. This is the usual approach to the trunk and torso. It may be combined with one or more of the following surgeries.
Outer Thigh Lift. This is where the abdomen and buttocks are mostly okay and just a lift to the outer thighs is needed. Here the incision is some length along the belt area and over the outer thighs.