Post-bariatric Surgery

Overview

Post-bariatric surgery is indicated in cases of large amounts of excess skin following severe weight loss, either as a result of bariatric surgery (by a gastric bypass or lap-band procedure), and/or non-surgical means such as diet and exercise. In these cases, the skin is stretched, in addition to the presence of remaining areas of excess body fat. A combination of procedures is strategically designed for the needs of each particular patient, and more than one surgery is often required to achieve a complete outcome. Multiple procedures may be performed throughout different surgeries—circumferencial tummy tuck, thigh lift, arm lift, breast lift, back lift, etc. A planning for a combinatino of surgeries is therefore created during consultation. Post-bariatric surgery should only be undertaken once the patient has stablized his/her weight.

Anesthesia

Anesthesia may be general, regional (spinal), and/or intravenous sedation in combination with local anesthesia in the area being treated.

Surgery Duration

The surgical procedure takes place over an average period of 3 hours. If necessary, this period may be extended. However, the surgical procedure time should not be confused with the amount of time the patient will be in the operating room. That amount of time will also include the administering of anesthesia and postoperative recovery.

Hospitalization Period

Under normal circumstances, the hospitalization period is approximately 1-2 days.

Postoperative Care

Start walking as soon as possible following the surgery. This helps to reduce swelling, lower the chance of developing blood clots and/or pnemonia and avoid constipation. Wear the compression garment 24/7 for 6 weeks post-surgery. Sleep with your head slightly elevated and with pillows under the knees to decrease tension on the incision. Avoid lifting anything over 5 lbs for 6 weeks. Avoid straining the abdominal muscles in any way. Strenuous activities and exercise must be avoided for 2 months following the procedure. Regarding caring for the incisions, follow Dr. Lopez Collado’s instructions carefully. Keep the incision clean and inspect daily for signs of infection. Showering is allowed 48 hours after the removal of the drainage tubes. No tub soaking, entering a swimming pool hot tub, or body of water while drains are in place and for 6-8 weeks following surgery. Avoid exposing scars to the sun for at least 1 year. Always use a strong sunblock if sun exposure is unavoidable.

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