Body Contouring after Weight Loss

Morbidly obese (BMI 40 and above) 45 kg or more above ideal body weight
Very obese where weight loss by lifestyle modification has repeatedly failed in spite of all their efforts, self or supervised.
Able to make lifelong commitment to follow-up care, healthy life style, strict diet control and committed obedience to professional counseling.

The following weight loss surgery procedures are being done.

Restrictive procedures: the net food intake is decreased by creating a small upper stomach pouch

Adjustable Gastric banding: a band is placed around the upper most part of the stomach separating the stomach into one small and one large portion. The band can be adjusted to loosen or tighten according to need. If required it can be removed also. Therefore the procedure is reversible.
The average weight loss after three or four years is about 55%

2. Malabsorptive procedures: these procedures are designed to bring about poor digestion of food and consequent poor absorption by rearranging the intestines.

Gastric Bypass Roux-en-Y
Bilio-pancreatic Diversion
BPD with Duodenal Switch
Studies have shown that these procedures can help patients lose 70% to 90% weight in one to four years period

These surgeries have obvious benefits in reducing excessive obesity and problems associated with it. But, they do land the patients in further surgeries. The common problems are folds upon folds of sagging skin in every part of the body which need corrections by a kind of surgery that is called – BODY CONTOURING

According to statistics available on the internet, more than 170,000 morbidly obese Americans had major weight loss surgery in 2005, up more than 130,000 in five years. However the Bariatric surgeons almost never tell that these weight loss procedures are only the beginning. Several body contouring surgeries need to be done to put a person into some semblance of normal body shape.

With the precipitous increase in what's known as bariatric surgeries has come an equally large increase in what, for many, are the extensive and expensive second, third and, in rare cases, fourth body contouring surgeries necessary to bring the body back into shape.

The prices of surgeries, which are not covered by insurance, typically range from $15,000 to $25,000 (Rs. 6, 75000.00 to 1,150,000.00). In extensive cases, it can reach as high as $50,000 (22 lacs and fifty thousand)!

The entire process involves nearly four to five years: from having the Bariatric surgery, losing weight over one or two years, and then completing the body contouring procedures on different parts of the body, which can be another couple of years."

At its most basic, body contouring involves cutting away sheaves of loose skin to perform any number of "lifts": face, thighs, breasts, upper arms, neck, buttocks, stomach, lower-body or even whole-body lifts.

It is significant that body contouring procedures in USA have increased 77 percent between 2000 and 2004, the most recent year for which statistics are available. Although current numbers are unavailable, the American Society of Plastic Surgeons estimates that the 106,000 body contouring procedures conducted in 2004 are a tiny number compared with now” (data taken from internet).

Body contouring is a major surgery . One operation can take six to eight hours. There are different types of body contouring procedures like:

Abdominoplasty (tummy-tuck) which may be total or limited
Arms lift
Thigh lift
Hip and thigh lift
Breast lift
Face lift

And others! These procedures are done in both men and women

Same procedures are done when a person loses significant weight due to life style management that is by controlling diet and exercising. If there is major weight loss it may result in loose skin and hanging skin folds on the belly, arms, hips and thighs, breasts, face etc.

Click on the following links and it will take you to the page describing the procedure. All these procedures are done by Tumescent Technique- totally under local anaesthesia.

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