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Post-bariatric body contouring is a series of surgical procedures designed to help individuals who have undergone significant weight loss, often after bariatric surgery, to reshape and tone their bodies by removing excess skin and fat. This FAQ blog will address common questions regarding post-bariatric body contouring, providing a comprehensive overview of what to expect.

5 Min Read:

What is post-bariatric body contouring?

After bariatric surgery or substantial weight loss, individuals want to celebrate their accomplishments, yet many often have excess, sagging skin that cannot retract to the new body shape. Body contouring helps to remove this excess skin and any remaining fat deposits, resulting in a more toned and aesthetically pleasing physique.

Who is a candidate for post-bariatric body contouring?

Candidates for post-bariatric body contouring are individuals who have experienced substantial weight loss and have maintained a stable weight for a period of time, typically six months to a year. Ideal candidates will be in good health, don’t smoke, and have realistic expectations of their surgical outcomes. It’s important that candidates are committed to maintaining their weight loss through diet and exercise to ensure long-lasting results.

What areas of the body can be addressed with post-bariatric body contouring?

Post-bariatric body contouring can address several areas of the body, including the abdomen, breasts, arms, back, thighs, and buttocks.

What procedures are typically included in post-bariatric body contouring?

Common procedures in post-bariatric body contouring include:

  • Tummy Tucks (Abdominoplasty): Tightens the abdominal muscles and removes loose, excess skin.
  • Arm Lifts (Brachioplasty): Removes excess fat and skin from the upper arms.
  • Thigh Lifts: Contours the thighs by removing excess skin and fat.
  • Breast Lifts (Mastopexy): Lifts and reshapes sagging breasts, sometimes combined with augmentation.
  • Buttock Lifts (Gluteoplasty): Tightens and lifts excess skin on the rear end to balance the buttocks with the body’s new contours.
  • Lower Body Lifts: This comprehensive procedure may include a tummy tuck, thigh lift, back lift, and buttock lift.
  • Liposuction Procedures: Removes residual, stubborn pockets of fat.

How long after bariatric surgery should I wait before considering surgical body contouring?

It is generally recommended to wait at least 12–18 months after bariatric surgery before undergoing body-contouring to allow enough time for your weight to stabilize and for your body to adjust to the significant changes. Maintaining a stable weight for at least six months is crucial for optimal results.

What should I expect during the consultation for post-bariatric body contouring?

During the consultation, you can expect:

  • Medical Evaluation: A thorough medical history and exam will determine your suitability for surgery.
  • Discussion of Goals: A detailed discussion of your aesthetic goals and expectations helps determine your candidacy and the appropriate procedures.
  • Procedure Explanation: A thorough explanation of the procedures necessary to achieve your desired results will help you know what to expect.
  • Customization: A tailored surgical plan is developed to address your needs and areas of concern.
  • Pre- and Post-Op Instructions: Detailed instructions on how to prepare for surgery and what to expect during the recovery process.
  • Risks and Benefits: You will receive a comprehensive overview of the potential risks, benefits, and expected outcomes.

What are the risks and complications associated with post-bariatric body contouring?

As with any surgical procedure, post-bariatric body contouring carries certain risks and potential complications. These may include:

  • Infection: While rare, infections can occur at the incision sites.
  • Scarring: All surgical procedures result in scars, but proper care can minimize their appearance.
  • Hematoma: An accumulation of blood that develops under the skin and may require drainage.
  • Seroma: Fluid accumulation under the skin that might need to be drained.
  • Poor Wound Healing: Some areas might heal more slowly or develop complications.
  • Anesthesia Risks: All surgery performed under general anesthesia comes with risks.
  • Asymmetry: Despite best efforts, perfect symmetry may not always be achieved.

What is the recovery like after post-bariatric body contouring procedures?

The length of your recovery period will be based on the extent of the surgeries performed. Generally, patients experience the following:

  • Initial Recovery: The first few days post-surgery will require rest and limited movement. Pain, swelling, and bruising are expected but manageable with prescribed medications.
  • Returning to Normal Activities: Most patients can return to light activities and work within two to four weeks, depending on the procedure.
  • Full Recovery: Complete recovery can take several months, during which patients should follow their surgeon’s advice on activity restrictions and care for surgical sites to ensure optimal healing.

Will I have visible scars after post-bariatric body contouring procedures?

Post-bariatric body contouring procedures do result in scars. However, experienced surgeons make incisions in locations that can be concealed by clothing. Scars usually fade with time and can be minimized with proper care and follow-up treatments, such as silicone sheets, laser therapy, and other scar-reduction methods.

How long do the results of post-bariatric body contouring last?

The results of post-bariatric body contouring are long-lasting, especially if patients maintain a stable weight through a healthy diet and regular exercise. Significant weight fluctuations after surgery can affect the results, leading to new sagging skin and fat deposits. Regular follow-up visits with your surgeon help monitor and maintain the outcomes.

Post-Bariatric Plastic Surgery in Pasadena, CA

Drs. Martin and Adam O’Toole are the Pasadena post-bariatric body contouring experts who provide these procedures to help improve the quality of life of individuals who have undergone significant weight loss. By addressing the excess skin and residual fat, Drs. Martin and Adam O’Toole help patients achieve a new body shape that reflects their hard work and dedication to health. Schedule a body contouring consultation in Pasadena with our board-certified plastic surgeons by calling (626) 449-8910.