Plastic Surgery After Dramatic Weight Loss

Dramatic weight loss either through bariatric surgery or diet and exercise is truly a life changing event. You look and feel better, but after any substantial amount of weight loss, the skin and tissues often lack the elasticity to conform to the reduced body size. Hanging skin can affect both comfort and self-confidence and can be a daily reminder of past obesity. Bariatric plastic surgery after weight loss is often done for medical reasons as much as or more than for aesthetic reasons. 

However, before having bariatric plastic surgery after weight loss, consider the following:

  • Are you at your low weight? Wait until you’re at your low weight and have stayed there for several months. If you had weight loss surgery, you’ll need to wait at least one year, preferably two. 
  • How is your current physical and mental health? Better overall physical health means less likelihood of complications. Work with your primary care physician to determine if your physical health is appropriate for plastic surgery. Mental health is a big consideration. Surgery preparation and recovery can be a lengthy process, and you must have the proper mindset going into it.
  • Would you do this for mental reasons, health reasons, or both? Mentally, the saggy skin may cause you to feel embarrassed both with and without clothes on. Physically, it can cause a myriad of issues ranging from annoying to potentially serious, including:
      • Difficulty getting dressed
      • Difficulty exercising, which may impact long-term weight maintenance and health
      • Skin fold rashes or breakdown of skin
      • Skin fold infections

These are just a few of the issues to think about before deciding to move forward with plastic surgery after weight loss. You should consider the severity of the mental and physical issues caused by your excess skin and weigh that against the risks and side effects of surgery along with how much it will cost.

If you live in the Las Vegas area and are considering bariatric surgery, VIPSurg is ready to help. Dr. Tsuda and his team of experts can help find the right treatment for you.

Ältere Frau zeigt ihren Arm mit Elastizitätsverlust

Aging and Obesity: Is Bariatric Surgery an Option for the Elderly Patient?

The good news is that improved life expectancy is allowing baby boomers to enter their golden years in unprecedented numbers. The bad news is that rates of obesity among this aging demographic are climbing in never-before-seen numbers as well, putting this population at risk of developing cancer, heart disease, diabetes, lower extremity arthritis, sleep apnea, and stroke, all of which can lead to disability. Treatment guidelines to lose weight in the elderly have been difficult to define, yet it is very clear that obesity in the elderly contributes to worsening of multiple parameters which along with the metabolic problems mentioned already, include cognition, functionality and quality of life. While ample evidence supports the safety and effectiveness of weight-loss aka bariatric surgery in the general adult population, more information is needed in patients age 60 years and older.

Surgical treatment of obesity in the elderly, particularly over 65, remains controversial; this is explained by the increased surgical risk or the lack of data demonstrating its long-term benefit. Few studies have evaluated the clinical effects of bariatric surgery in this population.

The risk of any surgical intervention increases as one gets older. However, weight-loss surgery is very safe, and the potential benefits routinely outweigh any of the associated risks if there are no other health issues that would dramatically increase the risk of surgery.

Ideally, a comprehensive assessment would focus on psychosocial and functional status in addition to physical data. An excellent support system of family, friends, or caregiver resources is imperative. The selected patient should be capable of engaging in physical interventions focusing on mitigating muscle loss and osteoporosis and of maintaining changes in eating behavior as needed as well. A recommended “pre-habilitation” program may include a physical therapist to assist with strength and endurance training and a nutritionist to aide in enhancing protein intake, vitamin D, and other nutrient sufficiency.

Identifying goals of care, quality of life, and improved function should be considered as primary objectives of undergoing surgery. Goals of the surgery include not only weight loss but also improvements in physiological function, comorbidity, and quality of life, and reduction in institutionalization.

If you live in the Las Vegas area and are considering bariatric surgery, VIPSurg is here to help. Dr. Tsuda and his team of experts can find the best treatment for your unique situation.

Old obese woman walking with stick

 

 

 

Weight-loss Surgery or Diet and Exercise? Long-term Results Can Save Your Life

To maintain a healthy weight medical professionals emphasize that diet and exercise are key. If you want to lose weight, you must control calories and expend more by exercising. This has been the standard approach for decades. Recent research is telling a different story.

A growing number of studies, including one published in Medical News Today, are finding that for those who are obese, weight-loss/bariatric surgery may be more effective at reducing body weight than the old idea of changing habits and watching what you eat. The findings also suggested that bariatric surgery also increased remission rates in obese patients with Type 2 diabetes as well as heart disease.

 Bariatric surgery helps you lose weight and lowers your overall risk of associated medical problems in one of two ways:

  • Restriction. Surgery is used to physically limit the amount of food the stomach can hold, which limits the number of calories you can eat.
  • Limiting the absorption of nutrients including calories. Surgery is used to shorten or bypass part of the small intestine, reducing the amount of nutrients and number of calories the body absorbs.

Some of the more popular weight-loss surgeries are:

  • Gastric bypass – involves the creation of a small pouch in the top of the stomach. The pouch is the only part of the stomach that receives food. The small intestine is then cut a short distance below the main stomach and connected to the new pouch. Because food now bypasses a portion of the small intestines, absorption and calories are reduced.
  • Gastric banding – involves placing an inflatable balloon (band) around the top part of the stomach; this creates a small stomach pouch above the band with a narrow opening to the rest of the stomach. A port is then installed under the skin. By injecting or removing fluid, the band/balloon can be inflated or deflated, controlling the amount of food the stomach can hold.
  • Sleeve gastrectomy – In this approach, part of the stomach is separated and removed. The remaining section is formed into a tube-like structure; the smaller stomach cannot hold as much food. It also affects the production of hormones that produce hunger.

Why does bariatric surgery appear to be the preferred option over other weight loss options for those considered obese?

It appears to all come down to the success rates of changing old habits. Unfortunately, only slightly more than 5 percent of people are successful in changing their lifestyles on a long-term basis. Health experts claim that the overall risks associated with obesity which include heart disease, high blood pressure, Type 2 diabetes and other life threatening conditions, outweigh the risks and complications of surgery.

Weight-loss surgery isn’t a magic bullet or an easy fix by any means, but research shows it may be the best answer for many people suffering from severe obesity and the deadly health conditions that often accompany it. If you’re considering bariatric surgery in the Las Vegas area, Dr. Tsuda and his expert team are ready to help you find the best treatment for your unique situation.

Doctor measuring obese man waist body fat. Obesity and weight loss.

Benefits of Robotic Surgery

Robotic surgery, or robot-assisted surgery, allows doctors to perform many types of complex procedures with less trauma to the patient than is possible with conventional techniques. Da Vinci robotic surgery enables your surgeon to operate with enhanced vision, precision, and control.

Robotic surgery with the da Vinci Surgical System was approved by the Food and Drug Administration in 2000. The technique has been rapidly adopted by hospitals in the United States and Europe for use in the treatment of a wide range of conditions.

Da Vinci Robotic Surgery is a type of minimally invasive surgery. Minimally invasive is often preferable to operating on patients through large incisions. 

During robotic surgery, miniaturized surgical instruments are inserted through a series davinci1of quarter-inch incisions. The surgeon controls these instruments and a camera from a console located in the operating room. The surgeon operates the special “wristed” robotic arms while looking through a stereoscopic high-definition monitor that allows him or her to see inside the patient, giving a better, more detailed 3-D view of the operating site than the human eye can provide. 

Every movement the doctor makes with the master controls is replicated precisely by the robot. When necessary, the surgeon can even change the scale of the robot’s movements. Because of the console’s design, the surgeon’s eyes and hands are always perfectly aligned with his view of the surgical site, minimizing surgeon fatigue.  

Since procedures can now be performed through very small incisions, patients experience several benefits compared to open surgery, including:

  • Less trauma on the body
  • Minimal scarring
  • Faster recovery time
  • Fewer complications, such as surgical site infection

The da Vinci System represents the latest in surgical and robotics technologies. Your surgeon is 100% in control of the da Vinci System always. Da Vinci technology translates your surgeon’s hand movements into the smaller, precise movements of tiny instruments inside your body. 

At VIPSurg, our doctors specialize in minimally invasive surgical techniques including the laparoscopic Roux-en-Y gastric bypass, laparoscopic adjustable gastric band, sleeve gastrectomy, foregut surgery, ventral and inguinal hernia repairs, endoscopy, and basic laparoscopy, using the da Vinci Robotic Surgery System whenever it benefits our patients. Call for an appointment to see how we can help with your surgical needs.

Benefits of Bariatric Surgery: More than Just Weight Loss

Do you think you’d eat less if you felt full after eating just a small amount of food? That’s exactly what bariatric surgery does. That’s why people lose weight and keep it off after weight-loss surgery. Bariatric surgery reduces the stomach’s storage capacity, limiting food intake and helping you feel full much sooner than usual.

There are several types of bariatric surgery. Options include gastric bypass, sleeve gastrectomy, and gastric banding. Your doctor can help determine if you’re a candidate for one of these procedures, and, if so, which surgery is best for you.

Losing weight and keeping it off is extremely important for mitigating the potential health problems associated with obesity. You must keep the weight off for a minimum of five years to consider weight loss a success and one that can result in potentially lifesaving benefits resulting in a healthier you.

Benefits of sustained weight loss through bariatric surgery include:

  • Long-term remission for type 2 diabetes. A recent Cleveland Clinic study suggests that bariatric surgery causes long-term remission of difficult-to-control type 2 diabetes. The results of this study show the procedure is highly effective for obese patients with type 2 diabetes, allowing almost all patients to remain free of insulin and adjunct medications for at least three years after surgery.
  • Improved cardiovascular health. Weight loss surgery decreases a person’s risk of coronary heart disease, stroke, and peripheral heart disease. Blood pressure and cholesterol levels can return to normal, or near normal after surgery, reducing these risks and improving overall well-being, 
  • Relief of depression. Many obese people feel depressed because of poor body image and social stigma. Even younger people who carry significant excess weight find it difficult to participate in activities they might otherwise enjoy, leading to social isolation and depression. Losing this excess weight can improve emotional health in these patients.
  • Eliminate obstructive sleep apnea. Achieving and sustaining a normal weight range often allows people with sleep apnea to stop using a CPAP machine at bedtime.
  • Joint pain relief. Carrying around excessive weight puts a lot of stress on your weight-bearing joints, often causing chronic pain and joint damage. The significant and sustained weight loss that occurs after bariatric surgery relieves the stress on joints and often allows people to stop using pain medications and enjoy much more mobility, 
  • Improve fertility. Weight loss surgery can also improve fertility during childbearing years.
  • Alleviate other medical conditions. Weight loss surgery can alleviate metabolic syndrome, pregnancy complications, gallbladder disease, and more.

To learn more about bariatric surgery and if it might be right for you, contact VIPSurg for a consultation. Dr. Tsuda and his team of experts can help find the proper treatment for your unique situation.

Woman power! Strong confident women.

Plastic Surgery After Dramatic Weight Loss

Weight loss whether through bariatric surgery or diet and exercise is truly a life changing event and a major achievement. You look and feel better and are healthier. And while most of the changes that accompany weight loss are positive, loose skin is a concern for many patients. Hanging skin can affect both comfort and self-confidence and can be a daily reminder of past obesity. 

Unfortunately, when skin has been stretched around the abdomen, arms, legs, breasts, and face, it may lose its elasticity. After significant weight loss, the skin often fails to shrink back to its former size and shape. How much this loose, saggy skin affects personal appearance can depend on age, genetics, exercise, speed of weight loss, and smoking, according to the American Society for Metabolic and Bariatric Surgery (ASMBS).

The areas of the body that most often are affected by excess skin include:

  • Abdomen
  • Breasts
  • Buttocks
  • Face
  • Groin
  • Thighs
  • Neck
  • Upper arms

For some people, weight loss might be gradual enough that skin adjusts along with weight loss. For others, the loose skin can be hidden with clothing and compression garments. But when that isn’t enough to manage the problem, plastic surgery might be a logical next step.

The best time to consider plastic surgery in when you are as close to your goal weight as possible and are weight stable. Surgeons often recommend waiting at least 18 months before having surgery to remove or reduce excess skin because the more weight you lose, the more excess or saggy skin you could have.

 The goal of plastic surgery after dramatic weight loss is to restore attractive proportions by removing the sagging skin that creates a misshapen contour. Although these procedures leave scars, most patients find them to be an acceptable tradeoff for an improved appearance.

As with all major decisions, it’s always advisable to consider the positives and negatives:

Pros

  • Gets rid of loose skin so you can fit into your clothes better.
  • Gets rid of overhanging skin that might be causing painful chafing, rashes, and infections.
  • Improves your self-esteem.

Cons

  • Surgery results may not meet your expectations.
  • You will have permanent scarring.
  • Your surgery results may be affected by weight gain, aging, and lifestyle choices.

If you are considering plastic surgery to improve your body contour, these characteristics make you a good candidate:

  • Your weight has been stable for at least six months with no further weight loss expected. 
  • You are in overall good health without chronic medical conditions, such as diabetes or heart disease. 
  • You have a healthy diet; problems such as protein deficiencies can interfere with healing.
  • You do not smoke; smoking slows down the healing process and increases the risk of serious complications during and after surgery. If you smoke, you must quit at least six weeks before surgery.
  • You have mental stamina; surgical contouring procedures require patience and endurance.
  • You have realistic expectations; surgery will lead to marked improvements in your shape, but it is impossible to restore the skin or body to what it would have been without the weight gain. Even after body-contouring surgery, skin continues to sag over time as part of normal aging.

If you are considering bariatric surgery in the Las Vegas area, schedule a consultation at VIPSurg. Our doctors and expert team can help you find the right treatment for your unique situation.

Surgeon, liposuction, body.Overweight, obesity, fat woman, fat belly, hips and excess weight. cellulite, stretching

Stats Don’t Lie: Learn How Bariatric Surgery is Helping Hundreds of Thousands of People Regain Their Health

In the early nineties, fewer than twenty thousand bariatric surgeries were performed in the U.S. each year. Now the number is around two hundred thousand. Only in the past few years has what was once considered a high-risk and extreme measure been transformed into a relatively standard, safe, and straightforward one. There is strong consensus that bariatric surgery is effective, and Medicaid now covers it in forty-eight states. 

Research into conventional weight-loss methods has repeatedly pointed to an overwhelmingly dispiriting conclusion—that diet and exercise alone, no matter how disciplined the individual, fail all too often. Still, only about one per cent of those who medically qualify for bariatric surgery get it. 

Over the centuries, suggested strategies for losing weight have included bitter tonics, bleeding, sea air, amphetamines, Turkish baths, tapeworms, purgatives, low-fat diets, high-fat diets, cinnamon, more sleep, less sleep, and the “vigorous massage of the body with pea-flour.” Surgery is an old idea, too. One of the earliest surgical approaches to weight loss, dating back at least a millennium, was simple: the jaw was wired mostly shut. Another story from pre-anesthesia days tells of a rabbi “being given a sleeping potion and taken into a marble chamber, where his abdomen was opened, and many baskets of fat were removed.”

But the health risks associated with obesity have become apparent—higher rates of stroke and heart disease, Type 2 diabetes, infertility, sleep apnea, osteoarthritis, and an increased risk of certain cancers. In addition, bariatric procedures have improved dramatically. 

Robotic surgery and laparoscopy, which became the norm in the past decade, result in fewer complications like hernias. Physicians now have a better sense of how to prevent and treat the complications of surgery. 

As recently as seventeen years ago, there was a one-per-cent chance of dying from a bariatric procedure—a relatively high risk. Now it is 0.15 percent, which is less than that for a knee replacement, a procedure commonly recommended to people who have developed joint problems from carrying around excessive weight.

Around seventy-five per cent of bariatric patients have sustained weight loss five years after their surgery, and that percentage is higher if you don’t include lap-band patients in the analysis. Weight loss through diet and exercise rarely leads to more than short-term changes—a quite small percentage of patients see sustained weight loss. 

Today, obesity is second only to tobacco as a killer in this country. If you live in the Las Vegas area and are seeking long-term weight loss and health benefits, schedule an appointment at VIPSurg. We will help you find the best treatment for your unique situation.

Doctor examining  patient obesity on light background