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.

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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.

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Life After Bariatric Surgery

For many who think weight-loss surgery may be the only way to be healthy and live longer, the fear of how life might be after the procedure keeps them from taking life-saving measures. Be informed so that you can make educated decisions about your health. These facts can help you on the way to knowing what’s best for you and give you a glimpse into what one can usually expect after surgery.

Your recovery will depend on which procedure you choose (gastric sleeve, gastric bypass, lap-band, and duodenal switch surgery). For example:

  • Average Hospital Stay: Ranges from outpatient (return home same-day) to 2-3 days
  • Average Time Until Back to Work: Ranges from 3 days to 2 weeks
  • Average Time to Full Recovery: Ranges from 3 days to 6 weeks
  • Pain: Ranges from mild discomfort to manageable with pain medication
  • Diet: Ranges from a few limited foods to a strict and slow transition from clear liquids to solid foods
  • Back-to-Normal Activity: Ranges from 3 days to 4-6 weeks

Life after weight loss surgery includes (depending on your chosen procedure):

  • Full recovery in 1 to 6 weeks
  • Excess weight loss between 25% and 90+%
  • Many obesity-related health problems cured or improved
  • Significant diet and exercise changes
  • Good and bad changes in how friends, family, and strangers treat you
  • Challenges such as sagging skin, digestion issues, and weight regain

Improvements to your physical health can be as impressive as your rapid weight loss family-eating-at-the-table-619142_1920after bariatric surgery. Conditions such as Type 2 Diabetes, high blood pressure, GERD, and other issues related to metabolic syndrome have been shown to get better or completely go away following gastric sleeve, gastric bypass, lap-band, and duodenal switch surgery.

It is important to emphasize making healthy food and lifestyle choices even before weight-loss surgical procedures. Bariatric surgery is a tool. Use it to make changes for a long, healthy, productive, and happy life.

If you live in the Las Vegas area and are considering bariatric surgery, schedule an appointment at VIPSurg. Our team can help find the perfect treatment for you!

Weight-Loss Methods to Avoid

We live in a society today where everyone wants to stay trim and thin. Unfortunately, fighting off the bulge can range from following a sensible and healthy diet to making ill-guided efforts that can have serious consequences for your health. With more than half the American population considered overweight, everyone is looking for a magic trick to make tummies trimmer and thighs smaller. Unfortunately, there is no easy, quick fix.

Here are a few weight-loss methods you should avoid at all costs because they could cause serious health problems, and they won’t be the magic solution you desire:

  • All Forms of Purging — Purging includes making yourself vomit, chewing food and spitting it out, and abusing laxatives. These habits pose serious health issues and are the first step towards the development of eating disorders. Extremely acidic vomit can cause erosion in the esophagus, mouth, and tooth enamel. This can increase the risk of certain cancers and tooth decay.

Over-the-counter laxatives have become popular for those who want to lose weight     fast. The theory is that the laxative will accelerate the movement of food through the   digestive tract, giving your body less time to absorb high or low calories in the food you eat. Laxatives don’t do this. By the time food waste reaches the colon, the body has gotten all the nutrients from it, so you simply end up eliminating your food waste faster. A side effect of laxative use is dehydration, so you may shed some water weight when using a laxative. Other side effects also include nausea, mental fogginess, muscle weakness, even death.

  • Starvation, Fasting, or Very Low-Calorie Diets — Just like cutting out certain food groups, fasting does more harm than good if you are attempting to lose weight. Long term starvation tells your body to hold on to as much of the energy and fat reserves that is must survive—not to mention the lack of food can lead to extremely unpleasant side effects.

Fasting may lead to weight loss, but the lost weight includes precious muscle and lowers metabolism. Drastic calorie restriction also causes a shift towards a higher percentage of body fat, which increases the risk for metabolic syndrome and type 2 diabetes.

Skipping even a single meal can lead to nausea, headaches, and fatigue. The hunger from fasting can also lead to dangerous binge eating later, which can set you back in your weight loss goals.

The best tactic is to choose a diet that works well for your lifestyle. The best diet is one that you can stick to long-term. Use common sense, listen to your body, be mindful of what you eat, and ignore expensive, risky, and worthless weight-loss strategies or products that are unproven.

If you live in the Las Vegas area and are looking for treatments for extreme obesity, schedule a consultation at VIPSurg. Drs. Tsuda and Ryan can help you find the right treatment for your unique situation.

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Bariatric Surgery and Adolescents: Weighing the Risks Against the Benefits

The number of adolescents who are overweight or obese has leveled off in recent years, but unfortunately, the number who are severely obese — heavy enough to qualify for bariatric surgery — nearly doubled from 1999 to 2014. As a result, more doctors and parents are facing an extremely difficult dilemma: Should morbidly obese teenagers have bariatric surgery?

While surgery is the only thing that seems to work for these kids, the idea of weight-loss surgery for teens fills many parents and doctors with trepidation because we must weigh the benefits against the potential problems. Which is worse, risks from surgery or the likelihood of serious health risks from remaining obese?

An estimated three to four million adolescents are heavy enough to meet the criteria for bariatric surgery, but only about 1,000 teenagers per year undergo the surgery. Some medical centers will not perform it on teenagers, and many pediatricians never mention it to their heavy patients.

Obesity carries serious health risks in teenagers — including type 2 diabetes, high blood pressure, sleep apnea, acid reflux, fatty liver and high cholesterol levels — that tend to be eased by surgery. Other health problems associated with obesity in teens include asthma, polycystic ovarian syndrome, and skin fungal infections.

Added to that are social and mental health problems, including isolation and depression. Obesity in teens is associated with significant mental and physical challenges.

According to the Surgeon General, overweight adolescents have a 70% chance of becoming overweight or obese adults. The likelihood increases to 80% if one or both parents are overweight or obese.

In the past, teenagers had two options:

  1. Lose weight by changing diet and exercise habits
  2. Live with current and future consequences of obesity

While the first option is ideal, unfortunately it is not effective for as many as 70% of teens who try it. However, as advances in weight loss surgery for adults have reduced complication and mortality rates, more teens – and their doctors – have begun exploring surgery as a valid option.

If you’d like to learn more about bariatric surgery options and if it might be right for you, contact us for a consultation. Visit https://bit.ly/2GePjXn for contact options and information.

Fat Boy, Healthy and lose weight concept

Benefits of Robotic Surgery

Technology is changing the way we do practically everything now, and the medical world isn’t immune. The da Vinci robot is changing the way surgeons are performing operations and is providing benefits to both patients and doctors.

While the surgeon sits at a modified computer console, he/she can control the instruments and camera. Placing their fingers into the master controls, the surgeon operates the arms of the da Vinci robot while simultaneously looking through a stereoscopic high-definition monitor that gives a better, more detailed 3-D view of the operating site than the human eye can provide. Every movement he makes with the master controls is replicated precisely by the robot. The robot’s “hands” have a high degree of dexterity, allowing surgeons the ability to operate in very tight spaces in the body that would otherwise only be accessible through open (long incision) surgery.

Using the da Vinci robot allows surgeons to perform a growing number of surgical procedures. Since these surgeries can be done through very small incisions, patients experience many benefits compared to open surgery, including:

  • Less trauma on the body
  • Shorter hospitalization
  • Reduced pain and discomfort
  • Faster recovery time and return to normal activities
  • Smaller incisions, resulting in reduced risk of infection
  • Reduced blood loss and transfusions
  • Minimal scarring

The surgical team supervises the robot at the patient’s bedside. Unlike traditional surgery where the surgeon stands over the patient sometimes for hours, a surgeon using the da Vinci system is seated, substantially decreasing surgeon fatigue. Add in the greater visualization abilities, enhanced dexterity, and greater precision and there are major advantages for both patients and surgeons using robotic surgery alike.

Dr. Tsuda and Dr. Ryan at VIPSurg are expert robotic surgeons. Call 702-487-6000 to schedule a consultation.

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Bariatric Surgery: Busting the Myths and Misconceptions

Weight-loss surgery is a potentially life-saving procedure that helps you lose a substantial amount of weight by shrinking the size of your stomach and reducing food intake. Gastric bypass, lap band, and gastric sleeve are the three most recognizable names in bariatric surgery, but there are also a variety of other options thanks to continued medical advancements. Still, there remains a significant portion of the morbidly obese population who are unwilling to consider treatment for a variety of reasons; unfortunately, their reasons are often based on misconceptions or myths related to bariatric procedures.

Let’s bust 3 common weight-loss surgery myths:

Myth: Most bariatric surgery patients regain most if not all of their lost weight.Truth Vs Myth Bowling Facts Investigating Busting Untruth

Truth: Although some weight-loss surgery patients regain weight after their procedure, it’s not the norm. According to the American Society for Metabolic and Bariatric Surgery, up to 50% of patients may regain a small amount of weight in the years after surgery, but it usually only amounts to 5% of weight lost. Most patients embrace the life-changing effects of weight-loss surgery by improving their diets and habits.

Myth: The risks of weight-loss surgery outweigh the risks of obesity.

Truth: Weight-loss surgery is a quite safe procedure. Studies show that bariatric surgery patients reduce their mortality rates by up to 89% compared with severely obese people who avoid treatment.

Obesity is a disease linked with a number of serious health conditions including heart disease, stroke, diabetes, high blood pressure, and cancer. The National Institutes of Health lists obesity as the second leading cause of preventable death in the United States.

Myth: Weight-loss surgery is nothing more than a cop out for people who are too lazy to diet and exercise.

Truth: Those affected by severe obesity are resistant to long-term weight loss by diet and exercise. The National Institutes of Health Experts Panel recognizes that sustained weight loss is nearly impossible for those affected by severe obesity and may only be achievable through bariatric surgery. Diet, exercise, and lifestyle changes are part of treatment, but in order to shed the necessary amount of weight to make a life-changing, healthful impact, bariatric surgery may be the best option.

If you are struggling with severe obesity and are considering surgery, schedule a consultation at VIPSurg. Our team of experts will look at your personal situation and help find the right treatment for you.