Post-bariatric surgery after losing a lot of weight

What does post-bariatric surgery aim to solve?

Surgery can treat excess skin and tissue in different areas and, depending on the case, improve contour and some functional complaints: folds that get irritated, clothes that don't fit, movements that are uncomfortable.

It does not replace the medical or nutritional follow-up of your weight loss, and it does not mean every area has to be operated on. Some people consult about a single area, and that is enough.

Why is it planned in stages?

When the changes are significant in several areas, it is not always wise to treat them all at once. I put safety first: in the consultation we assess your history, general condition, weight stability, nutrition, likely scars and which area matters most in your daily life.

My key question is always the same: what bothers you the most? That answer sets the order. I usually group the central area (breasts and arms) and the lower area (abdomen and legs), but each case defines its own sequence.

Which areas can be evaluated?

• Abdomen: dermolipectomy, abdominoplasty, circumferential (360) or fleur-de-lis approaches, depending on how the excess skin is distributed and the condition of the abdominal wall.
• Arms: brachioplasty when there is excess skin and tissue that cannot be solved by treating fat alone.
• Breasts: mastopexy, reduction or other techniques, with or without implants, depending on the tissue and what each patient is looking for.
• Other areas: thighs, flanks and pubis when there is a specific indication.

What should be discussed before surgery?

The real scope of the operation, the scars, recovery times, risks, aftercare and the possibility that further stages will be needed. For me that conversation is part of the treatment, not a formality before the operating room.

The procedures, one by one

On the home page I describe each procedure and when I propose it: abdominal and 360 dermolipectomy, 360 liposculpture, post-bariatric abdominoplasty, mastopexy with and without implants, brachioplasty and thigh lift. In real cases you can see, with each patient's consent, how they evolve.