Weightloss Surgery Plastic Surgeon

What does weightloss surgery plastic surgeon and do I need it? Patients can have trouble with loose skin after losing a lot of weight, whether they did it through dieting or surgery. The amount of extra skin depends on how much weight the person lost, their age, their overall health, and how elastic their skin is. About two-thirds of my female weight loss surgery (WLS) patients and one-third of my male WLS patients ask for reconstructive surgery to remove excess skin. In many cases, these patients have problems like back pain and/or bad posture, rashes in the skin folds between their thighs, and loss of skin integrity. Some patients just think that the extra skin is both a cosmetic and a functional problem.

Recommending reconstructive surgery depends on the problems the patient is having and what the patient wants. Some patients have more trouble with the extra skin than others. For example, women as a group fall into the first group, in part because society is more “forgiving” of men with extra skin than with women.

What Does Weightloss Surgery Plastic Surgeon?

The biggest problem for most patients, though, isn’t whether or not to have reconstructive surgery, but how to pay for it, since many (if not most) insurance companies won’t cover it as a covered benefit. The cost of a tummy tuck doesn’t break the bank, but it can make a huge difference in how your stomach looks. People who have lost a lot of weight can get rid of the physical and mental health problems that come with sagging belly skin.

A tummy tuck, which is called a “abdominoplasty” in medical terms, flattens the stomach in two ways:

  • Tightens the muscles in the stomach
  • Removes hanging skin

There are different ways that plastic surgeons can do a tummy tuck. The Full Tummy Tuck and the Mini Abdominoplasty are two of the most common. Both are usually done under general anesthesia:

Full Tummy Tuck

A full tummy tuck can be broken down into 8 steps. If there are no scars, the surgeon makes a small “rolling” w-shaped cut or a horizontal cut in the lower abdomen. If there is a scar from a C-section, the new scar will replace the old one.

For people who have lost a lot of weight, a vertical cut made from the middle of the lower-abdominal incision and going up is often done. The skin on the belly is pulled up to the bottom of the breast bone (the belly button stays where it is)

The skin has cut away between the belly button and the pubis, which is the part between the hip bones that makes the front arch of the pelvis.

After then, the muscles in the stomach area have sewn together (since they drifted apart with weight gain or pregnancy). The skin has pulled back down, and a cut has made to make room for the belly button. Seroma is less likely to happen when drains have put in place (collection of clear fluid). The wound has closed in two layers: a deep layer of stitches that dissolve and a layer of stitches or Dermabond on the skin.

Mini-Abdominoplasty

The mini abdominoplasty is for people who only want to flatten the area below their belly button. It doesn’t cut around the belly button like a full tummy tuck does, and only a small amount of skin has removed. The first two benefits of an affordable tummy tuck are easy to see: you can get a flatter stomach and save money at the same time. When a person has lost a lot of weight and wants a tummy tuck, the benefits go much further. These are:

  • Get rid of any embarrassment that sagging skin might cause
  • Make things like getting dressed and going to the gym easier and more natural
  • Get rid of health problems like rashes and infections in skin folds

Tummy Tuck Recovery

After a tummy tuck, it takes about a month and a half to fully recover, which means to be back to normal. Most of the time, the surgery won’t keep you in the hospital overnight, so you’ll be able to go home the same day. But some people need to stay in the hospital for one or two nights. Soon after that, usually two to five days after surgery, your abdominal drains will take out.

In the weeks after surgery, when your abdominal muscles are still healing, flexing them could cause them to spasm, which could be painful. Your surgeon can give you painkillers, but you shouldn’t plan on doing much for a few weeks.

After surgery, you shouldn’t lie on your stomach for at least a month. After three weeks, you can do light activities again, and you may be able to start exercising between one and six weeks after surgery.

Charity Care For Weight Loss Plastic Surgery

If you make less than a certain amount of the federal poverty level and don’t have insurance, a hospital near you may be able to help you pay for weight loss surgery on the cheap. For example, people with household incomes up to three times the federal poverty level can get free health care at some hospitals. In addition to meeting income requirements, the surgery must be medically necessary for the hospital to give free care (not cosmetic).

Most of the time, you will need to fill out a financial application, which may include proof of income and other personal information, to find out if you are eligible. Also, the hospital will probably want the doctor who sent them to be on their staff.

If you decide to go this route, keep in mind that your doctor may not be up-to-date on the benefits of bariatric surgery and may need some convincing. If your doctors don’t want to send you to a specialist, you can show them the following studies.

So, if your request for charity care has turned down because you don’t have enough money, don’t give up right away. Even if you don’t have enough money, many hospitals will still work with you to come up with a lower payment based on the information you give them. Go to the hospitals’ websites and search for “charity care” to find out which ones in your area offer free care. If you can’t find their policies on their website, you can call them to find out more.