360-Degree Body Lift
Bariatric surgery allows morbidly obese patients to lose a significant amount of weight rapidly and is performed by general surgeons. After reaching their ideal weight, these patients often seek solutions for excess sagging skin. Skin sagging can occur almost all over the body, including the arms, abdomen, waist, buttocks, and thighs. Patients who reduce their body mass index (BMI) to 25 or below should consult a plastic surgery specialist to address these concerns. Why do I emphasize this? Because a study conducted in the United States reported that patients who underwent body contouring surgeries after gastric bypass experienced both improved quality of life and less weight regain.
What is done during a 360-degree body lift surgery?
Under general anesthesia, the sagging skin of the abdomen and waist is removed, reshaping the waist and abdomen. An incision is made on the front abdominal wall, placed within the bikini line, and extends around the sides to the back, encompassing the body 360 degrees. This incision allows for the removal of excess skin and the lifting of the sagging buttocks and pubic area. Diastasis (muscle separation) in the abdominal muscles is tightened. The belly button is reconstructed and repositioned. Drains are placed before the surgical incisions are closed.
How should you prepare for a 360-degree body lift surgery?
Before the surgery, you must reach your ideal weight and maintain it for at least 6 months. Smoking should be stopped at least 4 weeks prior to the procedure. In the last 10 days before the surgery, avoid medications and substances that can thin the blood.
- Pain relievers such as Apranax, Voltaren, Vermidon should be avoided (if pain relief is needed, Minoset or Novalgin can be used).
- Multivitamins containing ingredients like Ginseng, Ginkgo Biloba, Co-enzyme Q, as well as green tea, flaxseed, cherry stems, tomato seeds, and all weight-loss products, should be discontinued at least 10 days before the surgery.
What to expect after the surgery?
A tummy tuck is not a highly painful procedure, and postoperative pain is usually managed with standard painkillers. In the first 10 days after the surgery, you will need to lie with your knees bent toward your abdomen and your upper body slightly flexed at the waist. It is recommended to stand and walk on the same day or the day after the surgery, albeit in a bent posture. After 2 weeks, you can walk upright. Additionally, a special compression garment must be worn for 6 weeks post-surgery. You can return to physical activities such as sports 6 weeks after the procedure.
What are the risks?
Choosing to undergo plastic surgery is a personal decision. You should discuss the benefits and risks with your doctor before making your decision. The risks associated with liposuction and body contouring surgeries include anesthesia-related risks, bruising, changes in skin sensation, asymmetries, contour irregularities, swelling, and delayed wound healing. As large amounts of sagging skin are removed, asymmetries may occur after the first surgery, which may require revision surgeries to correct.
Are the results of this surgery permanent?
The results of this surgery can be long-lasting if you maintain a healthy lifestyle. It is essential to continue regular exercise and a balanced diet. If you gain weight, the slim waistline and firm abdominal appearance achieved by the surgery may be compromised.