In the last 3 years, the amount of patients that have undergone massive weight loss has increased dramatically. This has required us to attend more training courses and develop and design more operational techniques for these types of patients.
We have been able to perform in a single patient: face lift, breast lift, armpit & upper back resection J incision, brachioplasty (arm reduction), extended tummy tuck, vertical tummy tuck, Brazilian butt lift, inner thigh lift and outer thigh lift.
The reality for most patients is that no matter how aggressive the removal of skin is in each procedure, there will always be more skin due to the fact that skin is an elastic organ. We always try to stage the procedures, and rarely perform more than 2 to 3 procedures at the time. The most important thing is to have a patient in good health. Blood work, EKG, and preoperative evaluation are mandatory. Also, it is very important to stop any blood thinners such as: Aspirin, Multivitamins, Vitamin E, Motrin, Ibuprofen, and supplements with Ginkgo Biloba, Ginseng, and Green Tea. These blood thinners must be stopped for at least 3 to 4 weeks (longer the better).
It is also very important to start a high protein diet for at least 4 weeks prior to surgery. This will help the patient be in better condition for the wound healing process. The procedures we offer to post bariatric patients are: face lift, breast lift, breast augmentation or breast reduction, armpit and upper back with a J resection from the back of the armpit to the inframammary crease (procedure designed by Dr. Manuel Gutierrez), full arm reduction from elbow to armpit, mini arm reduction only in the armpit, tummy tuck, extended tummy tuck, vertical tummy tuck, Brazilian butt lift, inner thigh lift, outer thigh lift, butt implants, genital reconstruction & vaginal reconstruction.
“The patient’s priority is first.” The procedure will be staged according to the patient’s need and priorities. We like to begin with the breasts and tummy, continue with the face, arms, and thighs, then finish with the butt and upper back. We like to wait 1 to 2 months in between surgeries, and 6 months if it is in the same area. It is also important to make sure the patient has a good protein intake. Ideal patients have been able to maintain a healthy stable weight for at least 6 months at their recommended BMI.