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Cirugía Plástica - MORBID OBESITY

MORBID
OBESITY

Cosmetic Surgery /

MORBID OBESITY

Patients with morbid obesity who undergo bariatric surgery can lose between 30 and 50% of their initial weight.
 
Once the ideal weight is reached, the skin retracts, but not proportionally to the weight lost and hanging folds will appear all over the body, especially on the abdomen, buttocks, or arms. To eliminate all of this excess skin there are several procedures such as abdominoplasty, mastopexy, arm lifting, and lifting the inside of the thighs that must be performed in different operations. Although some of these procedures can overlap depending of the patient and his or her constitution.
 
The star of these procedures is “bodylift” which is performed with a circular incision at the waist, correcting the excess of skin on the abdomen, saddle bags and buttocks all in one procedure, with the possibility of filling in the buttocks with tissue to lift them even further.

At the surgeon's office

During the initial visit the patient will be evaluated by the medical team to check his or her general state, the accumulation of fat on his or her body, and skin tone.
 
Mutual sincerity between the patient and the surgeon is very important, as well as being able to frankly discuss expectations, so the surgeon explains the options and the possibilities for your specific case without deception or false promises.
 
In some patients it may be necessary to associate the procedure with liposuction that will improve the body's silhouette in a more harmonious way. During the visit we will also explain in complete detail the kind of anesthesia that will be used, the amount of time the procedure will take, how long you will need to stay in the hospital, the visits and examinations that will be performed in the surgeon's office, as well as the postoperative process, and finally the cost of surgery to treat morbid obesity.

  • Length of procedures

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    The day of the procedure you will stay at the hospital, and a person from our team will be waiting for you to lead you to your room. You will go into the operating room, where you will treated by the doctor in a private setting. In this room surgical marking will be performed, and you will be given a sedative so that you go into the operation in a more relaxed state.
     
    The length of operations is variable:

    Dr. Paloma Dermolipectomy (abdomen surgery): 2 to 3 and a half hours
    Dr. Paloma Thight lifting: 2 to 3 hours
    Dr. Paloma Brachioplasty (arm lifting): 2 to 3 hours
    Dr. Paloma Mastopexy (breast lifting): 1 to 2 hours
    Dr. Paloma Ginecomasty: 1 hour

    Once the operation is finished you will go into a recovery room where you will be supervised by an anesthetist and taken care of by a nurse until they feel you are ready to be moved to your room.
     
    You will be able to begin food intake gradually 6 to 8 hours after the operation.
     
    You will be able to leave the hospital within 24 to 48 hours depending on the procedure used to treat morbid obesity.

  • After the procedure

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    You will have to wear a compressing bandage (binder) for one month.
     
    After 24-48 hours you will be able to take a shower. Relative rest is advisable during at least 3 weeks. The postoperative examinations will be weekly during the first month, after that we will carry out examinations 2 months, 6 months, and one year later. This does not exclude the fact that the patient can visit us at any time.
     
    Patients will be treated with antibiotics for one week, and they must take anti-inflammatory drugs and analgesics to make the pain more bearable.

  • Results

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    During the first few days you may notice discomfort and pain that will be controlled completely with prescribed medication.
     
    Depending on the procedure you have undergone, you will be able to go back to your usual activities within 15 to 20 days, but you should not carry out strenuous physical activity until one month after surgery. The scars will be noticeable during the first 3 to 5 months, they will be red wine-colored, and will not lighten and flatten out until 9 to 12 months after the procedure.
     
    The possible complications that should be mentioned are bruises, seromas, infections, and tissue necrosis that must be evaluated and corrected after the operation.