Postbariatrik Surgeries

The Post Bariatric surgery is an invasive procedure that comprises all treatments humanly possible to effectively deal with folds of loose and sagging skin and other skin deformities caused by excessive weight loss and/or a stomach reduction surgery of any kind, for or as part of curing obesity. Buckling, bagginess and deformities on the face, breasts, back, abdomen and legs are inevitable after an excess weight loss.

Depending on their severity and level of discomfort they cause in the patient, these baggy and pendulous odds are surgically dealt with, once the patient hits the targeted figures after weight loss, and retains such weight for at least 6 months, through multiple clinical sessions carefully distributed over time. In some case, multiple surgeries can be performed at the same time.

Why it's done

Bariatric surgery is done to help you lose excess weight and reduce your risk of potentially life-threatening weight-related health problems, including:

  • Heart disease and stroke
  • High blood pressure
  • Nonalcoholic fatty liver disease (NAFLD) or nonalcoholic steatohepatitis (NASH)
  • Sleep apnea
  • Type 2 diabetes

Bariatric surgery is typically done only after you've tried to lose weight by improving your diet and exercise habits.

Bariatric surgery isn't for everyone who is severely overweight. You may need to meet certain medical guidelines to qualify for weight-loss surgery. You likely will have an extensive screening process to see if you qualify. You must also be willing to make permanent changes to lead a healthier lifestyle.

You may be required to participate in long-term follow-up plans that include monitoring your nutrition, your lifestyle and behavior, and your medical conditions.

And keep in mind that bariatric surgery is expensive. Check with your health insurance plan or your regional Medicare or Medicaid office to find out if your policy covers such surgery.

Results

Gastric bypass and other bariatric surgeries can provide long-term weight loss. The amount of weight you lose depends on your type of surgery and your change in lifestyle habits. It may be possible to lose half, or even more, of your excess weight within two years.

In addition to weight loss, gastric bypass surgery may improve or resolve conditions often related to being overweight, including:

  • Heart disease
  • High blood pressure
  • Obstructive sleep apnea
  • Type 2 diabetes
  • Nonalcoholic fatty liver disease (NAFLD) or nonalcoholic steatohepatitis (NASH)
  • Gastroesophageal reflux disease (GERD)
  • Osteoarthritis (joint pain)

Gastric bypass surgery can also improve your ability to perform routine daily activities, which could help improve your quality of life.

How you prepare

If you qualify for bariatric surgery, your health care team gives you instructions on how to prepare for your specific type of surgery. You may need to have various lab tests and exams before surgery. You may have restrictions on eating and drinking and which medications you can take. You may be required to start a physical activity program and to stop any tobacco use.

You may also need to prepare by planning ahead for your recovery after surgery. For instance, arrange for help at home if you think you'll need it.

Risks

As with any major procedure, bariatric surgery poses potential health risks, both in the short term and long term.

Risks associated with the surgical procedure can include:

  • Excessive bleeding
  • Infection
  • Adverse reactions to anesthesia
  • Blood clots
  • Lung or breathing problems
  • Leaks in your gastrointestinal system
  • Death (rare)

Longer term risks and complications of weight-loss surgery vary depending on the type of surgery. They can include:

  • Bowel obstruction
  • Dumping syndrome, which leads to diarrhea, flushing, lightheadedness, nausea or vomiting
  • Gallstones
  • Hernias
  • Low blood sugar (hypoglycemia)
  • Malnutrition
  • Ulcers
  • Vomiting
  • Acid reflux
  • The need for a second, or revision, surgery or procedure
  • Death (rare)

During the surgery

Bariatric surgery is done in the hospital using general anesthesia. This means you're unconscious during the procedure.

The specifics of your surgery depend on your individual situation, the type of weight-loss surgery you have, and the hospital's or doctor's practices. Some weight-loss surgeries are done with traditional large, or open, incisions in your abdomen.

Today, most types of bariatric surgery are performed laparoscopically. A laparoscope is a small, tubular instrument with a camera attached. The laparoscope is inserted through small incisions in the abdomen. The tiny camera on the tip of the laparoscope allows the surgeon to see and operate inside your abdomen without making the traditional large incisions. Laparoscopic surgery can make your recovery faster and shorter, but it's not suitable for everyone.

Surgery usually takes several hours. After surgery, you awaken in a recovery room, where medical staff monitors you for any complications. Depending on your procedure, you may need to stay a few days in the hospital.

After bariatric surgery

After weight-loss surgery, you generally won't be allowed to eat for one to two days so that your stomach and digestive system can heal. Then, you'll follow a specific diet for a few weeks. The diet begins with liquids only, then progresses to pureed, very soft foods, and eventually to regular foods. You may have many restrictions or limits on how much and what you can eat and drink.

You'll also have frequent medical checkups to monitor your health in the first several months after weight-loss surgery. You may need laboratory testing, blood work and various exams.

Before - After 

Frequently Asked Questions 

When can I go back to work after surgery?

After surgery, most patients return to work after two to four weeks. Some may be able to work from home as early as one week after surgery. Because of the significantly reduced calorie intake, many patients have low energy for 1-2 weeks after surgery. However, most patients gain their energy back once they start to have soft food.

How bad is the pain after surgery?

Most patients have some pain after surgery. However, the pain is usually just a little bit more than laparoscopic gallbladder surgery. Most patients just need to take oral pain medications for a few days after surgery. The majority of our patients felt that pain was not a major issue during their recovery.

When can I start exercising again after surgery?

As soon as patients totally wake up from anesthesia, we encourage patients to walk. The key is to start slow and listen to your body. If you lift weights or do sports, stay “low impact” for the first month (avoid competition, think participation). If you experience pain or discomfort, stop and relax. Avoid lifting heavy objects for the first 6 weeks. If you swim, your wounds need to be healed over before you get back in the water and always swim slowly at the beginning.

What kind of anesthesia will I have?

The anesthesiologist will meet with you before surgery to talk about your anesthesia. All patients having bariatric surgery will have general anesthesia. This means that you will be completely asleep during your surgery. The anesthesiologist will insert a tube through your mouth to help you breath. Your condition will be monitored closely by the anesthesiologist throughout your surgery.

How long will I have to stay in the hospital?

Most patients will spend two nights in the hospital. For example, if you have surgery on a Monday, you can expect to go home after lunch on Wednesday.

How long before I can return to work?

Some people are able to go back to work two weeks after surgery. You may have to take more time off if you have other health concerns or if your job requires heavy lifting.

Will I need cosmetic surgery?

Most patients do not choose to have cosmetic surgery. Patients are encouraged to exercise and maintain a healthy diet to minimize the need for cosmetic surgery. However, if you choose to have this type of surgery, we can refer you to a skilled plastic surgeon. Most insurance companies will not pay for cosmetic surgery unless it is medically necessary.