Excess Skin Removal Surgery in Valencia & Alicante

Excess skin removal surgery after massive weight loss

Bariatric surgery is performed in people with great excess body weight, when diet and exercise have not worked and the patient has serious health problems due to his or her weight.

Bariatric surgery consists of surgical procedures such as stomach reduction, gastric bypass, gastric sleeve…. to treat obesity, whose objective is a large decrease in the patient’s body weight, in order to improve their quality of life and minimize the risk of diseases derived from obesity.

Weight loss, whether through bariatric surgery or diet and exercise is truly a life-changing event.

You look and feel better, you feel healthier and more vital.

You are drawn to activities that you have never been able to do before. Sometimes these activities, whether it’s shopping for new clothes, flying in an airplane, or sitting in a movie theater, are a very different experience for you.

Excess skin removal surgery after gastric bypass or gastric sleeve

After gastric bypass surgery or gastric sleeve surgery, patients often face aesthetic problems related to the excess skin and loss of elasticity in various areas of the body, such as the abdomen, arms, thighs and chest.

This situation can generate discomfort and affect self-esteem.

Cosmetic surgery offers effective solutions through procedures such as abdominoplasty, arm and thigh lifts, and mastopexy, which remove excess skin, improve body contours and contribute to a firmer, more toned appearance, helping patients feel better about their new body image.

While most of the changes that accompany weight loss are positive, excess loose skin is a major concern for you. Sagging skin affects both your comfort and self-confidence, and ends up being a daily reminder of your former state.

What is post-bariatric or post-obesity surgery?

Post bariatric surgery is a form of reconstructive surgery and is performed for to tighten the tissues and eliminate excess skin.

The objective pursued is both at a physical level, to improve the aesthetic appearance of those areas of the patient’s anatomy that have been affected by massive weight loss, and at a psychological and emotional level as it helps you regain confidence and self-esteem.

Who may need excess skin removal surgery?

Predicting who is going to have problems with skin sagging, or excess loose skin after weight loss, is difficult to determine.

However, the vast majority of patients who suffer from very evident excess weight, and undergo obesity surgery, will suffer from excess loose and sagging skin.

The way your body looks, i.e. the appearance of your body contour after massive weight loss, is directly related to your skin’s ability to retract (shrink, adapt) over your new figure.

This ability of the skin to adapt is known as elasticity.

• The more elastic your skin is, the better it will be able to adjust to your new body shape.
• In general, the skin on the regions of your body that are more stretched due to excess fat accumulated in the area tends to be less elastic.
• Elasticity also decreases with age, sun exposure and smoking, and is affected by genetic factors.

The other part of the equation is how much weight you are losing in each of the different parts of your body.

If you have most of your excess weight in the abdominal area, and that part of your body has also suffered most of the weight loss, then the skin in that region should contract more.

Symptoms treated with excess skin removal surgery

Almost every part of the body can be affected by sagging skin after weight loss.

The area of most concern is usually the abdomen.

A hanging apron, called a pannus, can cause a fold of skin on the front of the abdomen.

• In addition to preventing clothing from fitting properlypannus can cause symptoms of rash and skin irritation. rash and skin irritation. These symptoms tend to be worse in hot weather.
• An extremely large and heavy hanging skirt can interfere with exercise and even normal activities, as well as cause lower back pain problems. lower back pain.
• Less commonly it can lead to chronic infections in the area.

While the abdominal area is the body area that causes the most concern due to excess hanging skin, rashes and irritation can also occur in other body areas, such as in the skin folds under the breasts, on the thighs or on the back.

Excess loose or sagging skin on the upper arms and groin can be bothersome for many patients.

Skin eruptions are less common in these areas, but sagging skin can cause discomfort during physical activity and embarrassment, especially in young women.

When is the right time to consider post bariatric plastic surgery?

The best time to consider plastic surgery is when you have reached a stable weight as close as possible to your target weight.

This usually occurs 12 to 18 months after 12 to 18 months after gastric bypass or gastric banding after gastric bypass or gastric banding surgery.

We prefer patients to have a stable weight for stable weight for 3 months before undergoing surgery.

There are several reasons for this time.

• First, your body is in a negative nutritional balance during rapid weight loss, so it is not in the best condition to heal new surgical wounds.
• Second, the risk of complications from surgery decreases as body mass index (BMI) decreases.
• Third, the aesthetic results of surgery tend to get better as you get closer to your goal weight.

In fact, we can offer you safer surgical options if you are close to your goal weight than if your BMI remains high.

What if you have reached a plateau and have stabilized your weight well above your target weight?

This is a common problem and Dr. Antolin recommends making an effort to continue to lose weight before having plastic surgery.

However, most of the time it is not realistic that the patient will continue to lose weight significantly in the short term and the patient may become demoralized.

However, after post-bariatric surgery, the patient feels lighter, more agile and, above all, motivated. lighter, more agile, and above all, motivated to follow a healthier to follow a healthier lifestyle, exercise, and gain muscle mass.

Recommendations before excess skin removal surgery

Having a healthy and stable weight helps prepare you for plastic surgery, but good nutrition is vital to maintain that weight in the long term and to recover properly.

• Make sure you are consuming enough protein (your body needs it to recover from surgery) and that you are taking the supplements recommended by your bariatric surgeon.
• If you have recurrent vomiting, schedule a follow-up consultation with your bariatric surgeon.
• A good exercise program is another useful factor that will tone your muscles. This leads to better results after surgery, and contributes to long-term weight loss success.
• If you smoke cigarettes, stop smoking at least one month before your surgery date. Not only will you feel better, but you will significantly decrease the chances of having complications from the surgery. We do not operate on active smokers.
• If you take herbal medications, please inform us and stop taking them at least two weeks prior to surgery. Many herbal remedies have the potential to be dangerous, as they can cause interactions with anesthesia medications.
• Make sure that now is the right time for surgery. You will need adequate time off work, so you can have a smooth recovery.

Keys to successful post bariatric plastic surgery

It is about understand your own goals and expectations.

What parts of your body really bother you the most?

Do they bother you enough to undergo surgery?

Can you tell me the parts that bother you in order of priority?

What do you want to achieve in each of the body areas to be satisfied with the results?

Think about these things before you come to the office.

The more I know what your priorities are, the more and better I can help you.

Selecting a surgeon

Plastic surgery after weight loss requires special expertise.

You are looking for a surgeon who has a special interest in helping weight loss patients, who has demonstrable experience with these demonstrable experience with these procedures, and above allprocedures, and above all, who empathizes with you, listens to you, understands your problems and your prioritiesand gives you personalized and realistic information about your problem, the therapeutic options and the results.

In our office and with our team you will find a warm, human, respectful and motivated environment to put our knowledge and experience at your service.

Patient testimonials after excess skin removal surgery

The 1st consultation for excess skin removal surgery

In the 1st consultation you will receive a complete evaluation by Dr. Antolin.

• We will take a detailed medical history, look at your weight loss, calculate your current body mass index or BMI and evaluate your nutritional status.
• Dr. Antolin will carefully review your medical history and perform a physical examination, and discuss your priorities and the goals you wish to achieve.
• Dr. Antolin will inform you about the surgical options available and most appropriate to remove excess skin in the areas of the body that concern you.
• If you are considering surgery on more than one area of the body, we will advise you on whether it is safe to do this in a single procedure, or whether it is better to perform several surgical procedures in stages.
• We will take photographs, which we will use to plan the operations, provide documentation for the insurance companies, and be able to compare the results once the intervention has been performed.

Scars after excess skin removal surgery

There is a simple rule of body contouring surgery: you cannot remove excess skin without having a scar.

• Scars can be long in extent and are permanent.
• They tend to fade with time and a proper postoperative and recovery process; but even though we always make the incisions in inconspicuous areas, they will always be there.
• In most procedures, we hide scars in places that are covered by clothing, such as along the waistline.
• We will leave the scars strategically placed, so that they are as inconspicuous as possible in most positions and viewing points.
• The final appearance of the scar is determined both by your body’s natural healing process, which is different from person to person, and by your compliance with the postoperative and recovery guidelines that Dr. Antolin will give you.
• Some people have thicker scars, while others have thinner scars.
• Dr. Antolin can help you predict the quality of your scars, based on any scars you may have and your skin type, and will prescribe the therapeutic options available to improve the appearance of these scars.

Therefore you have to ask yourself

“Am I willing to exchange the excess skin and sagging in the upper arm for a scar even if it is inconspicuous?” If the answer is clearly yes, then you are probably satisfied with the operation.

Excess skin removal surgery procedures after weight loss

Abdominoplasty for excess skin removal after gastric bypass

This is the most common procedure performed after weight loss.

Abdominoplasty can be of various types, ranging from the simple removal of the elimination of the skirt of excess skin, or pannusor pannus, to complete the contour of the abdomen, with stretching of the abdominal stretching of the abdominal muscles y moving the navel to a new position.

• The scar is usually placed in the lower part along the waist and around the navel. The navel is not always preserved in patients who have lost weight, but it has no real purpose once you are born anyway.
• The choice of the type of mini, full or circumferential abdominoplasty may be influenced by your current weight and medical condition.
• The procedure is performed under general anesthesia and lasts between 2 and 4 hours.
• You will spend a night or two in the hospital.
• We place drainage tubes that are placed during surgery to drain the fluid from the operated area. These remain in place for a week, and need to be emptied at home twice a day. We will remove them in the office when the amount of drainage is below a certain amount.
• We advise patients to avoid lifting objects heavier than 5 kilos after surgery.
• Patients who do office work can return to office work in as little as two weeks.

Abdominoplasty before and after photos

Liposuction combined with excess skin removal surgery

Liposuction is a technique that uses hollow cannulas or suction tubes to remove stubborn fat deposits. remove stubborn fat deposits in specific areas of our anatomy.

The body areas where it is most frequently performed are the abdomen, back, buttocks, knees, ankles and neck.

• The cannulas are narrow and are introduced through small incisions, which after recovery are totally imperceptible.
• Liposuction is rarely used as a single procedure in patients who have lost a lot of weight, because it does nothing to tighten the skin .
• In fact, the removal of fat from underneath sagging, inelastic skin flaps only worsens the loose skin.
• Combined liposuction and abdominoplasty is a very common surgical technique in patients who have lost a large amount of weight, as it allows a very visible improvement of the body contour.

Body lift as excess skin removal surgery after bariatric surgery

Patients who have suffered a very significant weight loss (50 kg or more), as a consequence of obesity surgery or diet and exercise, have a large excess of loose skin on the abdomen, thighs, buttocks and lower back.

• The body lift is a procedure that redefines the body contour, eliminating localized fat deposits and excess skin.
• The full body lift involves the lower abdomen, hips, lower back and buttocks, making it possible to lift the buttocks and outer thighs.
• Body lifts are performed under general anesthesia with a 1-2 night stay in the hospital.
• The duration of the surgery varieswidely depending on how many procedures are performed, with the usual duration being 3 to 4 hours.

For the reduction of this excess skin and fat in such a large area, it may be a good idea to do it in several surgeries.

Dr. Antolin will recommend the best option for your personal case in order to achieve the desired objectives and results, safely and with the least possible risks and complications.

Thigh lift for excess skin removal after gastric bypass

The thigh lift, crural or cruroplasty, treats the flaccidity of the legs, eliminating the excess of flaccid skin in the thighs. flaccid skin in the thighs and the deposits of persistent fat on the inside of the legs.

In this way we manage to improve the contour of the leg and eliminate the discomfort and functional problems caused by these excesses.

• The thigh lift procedure lasts approximately 2 hours.
• It is always performed under regional or general anesthesia and with a 1-day hospital stay.
• The surgical procedure consists of the complete removal of fat content from the inner thighs by means of liposuction.
• Subsequently, we removed an ellipse of skin and reshaped the inner thigh, leaving it more aesthetic, taut and proportionate. thigh, leaving it more aesthetic, taut and proportionate.In this way we preserve the lymphatic and venous vessels and the nerves so important in this area.

Leg lift, cruroplasty or thigh reduction surgery is often combined with other procedures such as buttock lift and/or liposuction in other areas of the leg such as buttocks, inner thighs, infragluteal folds, buttocks, etc.

Combinations to remove excess skin and fat in the thigh and buttock area are diverse and can be performed with a variety of surgical procedures, which are tailored to each patient’s circumstances and goals.

Thigh lift before and after

Arm lift for excess skin removal after weight loss

With the brachial (arm) lift, we perform a tightening of the skin on the inner side of the arms, eliminating the excess skin that remains after significant weight loss.

• The procedure is performed under general anesthesia and lasts approximately 2 hours.
• First, the excess fat that remains on the inner arm is removed by liposuction.
• Immediately afterwards, we remove the ellipse of excess skin, thus preserving the lymphatic and venous vessels and nerves that are so important in this area.
• The incision is made on the inner side of the arm and therefore the scar is barely visible.
• You will stay 1 night in the hospital.
• The results are a slimmer, sleeker and more beautiful arm, as well as improved functionality and mobility . functionality and mobility.

Arm lift before and after

Breast reshaping after excess skin removal surgery

The surgical possibilities to achieve a breast reshaping after a post-bariatric surgery can be several, but all of them have as a common goal of achieve a better size and proportion.

Breast reduction

• Reduction mammoplasty removes skin and breast tissue while moving the nipple to a higher position.
• The scars are usually placed around the nipple, directly on the underside of the breast, and in the crease of the breast. The scars are all on the underside of the breast and cannot be seen when covered with a bra or bathing suit.

Breast reduction before and after

Mastopexy – Breast Lift

• Similar in many ways to breast reduction, it involves a similar pattern of scarring, but only removes the skin and preserves the existing breast tissue, which is repositioned and reshaped to achieve a rounder, tapered and more achieve a more rounded, tapered and projected breast.
• Women with very little breast tissue may need breast implants to achieve a larger cup size.

Breast reduction and breast lift operations after weight loss result in greater comfort and greatly improved body aesthetics. comfort and a great improvement in body aesthetics.

Mastopexy – Breast lift before and after

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