With massive weight loss, in a short period of time, sufferers are sometimes left with a significant quantity of extra skin. Because of the speedy weight loss, the affected person’s pores and skin does not “bounce again” adequately, resulting in a large number of problems together with issues with moisture, skin break down, hygiene and physique image issues (aesthetic issues). This extra pores and skin stays a reminder of the person’s previous problem with obesity and limits the patient’s satisfaction with the weight loss he/she has achieved. Although sufferers are often more than happy with the advance in their medical points (resembling diabetes and high blood pressure) achieved after weight reduction, they are still not completely satisfied after they look within the mirror. Plastic surgical procedures after weight loss could help the affected person achieve their objectives and significantly enhance their self-image. It is important to work with a plastic surgeon with in depth expertise as a consequence of the fact that therapy of the post-bariatric surgical procedure affected person is exclusive in that the affected person’s pores and skin elasticity has been permanently decreased, potentially leading to faster recurrence of a few of the patient’s presenting complaints. Dr. Pousti has helped many patient’s in this situation.

As patients lose weight, their face and neck pores and skin often present signs of weight loss typically associated with aging. They could discover unfastened pores and skin of the eyelids, decrease face (jowl) or neck area. Face and neck lifting surgery assist eradicate free pores and skin and the underlying muscle and fatty tissue. The re-suspension of the tissues helps rejuvenate the face and neck area.

Many patients complain of “empty, droopy, saggy” breasts after weight reduction – in truth, sufferers often say that they had been happier with their breasts earlier than weight loss than after (just like some sufferers are happier with their breast throughout pregnancy than after). Most sufferers after massive weight reduction, profit from breast augmentation (saline or silicone gel breast implants) together with breast lifting (mastopexy) surgery. The mastopexy operation serves to boost the nipple-areola complexes greater on the chest wall (by removing redundant or free skin) whereas the breast augmentation serves to increase fullness of the breasts especially along the superior pole of the breasts. Usually, after vital weight reduction, each breast implants and breast lifting are required for optimal results.

Saline Implants
Saline implants have a silicone rubber shell that’s inflated to the specified size with sterile saline. The implants are placed under the pectoralis muscle deflated and subsequently, the incision used for this sort of implant is minimal. These implants can be overfilled to realize a more rounded appearance.

Saline implants have some advantages over silicone implants. Silicone implant ruptures are more durable to detect. When saline implants rupture, they deflate and the outcomes are seen almost immediately. When silicone implants rupture, the breast usually appears and feels the identical as a result of the silicone gel may leak into surrounding areas of the breast without a seen difference. Patients might have an MRI to diagnose a silicone gel rupture. Saline implants are also cheaper than the silicone gel implants.

Silicone Implants
Silicone implants have a silicone rubber shell that’s crammed with a fixed amount of silicone gel. Most silicone gel-stuffed implants should not adjustable and due to this fact, the incision used to place the silicone gel implant is bigger than the incision needed for saline implants. The silicone gel implant can’t be overfilled – it comes in an actual size that can not be manipulated. Silicone implants differ in shell floor (clean/textured), form, profile, quantity, shell thickness, and variety of shell lumens.

Some surgeons feel that silicone implants have a extra pure look and feel than saline implants because silicone gel has a texture that’s similar to breast tissue. Every affected person differs in the quantity of breast tissue that they have. If a patient has enough breast tissue to cowl the implant, the ultimate result will be comparable when comparing saline implants versus silicone gel implants. If a affected person has very low body fat and/or little or no breast tissue, the silicone gel implants could present a more natural result.

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