.--Plastic Surgery: Body Lift

The abdomen is usually of greatest concern to individuals following massive weight loss. In both men and women, excess fat is stored both in the abdomen and beneath the skin of the abdominal wall. Consequently, following weight loss, there tends to be both excess abdominal wall skin and loose muscles. In addition to the aesthetic concerns, the abdomen often presents as a functional problem following weight loss. Large amounts of hanging skin along the lower abdomen can lead to the collection of moisture between the skin folds resulting in a condition called intertriginous dermatitis. The skin is often irritated, red and painful. On occasion the skin may breakdown and bleed or even become infected.

Non-surgical means of treating this problem include maintaining the skin folds dry. This can be frustrating and is only a temporary solution to the problem. Fortunately, with proper documentation, insurance companies may recognize this problem and provide coverage for the surgical removal of the excess skin, a procedure called panniculectomy.

Panniculectomy in the region of the abdomen is also referred to as an abdominoplasty or tummy tuck. The technique usually involves tightening the muscles of the abdomen and removing excess skin as well. Addressing the excess skin of the abdomen is often very satisfactory following pregnancy but is usually inadequate following massive weight loss. As mentioned earlier, weight loss following bariatric procedures is generalized; consequently, excess skin is not just confined to the abdomen but involves the thighs and buttocks as well.

For these reasons, Dr. Joseph Capella almost exclusively performs a procedure called a body lift on weight loss patients. The operation involves an abdominoplasty, thigh and buttock lift all at one time. The operation very effectively addresses loose skin and cellulite along the thighs and buttocks as well as the abdomen. Patients are often exhilarated just to learn that such an operation exists. While the scar is lengthy, it is confined to the waistline and is hidden by conventional underwear, panties or a bikini. Both men and women find the operation very rewarding.


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