Weight Loss

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Massive Weight Loss Surgery

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Having successfully battled obesity, these people are now faced with a new challenge- excessive and hanging skin folds of the abdomen, arms, thighs, breasts, and face. Thinking that once they loose their massive weight they will be attractive again, men and women are disappointed and frustrated with unsightly folds of skin which cover their groin like an apron, hang off their arms like bat wings, and wiggles from their legs when trying to jog. It also creates a problem for personal hygiene.



This challenge has led to the development of new ways of body contouring, designed specifically for after massive weight loss. In 2005, 68,000 men and women underwent body contouring after massive weight loss.

After weight loss, almost all patients face multiple problem areas which require multiple surgeries. Before surgery, the patient's health needs to be optimized since many develop anemia or vitamin deficiency after bariatric surgery. Next, the sequence of multiple surgeries needs to be wisely devised with the help of an experienced plastic surgeon who specializes in body contouring following massive weight loss.

The most common post-bariatric body contouring surgery is a tummy tuck or abdominoplasty. These are not standard tummy tucks, but rather extensive or "High Tension" tummy tucks designed to also lift the sagging hips and thighs; while tightening the loose abdominal wall muscles.

A more extensive form of this tummy tuck is call a body lift or belt lipectomy which removes the excess skin of the abdominal fold, as well as that from the back, resulting in a greater lift of the sagging buttocks and the thighs. Panniculectomy is a more specific form of a tummy tuck selected for those with an extremely large, heavy, and hanging abdominal pannus.

Often, obesity results in the over-stretching and the weakening of the abdominal wall, which produces a ventral hernia. This and other types of hernias can also be repaired at the time of a tummy tuck or body lift. The second most common body contouring procedure after massive weight loss is breast lift or breast reduction surgery.

These procedures are not limited to women, since men also develop hanging breast/chest folds after weight loss. In women an Inverted-T or Anchor Mastopexy is used. Often breast implants are added to replenish the lost breast volume. This procedure is at times combined with an upper body lift which removes the excess skin folds of the upper torso which extends to the upper back. Breast reduction surgery after massive weight loss in men has a different aim and design. Its goal is to create a flat and masculine chest.

The third most common body contouring surgery following massive weight loss is brachioplasty. Brachioplasty or arm tuck removes excess hanging skin of the upper arms. In its extended form, it also removes the redundant skin folds of the outer chest and the axilla or the armpit.

The fourth most prevalent post-bariatric plastic surgery procedure is a thigh lift. Thigh lifts address the excess skin folds of the inner or medial thighs, that of the outer or lateral thighs, or that of the entire thigh. It can rather be extensive, extending along the entire length of the thighs and legs.

Finally, the least common plastic surgery procedure performed as a result of massive weight loss is a facelift. This is due to the fact that people gain relatively far less weight in their face than their body.

Therefore, after massive weight loss there is relatively less loose skin of the face, as there would be on the other areas of the body. Never the less, patients can face, hanging neck folds, jowls, and cheeks after weight loss. A variety of facial cosmetic surgeries including neck lift, facelift, mid-face lift, or a forehead lift can address problems associated with sagging facial skin.

In planning for body contouring procedures after massive weight loss special attention has to be given for optimizing safety and minimizing potential complications for these types of procedures that are rather lengthy, complicated, and performed on patients that might have other associated risk factors such as sleep apnea, obesity, diabetes, heart disease, venous insufficiency, malnutrition, etc.

Therefore, these patients need to be medically optimized and cleared by an internist, pulmonologist, or a cardiologist prior to surgery. Furthermore, the surgery facility must be equipped and staffed to provide specialized care for such surgeries, as well as to provide extended post-surgical monitored care.
Massive Weight Loss Surgery
Actually one person even gained a pound. So, I want to explain what the confusion is and what exactly happens when you have that rapid weight loss. You may ask yourself why there were such amazing results the first week and then you saw nothing the second week?

If we just use this show as an example. They saw so much weight loss in the first week because they obviously tell you that they are on a special type of diet, they don't really go into the details of what it is, but I can assume that it's a higher protein, low carb diet. These people are obviously 300/400 lbs because they were eating too much, they were over eating, ingesting thousands and thousands of calories. So, when they got to The Biggest Loser, of course they restricted those calories and put them on a special type of diet.

Glycogen is created from the carbohydrates and starches that you eat. So, for every gram that you store in your body, you also store 3-4 grams of water. If you look at it from the stand point of maybe someone was eating 500 - 700 grams of carbs and they were storing all this glycogen and they cut it to 200 grams of carbs, well you can also cut out about 3-4 grams of water for every one of those carbs you just cut out. And obviously that's weight on the scale.

The metabolism kind of goes into shock when this happens so you lose all that glycogen and the extra grams of water which is weight in the end, and then not to mention they were exercising like crazy which none of them had really done before, so they're going to lose water weight anyway from the amount of perspiration and body changes that are taking place and all the stuff that your body has to do to adapt to that exercise now. Your body will fluctuate 3-4% in body weight weight on a daily basis. If you look at it from the stand point of some of those men are 300-400 pounds, a 3 %- 4 % change could be, 12 pounds in either direction. And obviously women that are 200 lbs or 250 lbs, you're looking at maybe 10 lbs in either direction, 8 lbs in either direction, somewhere in there. Women tend to fluctuate even more then men in regards to water weight on a daily basis just because of the hormone levels. When you saw the weight loss they were getting, such as 15 lbs, 18lbs, I think someone lost 29lbs. Most of that is the initial shift because of eating less carbs, eating less calories as well as just general water weight loss because of the increased activity that they were now doing.

It's very important for people to understand that when you start, you can see these dramatic results but it's permanent lifestyle changes that allow you to have fast, safe permanent weight loss but its permanent in the sense that you can start by taking off 15 - up to 15lbs in 30 days, but things are going to level off, and you have to make behavioral changes, you have to change your life. There are no quick fixes for anything.

If you go to the extreme and say, and again we don't know exactly what diet The Biggest Loser people are on, but a lot of people go on what they call, a true low carb diet, and a true low carb diet is, maybe 30 grams of carbs for the entire day. It's low. It's essentially nothing. When you go on that type of diet it really wreaks havoc on your metabolism, Your goal is to be cycling your carb intake which is going to get you that fast weight loss, but not sacrifice your metabolism because you want that metabolism to be fast all the time. That's the number one goal.

Your body works a certain way and that's true for all of us, so you need to know the science behind it and while you can lose weight fast, safely and keep that metabolism up, you're going to need to make those permanent lifestyle changes to keep it off.

Don't get caught up in these changes, these extreme changes of "Man how did they lose 30lbs and I can't lose a pound." You got to compare apples to apples here and see what positions their in and see what you've been in because as you noticed as you watched the second week of the biggest loser, those guys lost 2lbs, 3lbs, someone gained a pound and that's their body going through that transition and almost going into a survival mode. I think you'll find that as you keep watching the show; their weight will start to be more consistent where they'll consistently lose 2lbs of fat a week or 3lbs of fat a week.

You won't see this wild swing of losing 30 lbs then losing 0 lbs even though they worked just as hard and ate just the same, because your body's going to adjust, and your body - your metabolism will slowly speed back up and the goal is to try not to get that metabolism to slow down to begin with, try to keep it up at an elevated rate so that it is a consistent, permanent weight loss.
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About Author
Both Foreignhaus & Jayson Hunter are contributors for EditorialToday. The above articles have been edited for relevancy and timeliness. All write-ups, reviews, tips and guides published by EditorialToday.com and its partners or affiliates are for informational purposes only. They should not be used for any legal or any other type of advice. We do not endorse any author, contributor, writer or article posted by our team.

Foreignhaus has sinced written about articles on various topics from Cosmetic Surgery, Weight Loss Surgery and Cosmetic Surgery. Dave Stringham is the President of LookingYourBest.com an online resource for procedures. Learn more about. Foreignhaus's top article generates over 14800 views. to your Favourites.

Jayson Hunter has sinced written about articles on various topics from Anger Control, Women Skirts and Dieting. To have a go now to
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