The Postbariatric surgery is a set of surgical procedures provides a great alternative for patients who suffered from obesity and underwent bariatric surgery, recover a slender figure and rejuvenate.
He 46 percent of Colombians suffer from obesity overweight, a chronic disease in the country has been declared a public health problem. However, among surgical treatments available to face bariatric surgery is, whose procedures are gastric banding, Biliopancreatic bypass and gastric bypass.
That is to say, the obese old has a slim figure, but, at the same time, It gives a general appearance of aging. In addition, redness or burning skin, inconvenience, odor and low self-esteem. As a solution, the Postbariatric surgery appears on the horizon of aesthetic medicine, which seeks to reposition these tissues and "encompasses the whole body, as is the treatment or set of procedures to consider face, waist, trunk, brazos, thighs, breast and abdomen in order to reposition the tissues in these areas ".
With this intervention, which it is a set of procedures performed by a full medical team, The following aspects are improved, among others: aging facial, flabby abdomen, recreation of the umbilical area, creating a waist (in women) or reduction of a flabby waistline (men), removal of excess skin, Liposuction back, and definition of buttocks and thighs.
Among the techniques or procedures applied, although not at the same time, is ritidoplasty and lipectomy in belt, also called tummy tuck, oriented remove excess skin and fat tissue, and repositioning tissues. Lipectomy is applied to the circumference of skin and fatty tissue around the waist, The abdomen, the sides and bottom of the back.
With the lifting skin and fatty tissue is removed over, and tissues of the thoracic region are reset, in the arms and thighs; and mastopexy rises and reaffirms the bosom fallen, whose skin has lost elasticity and tone. It may involve the use of prostheses or repositioning of the breast using the same breast tissue.
Risks and care
As with any surgical procedure, there is potential for risks and complications. However, the surgeon takes all preventive measures in order to avoid any complications. For example, As the 50% of patients with massive weight loss it is anemic, This condition must be recognized and treated properly in the preoperative. In addition, as the large amount of skin is removed in these processes (De 500 grams two kilos) can lead to excessive blood loss, the patient should know that there is a possibility that requires blood transfusion. "In preoperatively also intervention is planned with marking of incisions, which seeks to place the scars in places flattering and provide the proper healing desired degree of tension ", Aiming aesthetic surgeon.
The Postbariatric surgery requires hospitalization and general anesthesia, to be a major intervention that lasts a period of five to eight hours in surgery room, and the application of preoperative and postoperative measures to ensure safety, health and welfare of the patient. To prevent during operation thrombus formation or blood clots in the veins and arteries, plastic surgeons apply a series of preventive strategies such as prophylaxis antiembólica, pneumatic and elastic compression, and medicinal treatment anticoagulant.
Much of the success of the surgery depends on the postoperative care, It is also observed and monitored. "As long wounds involving multiple and, It is not surprising that the abrupt opening of a suture was a consequence of inappropriate movements or fluid accumulation.
This event usually prevented by adapting rest and drains. Because of the complexity of the surgery, the patient will need constant medical observation and care, particularly during the early days ". At the end, Postbariatric surgery leaves the skin of very obvious and noticeable scars patients who improve with time and become secondary to its many benefits.
Source: plasticacolombia.com
