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Post-Bariatric Surgery
in New York City & Manhattan

Following a major weight loss surgery, patients often look to improve how they look and feel. There are a variety of surgery options that patients can take advantage of to achieve this.

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Following a major weight loss surgery (usually gastric bypass surgery), patients often look to improve how they look and feel. There are a variety of plastic surgery after significant weight loss options that patients can take advantage of to achieve this with the help of board-certified plastic surgeon Dr. Wallach.

Who is an Ideal Candidate for Plastic Surgery After Weight Loss?

Ideal candidates for post-bariatric surgery are those who have lost a significant amount of weight but have stabilized. They should also be in generally good health, have realistic expectations, have a BMI (body mass index) under 35, and stick to a healthy lifestyle with a healthy diet and exercise routine. You should also be a nonsmoker and not have any medical conditions that could negatively affect the healing process. During your consultation, Dr. Wallach will help you determine which procedures are right for you.

Body Contouring Procedures After Bariatric Surgery

Arm Lift

An arm lift is a body contouring after weight loss surgical procedure that removes sagging skin from the arm area. The location of the incision for brachioplasty (arm lift) is most commonly placed along the inner aspect of the arm, extending from the axilla (armpit) to the elbow, so that when short sleeves are worn and the arms are by your side, the incisions won’t be visible. Some surgeons place the incision along the posterior aspect of the arm; however, the incision will be noticeable from behind.

Liposuction

Liposuction is another type of body contouring surgery that is used to remove stubborn fat deposits from the upper arms, abdomen, thighs, buttocks, hips, back, and other areas. An incision is made in the treatment area, and a cannula is inserted to loosen up the fat. Suction is then used to remove the excess fat, leaving you with a leaner, slimmer physique. While major weight loss can address unwanted fat, it cannot always address targeted areas. That’s where liposuction comes in.

Breast Surgery

After you lose weight, the breasts change shape, and breast surgery requests in these patients vary. Some patients maintain very large breasts and may benefit from a breast reduction. Others may notice that their breasts sag and do not want a reduction in volume. These patients can benefit from a breast lift surgery (mastopexy). If the patient wants more volume, then they can have breast augmentation (implants) performed as well. Still, there are some patients who request breast augmentation and do not need a lift.

Tummy Tuck

Some bariatric surgery patients can achieve a good contour from an abdominoplasty (tummy tuck) alone. This plastic surgery procedure and body contouring surgery removes loose skin and excess fat. It is more common in a younger patient with good skin elasticity, and also in a patient who did not have to lose a lot of weight to begin. On the other hand, most patients will have laxity of the abdominal tissues that will extend to their flanks as well as their buttocks. A circumferential abdominoplasty improves the contour of all these regions.

Testimonials

Danielle H

I had my first consultation with Dr. Wallach in February 2012 to discuss body-contouring procedures after massive weight loss. I had seen two plastic surgeons prior to Dr. Wallach. From the very moment that I received a phone call from the patient coordinator I knew I was in good hands. Dr. Wallach listened and answered all of my questions and was very patient. In May 2012 I had a circumferential abdominoplasty with a fleur d’lis. Dr. Wallach was there every step of the way. I had never met a doctor more dedicated to his patients. While other plastic surgeons were willing to do an entire body lift at once Dr. Wallach would not compromise his patients’ health. He is honest, caring, and above all a very competent surgeon. I would strongly recommend his care to anyone considering a procedure. He is truly an exceptional surgeon, whose expertise far outweighs other surgeons in his field. The quality of Dr. Wallach’s patient care and bedside manner is far superior to that of other plastic surgeons with whom I have consulted, and the passion he exhibits for his profession is second to none. Dr Wallach’s first priority is always patient health and safety, and is unwilling to compromise either for fiscal gain. This is not something I can say about the other plastic surgeons I consulted with, who were willing to perform any elaborate, complicated, and much more risk-laden surgery because “the price was right.” I would not go to any other surgeon and I am looking forward to my next procedure with Dr. Wallach.

Angela C.

Dr. Wallach is an amazing plastic surgeon and I highly recommend him to anyone looking for rhinoplasty.My daughter just had it done and we are beyond happy with the results and she is only a few weeks out!! She had very light bruising and looks absolutely beautiful.Dr. Wallach, Ashley and the rest of his staff are very professional and spent a lot of time making sure all our questions and concerns were answered.I was so nervous for my daughter and Ashely basically held my hand the whole time. I can’t thank you enough for what You did for my daughter…priceless

Belinda H.

I was referred to and met Dr. Wallach in late January 2014 regarding having a BBL procedure done, Dr. Wallach easy going personality and professionalism put my mind at ease. I have unique medical issues and after speakina with him I knew he was the perfect physician for my procedure. My surgery was scheduled for mid-February and it went without a hitch. Mind you the day of the surgery there was a big snowstorm; but everyone on the team including myself made it in safely. Dr. Wallach was very informative on the day of surgery: explaining evey step to me and my husband. He was caring and made sure everything was being done to ensure our privacy and that I was comfortable. I must say I was very satisfied with the results and still am. I would definitely go back to Dr Wallach for any future work and would highly recommend him! His office assistant Nicole is a sweet heart and thank them both for the loving care. I have received endless compliments and owe Dr. Wallach a multitude of gratitude!!!!!

R.P.

God knows I look better than when I first walked in to your office. Thank you thank you thank you for time, skills, and staff. I am beautiful again!

Gynecomastia

Gynecomastia surgery is individualized for each patient. Some patients do very well with liposuction alone. Some patients require an additional excision of tissue underneath the nipple. The tissue may be more fibrous and, as a result, is not adequately removed by liposuction. This can be accomplished with a small incision along the border of the areola and chest skin, and usually heals very well. Still, there are other patients who have significant skin redundancy and need a reduction with some skin removal.

Thigh Lift

For massive weight loss patients, the thighs can be an area where excess skin and fat stick around. With a thigh lift, we can remove excess skin and stubborn fat deposits to provide an improved body contour. During the procedure, incisions are made along the thighs, and sagging skin is removed. The existing tissue is reshaped to provide beautiful results. Thigh lifts are often combined with other body contouring procedures for a full body rejuvenation.

Lower Body Lift

When a massive weight loss patient has excess skin and subcutaneous tissue of the thighs and buttocks, a lower body lift is a body contouring surgery performed to remove this excess tissue, tighten loose skin to address skin folds, and improve the contour of the lateral thighs and buttocks after massive weight loss. Although the patient may get some improvement of the lateral thighs as an added benefit from a circumferential abdominoplasty, the lateral thighs will be markedly improved with the lower body lift..

Upper Body Lift

The goal of the UBL involves the excess skin removal of the upper back, including the lateral, upper, and mid back rolls. The incision pattern is often designed for women to hide the resulting scar in the bra line as best as possible. For men, it is in a similar location to that of women. The incision is often extended into the lateral chest along the lower lateral chest crease or in the previously treated incision pattern used for a breast reduction or gynecomastia surgery. The procedure takes two to three hours, and patients need one to two weeks to recuperate.

FAQs

Will my insurance company pay for my surgery?

Massive weight loss patients often consult for treatment of multiple body areas. Some insurance companies will pay for surgery when there are significant rashes that cannot be treated successfully with conservative management or if the overhanging abdominal pannus affects personal hygiene. Proper documentation of these medical conditions is essential. Notes from your primary care doctor, dermatologist, or treating physician are helpful, and are submitted to your insurance company along with our office notes for pre-approval. You should check with your insurance company to find out their policy.

How much weight will I lose from the surgery?

It is difficult to determine exactly how much weight each given patient will lose after surgery. In general, the abdominal, back, and flank procedures remove significant amounts of tissue and produce the greatest weight loss. In general, patients can lose 5 or more pounds. Other body contour procedures that are not as extensive such as arm lifts or breast lifts will result in less weight loss.

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