Body Contouring After Weight Loss

00:00:06.006 --> 00:00:07.508 We do a lot of weight-loss surgery. 00:00:07.574 --> 00:00:10.611 Really, every patient's different, and it is very complicated. 00:00:10.844 --> 00:00:12.212 With weight-loss patient, 00:00:12.379 --> 00:00:15.649 tummy tuck is different than your normal tummy tuck. 00:00:16.416 --> 00:00:20.487 The skin behaves differently, for sure, as does the kind of tissue. 00:00:20.554 --> 00:00:23.690 It's been stretched out, sometimes to a really severe degree, 00:00:23.891 --> 00:00:26.130 and so it tends to not have as much support. 00:00:26.200 --> 00:00:29.396 You have to be a little more careful, and it takes a lot of this consideration 00:00:29.463 --> 00:00:32.799 that you really only learn through maybe some training, 00:00:32.866 --> 00:00:34.434 but also just doing it. 00:00:34.501 --> 00:00:36.603 Tummy tuck, almost always liposuction, 00:00:36.670 --> 00:00:40.330 but tummy tuck, usually a breast lift or a reduction. 00:00:41.041 --> 00:00:43.201 The arms for sure, the thighs, I mean, everything, 00:00:43.401 --> 00:00:44.490 even the face and neck. 00:00:44.560 --> 00:00:46.880 Really, the completion of a weight-loss patient's journey 00:00:46.947 --> 00:00:48.949 is usually a face and neck lift. 00:00:49.016 --> 00:00:53.120 Any patient, as long as you've stabilized in your weight-loss 00:00:53.187 --> 00:00:55.355 and you've been cleared from your bariatric surgeon, 00:00:55.434 --> 00:00:56.490 you're a candidate. 00:00:56.557 --> 00:00:58.792 Aftercare for a surgery. I try to simplify it a lot, actually. 00:00:58.959 --> 00:01:02.629 My aftercare typically is some form of garment, 00:01:02.696 --> 00:01:04.650 but it's not critical to life. 00:01:06.033 --> 00:01:08.535 The garment is just meant to squeeze the sponge. 00:01:09.102 --> 00:01:10.571 The aftercare is typically, 00:01:10.637 --> 00:01:13.574 you may have a drain for a couple of weeks, 00:01:14.641 --> 00:01:15.776 and then the garment. 00:01:15.976 --> 00:01:19.646 Really, I try to keep any incision care off the table 00:01:19.713 --> 00:01:23.450 so the patient doesn't have to worry about it for at least a month. 00:01:23.517 --> 00:01:26.490 I do not mandate lymphatic massage. 00:01:26.560 --> 00:01:28.010 I think that's a total gimmick. 00:01:28.080 --> 00:01:31.758 There are really only two things you have to do that are critical 00:01:31.825 --> 00:01:34.261 is don't overdo it and eat well, 00:01:34.328 --> 00:01:36.463 and if you have drinks, take care of those. 00:01:36.530 --> 00:01:38.098 Plastic surgery is not a weight-loss procedure, 00:01:38.165 --> 00:01:42.402 so you should not do plastic surgery or have lipo to lose weight, 00:01:42.469 --> 00:01:43.971 thinking that you can then just revert back 00:01:44.037 --> 00:01:46.073 to how you got there in the first place. 00:01:46.139 --> 00:01:50.677 This is typically a very large investment, and you want to take care of it. 00:01:50.844 --> 00:01:52.246 How are you going to help take care of it? 00:01:52.312 --> 00:01:55.082 You want to do it at the right time, which means your weight's stable, 00:01:55.148 --> 00:01:58.085 you're healthy, you don't have a lot of medical issues. 00:01:58.352 --> 00:02:03.490 Secondly, you want to make sure that your lifestyle's accommodated 00:02:03.557 --> 00:02:05.392 for how you want to proceed after. 00:02:07.628 --> 00:02:10.464 You don't want to just go back to eating terribly. 00:02:11.040 --> 00:02:12.490 You want to protect your investment. 00:02:12.560 --> 00:02:14.701 It's an investment, so you must protect it. 00:02:15.040 --> 00:02:16.637 How are you going to protect that investment? 00:02:16.803 --> 00:02:18.438 If you are going to have surgery that costs a lot of money, 00:02:18.505 --> 00:02:19.640 you should make sure that you 00:02:19.706 --> 00:02:21.875 are damn well going to take care of it after surgery, 00:02:21.942 --> 00:02:25.212 which means maintaining your healthy weight after forever, 00:02:25.612 --> 00:02:28.515 so you don't sabotage the results that we worked so hard for. 00:02:29.216 --> 00:02:32.279 The recovery is not nothing, the time is not nothing, 00:02:32.352 --> 00:02:33.620 and the money is not nothing. 00:02:33.687 --> 00:02:34.922 They all matter.