Procedures Frequently Performed by Dr. Reis
Post-Weight Loss Body Contouring
When individuals lose a significant amount of weight from either diet and exercise or bariatric surgery, they are often healthier, slimmer, and have a greater level of confidence as a result. However, on the flip side, their skin almost never contracts back fully, leaving them with loose or sagging skin in addition to residual excess concentrations of fatty tissue. In such cases, body contouring surgery can be the ideal solution.
What is Body Contouring?
Body contouring is a term used to describe a wide range of surgical procedures used anywhere on the body with excess bothersome skin or volume. Procedures that can be performed as post-weight loss body contouring include but are not limited to: Liposuction, Tummy Tuck (Abdominoplasty), Body Lift (Circumferential Body Lift), Mastopexy (Breast Lift), Brachioplasty (Arm Lift), Medial Thigh Lift, Breast Augmentation, Facelift, Necklift and Mommy Makeover. Board-Certified Plastic Surgeon and body contouring specialist, Dr. Scott Reis, performs these surgeries with one main goal in mind: shape, tighten, and tone the skin and tissue on the body for natural-looking results. These procedures can routinely and safely be combined to target multiple areas in a single operation.
Am I A Candidate?
The best candidates for body contouring are nonsmokers who do not use nicotine products, and whose weight has stabilized optimally for a full year.1 If you have a medical condition such as high blood pressure, diabetes, or anemia, it must be controlled before you can safely undergo surgery. Dr. Reis will review your complete medical history during your initial consultation.
Post-Weight Loss Surgery Risks
As with any surgery, it is important to understand the complications and risks associated with these types of procedures. Post-weight loss surgery results are highly dependent on each patient’s skin quality, thickness, elasticity and overall BMI, even more so than with other types of cosmetic procedures. These characteristics vary widely amongst post-weight loss patients and are often the reason that these surgeries have a higher revision rate, as opposed to non-weight loss surgeries. This is why it is so important to seek out a Board-Certified Plastic Surgeon with significant experience in post-weight loss surgery, like Dr. Reis.
Preparing for Body Contouring Surgery
During your consultation with Dr. Reis, he will review your medical history and desired cosmetic goals. We recommend that you stop taking any herbal supplements or blood-thinning tablets at least two weeks before your procedure. Once both of you have determined the right procedure(s) and developed a surgical plan, surgery will be scheduled.2 We encourage you to ask as many questions as possible leading up to your surgery and want to make sure all of our patients feel as comfortable and confident as possible.
How is Body Contouring Performed?
The variety of procedures that make up this category are performed by Dr. Reis in our private cosmetic operating room, certified by the American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF). Often, many post-weight loss surgery patients have multiple areas on the body that they would like to focus on during body contouring surgery. When this is the case, it is often necessary to perform multiple staged procedures in order to provide the safest and most reliable long term outcomes, while addressing all areas and providing natural-looking results.
Body Contouring procedures are often performed as same-day outpatient surgery, meaning you can go home almost immediately after the procedure is complete. Most patients will receive IV anesthesia and will remain breathing on their own, without the need for a ventilator.3 This is a safer alternative to typical general anesthesia. Absorbable sutures will be used to close the incisions, and a dressing will be applied.4
The duration of the surgery depends upon which body contouring procedure you and Dr. Reis have chosen, but typically will not exceed 6 or 7 hours in a single combined surgery day. If an overnight stay is required or if you would simply like to stay after surgery, we would be happy to book one of our in-house luxury medical suites for you.
Recovery and Results After Body Contouring
After surgery, you will be required to wear a compression garment to aid healing. When a body contouring procedure is combined with liposuction, the garment is worn for 6-8 weeks. If liposuction was not performed, the garment is usually worn for two weeks, depending on your specific recovery. Dr. Reis always uses dissolving sutures, so there is no need to have any removed. A small drainage tube may also be inserted to reduce fluid buildup. This will typically stay in place for 1-2 weeks, depending on the amount of daily fluid output and Dr. Reis’ evaluation.
Immediately following surgery, bruising and swelling will be present, which can cause some mild discomfort and pain. Pain can be managed with a combination of oral medications, prescribed by Dr. Reis, while the swelling and inflammation subside. Most patients stop taking the pain medications within the first week after surgery and move on to taking only Tylenol and Motrin. Most bruising should subside within a few weeks, but the swelling can take up to 3 months to resolve.
Preventing & Treating Scars After Body Contouring Procedures
Scarring is a natural effect of the body’s natural healing process. However, due to genetic factors, some patients form suboptimal surgical scars.Fortunately, Dr. Reis provides several highly effective skincare options for pre- and post-operative scar regimens that optimize Body Contouring outcomes and significantly reduce the visible appearance of surgical scars. Additionally, Dr. Reis is proud to offer CO2 Laser Resurfacing treatments to patients who have concerns about suboptimal scars, as this can also dramatically improve their appearance. Learn more about preventing and treating surgical scars after Body Contouring procedures here.
1 American Society of Plastic Surgeons. Body Contouring. Available: https://www.plasticsurgery.org/cosmetic-procedures/body-contouring. Accessed June 25, 2020.
2 American Society of Plastic Surgeons. Body Contouring. Available: https://www.plasticsurgery.org/cosmetic-procedures/body-contouring/consultation. Accessed: June 25, 2020.
3 American Society of Plastic Surgeons. Body Contouring. Available: https://www.plasticsurgery.org/cosmetic-procedures/body-contouring/procedure. Accessed June 25, 2020.
4 American Society of Plastic Surgeons. Body Contouring. Available: https://www.plasticsurgery.org/cosmetic-procedures/body-contouring/results. Accessed June 25, 2020.