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PROCEDURES

Belt Lipectomy

Excess Skin Removal After Weight Loss

Excess skin removal procedures are often considered by individuals who have experienced significant weight loss, which can lead to loose skin around areas such as the arms and thighs. Other factors contributing to skin laxity may include genetics, overall health, and the natural aging process.

The goal of excess skin removal surgery is to tighten the tissues in the affected areas. This procedure may involve a combination of techniques, including liposuction to address fatty deposits and surgical excision to remove skin.

Considerations for Skin Removal Surgery

Skin removal surgery may be considered by individuals who have excess skin and fat deposits, often as a result of significant weight loss, aging, or genetics. Common areas of concern include the arms and thighs, where loose skin can persist despite maintaining a stable weight.

Suitable candidates are generally non-smokers, in good physical health, and have maintained a stable weight and diet for at least six months. A consultation with Dr Bish Soliman will allow for a detailed assessment of your health, goals, and areas of concern. Based on this assessment, a personalized surgical plan will be developed to determine the most appropriate approach for your needs.

The procedure

The specifics of this procedure can vary from patient to patient, depending on the size of the targeted areas and the amount of skin to be removed. A number of techniques can be applied to reduce and tighten the tissue in common areas, including the upper arms and upper thighs. The surgery is performed in a hospital using general anaesthesia administered by an accredited anaesthetist.

Arm Lift (Brachioplasty)

An arm lift, also known as brachioplasty or arm reduction, is a surgical procedure that involves removing excess skin and fat between the shoulder and elbow. The procedure typically involves an incision that runs from the armpit toward the elbow, with the exact placement determined based on the amount of excess skin to be removed. Efforts are made to place incisions in locations that can be concealed with clothing. This procedure generally takes about three hours to complete and may require an overnight hospital stay.

Thigh Lift (Thigh Lipectomy)

A thigh lift, or thigh lipectomy, involves removing excess skin and fat from the thighs.  Incisions are commonly placed along the inner thigh, groin crease, or a combination of both, depending on the patient’s specific needs. The placement of incisions is planned to minimize visibility when the legs are together. The appropriate surgical approach will be discussed during your consultation, allowing for a personalized plan tailored to your individual goals.

After the Surgery

After your excess skin removal surgery, your incisions will be covered, and you will be required to wear a compression garment for four to six weeks to help manage swelling and support the healing process. Depending on your individual circumstances, you may need to stay in the hospital overnight. It is important to arrange for a friend or family member to drive you home and assist you as needed during the early stages of recovery.

Post-Brachioplasty Recovery

  • Arm and shoulder movements should be limited for the first two weeks to allow for proper wound healing.
  • Strenuous activities should be avoided for six weeks.
  • You may need to take approximately two weeks off work to recover.

Post-Thigh Lift Recovery

  • Gentle walking is encouraged during the first two weeks to promote circulation and healing.
  • Strenuous activities should be avoided for six weeks.
  • You may need to take two to three weeks off work, depending on your recovery progress.

It is important to follow the personalized aftercare instructions provided by your surgeon to support your healing and minimize the risk of complications. Recovery timelines and outcomes may vary based on the type of procedure performed and individual factors. The full results of your surgery, including firmer and smoother contours, may become more visible as swelling subsides and healing is complete.

 

Your patient-centered consultation

Before your procedure, get personalised guidance from highly skilled Specialist Plastic Surgeon, Dr Bish Soliman. With years of experience, he will tailor your treatment for your body, health, and ideal outcomes. Book your personal consultation to receive:

  • In-depth information about your desired procedure
  • Personalised advice from Dr Soliman
  • A customised treatment plan tailored to your needs

Risks and Complications of Excess Skin Removal Surgery

Excess skin removal surgery, like all surgical procedures, carries potential risks and complications. It is important to be aware of these before deciding to proceed. During your consultation, Dr Bish Soliman will discuss the specific risks associated with your procedure and assess your individual circumstances to help you make an informed decision.

General Risks of Surgery

  • Bleeding or hematoma formation
  • Infection
  • Delayed wound healing or poor healing of incisions
  • Scarring, including hypertrophic or keloid scars
  • Reactions to anesthesia
  • Persistent pain or discomfort

Procedure-Specific Risks

  • Asymmetry between treated areas
  • Changes in skin sensation, which may be temporary or permanent
  • Skin laxity or recurrence of excess skin over time
  • Swelling or fluid collection (seroma) that may require drainage
  • Aesthetic outcomes that do not meet the patient’s expectations

The likelihood of complications can vary depending on individual factors such as overall health, the extent of the procedure, and adherence to pre- and post-operative care instructions. Following your surgeon’s personalized recovery plan and attending follow-up appointments can help minimize these risks and support a smooth recovery.

If you have concerns about the potential risks or your suitability for surgery, these can be addressed in detail during your consultation.

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