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Obesity treatment operations are becoming increasingly popular, particularly in people with obesity and malignant obesity (BMI> 40). They are called Weight Loss Treatments and are designed to lose more than 50% of excess body fat, which is also the amount of fat beyond your normal body fat. The calculation of the body weight of the patient, whether it is normal or not, can be made by comparing with the Body Mass Index (BMI).
To determine your current BMI, you divide your weight (in kilograms) with your square height (in meters) and the resulting figure will be the Body Mass Index (BMI). It is important to note that BMI calculation is not always accurate for very muscular individuals.
For example, if you are 75 pounds and 1.68 m height, Body Mass Index will be: BMI = 75 / (1.68 x 1.68) = 26.7
The following classification generally applies:
| BMI range | CHARACTERIZATION |
|---|---|
| BMI 18-25 | Normal weight |
| BMI 25-30 | Overweight |
| BMI 30-35 | Class I Obesity |
| BMI 35-40 | Pathological Obesity (Class II Obesity) |
| BMI > 40 | Malignant Obesity (Class III Obesity) |
Plastic surgery follows massive weight loss operations and its role is limited to the treatment of loose hanging skin, which most often creates particular daily problems (personal hygiene, clothing, sexual intercourse, etc.). It should be stressed that before any operation by the plastic surgeon the patient’s weight should be stabilized and remain stable for at least six months and the BMI should ideally be below 30. This eliminates the likelihood post-operative complications, particularly healing, deep thrombosis and pulmonary embolism, which are quite elevated in obese individuals.
It is important to consider revising diet and exercise before the patient comes up with a weight loss surgery. Dietary intake is the one that determines, for the most part, the body weight of the individual and the exercise will help in an auxiliary way, since poor diet with exercise will have little to no effect.
With regard to surgical options, there are several, including the placement of a Gastral Balloon and Gastric Ring device that are reversible and without disruption of the stomach anatomy. The alternative is to conduct a gastric bypass procedure that permanently changes the way the food is absorbed and is of course statistically more effective. They can now be either single-sided laparoscopic surgery (SILS) or robotics.
After the “Bariatric” surgery, the placement of the Intra-Gastric Balloon or, in more serious cases, the gastric bypass, the patient will notice that as he loses weight, his skin will start to sprain. But there is a limit to which the skin retains its elastic properties, beyond which it remains loose, in excess and with lots of stretch marks. The areas that can be most affected are the face, neck, abdomen, breast, back, thigh and arms, but also the buttock. The severity of the problem is determined by the amount and speed of the patient’s body weight loss.
Mr. Constantinos Benetatos can correct this problem surgically (unfortunately there is no other treatment than surgery) by performing one or more operations in combination, depending on the problem of each patient, which will be discussed during the preoperative examination.
These operations can be carried out separately or in combination (usually not more than two at a time). Please refer to the relevant sections (above) for detailed information.
Mr. Constantinos Benetatos, during your visit and after a thorough examination, will assess whether Plastic After Mass Loss is the right treatment for you, with a key criterion for your safety and reducing complications. Some patients, such as smokers, overweight and those with a history of thrombosis, will have a higher risk than others and therefore a combination of long-term surgical procedures may not be safe. In this case, Mr. Konstantinos Benetatos will separate the operations into two separate surgical sessions.
A complete medical history should be taken before each surgery. As a precautionary measure, doctors without prescription or herbal products / drugs should not be taken before surgery and for 3 days afterwards. Also, strict non-steroidal anti-inflammatory drugs such as salospir, ibuprofen (Nurofen), diclofenac (Voltaren) and any other anticoagulant or antiplatelet therapy should be avoided in consultation with the treating physician. It would also be very helpful to bring a list of any prescription medicines you receive for your preoperative control.
If you are a smoker / smoker, try to quit smoking for the duration of each surgery as this will dramatically reduce the chance of post-operative complications.
Your recovery time will depend on the operations you will be subjected to. For further information, please refer to the sections of the surgeries, however, you can solve all your possible questions with Konstantinos Benetato during your visit.
In longer surgical procedures, there is an increased likelihood of post-operative complications such as respiratory infection, hematoma or many traumatic surfaces at the same time. Complications such as deep vein thrombosis or pulmonary embolism are particularly rare in individual operations, but may occur in longer-term surgeries and, when they occur, may be severe enough. It is very important to take these risks into account before combining aesthetic operations.
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