Tightening surgeries

Post-sleeve liposuction surgeries

     A surgical procedure that many people resort to; To get rid of saggy skin or crinkled skin resulting from losing a lot of weight, within a short period, and mostly these cases are for obese patients who underwent obesity operations and surgeries such as gastric sleeve; This resulted in severe sagging of the skin, which is not suitable for non-surgical skin tightening methods such as sports or laser technology; Post-sleeve liposuction surgeries are resorted to, which are characterized by quick results, and are suitable for tightening any area of ​​the body, thus enhancing patients' self-confidence; To get a tight and proportional body.

What is a surgical skin tightening process?

A surgical operation performed by the doctor, through which the loose excess skin, resulting from the process of losing a lot of weight quickly, is removed, and the reason for the relaxation of the skin is that it has been stretched for many years during the previous stages of obesity and with weight loss; It has a lot of elasticity, and the ability to shrink; in such a way that it was unable to return to its normal size and shape.

Post-sleeve liposuction surgeries are performed under general anesthesia, during which the surgeon gets rid of noticeable changes in the shape of the skin, removes excess skin, and tightens loose tissues, during which it is possible to get rid of sagging skin in more than one area of ​​the body; This depends on the patient's health condition.

Conditions for performing liposuction surgeries after sleeve gastrectomy

Everyone who has experienced weight loss through gastric sleeve surgery; can be strongly filtered; The availability of some conditions, most notably:

• Weight stability for at least a year, with no expectation of further weight loss (ie reaching normal weight); So that the skin is not exposed to sagging again.
• The general health of the patient, and whether there are any health problems; Prevent him from undergoing surgery, such as chronic diseases, diabetes, blood pressure etc.
• Does the patient have any problems with general anaesthesia?
• The patient is free of any nutritional problems; Because it negatively affects the recovery from surgery, such as protein and vitamins deficiency problems.
• Smoking is one of the bad habits that negatively affect the patient; Therefore, the doctor will ask the patient to stop smoking at least 6 weeks before and after the surgery.
• Talking transparently with the patient, and his goals for surgery, which must be commensurate with the severity of the flabbiness he has, and the shape of the body in general.

Preparation for post-sleeve tummy tuck surgery, and the most important techniques used

A consultation session is held between the doctor and the patient before the surgery, and a discussion takes place about the instructions and instructions that must be adhered to; To go through the surgery without any risks or complications, and the most prominent things that are being talked about, the available treatment options, the technique used, the identification of family medical history, the patient’s health status and expectations from the operation and results, and the presence of any side effects or not, etc.

As for the techniques of post-sleeve tightening surgery, we find that there are many of them, and they vary depending on several factors, including the place, the degree of sagging, and personal desire, including:

الوجه

The option of a face-lift is surgically resorted to in cases of severe sagging, which are not suitable for non-surgical face-lift methods, and this process is mostly done with the elderly in order to obtain a tight, young and fresh face; By making surgical incisions on the edges of the face, then the surgeon will tighten the face, lift the muscles and get rid of the excess skin, then close the incisions. The surgery usually takes 2 to 5 hours; Depending on the situation.
It is not noticeable, and quickly fades gradually over time. We also find that these surgeries have some side effects that often do not occur; When dealing with an expert and skilled doctor, most notably problems with the anesthesia process, bleeding or infection, as well as damage to the facial muscles or nerves, and tissue death; Therefore, it is necessary to be careful when choosing a doctor and center; So as not to waste effort and money; Especially since this procedure is relatively expensive.

الرقبة

There are cases of loose neck skin, which is known as double chin or turkey chin, especially in the elderly; There will be an urgent need for surgical intervention to beautify that area, remove excess skin, in addition to tightening the skin and tissues below, and thus getting rid of wrinkles and skin folds in the neck, and the neck lift operation may be done as a step of the face-lift process. Some surgical incisions are made, which are often in invisible places such as under the chin or at the beginning of the neck, or behind the ear. Then the doctor removes excess fat, tightens muscles, tissues, and tightens the skin under the jaw line, chin and neck.
Mostly, the neck lift operation takes from 2 to 3 hours, depending on the case, after which the patient remains under medical supervision for 24 hours, and then leaves the hospital; To begin the recovery phase, during which some natural complications may occur such as pain, some bleeding under the skin, or swelling and these symptoms will disappear within days with receiving treatment, and adhering to the doctor’s instructions, either in the case of severe pain, or purulent secretions from the surgical incision or severe bleeding or high fever; You must go to the doctor immediately.

الذراعين

The arm lift operation is done with the aim of getting rid of excess fat and flabby skin, which greatly detracts from the aesthetic appearance of the arms, and makes them inconsistent with the body. There are several reasons that lead to sagging skin on the arms, including:

• Aging, and the accompanying weakness in the elasticity of the skin, body muscles, and the accumulation of fat.
• Severe obesity, whether or not followed by weight loss.
• Some genetic causes, or some hormonal causes.
• an unhealthy diet; It allowed the accumulation of fat in certain areas.
• Losing a large percentage of weight in a short period.
• Wrong lifestyle in which no sports are exercised, or enough water is drunk, with a lack of vitamins and minerals, etc.

Arm sagging surgery is used in cases that suffer from a significant increase in sagging skin that has reached advanced stages; Other techniques, such as laser skin tightening, ultrasound sessions, or electrotherapy sessions that help in face-tightening, do not work with it. These techniques are mostly suitable for cases of sagging skin on the small and medium arms. In general, the patient must enjoy good general health, be a non-smoker, free of chronic diseases, and have a realistic view and think about the data of his condition; before expecting results. These factors contribute greatly to increasing the success rate of the surgery, which is as follows:

• The patient is placed under general anesthesia.
• Then a surgical incision is made, which is mostly from the armpit, and its size and length depend on the amount of fat and skin to be removed during surgery.
• The next step may be in more than one way depending on the situation, whether the doctor wants to tighten the skin only, or the arm liposuction procedure; followed by skin tightening.
• Finally, the incision is closed with a tube to drain blood and fluids, and bandages are placed on the arms; The patient then enters the stage of recovery, then recovery and waiting for the results.

The recovery period takes from one week to several weeks, during which it is necessary to adhere to the literal instructions of the doctor; So it passes safely and without any complications.

The initial results can be noticed after removing the bandages and getting rid of swelling and swelling, but the final results need several months to appear clearly.

الثدي

Breast lift operation is performed by a plastic surgeon with the aim of removing excess skin from the breast, and reshaping the tissue in a way that changes the shape of the breast, improves its appearance, and thus enhances the patient's self-confidence. This surgery can be done with more than one technique; Depending on the situation, we mention them:

• T-shaped breast lift, where a vertical incision is made under the breast fold, and a circular incision is made around the areola. 
• Making an incision under the armpits.
• A meniscal incision around the middle of the areola.
• As for cases of large breast sagging, with which the breast takes a longitudinal shape; A conical incision is made to remove it.

Only the doctor can choose the most appropriate technique for the case after studying it well, and it should be noted that breast lift and tightening operations are not available to everyone, but for certain cases that suffer from the following:

• The breasts have noticeably drooping, that is, they have become flatter, and elongated, with a lot of loss of shape and size.
• The shape of the nipples, and their position so that they are low in the folds of the breast.
• Nipples, areola pointing down.
• The areola is stretched out of proportion to the breast.
• One breast is lower than the other.

There are cases in which it is preferable to postpone the step of breast lift surgery, such as seriously considering pregnancy or breastfeeding, although this procedure is suitable for any size of breast; However, the drooping breasts are smaller; Its results last longer.

Breast lift operation usually takes 2 to 3 hours, and the patient returns home the same day; After making sure her condition is stable; To begin the recovery phase, during which the doctor’s instructions must be strictly adhered to, and the initial results will appear within several weeks, but despite that the shape of the breast will continue to change over time, and then stabilize within a few months depending on each case, and helps maintain a healthy and stable weight; For the body to keep the results for as long as possible.

البطن

Abdominoplasty is one of the cosmetic surgeries that aim to improve the appearance of the abdomen; By getting rid of the excess skin, and tightening the muscles, which are among the common operations that many people who suffer from severe flabbiness in the abdomen resort to, we mention from these cases the following:

• Women who suffer from severe sagging in the abdomen after pregnancy and childbirth.
• People with rapid loss of a lot of extra weight.
• As well as people who suffer from hernias in the abdomen.

Before performing the surgery, the doctor will conduct a comprehensive examination of the case, and ensure the safety of the health condition, and the absence of any obstacles that prevent the surgery, as well as talking with the patient about the areas from which the skin can be removed, and the best technique. Some instructions regarding preparations before surgery, such as stopping certain medications, avoiding smoking and alcohol etc.

Abdominoplasty is done by more than one technique; The doctor chooses the most appropriate one according to the case; Among those technologies, we mention the following:

• Total tummy tuck: During this surgery, the sagging of the upper and lower parts of the abdomen is tightened, where the surgeon tightens the loose tissues and skin, cuts the excess skin and gets rid of sagging tissues. This surgery is done by making a vertical incision in the lower abdomen and above the pubis. There are cases where the navel is hanging below the waist; Here, an incision is required around the navel; With the aim of changing its position and making it in the middle of the abdomen.
• Mini tummy tuck: This surgery is used in cases of the abdomen that suffer from sagging in the lower part only, and do not suffer from any sagging in the upper part. The surgeon makes a surgical incision under the hips and abdomen and extends between the bones of the hips. It is very similar to the incision for total tummy tuck surgery, but it is narrower and through it the doctor removes the excess of skin and tissues, and tightens the skin and loose tissues.
• Tummy tuck with the chest, during which a surgical incision is made under the chest.
• Peripheral tummy tuck where the surgeon makes a circular incision around the entire circumference of the body. This procedure is done with severe cases of sagging that occurs in the abdomen, lower back and sides.

There are rare cases such as the presence of looseness in the upper part of the abdomen; During which a reverse tummy tuck is performed.

المؤخرة

Butt lift surgery is a cosmetic surgical procedure that aims to improve the appearance of the buttocks by getting rid of excess fat and sagging skin, and then re-tightening the remaining part of the skin; Thus, getting the buttocks tight and harmonious with the body.

This process is considered the ideal solution for women who show signs of aging on their backs or who have lost a lot of weight in a short period; It led to sagging skin or genetic factors that caused the laxity of that area, or problems related to the elasticity of the skin.

This surgery is not an option available to everyone, as there are some cases that are not candidates for the operation, such as those who suffer from chronic diseases, mental instability, have a body mass index higher than 32, smokers, etc.

Therefore, before the surgery, the doctor will study the case well, with a comprehensive dialogue about the current and past health status, the medications he is taking, as well as the previous operations he underwent, and discuss the patient’s expectations for the appearance of the buttocks after the operation, and ensure a full understanding of the risks of the operation. The patient will also be asked to perform some tests and analyzes.

How to perform a butt lift surgery?

• The patient is placed under general anesthesia.
• The surgeon makes the incision, which is usually in the lower part of the back, along the line of the hips.
• The excess part of the buttock area is tightened in the places of the incision.
• Then it lifts the tissues of the buttocks, tightens them and tightens the skin.
• Get rid of excess fat and cut loose skin.
• During the operation the patient is given antibiotics; To prevent infection.
• The process usually takes 2 to 3 hours; Depending on the situation.

After that, the recovery phase begins, during which the doctor’s instructions must be adhered to regarding the timing of removing the bandages and draining tubes for fluids and blood, medications and wearing the corset with instructions for movement, and sleep, especially in the first months after surgery; To pass this period safely and without complications, with periodic follow-up with the doctor to check on the progress of the results.

الظهر

The back is one of the important areas in the body to tighten sagging. Because it may cause a person's lack of self-confidence, as well as his lack of absolute freedom while choosing clothes that may highlight some of the flabby protrusions in the back, and here comes the importance of the surgical tightening of the back, which works to get rid of skin growths and wrinkles and sculpt and slim the upper part of it. Candidates for this operation are any healthy man or woman who is at least 20 years old. The expert doctor is the only one who is able to determine whether the surgical intervention is the best solution to tighten the sagging back or not; Depending on several factors, the most important of which are the severity of sagging and the elasticity of the skin, as well as the general health status of the patient, the extent of his acceptance of general anesthesia, etc.

How is a back lift surgery done?

Back sagging surgery is done surgically in moderate to severe cases as a result of losing large amounts of weight within a short period that led to significant sagging of the skin. The surgeon makes a large incision to tighten loose tissues and skin, get rid of excess skin and fat, tighten the area, and then close the incision. Here it should be noted that the removal of fat from the back is not intended here to lose weight or treat obesity, but rather a procedure that aims to harmonize the area and be able to tighten it. The advantage of this surgery is that its results are permanent provided the weight is maintained, and the scars of the surgery are often in the lower back and above the buttocks so that they are not visible. 

الشد الحزامي

It is a surgical operation that aims to remove excess fat and skin in the abdomen and back area, while also lifting the buttocks in a way that makes the body more attractive and beautiful. This surgery is usually performed for people who have gained and lost a large amount of weight within a short period of time as a result of obesity surgery; Which led to excessive sagging of the skin, after losing the property of expansion and contraction so that it is impossible to return to its normal state, whether after exercise or diet, and here the only solution remains is surgical intervention.

The belt tightening technique is very similar to the total abdominoplasty, but with the extension of the surgical incision to the area of ​​the back and flanks so that the wound is at an angle of 360 degrees, and this surgery is performed for cases that suffer from severe sagging of the abdomen and back. The stitching is cosmetic from inside the wound so that no stitches appear on the surface of the skin, with medical plasters placed along the wound that help reduce the appearance of the effects of surgery or the so-called scars.