Florence Mussat, M.D.
680 N Lake Shore Dr. #1030 Chicago, IL 60611 (312) 751-9000

Month: July 2019

Tummy Tucks Can Lead To Long-Term Weight Loss

 
 
 
 
  
 
 

 

 
 

Tummy Tucks Can Lead To Long-Term Weight Loss

 

Anyone who’s struggled with their weight knows that shedding excess fat is only half the battle. For many people, keeping weight off over the long term is the most challenging aspect of dieting. Fad diets have a very high failure rate (over 95% of these diets fail within three years), and even medically-supervised weight loss doesn’t work for everyone. As such, any tool that might encourage lifelong weight stabilization is very much worth investigating.

 

Abdominoplasty for Sustained Weight Loss

 

Though it cannot replace a healthy lifestyle, emerging evidence shows that abdominoplasty (tummy tuck surgery) can help eligible candidates maintain a healthy weight. According to a study published in the medical journal Plastic and Reconstructive Surgery, women who undergo tummy tuck surgery after successful weight loss are much more resistant to subsequent weight gain than women who have had no plastic surgery.

 

The 20 patients examined in this study had an average BMI of 30 (indicating obesity) before they began preparing for tummy tuck surgery. One year after recovering from surgery, an impressive 14 of those patients had achieved an average BMI of 23, which is safely within the “healthy” range. This is significant when you consider the fact that the normal odds of recovering from obesity are just one in 124 for females (and one in 210 for males).

 

The amount of weight loss experienced by the study group greatly exceeded the amount of tissue removed during abdominoplasty. (Only five to ten pounds of tissue are removed during tummy tuck surgery.) This indicates that most tummy tuck patients continue to lose weight even after having surgery and therefore clearly buck the trend of weight regain.

 

How does Tummy Tuck Surgery Aid in Weight Maintenance?

 

The role that abdominoplasty plays in long-term weight loss is more than just psychological. Researchers believe that having tummy tuck surgery may actually increase satiety (the ability to feel full after eating a standard portion of food). Three fourths of all patients who have undergone abdominoplasties say they experience greater satiety after meals. They also report that they’re less likely to snack during the day.

 

Researchers aren’t completely sure why abdominoplasty improves appetite regulation. This effect may be linked to the realignment of patients’ abdominal muscles and connective tissues. During tummy tuck surgery, the linea alba (the band of tissue that joins the lateral halves of the abdominal muscles) is strengthened and repaired. This allows the abdominal muscles to exert a strong “corseting” effect on the stomach, potentially reducing its capacity. Another theory suggests that removing abdominal tissue alters the neuroendocrine system, lowering the amount of appetite-promoting hormones excreted by the body.

 

Regardless of the mechanism of action behind it, this reduction in appetite has powerful implications for weight maintenance. Most people who diet experience an increase in appetite that’s directly proportional to the amount of weight they’ve lost. (The human body prompts the consumption of 100 extra calories for every two pounds of fat lost.) Circumventing this inevitable surge of hunger is probably key to preventing weight regain.

 

It’s far too early to recommend tummy tuck surgery to all patients who have struggled with obesity in the past. However, eligible candidates who require abdominoplasty (to repair damaged abdominal muscles and remove loose skin) should take these facts into consideration when assessing the pros and cons of surgery.

To learn more about the benefits of abdominoplasty, contact Dr. Florence Mussat to arrange a personal consultation. She can assist you surgically and provide safe, effective medically-supervised weight loss to help you maintain your results.

Body Contouring After Extreme Weight Loss

 

 

 

 

 

 

 

Body Contouring After Extreme Weight Loss

Achieving massive weight loss is physically and emotionally freeing, but it also presents new challenges for patients. Foremost among these is loose, hanging skin: Most people who have lost more than 50 pounds notice folds of excess skin around their abdomen, thighs, and arms. Women also typically experience a reduction in breast volume, which can make the breasts look droopy or flat.

Unfortunately, loose skin doesn’t usually firm up on its own over time, even if the patient is young. Most massive weight loss patients require one or more body contouring procedures to achieve full comfort and confidence.

What are the Benefits of Body Contouring after Massive Weight Loss?

Body contouring after extreme weight loss is usually recommended for medical reasons. Left untreated, folds of loose skin tend to cause chafing and irritation, and they frequently limit a person’s ability to exercise. Over time, they may even become infected. By removing excess skin, body contouring procedures eliminate these risks.

Research has also shown that having body contouring is an important part of long-term weight maintenance. Patients who have one or more cosmetic procedures after massive weight less are less likely to regain weight than patients who have no cosmetic surgery. Not only does body contouring make it easier for patients to stay active, it confers important emotional benefits. When weight loss patients achieve a physique that they’re truly proud of, they become much more motivated to lead a healthy lifestyle.

Which Procedures Should You Consider?

Some people who have lost a significant amount of weight only require tummy tuck (abdominoplasty) surgery. This is more likely to be the case if you’ve lost less than 100 pounds or most of your excess weight was centralized around your abdomen. Usually, however, massive weight loss patients need to have what is known as a “body lift.” A body lift is a specialized series of operations designed to address skin laxity and remaining unwanted fat in multiple locations. It may include arm lift, thigh lift, buttock lift, tummy tuck, and breast lift surgery (for female patients).

These operations won’t be performed all at once. Instead, a body lift is performed in several stages, starting with the lower body and working upwards. Because body lift surgery is so comprehensive and complex, few plastic surgeons offer it. Dr. Florence Mussat is one of only a few plastic surgeons in Chicago who specialize in this procedure.

When to have Body Contouring after Weight Loss

Before you can have a body lift, you’ll need to show that you can maintain a healthy weight. Patients who are still overweight have a greater risk of experiencing complications during and after surgery, so it’s essential to reach a normal BMI before you proceed with treatment. You’ll also need to be in good overall health: If you experienced diabetes or cardiovascular disease due to your weight, you’ll need to have those conditions treated successfully before you tackle the challenges of surgery.

Forming realistic expectations is another important aspect of preparing for a body lift: Patients must understand that some scarring is to be expected after this type of procedure. Most people must also work hard during recovery to achieve and maintain the shape they want. Having cosmetic surgery is the first step, but you’ll also need to work out and take excellent care of your skin if you want truly stunning results.

Dr. Florence Mussat provides thorough, compassionate care to all of her post-bariatric and medical weight loss patients. It’s her goal to help patients stay safe, healthy, and motivated as they commit to leaving obesity in the past. If you would like to learn more about her personalized approach to body contouring, contact her Chicago plastic surgery clinic at 312-751-9000.