THIGH LIFT

A thigh lift, or thighplasty, involves the removal excess skin, fat, and tissue to tone and refine the upper legs.
Thigh lift is an excellent way to achieve firmer and more attractive upper legs. This procedure is especially helpful for those who struggle with loose, excess skin as a result of weight loss. <brLiposuction may be used as an adjunct to the recontouring of the inner thigh. If you are committed to maintaining a healthy lifestyle and a moderate weight, a thigh lift can help you regain the youthful thigh contours you desire.

WHEN TO CONSIDER A THIGH LIFT –

  •  If you want your thighs to have a better, more proportional contour and a firmer look and feel.
  •  If you have undergone bariatric surgery or massive weight loss.
  •  If you are distressed about loose, flabby skin on your thighs.
  •  If you have difficulty fitting into clothing because of heavy thighs.

UPPER BODY LIFT

Upper-body-lift surgery may consist of one or several procedures, including an upper arm lift, breast lift (or gynecomastia) or surgery to remove fat rolls along the back. Loose, sagging skin resulting from dramatic weight loss or after liposuction is removed to create a tighter and smoother contour, improving your profile and leading to renewed self-confidence.

WHEN TO CONSIDER AN UPPER BODY LIFT

  • You recently underwent massive weight loss through natural means or bariatric surgery.
  • You have excess, sagging skin following pregnancy.
  • You are discouraged by loose skin around your arms, chest or waist.
  • You have “back rolls” or rolls of fat around the edges of your lower back.

In order to undergo an upper body lift, you must be in good physical health. If you have lost a considerable amount of weight, have loose, sagging skin or want to improve the contours of your body, you might benefit from this procedure. The following are some common reasons why you may want to consider an upper body lift:

  • You have undergone bariatric surgery or significant weight loss through dieting.
  • Liposuction of fat pockets in your upper body has resulted in loose skin that needs to be removed.
  • You have loose skin under your arms, by your armpits, on your breasts and rolls on your back.
  • The layers of fat below your loose skin are relatively thin.
  • You do not smoke. Smoking slows down the healing process and increases the risk of serious complications during and after surgery. If you smoke, you must quit six weeks before surgery.
  • Your weight has been stable for at least six months, with no further weight loss expected. For optimal results, body contouring should not be done for about two years following the start of any massive-weight-loss program. This time allows your skin to shrink as much as possible and your nutrition to be stabilized and optimized, factors that will aid in your recovery.
  • You are in overall good health without chronic medical conditions, such as diabetes or heart disease. People in poor health are not good candidates for body contouring procedures. Get clearance for plastic surgery from your primary care physician or from doctors treating you for medical conditions.

If you are in good general health, have a positive attitude and realistic expectations, you are most likely a good candidate for this procedure

POST -BARIATRIC SURGERY

With the growing popularity of bariatric, or gastric bypass, surgery as a treatment for obesity, body contouring after significant weight loss has become a focus of Dr. Rahul Goyal practice. After developing an interest in this highly specialized area of plastic surgery, he now dedicates 50% of his practice to this complex, challenging, and extremely rewarding group of patients.

By applying the latest techniques in body sculpting individualized to each patient’s specific needs and priorities, Dr. Rahul Goyal can help you realize the new shape that is hidden beneath the excess skin that remains after your goal weight has been achieved.

Dr. Rahul Goyal is uniquely qualified to help reveal the “new you” because he is a board certified general surgeon as well as a board certified plastic surgeon. This means that he has actually performed gastric bypass surgery and is board certified to do so. Although he now practices exclusively on the cosmetic side of the equation, his training and experience have equipped him to understand your needs and deliver the solution in a safe, professional, and artistic manner.With significant weight loss over a relatively short period of time (usually 12-18 months), the remaining skin often does not retain the elastic qualities necessary to “shrink back down” to your new underlying shape. This often leaves patients with excessive amounts of hanging skin that creates a multitude of problems such as daily hygiene and finding clothes that fit properly.

Dr. Rahul Goyal has developed a comprehensive approach to bariatric patients who wish to achieve their optimal shape following weight loss. One of the most important considerations for a plastic surgeon to realize is that a bariatric patient must be treated differently from non-bariatric body
contouring patients. What has worked well for many years on other patients simply does not provide adequate shaping and contouring for the bariatric patient.

 

COMMON CONCERNS AFTER EXTREME WEIGHT LOSS

Patients who have undergone bariatric surgery and the subsequent significant weight loss have
numerous but similar areas of concern. These areas usually include:

  • Breast ptosis, or droopiness, as well as a loss of breast volume (See Mastopexy) Forwomen, mastopexy (breast lift surgery) is a procedure to lift the breasts and may be performed with or without the addition of breast implants to improve shape, fullness and cleavage. For men, several breast reduction techniques are available, depending on the degree of correction required.
  • Sagging of the facial skin (See Facelift) Rhytidectomy (facelift surgery), forehead lifting and blepharoplasty (eyelid surgery) may be necessary to achieve complete facial rejuvenation, or you may be a candidate for an endoscopic or minimally invasive technique.
  • Excess abdominal skin and a laxity of the muscles of the abdominal wall(sometimes with an accompanying hernia) (See Tummy Tuck and Lower Body Lift)Abdominoplasty (tummy tuck surgery) or a lower body lift procedure can contour the abdomen, hips, outer and posterior thighs and buttocks.
  • Hanging skin under the arm (See Arm Lift) Brachioplasty (arm lift surgery) is a technique to lift and tighten the skin of the arm.
  • Wrinkling and excessive bagginess of the thighs (See Thigh Lift) A medial thigh lift can lift the inner thighs, whereas a lower body lift addresses the outer and posterior portions of the thighs.

 

Obviously all of these concerns cannot be addressed simultaneously during one operation. However, two procedures usually can be safely combined. During your consultation, Dr. Rahul Goyal will assess your anatomy as well as your own priorities to help you develop a comprehensive plan or blueprint for your body contouring. It is not uncommon to combine a tummy tuck with a breast lift (with or without the addition of breast implants), or a thigh lift with an arm lift, as well as other possible combinations of procedures.

If you think you might be a good candidate for body contouring following significant weight loss, this page will give you a basic understanding of the procedures and the results you can expect. You are encouraged to read more about the specific procedures in greater detail which may also be found on this website.

The cornerstone of Dr. Rahul Goyal approach is to individualize treatment to your specific circumstances and goals and to ensure that you have an adequate understanding of the issues involved so that you are able to make a fully informed decision. This will help you achieve the appearance you desire with the least invasive procedure(s) available, thus creating a mutually rewarding experience.

Dr. Rahul Goyal invites you to visit his office for a complimentary consultation to discuss these procedures in greater detail. You are also invited to email Dr. Revis with your questions, or we will mail you more detailed information regarding these procedures.

As you consider plastic surgery, one of the most important decisions you will make is choosing your surgeon. Our pledge to you is to provide the latest, state of the art cosmetic plastic surgery in a safe, compassionate and professional environment. Dr. Rahul Goyal is a recognized expert in the field of post-bariatric plastic surgery

PLASTIC SURGERY AFTER WEIGHT LOSS

Dr. Rahul Goyal noticed that many people who have lost 100 pounds or more are overjoyed at their success. After losing a lot of weight, though, you still may have loose, heavy folds of skin left as a reminder of your former self.
Plastic surgery can remove the extra skin and improve the shape and tone of tissue in your arms, thighs, breasts, buttocks, face, and abdomen.
There are several types of cosmetic surgery to help you gain a trimmer, firmer shape: Body contouring, also known as body lift surgery; tummy tuck, or abdominoplasty; buttock augmentation; breast lifts; and arm lifts.

BODY CONTOURING (BODY LIFT)

Body lift surgery is one of the most common procedures used to improve the body’s appearance after weight loss surgery. It’s also long-lasting, if you keep your weight stable.
The surgeon Dr.Rahul Goyal makes one cut along the abdomen and removes excess, sagging skin. The surgeon Dr. Rahul Goyal also lifts and tightens the buttocks, abdomen, waist, hips, thighs, and arms in the same procedure. Liposuction is often used to remove fat and improve body contour. Buttock augmentation may be done since buttocks often flatten with extreme weight loss.
Body lift surgery can dramatically change your appearance, and the results are permanent, except for a little natural firmness that’s lost with age.

But body lifts are not without risk. For example, there will be some scarring. Some people continue to have problems with loose skin. And some people need a follow-up cosmetic procedure.
The higher your BMI (body mass index), the more likely you are to have complications. Possible complications of body lifts include bleeding, infection, tissue death, abnormal scars, and formation of a seroma — a mass or lump that results from fluid buildup in an organ or tissue.
Your surgeon Dr. Rahul Goyal discuss the risks and benefits with you before your surgery. But for most people, the result is a smoother, more normal body shape.

TUMMY TUCK

People often get a “tummy tuck” as part of body lift surgery. A tummy tuck can help flatten the stomach when diet, exercise, and weight loss have not done enough. A tummy tuck is not the same as liposuction, although you may need liposuction as part of a tummy tuck.

A full tummy tuck involves your surgeon making a large cut around the naval that runs from hipbone to hipbone. The surgeon can then manipulate the skin, tissues, and muscle and repair weakened abdominal muscles. Your surgeon will also slightly move your belly button to suit your new shape. In some cases, the surgeon may need to make a second cut to remove excess skin in the upper abdomen.

You will have scars, but they will fade somewhat over time. The result will be a firmer, flatter abdomen that better matches a trimmer figure.

BREAST LIFT

If your breasts are sagging, a breast lift can help lift, firm, and reshape them. In a breast lift, your surgeon removes excess skin and tissue, and repositions the nipple higher on your chest. Some people also get breast implants to improve their shape.
It’s possible that later you may need a touch-up procedure. For instance, if the breasts are slightly different after breast lift surgery, Dr. Rahul Goyal may need to reposition the nipple.

You are likely a good candidate for plastic surgery after weight loss if:

  • Your weight is stable.
  • You’re in good health.
  • You don’t smoke.
  • You have a positive outlook and realistic goals for the results.
  • You are committed to proper nutrition, fitness, and an overall healthy lifestyle.

If you’re a woman planning to get pregnant, it’s best to wait until after you’ve had children before having any of these plastic surgeries after a weight loss.

THE PROCEDURE

This procedure works by several mechanisms. First, the new stomach pouch holds a considerably smaller volume than the normal stomach and helps to significantly reduce the amount of food (and thus calories) that can be consumed. The greater impact, however, seems to be the effect the surgery has on gut hormones that impact a number of factors including hunger, satiety, and blood sugar control.

Short term studies show that the sleeve is as effective as the roux-en-Y gastric bypass in terms of weight loss and improvement or remission of diabetes. There is also evidence that suggest the sleeve, similar to the gastric bypass, is effective in improving type 2 diabetes independent of the weight loss. The complication rates of the sleeve fall between those of the adjustable gastric band and the roux-en-y gastric bypass.

GASTRIC BYPASS

The Roux-en-Y Gastric Bypass – often called gastric bypass – is considered the ‘gold standard’ of weight loss surgery and is the most commonly performed bariatric procedure worldwide.

TYPES OF BARIATRIC SURGERY

There are various types of bariatric surgeries that can be performed. Surgery may be performed using an “open” approach, which involves cutting open the abdomen or by means of laparoscopy, during which surgical instruments are guided into the abdomen through small half-inch incisions. Today, most bariatric surgery is laparoscopic because compared with open surgery, it requires less extensive cuts, causes relatively minimal tissue damage, leads to fewer post-operative complications and allows for earlier hospital discharge.

There are four types of operations that are offered:

  • Adjustable gastric banding (AGB)
  • Roux-en-Y gastric bypass (RYGB)
  • Biliopancreatic diversion with a duodenal switch (BPD-DS)
  • Vertical sleeve gastrectomy (VSG)