Cosmetic and Obesity Surgery Hospital India offers the highest quality medical services and has world class facilities that boast the economical pricing, top notch hospitals and robust infrastructures. Our hospital has connections with the best cosmetic and obesity surgery hospitals at Delhi, Mumbai, Chennai, Hyderabad and other places in India. Here we have associations with well trained, qualified and experienced cosmetic and obesity surgeons who understand the needs of the patients well. They provide cosmetic and obesity treatment to their patients at a low cost. Many medical tourists who have visited India to undergo different procedures for both the cosmetic and obesity surgery are highly impressed with the commitment to quality medical services and cheaper pricing.

Body contouring refers to a broad field of plastic surgery procedures that address areas of excess fat and/or skin. Body contouring procedures can be performed in normal-weight patients, patients who have lost significant weight through diet and exercise, and patients who have lost weight after bariatric surgery. Often, when people talk about body contouring, they are referring to the post-bariatric weight loss patient. At Cosmetic and Obesity Surgery Hospital India, our plastic surgeons are on the interdisciplinary team of the Bariatric and Metabolic Weight Loss Center.

The body contouring consultation serves two main purposes. It allows the patient to meet the surgeon and express their goals for the body contouring procedure. It also allows the patient to understand the process of staging procedures. The surgeon is able to evaluate the patient’s overall medical condition, and assess any potential co-existing medical conditions that may affect the proposed procedures. Usually, the surgeon will assess the patient’s concerns and goals and create a plan. Often, these patients will require multiple procedures, which usually are staged. The stages can be reviewed, and timing can be planned.

It is important for weight loss patients to achieve weight stability prior to proceeding with any body contouring procedures. Ideally, patients should be weight stable for a minimum of 12 months. This is important because weight fluctuations, both gain or loss, can affect the aesthetics of body contouring procedures. This can lead to poorer outcomes, and increase the incidence of the need for secondary procedures.

Many post-bariatric patients prior to weight loss had weight-associated medical conditions. Prior to any procedures, these patients should have general medical clearance. If a patient is a smoker, they should go through a smoking cessation program. In order to reduce the risk of significant wound healing complications related to alteration in tissue perfusion by nicotine, all patients should be nicotine free for a minimum of six weeks prior to and after any elective surgical procedure. Bariatric patients are at risk for nutritional deficiencies that can affect the healing and thus put them at risk for wound healing complications. They should all undergo nutritional assessment, and any deficiencies should be addressed.

The risks of body contouring procedures are similar to any other major surgery. The most common complications are related to wound healing, including wound infection, wound breakdown, and seroma formation. Massive weight loss patients often have other medical conditions, related to their previous obesity, including sleep apnea, hypertension, and diabetes that can increase the risk of surgery. Skin quality is altered in patients who were previously obese and have subsequently lost significant weight. This can lead to increased incidence of poor wound healing, scar-related issues, including scar migration, and skin laxity leading to aesthetic-related issues, which can all lead to increased need for revision procedures.

Massive weight loss patients often require multiple surgical procedures to address excess skin and fat throughout their entire body. From the healing and safety standpoint, it is not feasible to perform all of these procedures in one operation. Typically, panniculectomy (removal of excess skin and fat from the abdomen) or lower body lift procedures are performed as the first stage. Breast reduction/lift procedures can be combined with either brachioplasty (arm) or medial thigh lift. The remaining procedure can be performed as a third stage. If there is significant facial laxity, a face lift can be performed, often, as the final stage. Typically, the time period between stages is three to six months to allow for recovery and healing. The procedure that health insurance most commonly covers is abdominal panniculectomy, that is, the surgical removal of excess skin and fat from the abdomen, without muscle tightening.

Typically, body contouring procedures require at least three months for the overall cosmetic results to be fully apparent. This allows enough time for all residual swelling to resolve and for soft issue to soften. Scars typically require 12 months to go through the remodeling process, and, because body contouring procedures require significant incisions, they often are apparent during this time period.

The major factor that affects the longevity of results in post-bariatric body contouring is weight fluctuations. This is the main reason that these procedures are delayed until patients are weight stable for a minimum of 12 months. If patients are able to maintain their weight, long-lasting results can be achieved. The main issues in this patient population are related to scar migration and soft tissue laxity leading to contour deformities. These are the result of the altered skin/soft tissue characteristics related to the previous obesity.

Not all insurances cover body contouring procedures. More insurance companies are specifically excluding body contouring from coverage. The most commonly covered procedure is abdominal panniculectomy.

At Cosmetic and Obesity Surgery Hospital India, our academic plastic surgeons approach body contouring with a patient-first attitude. Our plastic surgeons are considered leaders in their field. Some of their research activities focus on patient safety, outcomes analysis, and developing state-of-the-art surgery, thus allowing us to incorporate the latest techniques into creating a safe surgical environment in which we can maximize our patients’ experience and outcomes.

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