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Revisional Bariatric Surgery in Turkey

Revisional Bariatric Surgery: A Comprehensive Guide

Revisional bariatric surgery refers to a secondary surgical procedure performed on patients who have previously undergone a bariatric surgery but have either experienced complications or have not achieved the desired weight loss results. Bariatric surgeries such as gastric bypass, sleeve gastrectomy, and adjustable gastric banding have proven effective for many people struggling with morbid obesity. However, like any medical procedure, these surgeries are not without risks and may not always lead to successful, long-term weight management for every patient.

What is Revisional Bariatric Surgery?

Revisional bariatric surgery is a procedure aimed at modifying, correcting, or reversing a previous bariatric surgery. It is typically recommended when the initial surgery did not yield the expected results or when a patient encounters complications that impact their health or quality of life. The goal of revisional surgery is to address issues related to weight regain, insufficient weight loss, or adverse effects from the original procedure.

Reasons for Revisional Bariatric Surgery in Turkey / Antalya

Several reasons might necessitate a revisional bariatric surgery:

Inadequate Weight Loss: Some patients may not lose a significant amount of weight or may regain the weight after their initial surgery. This could be due to various factors, including poor adherence to dietary guidelines, metabolic adaptations, or technical issues with the surgery.
Weight Regain: Despite initially successful weight loss, some patients experience weight regain due to factors such as lifestyle changes, hormonal adaptations, or anatomical changes in the digestive system post-surgery.
Complications from Initial Surgery: Complications can arise from the first bariatric surgery, such as malnutrition, vitamin deficiencies, chronic nausea, or severe reflux. Other complications might include gastric pouch enlargement, anastomotic leaks, or bowel obstructions.
Changes in Health Status: New medical conditions or changes in existing conditions may necessitate revisional surgery. For example, a patient who develops severe gastroesophageal reflux disease (GERD) after a sleeve gastrectomy might require a revision to a different procedure.
Anatomical Issues: Over time, changes in the anatomy of the digestive system, such as a stretched gastric pouch or dilated gastrojejunal anastomosis, may lead to reduced effectiveness of the original bariatric surgery, prompting the need for revision.

Types of Revisional Bariatric Surgery Procedures in Turkey

There are several different types of revisional bariatric surgeries, each tailored to address specific issues arising from the initial surgery:
Conversion Procedures: These involve changing one type of bariatric surgery to another. For example, a patient with a failed gastric band might undergo a conversion to a gastric bypass or sleeve gastrectomy.
Correction Procedures: These are performed to correct complications or anatomical issues resulting from the initial surgery. For example, revising a gastric bypass to tighten a stretched gastric pouch or anastomosis.
Reversal Procedures: In rare cases, a patient may need their initial bariatric procedure reversed due to severe complications or intolerance to the surgery. This involves restoring the stomach and digestive tract to as close to its original state as possible.
StomaphyX Procedure: This is a less invasive revisional surgery where a device called StomaphyX is used to reduce the size of an enlarged gastric pouch or stoma in a gastric bypass patient. It is performed endoscopically, without the need for external incisions.
Sclerotherapy: This endoscopic procedure involves injecting a sclerosing agent into the tissue around an enlarged stoma or gastric pouch to promote scar tissue formation, effectively reducing the size of the opening and helping with weight loss.
Band-to-Sleeve or Band-to-Bypass Conversions: These are revisional surgeries performed for patients who had an adjustable gastric band but experienced complications or insufficient weight loss. The band is removed, and a sleeve gastrectomy or gastric bypass is performed instead.

Common Revisional Surgeries by Original Procedure

The type of revisional surgery performed often depends on the original bariatric procedure. Here are some common scenarios:

Revisional Bariatric Surgery Cost  in Turkey / Antalya

Weight Loss Surgery Turkey Cost: Packages with Aesthetic Travel Antalya / Turkey

Weight Loss Surgery Turkey Cost: Aesthetic Travel offers a range of weight loss surgery options in Turkey, each available in Eco, Medium, and All-Inclusive packages. Here are the details and starting costs for each procedure:

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Post-Bariatric Plastic Surgery in Turkey

Post-Bariatric Plastic Surgery: A Comprehensive Guide in Antalya / Turkey

Bariatric surgery, including procedures like gastric bypass, sleeve gastrectomy, and adjustable gastric banding, has become a popular and effective solution for individuals suffering from morbid obesity. These procedures are designed to aid significant weight loss by altering the digestive system to limit food intake and absorption. However, while bariatric surgery can lead to substantial weight loss and improvement in comorbid conditions like diabetes, hypertension, and sleep apnea, it often leaves behind excess skin and tissue that do not conform to the body's new shape. This is where post-bariatric plastic surgery, also known as body contouring surgery, plays a crucial role.
What is Post-Bariatric Plastic Surgery?
Post-bariatric plastic surgery refers to a variety of surgical procedures aimed at removing excess skin and reshaping the body after significant weight loss. It addresses the redundant skin and tissue that remains after the body has shed a large amount of fat, typically due to bariatric surgery or other significant weight loss efforts. This excess skin can cause discomfort, hygiene issues, and psychological distress, impacting a person’s quality of life even after achieving their weight loss goals.
Common Areas of Concern
After substantial weight loss, different parts of the body can be affected by loose, sagging skin. The most common areas addressed by post-bariatric plastic surgery include:
  1. Abdomen: A large amount of excess skin can form around the abdomen, commonly referred to as an "apron" or "pannus." This can lead to difficulties in mobility and hygiene, as well as cause skin irritation and infections.
  2. Arms: Known as "bat wings," the upper arms can develop loose skin that hangs down, which can be both a cosmetic concern and a physical inconvenience.
  3. Thighs: Excess skin in the thigh area can lead to chafing and discomfort during physical activities.
  4. Breasts: Significant weight loss can result in loss of volume and sagging of the breasts in both men and women, leading to a desire for breast lift or reduction procedures.
  5. Face and Neck: Facial volume loss and neck sagging are also common after massive weight loss, leading to procedures like face and neck lifts.

Types of Post-Bariatric Plastic Surgery Procedures in Antalya / Turkey

There are several specific procedures under the umbrella of post-bariatric plastic surgery, each targeting different body areas:
  • Panniculectomy: This procedure focuses on removing the pannus, the excess skin, and fat that hangs over the lower abdomen. Unlike a tummy tuck, a panniculectomy does not tighten the abdominal muscles but solely removes the hanging skin.
  • Abdominoplasty (Tummy Tuck): In addition to removing excess abdominal skin, an abdominoplasty also tightens the abdominal muscles. This procedure provides a flatter, firmer abdominal profile.
  • Brachioplasty (Arm Lift): This procedure removes excess skin and fat from the upper arms to create a more toned and defined appearance.
  • Thighplasty (Thigh Lift): A thigh lift involves removing excess skin and fat from the inner or outer thighs, improving the overall shape and firmness of the legs.
  • Mastopexy (Breast Lift) and Reduction: For women, a mastopexy raises and firms the breasts by removing excess skin and tightening the surrounding tissue. Breast reduction surgery may also be performed to remove excess fat, glandular tissue, and skin to achieve a breast size in proportion with the body and to alleviate discomfort.
  • Lower Body Lift: This comprehensive procedure targets the abdomen, buttocks, and thighs, effectively lifting and tightening the lower body’s skin.
  • Face and Neck Lift: These procedures address sagging skin and fat in the face and neck areas, restoring a more youthful appearance.

The Surgical Process in Antalya / Turkey

  • 1. Preoperative Evaluation and Preparation: Before undergoing post-bariatric plastic surgery, patients are thoroughly evaluated by a plastic surgeon. This evaluation includes a review of medical history, physical examination, and an assessment of the patient's overall health and readiness for surgery. Patients are typically advised to maintain a stable weight for at least six months and ensure they are nutritionally sound before undergoing surgery.
  • 2. Surgical Plan: Based on the patient’s unique anatomy, weight loss journey, and specific aesthetic goals, a customized surgical plan is created. This plan might include one or multiple procedures performed in stages, depending on the extent of the body contouring needed.
  • 3. Anesthesia and Surgery: Most post-bariatric plastic surgery procedures are performed under general anesthesia. The length of the surgery can vary significantly based on the procedures being performed. Some surgeries may take a few hours, while more extensive body lifts can last up to eight hours or more.
  • 4. Recovery: Recovery from post-bariatric plastic surgery can be extensive. Patients may need to stay in the hospital overnight or longer, depending on the complexity of the procedures. Recovery time can range from a few weeks to several months, and it often involves managing pain, swelling, and bruising. Compression garments are usually recommended to support the healing tissues and reduce swelling.

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