News presenter: Welcome back WBRZ news 2 at 4:00. Dr. Anthony Stephens joins us today and we’re talking about what happens after someone loses a lot of weight.
Anthony Stephens: A lot of weight, you know anywhere 50 to 100 pounds after bariatric surgery or weight loss surgery, something we may not think about but you have excess skin that’s created from that weight loss and what do you do about it and it’s a matter of fact it was a new study out of Geneva Switzerland talking about patients that underwent cosmetic or plastic surgery reducing that skin after they’ve lost all that weight we’re more likely to keep the weight off than those that actually didn’t have you know the skin reduced afterwards and so it’s a good thing and maybe should be part of bariatric surgery as well.
News presenter: You kind of mentioned I mean it’s a lot of people don’t really think about the afterwards.
Anthony Stephens: Afterwards you’ve lost all of this weight and it can happen with as little as 50 pounds that we have all this excess skin which can create problems of ulceration underneath if we’re talking about the abdomen or even the thighs and so it can create a big problem for these people and so they don’t really understand what the results are until they’ve actually lost this weight and a lot of these people are actually more unhappy after they’ve lost this weight with the excess skin because then they look more abnormal if you will than if they just had you know when they were obese and so some of these studies have actually shown that if you do have cosmetic, we have some pictures here.
News presenter: Here are some pictures.
Anthony Stephens: That if you do have some of the excess skin removed they’re much happier and the quality of life is improved after plastic surgery or after you remove some of the excess skin.
News presenter: So this person lost a lot of weight.
Anthony Stephens: Lost a lot of weight and they have excess skin underneath the arms and this is a procedure called a brachioplasty and it’s basically removing the excess skin and the residual fat that you have from the underarms and this does produce a scar but the scar is well hidden in the middle part of the arm. Another procedure here, this is obviously a lady that’s lost weight and one that you remove the skin around the abdomen which usually goes all the way around called a body lift which they’ve had all the way around the other side and so it’s a good operation after they’ve lost say 50 to 100 pounds.
News presenter: Wow, that’s amazing.
Anthony Stephens: Yeah, this gentleman here nice results after you call it a body lift or a circumferential abdominoplasty a lot of names for it but in fact you just remove the skin and fat almost all of circumferentially around the patient.
News presenter: Okay.
Anthony Stephens: Another one example of removing skin from the arms as well which is very common after bariatric surgery you don’t even to have that just patients that have lost you know as much as 20-30 pounds will have this.
News presenter: And what’s it’s kind of the, the downtime?
Anthony Stephens: Well, it varies depending on how, what surgery you have but just for the arms for example, downtime could be as little as 10 days, two weeks and for some of the other ones if you have a body lift downtime is usually two weeks as well.
News presenter: Ok, and you mentioned this, this is not covered by insurance.
Anthony Stephens: Well and that’s what we were talking about earlier and I think that’s what’s the point of the study is that perhaps some of this perhaps should be considered part of bariatric surgery because this is a fact this is what’s going to happen after you lose say a hundred pounds and so I think you have to take that into consideration whether insurance companies will cover it or not depends on the insurance company, but I think patients need to know this upfront before they have the surgery that this is going to be the results afterwards and these are going to be the consequences of such and so I think it’s important that we explain that you know to these patients and show them pictures and I think that pretty much explains it.
News presenter: Alright, thank you Dr. Stephens for coming in today. You’re watching WBRZ news 2 at 4:00, we’ll be right back.