Tips for Losing Weight and Post Weight Loss Body Contouring Chat

Felmont Eaves, MD Arvinpal Singh, MDDate: Tuesday, July, 22, 2014
 Time: 12 noon – 1 p.m.
 Chat leader: Dr. Felmont Eaves and Dr. Arvin Singh
 Chat Topic: Tips for Losing Weight and Post Weight Loss Body Contouring

Chat Overview:
Losing those extra pounds is often a challenge. In this chat, Dr. Arvin Singh, Medical Director of the Emory Bariatric Center, will give tips on the healthiest proven methods for weight loss. And even when you meet your goal, you may still have excess skin or areas of the body that you would like to tone. Dr. Felmont Eaves, Medical Director of the Emory Aesthetic Center, will discuss post weight loss body contouring and the options available to you. Please join our live chat on Tuesday, July 22 from noon to 1 pm to learn how you can achieve your weight loss goals and improve the look of your body.

  • Marjorie M.

    Hi–
    How much surgery/body sculpting can be done at one time? In what order should it be done?

    • Hi Marjorie,

      Different surgeons follow different guidelines for how much surgery to do at a time. For me, I typically use time as a measure, and generally limit a procedure to 6 hours. In that time, however, several body areas can potentially be treated. In patients who have significant health problems, we’ll typically reduce that time limit. The order of surgery is a major discussion, especially when many body areas are involved which is typical after massive weight loss. Personally I use several rules of thumb: First, try to prioritize what is most important to the patient; second, address the core (abdomen) early in the sequence; third, if an area (such as the thighs) needs removal of fat prior to lifting, do liposuction of that area at an early stage and then lift later; fourth, try to address areas that are more prone to recurrence (like a little looseness above the public area) early in the sequence, so that you can touch that up at a later step. Hope this was helpful!

  • Nataie

    I have reached my post baby weight loss goal. I actually got way smaller than I wanted to, so I slacked off on eating right and exercising. The little weight I’m gaining back is going right to my tummy, so the extra skin I’ve had all along is really making for a pudgy stomach. What are options for contouring to get rid of that extra fat/skin in my tummy so I don’t have to worry about it looking so big every time my weight goes up a little. Thank you

    • Natalie, what you’re describing sounds like the classic indication for a tummy tuck (abdominoplasty). As you’ve experienced, diet and exercise cannot tighten the loose skin that frequently occurs after pregnancy. In addition, some stretching of the space between the tummy muscles – known as a diastasis – can lead to a rounded, “poochy” look to the stomach. Fortunately, an abdominoplasty can address both of these. Afterwards, although you might gain a little bit of weight in the tummy area, you’ll tend to put less there and gain and lose more evenly in your body. Hope this helps!

  • Natalie

    Can you talk more about the difference in getting a Panniculectomy and just a tummy tuck. Or do these procedures usually always go hand and hand? Who is the ideal candidate for this procedure? Also what about laser surgery to remove skin?

    • For sure. By definition, a panniculectomy is simply the removal of the apron that hangs down in the tummy area. With a panniculectomy, the tissue is removed directly and sewn back together. A tummy tuck includes a panniculectomy, but does much more. In a tummy tuck, the tissue above the belly button is mobilized so that it can slide downward, allowing more tissue to be removed and a much tighter result. A tummy tuck thus addresses the upper abdomen as well as the lower abdomen, while a panniculectomy only removes the lower tissue. A tummy tuck can also include repair of stretched muscles, improving the shape of the belly button, or concurrent liposuction to optimize contours. In general, a panniculectomy is a functional operation . . . it removes loose skin that may be getting in the way, but it isn’t really a procedure designed to improve aesthetics. That is what a tummy tuck does. As far as candidates, the majority of my patients are candidates for a tummy tuck, and choose this to get the more significant cosmetic results. Candidates for a panniculectomy are typically those with functional problems such as recurrent infections in the hanging tissue, or those who may not be candidates for abdominoplasty as the result of medical problems or sufficiency of weight loss. Lasers have no role in skin removal. While a surgeon could use a cutting laser instead of a scalpel, the result would be no different in terms of scar length or scar quality.