Post-bariatric surgery

Post-bariatric surgery aims to remove excess skin and residual fatty tissue in order to reshape the contours of the body. This operation goes beyond simple aesthetic improvement: it allows for true functional and psychological restoration. It mainly concerns the abdominal region, the flanks, the lower back, the buttocks, and the thighs. In some cases, it can be extended to the upper body, such as the arms or chest.

The surgery can be combined with targeted liposuction to further improve the result, as well as with a diastasis repair (tightening of the abdominal muscles) if necessary.

Post-bariatric surgery is primarily intended for people who have undergone massive weight loss, generally more than 30 or 40 kg, often as a result of bariatric surgery (bypass, sleeve gastrectomy), or after prolonged and stable weight loss. Both men and women can be considered, provided their weight has been stable for several months. This is an essential prerequisite for ensuring lasting results and limiting post-operative complications.
Good physical condition is also necessary, as is the absence of nutritional deficiencies, active infections, or decompensated chronic diseases. Smoking cessation is mandatory, as tobacco greatly compromises healing and increases the risk of post-operative complications.
Finally, post-bariatric surgery is not recommended for people planning a future pregnancy, as this can alter the results obtained in the abdomen

Recovery after post-bariatric surgery is significantly longer than for conventional cosmetic surgery, due to the size of the areas operated on. The first few weeks are marked by pain, fatigue, and swelling in the treated areas. Appropriate painkillers are used to manage these effects and improve patient comfort.
In the days following the operation, the patient is encouraged to walk gently to reduce the risk of phlebitis, but must avoid any exertion, carrying heavy loads, or bending the trunk. Everyday movements must be adapted, as the trunk remains under tension.

The length of recovery varies, but a break of at least two to three weeks is usually necessary before light professional activity can be resumed. Moderate physical activity can be resumed after about six weeks, while a full return to normal may take several months.
Compression garments, often called post-operative panties or girdles, must be worn day and night for about 4 to 6 weeks. They play an essential role in controlling edema, maintaining tissue, and ensuring quality healing.

The surgeon will closely monitor you throughout the recovery period to check on healing, manage any complications, and adjust your care.

Post-bariatric surgery often produces remarkable results in terms of body shape. Excess skin is removed, contours are redefined, and tissue is tightened, giving the body a more toned and harmonious appearance. Many patients experience immediate functional relief: improved mobility, increased comfort in clothing, and improved daily hygiene. These benefits are very often accompanied by a boost in self-confidence.

However, the final results are only visible after several months. Post-operative swelling may persist for a few weeks, and the skin takes time to adapt to its new tension. It takes between six months and a year for the figure to fully stabilize and for the scars to fade. Although scars are present, they improve over time and can be treated later if necessary. They are generally well accepted in view of the benefits obtained.

Provided that a stable weight and a balanced lifestyle are maintained, the effects of such surgery are long-lasting. However, age and tissue quality will influence long-term results.

Like any surgical procedure, post-bariatric surgery carries certain risks. The most common complications involve healing, particularly suture dehiscence (or separation).

Bruising, prolonged swelling, or decreased sensitivity may occur temporarily. In some cases, infection or hematoma may require specific treatment.
Rarer complications, such as blood clots (phlebitis or pulmonary embolism), are addressed through preventive measures, including early mobilization and the prescription of anticoagulants.

Smoking is a recognized aggravating factor. It increases the risk of complications and delays healing. It is essential to stop smoking completely several weeks before and after the procedure.
Finally, touch-ups may be considered in cases of asymmetrical results, thick scars, or residual skin laxity.