Reference Summary: Thiamine (B1) and Vitamin B6 for Body Contouring Surgery What they are: Thiamine (vitamin B1) and vitamin B6 are two water-soluble B vitamins that do very different jobs, but both matter to me before I operate on a post-weight-loss patient. Thiamine drives energy metabolism and nerve function. Vitamin
After significant weight loss, the upper arms are often left with loose skin that is thin and hard to support in ordinary clothing. Brachioplasty (arm lift) involves removing excess skin and the loose tissue along the inner arm. In many post weight loss patients the incision runs from near the
After significant weight loss, the surgery I perform removes excess skin and reshapes the abdomen, trunk and limbs. Body contouring procedures such as abdominoplasty (tummy tuck), body lift (belt lipectomy), brachioplasty (arm lift), and thighplasty (thigh lift) all require you to wear a compression garment afterwards. One of the most
After major weight loss, the abdomen is often left with loose skin that hangs in both directions, down towards the pubis and across the waist. A standard tummy tuck (abdominoplasty) removes skin in one direction only, from top to bottom. For some post-weight-loss patients that is not enough. When there
After significant weight loss, two problems often sit on top of each other in the same part of the body. The first is loose abdominal skin that hangs in both a vertical and a horizontal direction. The second is a weakness in the abdominal wall at the navel, an umbilical
Most people picture an abdominoplasty (tummy tuck) as a single horizontal incision running from one hip to the other. After major weight loss, one direction is sometimes not enough. When loose skin hangs both up and down and side to side, a hip-to-hip incision on its own cannot take up
Every abdominoplasty (tummy tuck) leaves a scar. There is no way around that. When I remove excess skin from the abdomen, I am making an incision, and an incision heals as a scar. What I can influence is where the scar sits, the surgical technique used to close the wound,
Many people who have experienced significant weight loss are left with loose or excess skin and stretched soft tissue around the midsection. Skin folds in these areas can cause ongoing skin irritation. A question I often hear in my clinic is whether a belt lipectomy (body lift) or an abdominoplasty
Loose skin after weight loss does not present in one single way. For some patients, it is mainly a hanging fold low on the abdomen. For others, the looseness runs horizontally across the front, vertically along the midline, or in a circumferential pattern around the trunk. Loose skin in the
The umbilicus, or belly button, changes shape when the abdomen stretches with weight gain, and changes again when the skin is left loose after significant weight loss. By the time many of my patients reach me, the umbilicus sits deep within the abdominal wall, has been pulled out of position,