June 25, 2025 • 18 mins
What really happens after you lose 100 pounds?
Most people assume that massive weight loss is the final chapter in their transformation journey—but the truth is, it’s just the beginning. In this episode of Plastic Surgery Uncensored, Dr. Rady Rahban dives deep into the often overlooked aftermath of dramatic weight loss. From deflated areas and stretched skin to the emotional toll and surgical options ahead, this conversation is an essential roadmap for anyone navigating life post-weight loss—whether it’s from bariatric surgery, medications like Ozempic, or sheer dedication to diet and exercise. Dr. Rahban breaks down:
🎧 If this episode resonated with you, don’t forget to subscribe, leave a review, and share it with someone who needs to hear it. The real transformation begins after the weight is gone.
✨ If you enjoyed this episode of Plastic Surgery Uncensored:
✔️ Subscribe on Apple Podcasts, Spotify, or wherever you listen.
✔️ Rate & Review—your feedback helps more people find us.
✔️ Follow Dr. Rady Rahban across all platforms for daily insights, behind-the-scenes, and patient education:
Most people assume that massive weight loss is the final chapter in their transformation journey—but the truth is, it’s just the beginning. In this episode of Plastic Surgery Uncensored, Dr. Rady Rahban dives deep into the often overlooked aftermath of dramatic weight loss. From deflated areas and stretched skin to the emotional toll and surgical options ahead, this conversation is an essential roadmap for anyone navigating life post-weight loss—whether it’s from bariatric surgery, medications like Ozempic, or sheer dedication to diet and exercise. Dr. Rahban breaks down:
- Why no two people experience weight loss the same
- What areas of the body are most affected
- How to prioritize skin removal surgeries
- The risks of over-staging procedures
- And how to avoid common pitfalls in the body contouring journey
🎧 If this episode resonated with you, don’t forget to subscribe, leave a review, and share it with someone who needs to hear it. The real transformation begins after the weight is gone.
✨ If you enjoyed this episode of Plastic Surgery Uncensored:
✔️ Subscribe on Apple Podcasts, Spotify, or wherever you listen.
✔️ Rate & Review—your feedback helps more people find us.
✔️ Follow Dr. Rady Rahban across all platforms for daily insights, behind-the-scenes, and patient education:
- Instagram: @drradyrahban
- TikTok: @radyrahbanMD
- YouTube: @Rady Rahban
- Facebook: @Rady Rahban
Mark as Played
Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:07):
Welcome to another episode of Plastic Surgery on Censored. I'm
your host, doctor Roddy Rabon, and today's episode is about
the aftermath of massive weight loss. That's right, So, in
today's society, we're finally catching onto the idea that being
overweight or obese is not good for you, not just
because it's esthetically bad, but it has so many health ramifications.
(00:28):
And despite that, of course, fifty percent of the country
is obese, but there is still a lot of people
that have been successful and continue to be successful at
losing a tremendous amount of weight. Now, let's define massive
weight loss for what it is. It means anyone that
loses essentially more than fifty pounds, fifty seventy eighty, one hundred,
(00:50):
hundred and twenty pounds, et cetera. And so why this
is a specific group is because unlike someone who loses ten, fifteen,
even maybe twenty pounds, massive weight loss has a huge ramification.
And after you've lost that amount of weight, you have
to then sort of be prepared for the aftermath because
it's not going to be necessarily what you had anticipated.
(01:10):
So what does happen when you lose shoot, one hundred pounds. Well,
what's happening, essentially is two things happen simultaneously. One, the
amount of fat in your body is reducing. You're losing
fat in your arms, and your legs, and your thighs,
and your abdomen, in your neck, everywhere. And as you
lose the fat, you're starting to develop excess skin. Some
(01:36):
of your skin, depending on where it is, who you are,
how old you are, how big you got, some of
your skin will shrink, but some of it won't because
at that degree of stretch and at that degree of
weight loss, sometimes like a rubber band, that skin elasticity
has gone a little bit too far and the elastin
(01:58):
or the elastic element of the skin have snapped. That's
why you often see a tremendous amount of stretch marks.
And when you release it, it doesn't go back. So
when you've lost that amount of fat, or rather that
amount of weight, and then subsequently that much fat, you're
going to see very predictable things happening. What you're going
to see is the areas where fat is of importance,
(02:20):
they're going to start to get hollow. That tends to
be the butt, the breast, and the face and the
areas that you want tight and snug, you're going to
start to see excess skin and sagging, and that tends
to be the neck, the breast, the trunk area, and
the arms and the thighs. Now, what's fascinating about the
way human beings are created and the biology of human
(02:44):
beings is that no two people lose the weight the same.
In other words, I have a patient, and I do
a lot of massive weight loss post massive weight loss surgery,
and I've seen patients who have lost one hundred pounds.
You line up three of them and they're going to
completely have different issues. So all of them will have
some degree of all of the same things I mentioned,
(03:07):
but the extent of each area will vary differently. Some
people come in here and they're number one, oh my god,
what's going on with your arms? Whereas their thighs are okay.
Other people it's their abdomen that has all this hanging
skin and their arms are not that bad. And some
people it's their neck that's the worst. So again, all
areas will be affected, but in different amounts by different people. Now,
(03:31):
one of the issues with having massive weight loss is
number one, I think that psychologically people need to be prepared.
So what happens is essentially is that you start losing
this weight. And as you're losing this weight, initially it's
very disappointing because a lot of weight doesn't come off,
and as you start to see, oh my god, I
can start to see my body, you get this great
(03:52):
wave of optimism that I'm starting to not only be healthy,
but I'm starting to see the old meat. The problem
is that for many payps, they're not prepared for what
happens when they get to their so called ideal weight,
and by ideal, I mean just whatever weight they end
up deciding to rest at if you've lost that amount
(04:13):
of weight. Many patients are not prepared for the aftermath.
The way they look. They sort of would have expected
that if they lost one hundred pounds, I'd look great.
And while you kind of look great, that is, inclosed,
you look better than you ever did, and that perhaps
to your friends and family, you look significantly better. Many
(04:34):
patients are not feeling much more self confident because when
they're naked or in private, they have all this redundant skin,
and arguably sometimes it looks worse than it was when
it was full. So you definitely need to psychologically be
prepared that if you start on this journey, which I
highly encourage you to not because of the cosmetics, but
(04:56):
because of the health benefits, that you will get to
to a place where you might find that the excess
skin is bothersome. So if you get to your weight
and the skin isn't that bad or doesn't bother you,
then success, hallelujah. You are smaller, skinnier, you have better energy,
and almost all of your health parameters are improved. Your
diabetes is gonna go away, your blood pressure will improve,
(05:20):
your shortness of breath will improve, your ability to sleep
will improve, so many things improve. But if you get
there and then you realize, oh my god, wow, look
at all this loose skin that I have, then you're
gonna need to go about this sort of aftermath planning
I call it, and you need to store to get
yourself ready for the future. And what that entails. We're
gonna take a quick break, we're gonna come back, and
(05:42):
then when we come back, I'm gonna go ahead and
tell you the sort of steps that you need to
do in preparation. So, if you are someone who is
looking towards losing a tremendous amount of weight. Then you're
going to want to be ready for this aftermath, because
planning is really the key to success. Let's take a
quick break. We'll be right back, all right, Welcome back
(06:10):
to the second half of plastic surgery and censored. As
we're chatting about this so called aftermath of massive weight loss.
So we didn't talk about specifically how you lose the weight.
It doesn't really, frankly, matter how you lose the weight.
And by that, I mean when you've lost that amount
of weight. Again, that amount of weight being more than
fifty pounds, it doesn't matter if it was died in exercise,
(06:32):
it doesn't matter, if it was bariatric surgery, and frankly,
it doesn't matter if it was medications. And nowadays, gosh,
people are losing tons of weight on Wogovi Manjaro ozembic.
It doesn't really matter why, because once you've lost that
weight in that area is deflated, the body's going to
predictably be the same. There is some discussion as to
(06:53):
how fast you lose the weight, meaning if you lose
the weight suddenly or if you do it gradually. I
would argue that probably, yes, if you lost it more gradually,
your skin would have a greater chance of recuperating. But
then again, I do think that if you lost a
lot of weight again, it won't matter. So now you've
lost all this weight, the first thing you need to do,
the very first thing you need to do, is go
(07:15):
in front of the mirror and write down a list
of prioritizing list of the things that you dislike, in
the order of how much you dislike them towards how
towards less dislike. So what I mean by that is
you're going from the mirror and you say, God, my
stomach bothers me the most, then my arms, then my thighs,
(07:36):
and then my neck for example. Why that's important is
because as you go on this journey, this journey to
now correct the aftermath of your weight loss, you're going
to have to pull on to a lot of resources
financial etcetera, etc. And you need to make sure that
if you don't, if you just don't have all the
(07:56):
resources to get through the entire of fixing the areas,
that at least you hit the high points. So first
thing I tell patients to do is, if you had
really only one bullet in the chamber, what would you
go after. It turns out that for most patients it's
their trunk. In other words, it's the belly and the
hanging skin, which we refer to a panis. But that
(08:19):
might not be the case for some people, and maybe
their arms or their neck because other people see it.
Next thing you need to do is then you need
to go and speak to plastic surgeons about addressing the
loose skin, because body contouring surgery, that is removing the
excess skin, it's gonna cost money, it's gonna require recovery,
(08:40):
it's going to require planning. I would always recommend at
least seeing two or three plastic surgeons, because like a car,
for God's sakes, you don't just go to the first
showroom or a dealer. You're gonna want to make sure
you connect to the right surgeon. You're gonna want to
look at their work. You're gonna want to be very
very critical about who you're selecting, because this person is
(09:00):
going to be the one that's going to be on
a journey with you for a very long time. One
of the most common things that happens is when you
go in to get a nose job, you tend to
be really critical. When you got to remove a ton
of loose skin, you kind of aren't as critical. You're
sort of like, well, gosh, if I get rid of
this loose skin, it's gonna be fine. And I think
that's a huge mistake. You should use the same critical
(09:22):
eye regarding massive weight loss surgery or body conjuring surgery
as you do for a facelift, because when it's all
said and downe and you spend all that money, you're
going to want to have the best shape and the
best scars. So be critical when you go and see
your doctors. After you've seen your doctors, then you're going
to have to figure out how much is this whole
(09:43):
thing gonna cost? And unfortunately it's going to cost a
lot of money. Why because it's a lot of surgery.
These surgeries are not small. The average surgery, oh god,
the average surgeries between three and eight hours. And so
you really have to be fiscally responsible. So you figure out, Okay,
(10:05):
I dislike four areas, and those four areas cost X.
And much like any other person who would go see
their financial advisor about, hey we want to buy a house.
Hey I'm thinking of purchasing a car. Hey, I'm thinking
of going on vacation. This is one of those things
that you're gonna want to budget for. You also want
to talk about the time off. So how quickly do
(10:25):
I go about doing these surgeries? You can literally do
one surgery and never do another one. You can do
surgeries once a year, or you can do surgeries as
short as every two to three months. So I've had
patients that literally come in, they do a body lift,
and then they never come back. And then I've had
patients who are fully committed. They're like, by the end
(10:46):
of the year, I want to fix all of this.
I want to have no memory of when I was overweight.
And I'm not kidding. Every three months, boom, we're doing
another area. That's to you. But one thing is for sure,
you're going to have to plan the timing of it
because you're going to need to have resources. What resources
are those help? You're gonna need help each one of
these surgeries. Let's say, do you do your arms well.
(11:08):
When your arms are done, You're gonna need help in
and out of bed. When you do your legs, you're
gonna need help in and out of bed. When you
do your trunk, you're gonna need help in and out
of bed, so you will need help of people. Therefore,
you need to make sure you have a support system.
And those are really really important things to start planning
as you do them, because these are generally big surgeries.
(11:32):
They're not little surgeries. So let's talk about just the
general recovery of the surgeries. So resurgery is usually the
following recovery, so pain. They tend to be uncomfortable, but
I usually say the pain usually lasts about a week.
Then the question is when do I go back to
a job. I work at a desk, I work in
(11:53):
an administrative environment. I'm a a paralegal or hygienus or whatnot.
It's usually two weeks before you can go back to work,
a few days before you can go back to a computer,
six weeks before you can go back to major exercise.
So let's say you want to go back to doing
pilates or tennis, that's usually around six weeks. And then,
(12:15):
as I mentioned, the time you can start to do
the next surgery is as soon as about two to
three months. We're waiting for your blood levels to equilibrate.
The surgeries are done general anesthetic, and it depends on
your surgeon. Now I'm listen very very very carefully. This
is really important. You are going to be tempted and
(12:37):
surgeons are going to try to encourage for you to
do multiple surgeries in one sitting. What that means is
you come in, you do your body lift, your arms
and your thighs, and you knock it out and get out. Well,
what the hell's wrong with that? You recommend that all
the time, doctor Rbond with Mommy Makos, etc. Yes, I
recommend maximizing a regular operative day. But what happens in
(13:00):
body contouring is that surgeons try and take advantage of
the fact that you want to get everything done. They
do way too many surgeries in one sitting, and the
only way they can do that is by tag teaming.
What does that mean? Tag teaming means that you're on
the table, So there's a team literally a doctor an
(13:22):
a tech working on your right arm, and another doctor
and a tech working on your left arm, and for
god knows, maybe another one working on your thighs. Because
if you go under anesthesia and you wake up let's
say six or seven or eight hours later, and you've
had your arms, your thighs and your abdomen done. Something
doesn't add up. In other words, there is no way
that was all done by one guy. As all of
you know who've been listening to me for much time,
(13:44):
I am a very particular person and what is my secret,
sauce is that I do everything, and I mean everything myself,
which is super rare when it comes to body contury. Yes, facelifts, yes,
breast reductions, but body contouring, my god, nobody does that alone. Yes,
(14:04):
I do that alone. So I will do fewer surgeries
in a setting, but then you're getting top quality closure
because at the end of the day, let's be honest,
when you're closing an entire arm and another arm and
a thigh and around the body, this is a lot
of suturing, and what takes a long time is closing.
So it's gonna be done shitty, it's gonna be done quick,
(14:27):
it's gonna be done messy in order to do a lot.
So while it is tempting to knock it all out,
I would caution you in terms of doing that, because
reality is that it tends to not be as successful.
So okay, that's what it takes. Now let's talk about
what can go wrong. So the first thing you need
to know is the patients who've lost a ton of weight,
(14:48):
especially from bariatric surgeries, are sometimes malnourished. So you want
to make sure that your nutrition is optimal. See your nutritionists,
make sure you have enough routine on board wide, because
to begin with, you kind of have crappy tissue. Your
tissue stretchy, it's not strong, and often these surgeries are
(15:08):
about making you tight, and you can develop what's called
wound to hissians or separations or falling apart, and so
you definitely definitely want to make sure that your nutrition
is excellent. Bleeding and infection should be very rare. Scars
are a major problem. I just alluded to that. If
you're getting a ton of surgery done, you want to
make sure your scars are not crappy. They're not whipping
(15:30):
them together or stapling them. So I treat body contouring
the same way I treat facelifts. I close with the
same level of fastidiousness or compulsiveness for a body contouring
case as I do a facelift or something on that nature.
And then necrosis, and this is important. Necrosis means that
(15:51):
you are some part of the tissue dies like a
belly button or a nipple because it doesn't get enough
blood supply. Now, a regular person has a ton of
healthy tissue. When you've lost a lot of weight, your
skin becomes deflated and it doesn't have the same vigor.
So necrosis from skin dyeing is you're at risk because
(16:15):
surgeons tend to be a very aggressive with weight loss surgery.
And the last is revisions because what happens with weight
loss patients is you make a new form, you tighten them,
they look really good, and then several months later that
area relaxes because that tissue is weak and you might
(16:36):
need to do a touch up or two here and there,
let's say have a breast or an arm or something
to make it a little bit more snug. That's not
unheard of when it comes to body contouring and people
have lost a lot of weight. So that's a lot
of information basically for you to take in, and it's
quite general, but I wanted you to just get yourself prepared.
(16:59):
If you aren't inal who is about to embark on
a weight loss journey, or you're in the midst of it,
or you're at the end of it, then these are
the things I think you need to understand once you
have selected the surgery you want to do. Let's say
it's a body lift. Let's say it's a breastlift with
the implant. Let's say it's a necklift, break your plasty,
(17:19):
a thigh lift. Then you're gonna want to zone in
on that surgery. You can go to one of our
other podcasts, because we have podcasts for each of those,
and then you want to know everything there is to
know about that surgery. But the following podcast was just
a global overview of all the things you need to
know as you start on that journey and any rate.
I hope that was helpful. As always, I hope you
(17:39):
enjoyed our show. If you do, go write something nice.
We love positive reviews. We hate negative reviews, but we
love positive reviews. So it makes everybody who puts this
show together happy to hear that people are enjoying our show. Secondly,
share the episodes, forward it to friends, send it to
family members. You have no idea who about to do
(18:00):
plastic surgery. By the time you realize who's doing plastic surgery,
it may be too late, and the information that we
have here may have been very helpful. Today, so as
always i'm your host, doctor roder Rabond. I'm grateful to
have you signing off on plastic surgery uncensored
Welcome to another episode of Plastic Surgery on Censored. I'm
your host, doctor Roddy Rabon, and today's episode is about
the aftermath of massive weight loss. That's right, So, in
today's society, we're finally catching onto the idea that being
overweight or obese is not good for you, not just
because it's esthetically bad, but it has so many health ramifications.
(00:28):
And despite that, of course, fifty percent of the country
is obese, but there is still a lot of people
that have been successful and continue to be successful at
losing a tremendous amount of weight. Now, let's define massive
weight loss for what it is. It means anyone that
loses essentially more than fifty pounds, fifty seventy eighty, one hundred,
(00:50):
hundred and twenty pounds, et cetera. And so why this
is a specific group is because unlike someone who loses ten, fifteen,
even maybe twenty pounds, massive weight loss has a huge ramification.
And after you've lost that amount of weight, you have
to then sort of be prepared for the aftermath because
it's not going to be necessarily what you had anticipated.
(01:10):
So what does happen when you lose shoot, one hundred pounds. Well,
what's happening, essentially is two things happen simultaneously. One, the
amount of fat in your body is reducing. You're losing
fat in your arms, and your legs, and your thighs,
and your abdomen, in your neck, everywhere. And as you
lose the fat, you're starting to develop excess skin. Some
(01:36):
of your skin, depending on where it is, who you are,
how old you are, how big you got, some of
your skin will shrink, but some of it won't because
at that degree of stretch and at that degree of
weight loss, sometimes like a rubber band, that skin elasticity
has gone a little bit too far and the elastin
(01:58):
or the elastic element of the skin have snapped. That's
why you often see a tremendous amount of stretch marks.
And when you release it, it doesn't go back. So
when you've lost that amount of fat, or rather that
amount of weight, and then subsequently that much fat, you're
going to see very predictable things happening. What you're going
to see is the areas where fat is of importance,
(02:20):
they're going to start to get hollow. That tends to
be the butt, the breast, and the face and the
areas that you want tight and snug, you're going to
start to see excess skin and sagging, and that tends
to be the neck, the breast, the trunk area, and
the arms and the thighs. Now, what's fascinating about the
way human beings are created and the biology of human
(02:44):
beings is that no two people lose the weight the same.
In other words, I have a patient, and I do
a lot of massive weight loss post massive weight loss surgery,
and I've seen patients who have lost one hundred pounds.
You line up three of them and they're going to
completely have different issues. So all of them will have
some degree of all of the same things I mentioned,
(03:07):
but the extent of each area will vary differently. Some
people come in here and they're number one, oh my god,
what's going on with your arms? Whereas their thighs are okay.
Other people it's their abdomen that has all this hanging
skin and their arms are not that bad. And some
people it's their neck that's the worst. So again, all
areas will be affected, but in different amounts by different people. Now,
(03:31):
one of the issues with having massive weight loss is
number one, I think that psychologically people need to be prepared.
So what happens is essentially is that you start losing
this weight. And as you're losing this weight, initially it's
very disappointing because a lot of weight doesn't come off,
and as you start to see, oh my god, I
can start to see my body, you get this great
(03:52):
wave of optimism that I'm starting to not only be healthy,
but I'm starting to see the old meat. The problem
is that for many payps, they're not prepared for what
happens when they get to their so called ideal weight,
and by ideal, I mean just whatever weight they end
up deciding to rest at if you've lost that amount
(04:13):
of weight. Many patients are not prepared for the aftermath.
The way they look. They sort of would have expected
that if they lost one hundred pounds, I'd look great.
And while you kind of look great, that is, inclosed,
you look better than you ever did, and that perhaps
to your friends and family, you look significantly better. Many
(04:34):
patients are not feeling much more self confident because when
they're naked or in private, they have all this redundant skin,
and arguably sometimes it looks worse than it was when
it was full. So you definitely need to psychologically be
prepared that if you start on this journey, which I
highly encourage you to not because of the cosmetics, but
(04:56):
because of the health benefits, that you will get to
to a place where you might find that the excess
skin is bothersome. So if you get to your weight
and the skin isn't that bad or doesn't bother you,
then success, hallelujah. You are smaller, skinnier, you have better energy,
and almost all of your health parameters are improved. Your
diabetes is gonna go away, your blood pressure will improve,
(05:20):
your shortness of breath will improve, your ability to sleep
will improve, so many things improve. But if you get
there and then you realize, oh my god, wow, look
at all this loose skin that I have, then you're
gonna need to go about this sort of aftermath planning
I call it, and you need to store to get
yourself ready for the future. And what that entails. We're
gonna take a quick break, we're gonna come back, and
(05:42):
then when we come back, I'm gonna go ahead and
tell you the sort of steps that you need to
do in preparation. So, if you are someone who is
looking towards losing a tremendous amount of weight. Then you're
going to want to be ready for this aftermath, because
planning is really the key to success. Let's take a
quick break. We'll be right back, all right, Welcome back
(06:10):
to the second half of plastic surgery and censored. As
we're chatting about this so called aftermath of massive weight loss.
So we didn't talk about specifically how you lose the weight.
It doesn't really, frankly, matter how you lose the weight.
And by that, I mean when you've lost that amount
of weight. Again, that amount of weight being more than
fifty pounds, it doesn't matter if it was died in exercise,
(06:32):
it doesn't matter, if it was bariatric surgery, and frankly,
it doesn't matter if it was medications. And nowadays, gosh,
people are losing tons of weight on Wogovi Manjaro ozembic.
It doesn't really matter why, because once you've lost that
weight in that area is deflated, the body's going to
predictably be the same. There is some discussion as to
(06:53):
how fast you lose the weight, meaning if you lose
the weight suddenly or if you do it gradually. I
would argue that probably, yes, if you lost it more gradually,
your skin would have a greater chance of recuperating. But
then again, I do think that if you lost a
lot of weight again, it won't matter. So now you've
lost all this weight, the first thing you need to do,
the very first thing you need to do, is go
(07:15):
in front of the mirror and write down a list
of prioritizing list of the things that you dislike, in
the order of how much you dislike them towards how
towards less dislike. So what I mean by that is
you're going from the mirror and you say, God, my
stomach bothers me the most, then my arms, then my thighs,
(07:36):
and then my neck for example. Why that's important is
because as you go on this journey, this journey to
now correct the aftermath of your weight loss, you're going
to have to pull on to a lot of resources
financial etcetera, etc. And you need to make sure that
if you don't, if you just don't have all the
(07:56):
resources to get through the entire of fixing the areas,
that at least you hit the high points. So first
thing I tell patients to do is, if you had
really only one bullet in the chamber, what would you
go after. It turns out that for most patients it's
their trunk. In other words, it's the belly and the
hanging skin, which we refer to a panis. But that
(08:19):
might not be the case for some people, and maybe
their arms or their neck because other people see it.
Next thing you need to do is then you need
to go and speak to plastic surgeons about addressing the
loose skin, because body contouring surgery, that is removing the
excess skin, it's gonna cost money, it's gonna require recovery,
(08:40):
it's going to require planning. I would always recommend at
least seeing two or three plastic surgeons, because like a car,
for God's sakes, you don't just go to the first
showroom or a dealer. You're gonna want to make sure
you connect to the right surgeon. You're gonna want to
look at their work. You're gonna want to be very
very critical about who you're selecting, because this person is
(09:00):
going to be the one that's going to be on
a journey with you for a very long time. One
of the most common things that happens is when you
go in to get a nose job, you tend to
be really critical. When you got to remove a ton
of loose skin, you kind of aren't as critical. You're
sort of like, well, gosh, if I get rid of
this loose skin, it's gonna be fine. And I think
that's a huge mistake. You should use the same critical
(09:22):
eye regarding massive weight loss surgery or body conjuring surgery
as you do for a facelift, because when it's all
said and downe and you spend all that money, you're
going to want to have the best shape and the
best scars. So be critical when you go and see
your doctors. After you've seen your doctors, then you're going
to have to figure out how much is this whole
(09:43):
thing gonna cost? And unfortunately it's going to cost a
lot of money. Why because it's a lot of surgery.
These surgeries are not small. The average surgery, oh god,
the average surgeries between three and eight hours. And so
you really have to be fiscally responsible. So you figure out, Okay,
(10:05):
I dislike four areas, and those four areas cost X.
And much like any other person who would go see
their financial advisor about, hey we want to buy a house.
Hey I'm thinking of purchasing a car. Hey, I'm thinking
of going on vacation. This is one of those things
that you're gonna want to budget for. You also want
to talk about the time off. So how quickly do
(10:25):
I go about doing these surgeries? You can literally do
one surgery and never do another one. You can do
surgeries once a year, or you can do surgeries as
short as every two to three months. So I've had
patients that literally come in, they do a body lift,
and then they never come back. And then I've had
patients who are fully committed. They're like, by the end
(10:46):
of the year, I want to fix all of this.
I want to have no memory of when I was overweight.
And I'm not kidding. Every three months, boom, we're doing
another area. That's to you. But one thing is for sure,
you're going to have to plan the timing of it
because you're going to need to have resources. What resources
are those help? You're gonna need help each one of
these surgeries. Let's say, do you do your arms well.
(11:08):
When your arms are done, You're gonna need help in
and out of bed. When you do your legs, you're
gonna need help in and out of bed. When you
do your trunk, you're gonna need help in and out
of bed, so you will need help of people. Therefore,
you need to make sure you have a support system.
And those are really really important things to start planning
as you do them, because these are generally big surgeries.
(11:32):
They're not little surgeries. So let's talk about just the
general recovery of the surgeries. So resurgery is usually the
following recovery, so pain. They tend to be uncomfortable, but
I usually say the pain usually lasts about a week.
Then the question is when do I go back to
a job. I work at a desk, I work in
(11:53):
an administrative environment. I'm a a paralegal or hygienus or whatnot.
It's usually two weeks before you can go back to work,
a few days before you can go back to a computer,
six weeks before you can go back to major exercise.
So let's say you want to go back to doing
pilates or tennis, that's usually around six weeks. And then,
(12:15):
as I mentioned, the time you can start to do
the next surgery is as soon as about two to
three months. We're waiting for your blood levels to equilibrate.
The surgeries are done general anesthetic, and it depends on
your surgeon. Now I'm listen very very very carefully. This
is really important. You are going to be tempted and
(12:37):
surgeons are going to try to encourage for you to
do multiple surgeries in one sitting. What that means is
you come in, you do your body lift, your arms
and your thighs, and you knock it out and get out. Well,
what the hell's wrong with that? You recommend that all
the time, doctor Rbond with Mommy Makos, etc. Yes, I
recommend maximizing a regular operative day. But what happens in
(13:00):
body contouring is that surgeons try and take advantage of
the fact that you want to get everything done. They
do way too many surgeries in one sitting, and the
only way they can do that is by tag teaming.
What does that mean? Tag teaming means that you're on
the table, So there's a team literally a doctor an
(13:22):
a tech working on your right arm, and another doctor
and a tech working on your left arm, and for
god knows, maybe another one working on your thighs. Because
if you go under anesthesia and you wake up let's
say six or seven or eight hours later, and you've
had your arms, your thighs and your abdomen done. Something
doesn't add up. In other words, there is no way
that was all done by one guy. As all of
you know who've been listening to me for much time,
(13:44):
I am a very particular person and what is my secret,
sauce is that I do everything, and I mean everything myself,
which is super rare when it comes to body contury. Yes, facelifts, yes,
breast reductions, but body contouring, my god, nobody does that alone. Yes,
(14:04):
I do that alone. So I will do fewer surgeries
in a setting, but then you're getting top quality closure
because at the end of the day, let's be honest,
when you're closing an entire arm and another arm and
a thigh and around the body, this is a lot
of suturing, and what takes a long time is closing.
So it's gonna be done shitty, it's gonna be done quick,
(14:27):
it's gonna be done messy in order to do a lot.
So while it is tempting to knock it all out,
I would caution you in terms of doing that, because
reality is that it tends to not be as successful.
So okay, that's what it takes. Now let's talk about
what can go wrong. So the first thing you need
to know is the patients who've lost a ton of weight,
(14:48):
especially from bariatric surgeries, are sometimes malnourished. So you want
to make sure that your nutrition is optimal. See your nutritionists,
make sure you have enough routine on board wide, because
to begin with, you kind of have crappy tissue. Your
tissue stretchy, it's not strong, and often these surgeries are
(15:08):
about making you tight, and you can develop what's called
wound to hissians or separations or falling apart, and so
you definitely definitely want to make sure that your nutrition
is excellent. Bleeding and infection should be very rare. Scars
are a major problem. I just alluded to that. If
you're getting a ton of surgery done, you want to
make sure your scars are not crappy. They're not whipping
(15:30):
them together or stapling them. So I treat body contouring
the same way I treat facelifts. I close with the
same level of fastidiousness or compulsiveness for a body contouring
case as I do a facelift or something on that nature.
And then necrosis, and this is important. Necrosis means that
(15:51):
you are some part of the tissue dies like a
belly button or a nipple because it doesn't get enough
blood supply. Now, a regular person has a ton of
healthy tissue. When you've lost a lot of weight, your
skin becomes deflated and it doesn't have the same vigor.
So necrosis from skin dyeing is you're at risk because
(16:15):
surgeons tend to be a very aggressive with weight loss surgery.
And the last is revisions because what happens with weight
loss patients is you make a new form, you tighten them,
they look really good, and then several months later that
area relaxes because that tissue is weak and you might
(16:36):
need to do a touch up or two here and there,
let's say have a breast or an arm or something
to make it a little bit more snug. That's not
unheard of when it comes to body contouring and people
have lost a lot of weight. So that's a lot
of information basically for you to take in, and it's
quite general, but I wanted you to just get yourself prepared.
(16:59):
If you aren't inal who is about to embark on
a weight loss journey, or you're in the midst of it,
or you're at the end of it, then these are
the things I think you need to understand once you
have selected the surgery you want to do. Let's say
it's a body lift. Let's say it's a breastlift with
the implant. Let's say it's a necklift, break your plasty,
(17:19):
a thigh lift. Then you're gonna want to zone in
on that surgery. You can go to one of our
other podcasts, because we have podcasts for each of those,
and then you want to know everything there is to
know about that surgery. But the following podcast was just
a global overview of all the things you need to
know as you start on that journey and any rate.
I hope that was helpful. As always, I hope you
(17:39):
enjoyed our show. If you do, go write something nice.
We love positive reviews. We hate negative reviews, but we
love positive reviews. So it makes everybody who puts this
show together happy to hear that people are enjoying our show. Secondly,
share the episodes, forward it to friends, send it to
family members. You have no idea who about to do
(18:00):
plastic surgery. By the time you realize who's doing plastic surgery,
it may be too late, and the information that we
have here may have been very helpful. Today, so as
always i'm your host, doctor roder Rabond. I'm grateful to
have you signing off on plastic surgery uncensored
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