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The Gastric Bypass is a long established weight loss procedure. Over 30 years it has proven to be safe and effective, delivering both excellent weight loss outcomes and significant health benefits. In fact, for people experiencing health problems associated with their weight, the bypass is generally the best procedure available.

What is a Gastric Bypass?

Gastric Bypass surgery is a procedure that can help you to achieve long term weight loss. It can be an effective solution for anyone who has tried many other methods of diet and exercise, yet still has a Body Mass Index (BMI) of 30 (or above).

This procedure can take different forms, but one of the most popular is called a Roux-en-Y Gastric Bypass. The goal of each procedure is always the same, reducing the size of your stomach, which restricts how much you can eat. A Gastric Bypass also affects your hunger and appetite levels.

An alternative procedure to the Roux-en-Y Gastric Bypass is a Mini Loop Gastric Bypass. This is a newer type of bypass which works in much the same way and offers the same benefits. The key difference is that a Mini Gastric Bypass will involve less ‘rerouting’ of the digestive system.

The Procedure

This procedure is carried out laparoscopically (keyhole surgery) and uses special equipment to alter the way food flows through the intestines. First the stomach is turned into a small pouch, (about the size of a large egg). Next the small intestine is carefully measured, transected, and reattached onto the new stomach pouch. The pouch only allows smaller quantities of food into it and bypasses the rest of the stomach and the first metre or so of small intestine. The body reacts to this change by releasing large quantities of naturally occurring gut hormones after food, that suppress appetite and improve the way the body controls blood sugar levels. Whilst it is true that the Gastric Bypass does affect the absorption of food, this effect is really quite mild and so it is unusual for bypass patients to suffer with side effects of malabsorption such as diarrhoea or severe nutritional problems.

Careful follow-up is vital so that persistent vomiting or excessive weight loss (which may have a psychological component to it) are investigated and treated promptly. Blood tests need to be performed every three to four months and should include trace elements such as zinc, iron and magnesium, together with vitamin B12 and folate levels. Most bariatric patients are vitamin D depleted/deficient before they even have their surgery and so we advice to supplement this routinely as well.

Dumping syndrome is worthy of a special mention as it is often referred to in a negative sense when Gastric Bypass is discussed. Dumping (which results from rapid emptying and absorption of sugars within the small bowel) is uniquely associated with the Gastric Bypass. As these high volumes of sugars are absorbed there is an over-exaggerated insulin response. This causes the blood sugar levels to fall rapidly and the patient experiences symptoms of hypoglycaemia (low blood sugar) such as anxiety, sweating, dizziness and fainting. It is often preceded by stomach cramps and diarrhoea, the net effect of which is to bring about a most helpful degree of wariness in the chocolate-loving bariatric patient.

Body contouring is among the most artistic of plastic surgery operations. Advances in both body contouring technology and technique have given patients a number of options both surgical and non-surgical to improve their silhouette. Many times these options can lead to confusion about which is the best option to address the issue at hand. During your consultation with our online consultants, we will listen to your concerns, educate you on the underlying cause and spend time discussing your options for addressing those concerns.

What exactly is Body Shaping?

Modern day body contouring commonly involves treatment of loose skin and reduction or redistribution of excess fat. Overall the goal is to create a more aesthetically pleasing body contour. Not every patient wants the same look and understandably so. This is why, at MIC, we take time to listen to each patient explain the changes they want made.

While many body contouring procedures involve removing excess skin, such as with an abdominoplasty (tummy tuck) or extremity lifts (arm lifts/thigh lifts), not everyone is willing to have the required scar. Likewise, there are patients that desire fat to augment their buttocks and create a more curvaceous look while others simply want to remove fat from their love handles or muffin top removed. Consultation with one of our online consultants provides the foundation for achieving your surgical goals. Knowing your treatment options and the associated trade-offs of each are an important factor in determining the best treatment for you.

Body Shaping Procedures

If you are otherwise healthy but experiencing issues with body proportions, you may have been considering a procedure to correct them. There are a lot of choices when it comes to body procedures however, here are a few facts to help explain the differences between a few of these procedures.

• Liposuction has become one of the most common cosmetic procedures performed today and is an extremely popular procedure for both men and women. Liposuction is an excellent choice if you are wishing to improve body shape and definition. Its primary purpose is to improve the appearance of the body by removal of excess fat from localized areas. Each individual has these local accumulations differing on the basis of sex, race, age, and heredity. The amount of fat that can be removed is determined by the patient’s wishes and our recommendations, and limited only by medical safety. Our goal in liposuction is to produce a body contour that appears natural and is free of unsightly bulges. As with any procedure, there are limitations based on the patient’s skin texture, thickness, and ability to retract.
• After pregnancy, weight loss or simply as a part of the aging process, many people find themselves with excess skin and fat and loss of muscle tone around the tummy. Abdominoplasty or “tummy tuck” is an excellent choice for both men and women seeking a tighter, flatter abdomen and smoother body contour. The procedure involves an incision made within the “bikini” or “boxer” line under the abdomen, extending towards the hip bones. The placement of the incision helps hide the scar under clothes following the procedure. Excess skin and fat are removed, the muscle beneath is tightened, the skin is redraped to provide a pleasing body shape, and often the belly button is moved to a new position within the newly contoured abdomen. In some cases, a “mini-abdominoplasty” can be performed, which affords many of the same results with shorter scars. During your online consultation we will examine your body and discuss your options for the right type of abdominoplasty to yield the best results. It is important to note that a tummy tuck procedure is not a weight loss treatment.
• When it comes to breast enhancement, there are several options available, and it all depends on the complexity of the drooping and the loss of tissue, or perhaps it is the simple desire to replace lost fullness or firmness. Mild droopiness can be improved with breast implants, without a breast lift. If the nipple is not too low, and the breast tissue is not too soft, and the patient is willing to accept a slight increase in breast size, this option is a good choice. Another option available is Mastopexy, known commonly as a breast lift. This can be done without the use of breast implants. Breast lifts bring the nipples back up, usually along with the tightening of the skin under the breasts. Please keep in mind, that breast lift alone will not correct the loss of fullness in the breast, particularly the upper breast which occurs after pregnancy. Therefore many choose to do both breast implants and breast lift at the same time. This combination allows the recovery of fullness in the upper portion of the breast. Alternatively, the removal of droopy breast, added with breast augmentation can allow the breast to have a more desired shape without being enlarged.
• Many men develop excess skin and/or breast tissue on their chests. This condition is called gynecomastia and can be a cause for embarrassment and even discomfort. The exact cause of gynecomastia is still uncertain, but is likely related to an imbalance in hormones or the tissues linked to them. The condition can be treated with direct excisional surgery, liposuction, or a combination of these two procedures and can provide very pleasing results.

Any of these procedures can be performed individually or in combination with each other. We are happy to tailor a procedure that is right for you. With the advancement of anesthesia, monitoring, and medicines, longer procedures are now safer then ever before.

To find out more about what Plastic Surgery can do for you, contact us on WhatsApp number +90542 512 51 64.

As a mother, pregnancy and having a child is a unique and very special time in your life. It is a wonderful experience to watch how your body changes to accommodate bringing a new life into the world. However, whilst childbirth is a truly life changing event, the pregnancy and birth of your baby and subsequent breast feeding can have significant downsides for many women like excess skin and stretch marks on the body or alteration of breast tissue. These effects of pregnancy particularly on the tummy and breasts may also persist despite diet and weight loss or toning exercises in the following weeks, months and even years after giving birth. Changes to our skin and body can impact self confidence. This is when a little makeover help such as breast surgery may sometimes be required if you are keen to make changes to recapture aspects of your pre-pregnancy body.

What is a Mommy Makeover?

“Mommy Makeover” surgery is a name given to a variety of cosmetic surgeries that can be done to tighten, firm, and rejuvenate parts of the body that change as a result of pregnancy and childbirth.

Here at MIC, we believe that there is no ‘one size fits all’ when it comes to any cosmetic surgery and we adopt the very same approach with a Mommy Makeover. During your online consultation, you can discuss with your consultant exactly what you would like to change or improve about your body and together with your online consultant, a Mommy Makeover package can be created which is completely tailored to your individual needs and concerns.

What procedures are included in a Mommy Makeover?

Most commonly, a Mommy Makeover is made up of a breast enhancement and a tummy tuck or liposuction, but this can also include vaginal tightening or labia reduction too. Here are some of the cosmetic surgery procedures which you may wish to include in your Mommy Makeover:

• Breast lift with or without implants – if your breasts aren’t the same and seem to have dropped since breastfeeding then breast uplift surgery could help to reshape your breasts giving you a tighter, more uplifted profile. If you’ve always wanted bigger boobs and have lost volume due to pregnancy or ageing, then you could also combine this surgery with a breast enlargement.
• Tummy Tuck – if pregnancy has left you with excess, sagging skin in the stomach area, or ‘tummy bulges’ that are resistant to diet and exercise, Tummy Tuck surgery could reshape your abdomen to give you a flatter, smoother profile. It can also provide muscle placation or muscle tightening to stretch abdominal muscles so that your firmer shape can be maintained afterwards.
• Liposuction – is designed to remove fat and contour the body. It’s one of the most popular cosmetic surgery procedures for patients who are looking for fat loss from various parts of the face and body, including the chin, stomach, buttocks and thighs. In a Mommy Makeover, Liposuction is most often performed in the stomach area in order to achieve a smoother and more contoured profile.
• Labiaplasty and/or Vaginal Tightening – the labia can become stretched during childbirth, this procedure can reduce the size and define the appearance of the inner labia. Vaginal muscles often become loose and weak after childbirth. Vaginal tightening surgery can change the way your vagina feels and functions, bringing back more tone and control as well as enhancing sensation during sex.