Post Weight Loss/ Post Bariatric Surgery – Melbourne

Significant weight loss, whether through lifestyle changes or bariatric surgery can lead to changes in skin elasticity and body shape. Post weight loss surgery, also known as post bariatric body surgery, involves procedures designed to remove excess skin and address areas where skin may not retract following weight loss.

Dr Gary Kode offers tailored surgical options to support individuals in managing these changes and feeling more comfortable in their bodies. A consultation is required to assess your needs and determine which procedures may be appropriate for you.

What Is Post-Bariatric Body Surgery?

Post-bariatric body surgery refers to a series of procedures performed after significant weight loss, including weight loss achieved through bariatric surgery. These procedures aim to address excess or redundant skin that may remain when body size decreases but the skin does not adapt in the same way.

Surgical treatment can help manage the physical effects of excess skin, which may include chafing, discomfort, hygiene challenges, or restricted movement. Depending on the individual, procedures may involve areas such as the abdomen, thighs, arms, chest, or lower body. Dr Gary Kode works closely with each patient to develop a tailored surgical plan that reflects their needs, goals, and clinical assessment.

Post-Bariatric Surgery Procedures

Dr Kode develops each surgical plan based on an individual’s specific needs, medical history, and clinical assessment. Several procedures may be recommended to address excess skin or tissue in various areas following significant weight loss. These may include:

• Abdominoplasty/Tummy Tuck: A surgical procedure that addresses excess skin in the abdominal area and may involve tightening the underlying muscle structure.
• Circumferential Lipectomy/Lower Body Lift: Involves surgery to remove redundant skin from areas such as the abdomen, buttocks, hips, and thighs.
• Brachioplasty/Arm Lift: Removes excess skin from the upper arms, which may be present after weight loss.
• Thighplasty/Thigh Lift: Focuses on addressing lax or redundant skin from the inner or outer thighs.
• Mastopexy (Breast Lift): Lifts the breasts to a higher position on the chest wall and reduces breast ptosis (excess skin). May be performed in conjunction with a Breast Augmentation or Reduction for a more comprehensive result, depending on clinical evaluation. 
• Liposuction: Reduces localised fat deposits that do not respond to diet and exercise. Can be performed alongside other procedures to optimise results.

Planning for Post weight loss surgery

Planning surgery following significant weight loss involves careful consideration of both physical health and personal goals. Before proceeding, patients are assessed to determine which areas of the body may potentially benefit from surgical intervention. This evaluation includes a review of overall health, weight stability, medical history, and skin condition.

Post-weight loss surgery often involves multiple procedures staged over time. A personalised surgical plan is developed to prioritise health, recovery and alignment with the individual’s concerns. It’s important that patients are at a stable weight, with realistic expectations, and committed to long-term health and recovery.

Dr Gary Kode works closely with patients to outline each step, discuss suitable procedures, and provide detailed pre-operative and post-operative guidance. Through this collaborative approach, patients can feel informed and supported throughout their surgical journey.

Am I a Suitable Candidates for Post-Bariatric Surgery?

Suitability for post-bariatric surgery varies from person to person and depends on several clinical and personal considerations. These may include:

• General health status: A comprehensive assessment is typically required to identify any factors that may affect recovery or surgical planning.
• Weight stability: A period of weight stability may be discussed prior to proceeding with surgery, as ongoing fluctuations can affect surgical timing.
• Skin condition: Following significant weight loss, some individuals experience a change in skin redundancy or laxity.
• Soft tissue quality: The elasticity of the skin and the condition of underlying tissues may influence surgical recommendations.
• Physical concerns: These may include skin chafing, irritation, hygiene difficulties, or limitations in clothing fit.
• Specific physical concerns: Areas where excess skin or changes in body shape are affecting physical function, such as hygiene or movement, may be identified and discussed.
• Realistic expectations and informed consent: Understanding the potential benefits and limitations of surgery, including possible risks and complications, is also an important part of the decision-making process.

A consultation with a specialist plastic surgeon is required to determine whether surgery is appropriate. During this appointment, your health history, goals, and areas of concern can be reviewed to determine what options may be suitable for you. Dr Gary Kode performs a range of post-weight loss procedures and can provide information specific to your circumstances during a consultation.

Potential Benefits of Post-Bariatric Surgery

Post-bariatric surgery is often considered by individuals who have experienced significant weight loss and are seeking to address concerns related to redundant or excess skin. These procedures may help manage physical discomfort and functional limitations. While outcomes vary between individuals, potential benefits can include:

• Reduction in Skin-Related Infections and Irritations:  Excess skin can lead to chronic issues such as intertrigo (skin fold rashes), fungal infections, and ulcers. Skin removal surgery can help alleviate these conditions by reducing skin in the areas where moisture and friction build up.
• Increased Mobility and Physical Comfort: Large folds of skin can cause discomfort and restrict movement. Removing this excess skin can lead to straighter posture, ease in movement and increased physical activity.
• Increased Hygiene: Maintaining proper hygiene in areas with overhanging skin can be difficult. Surgery can ease daily cleaning routines and help prevent body odour, rashes and bacterial growth.
• Alleviate Skin Laxity and Muscle Separation: In some cases, especially after significant weight loss or pregnancy, the abdominal muscles may become separated (diastasis recti). Abdominoplasty or Circumferential Lipectomy (body lift) can help bring these muscles back together, increasing core strength and abdominal function.
• Increased Posture and Back Support: Removing excess abdominal skin and tightening the underlying muscles can relieve pressure on the lower back, leading to posture changes and reduced discomfort.
• Support for Sustained Weight Management: By alleviating physical discomfort and reducing excess skin, many patients report feeling more motivated to maintain a balanced lifestyle, including regular exercise and nutrition.
• Reduced Risk of Skin Breakdown: Long-term pressure from excess skin can lead to skin breakdown, sores, and discomfort. Surgery reduces these risks by removing heavy, overhanging tissue.

Recovery After Post-Bariatric Surgery

Recovery after post-bariatric surgery depends on several factors, including the type and extent of procedures performed, as well as individual health considerations. Dr Gary Kode and his team will provide a tailored aftercare plan designed to support healing and address your specific needs. General recovery expectations may include:

• Hospital Stay: Most patients stay in hospital for 1 to 3 nights, depending on the procedure and post-operative requirements.
• Initial Recovery Period: A period of reduced activity is usually required for 2 to 4 weeks. During this time, patients are advised to resume light movement as tolerated.
• Time Off Work: Time away from work may range from 2 to 4 weeks, depending on job demands. Physically demanding roles may require additional time.
• Physical Symptoms: Swelling, bruising, and soreness are typical during early recovery and can be managed with prescribed or over-the-counter medications.
• Compression Garments: Patients are advised to wear compression garments to support healing, reduce swelling, and assist with shaping.
• Movement and Circulation: Walking at a slow pace is recommended soon after surgery to support circulation and reduce risks.
• Follow-Up Care: Regular follow-up appointments allow the surgical team to monitor recovery, manage any issues, and provide guidance for activity levels.
• Long-Term Recovery: Complete healing and final results may take several months as swelling gradually decreases.

A detailed aftercare plan will be provided to guide you through each stage of recovery. Dr Kode and his team remain available to support your progress and respond to any questions throughout the healing period.

Post Bariatric Surgery Before and After Photos

Before and after images are for educational purposes only. The results shown are only relevant to the patient and do not reflect or outcomes that other patients will be able to achieve. They are a tool to help visualise what changes may be possible with Post Bariatric Surgery performed by Dr Kode.

Body Surgery Before and After Photos | Dr Gary Kode

Disclaimer: Individual results will vary depending on several factors including; age, skin health, body type, medical history and lifestyle. All surgical procedures carry risks and it’s important to understand these before undergoing surgery.  Photographs are not intended to guarantee results.

Risks and Complications of Post Bariatric Surgery

Post-bariatric surgery can involve various procedures that carry potential risks and complications, Dr Gary Kode will discuss these thoroughly during consultation, allowing patients to make informed decisions based on their individual circumstances. Some of the risks and complications include;

• Wound Healing Issues: Delayed healing, wound separation (wound dehiscence), or infection can occur, especially in areas with significant skin removal.
• Infection: Surgical sites may become infected, requiring treatment with antibiotics or further intervention.
• Scarring: Visible scars will result from surgery. While efforts are made to reduce scar appearance, some patients may experience raised, thickened, or keloid scarring.
• Seroma or Hematoma: Fluid or blood collection under the skin may develop and might require drainage.
• Changes in Sensation: Temporary or permanent numbness or altered sensation in the skin or surgical areas is possible.
• Fat Necrosis: Firm lumps under the skin caused by damaged fat tissue may develop.
• Skin Necrosis: Loss of skin tissue due to inadequate blood supply in the surgical area.
• Asymmetry: Differences in shape or size between body areas can occur following surgery.
• Blood Clots: There is a risk of deep vein thrombosis (DVT) or pulmonary embolism, particularly following extensive surgery.
• Anesthesia Risks: General anaesthesia carries its own risks, which will be discussed prior to surgery.
• Need for Revision: Some patients may require further surgery to address complications or to achieve desired outcomes.

Dr Gary Kode will discuss all potential risks and complications with you during your consultation, and provide guidance on how to prepare for and recover from your surgery to reduce these risks. It is essential to follow all pre- and post-operative instructions closely and attend all follow-up appointments. 

Visit our Risks and Complications page for more information. 

Post Weight Loss Surgery Cost in Melbourne

The cost of excess skin removal (post-bariatric surgery) varies based on factors such as the number and type of procedures performed, hospital fees, and anaesthetist charges.

Exact prices are not advertised online; however, Dr Gary Kode provides a detailed, personalised quote following your consultation.

Is Excess Skin Removal Surgery Covered by Medicare?

In some cases, Medicare may provide a rebate for post weight loss procedures. If they are deemed medically necessary. To be eligible:

• You must have significant excess skin causing health concerns (e.g., infections, hygiene issues)
• Your weight must have been stable for at least 6 months
• Your BMI must fall within certain limits

Dr Kode can help assess your eligibility and provide appropriate documentation for Medicare and health fund consideration.

Choosing The Right Surgeon For You – Why Choose Dr Gary Kode?

Selecting a surgeon after significant weight loss is a personal decision that should be made with careful consideration. It’s important to choose a registered specialist with the appropriate qualifications, experience, and a professional, patient-focused approach.

Dr Gary Kode is a Specialist Plastic and Reconstructive Surgeon with extensive experience in performing procedures for patients following weight loss. He is committed to delivering care that is ethical and aligned with current medical guidelines.

From your first consultation to post-surgical follow-up, Dr Kode and his team provide a supportive and informative environment. You will receive clear explanations about your options, the procedures involved, potential risks, and the recovery process.

Patients can expect:

• Treatment in fully accredited hospital facilities
• A surgical plan developed based on individual anatomy and medical history
• A thorough, evidence-based approach to post-weight loss procedures
• Ongoing support and follow-up care during recovery

Dr Kode’s goal is to help you make informed decisions about your care, with a strong emphasis on your health, desired outcome, professional standards and patient education.

Schedule a Consultation

Starting this phase of your weight loss journey requires careful planning and guidance. Contact Dr Gary Kode’s office to schedule a consultation and explore your options for post-bariatric surgery in Melbourne.​

Disclaimer: The information provided is for educational purposes only and does not constitute medical advice. Individual results may vary and all surgery carries risks and potential complications. A thorough consultation is necessary to determine the most appropriate treatment plan for your specific circumstances