Congratulations. You have come a long way on your journey to better health, and we are here to assist you in the next step.
Our philosophy is to treat each person as a whole, and develop an individualized program for them.
Fredrick A. Valauri, M.D., F.A.C.S. is a fellow in the American College of Surgeons, is board certified in plastic surgery by the American Board of Plastic Surgery, and fully trained in general surgery having received his certification from the American Board of Surgery in 1984.
As a surgery resident in the late 1970’s, Dr. Valauri assisted in performing jejunal-ileal by-pass and gastric partitioning surgeries with pioneers in the field of bariatric surgery, Dr. Victor Richards and Dr. William Goodson. Because of this, he has first-hand experience with these surgeries, even though he now practices only Plastic Surgery.
Body contouring surgery whether following bariatric surgery, or weight reduction with diet and exercise, demands the careful planning and understanding of complex reconstructive surgery.
Patients who have had massive weight loss whether through bariatric surgery, diet and exercise or both have important factors that affect the outcome of their body contouring surgeries. Optimal Body contouring can not be achieved with one surgery, nor with surgery alone.
Important adjuncts to the surgical procedures include exercise programs, particularly focused on core body strengthening to enhance your posture and integrity of your abdominal wall musculature.
Safety is our paramount concern. Particularly after bariatric surgery, you may be relatively malnourished or deficient in vitamins and minerals which can affect your healing and increase wound complications. Therefore, our goal is to optimize your nutritional status prior to surgery with the aid of your internist and a dietician.
Additionally, many of you may have had hypertension, diabetes, and breathing problems which are now improved or resolved since your weight loss. So your general medical condition will need to be evaluated.
The problems usually seen in patients seeking body contour surgery after massive weight loss include:
Hanging skin from the face, cheeks, neck, upper arms, sagging breasts,abdomen, thighs, and buttocks.
The procedures that are commonly performed to treat these problems are:
For safety sake, as well as for optimal results, the operations are usually not all done at once. Rather, each patient is evaluated to determine which operation, or combination of operations, are best done first, as well as the staging of multiple procedures that would be best for that patient.
Some of the consideration on the order and combination of surgery is also determined in part by the recovery time, financial issues, and other individual concerns each patient may have.
As you may know insurance coverage of post-bariatric body contouring varies considerably, and is often considered cosmetic surgery by most carriers.
We will assist you in providing information to your carrier and provide you with financing options for your surgeries, if necessary.