Category Archives: Plastic Surgery

Massive Weight Loss Consequences

Congratulations!  You’ve lost a lot of weight by diet & exercise, bariatric surgery, or a combination.

You look better, feel like another person, your medical problems have significantly improved. However, you look at yourself, and you see a lot of deflated skin, and it does not match how you feel.

1. What are the most common areas that plastic surgery can improve after massive weight loss?

What I see in my weight loss patients is fairly consistent. I always ask what their priorities/concerns are, and generally they are rated the same, regardless of gender or age.

  1. Abdominal pannus (apron)
  2. Breast/chest area
  3. Arms
  4. Inner thighs
  5. Face

2. Can these areas be done at the same time?

Obviously, not all at the same time. But depending on the patient’s overall health status, and amount of tissue to be removed two or three procedures could be done at the same time.

Most common, the abdomen and breast are done together. Each of these procedures are about 3 hours in length (6 hours combined), and in most patients can be done as an outpatient procedure.

Other combinations are possible, but I do feel that the abdomen and inner thighs should be done at two separate times. These are the two “biggest” surgeries as far as recovery goes.

3. Do I always have to do a breast implant w/ my breast lift?

No, but unless you still have a substantial amount of breast tissue, you will have a fairly long scar from the skin removal on a small breast. Implants also fill out the upper part of the breast that will not be done by a breast lift alone. The size of the implant does not need to be necessarily large, nut will make a substantial difference in most people.

4. Will insurance cover my surgery?

Some insurance companies are more lenient than others in covering massive weight loss issues. The abdominal pannus, if functional problems exist (i.e., recurrent infections, yeast infections, and maybe lower back pain) is sometimes covered by insurance companies. Even then, it is often unpredictable in our experience. Other areas, breast and arms especially, are not going to be covered.

5. What is the largest pannus you (Dr. Chick) have removed?

As a resident, back in the dark ages, I assisted a removal of a 70 LB pannus. . In my own practice, I have removed a 50 LB pannus. The vast majority of cases involving abdominal tissue removal weigh between six to fifteen LBS.

6. What is the difference between a panniculectomy and an abdominoplasty?

Mostly, it is a matter of semantics. They are essentially the same operation, but insurance companies prefer the word panniculectomy, as abdominoplasty suggests a cosmetic procedure. In extreme cases, and in some surgeons’ routine, a panniculectomy is a simple amputation of the pannus.

Except for an extremely large pannus, or with infection problems, I do the same operation, undermining, the skin flap to the ribs, fixing the midline muscles, and removing as much skin and fat as possible.

Plastic Surgery Moab, UT

Moab Regional Hospital opened in February of 2011.  The facility is state of the art, with excellent surgical facilities and nursing care.  The excellent medical community is well trained and ready to provide acute care!  It is an excellent, friendly, and caring place for your medical needs!

Dr. Chick has been seeing patients at Moab Regional Hospital since the opening . We see patient in the Hospital’s Specialty Clinic on the second Thurday of each month, and do surgery the next day, Friday. We remain in Moab through the weekend to ensure there are no immediate problems.

Moab regional Hospital is well placed to serve the residents of Grand County, but we also draw patients from the Four Corners Area, the Western Slope of Colorado (including Grand Junction Montrose, Glenwood Springs, Meeker, and other communities)

Residents of Colorado and the Four Corners area will find that pricing of aesthetic surgery in Moab is very competitive compared to the Grand Junction area. For instance, a breast implant patient may save several hundred dollars by coming to Moab; a tummy tuck patient can save a thousand dollars. The reason is that Dr. Chick has brought his fee from Salt Lake City, where fees are considerable lower than smaller communities. Moab Regional Hospital has agreed to use the same fee as Salt Lake facilities.

For most surgeries, patients may return home immediately after surgery. If you would like to stay overnight in the hospital, Moab Regional Hospital has a very reasonable overnight fee. If you would like suggestion on where to stay in Moab we would happy to supply suggestions for you.