Obesity Or Bariatric Surgery

Liposuction or literally ‘sucking out fat’ is a suboptimal therapy for OBESE patients who desire weight loss. Liposuction can be considered as a treatment option for body sculpting, or slightly overweight patients who need to shape their abdomen in a particular manner. However, if one is obese, liposuction will cause a disproportionate loss of fat over the tummy, and leave space for fat re-accumulation in the future.

There are many weight loss options for a proportionate weight loss, eg. diet, exercise, or medications.

The healthier or ‘more natural’ way to lose weight in obese patients (with a BMI of more than 30 kg/m2) is bariatric or metabolic surgery, wherein the stomach is re-sized or bypassed using keyhole surgery. This surgery causes proportionate loss of fat all over the body up to 80% of the excess body weight, over a period of 1-1.5 years. This surgery is a safe and effective option if done by a certified surgeon at a high-volume center.

1. When you say that you want to "reduce belly fat", it isn't clear to us whether you are fit overall and this is merely a case of localized fat, or if you are obese and your belly happens to stand out somehow, on our platform we have often seen people confusing the two.
   • So with the lack of relevant details, we will answer your query keeping both possibilities in mind.
      
2. Assuming that you are obese overall and your belly stands out, then:
   • You should approach a nutritionist/dietician to enquire about dieting & lifestyle modifications.
   • Once it's concluded that they aren't delivering desired results, then you move on to endoscopic procedures or other weight-loss surgeries, but they will only limit food intake, and won't remove fat -- they are mentioned below:
     • Gastric bypass, gastric binding, gastric sleeve, Biliopancreatic diversion with duodenal switch -- the doctor will determine your eligibility, depending on your health background and pace of weight loss.
   • The doctor shall guide on everything, just make them aware of your expectations, limitations and pre-existing health conditions as they could create complications and the dietician would have an easier way of providing realistic goals.
   • You may refer our page to contact experts and learn more - Dietitian/Nutritionists.
      
3. Assuming that you are fit overall and your belly fat is a localized deposit that refuses to burn out no matter how much you exercise, then:
   • In this case, you can think of plastic surgeries such as liposuction, liposculpture, and various body contouring techniques.
   • For plastic surgeries mentioned above, following things are common:
     • Common side effects include: Pain, bruising, and swelling.
     • Possible risks include:
       • Loose, uneven or bumpy skin.
       • Permanent spotted skin.
       • Temporary pockets of accumulated fluid.
       • Temporary/permanent numbness caused by nerve irritation.
       • Skin infections, damage of internal organ, kidney and heart problems.
       • Fat embolism where fats get trapped in blood vessel, same qualifies as a medical emergency.
       • Bad reaction to anesthesia.
     • An ideal candidate is someone who has:
       • good skin elasticity,
       • no smoking history,
       • skin free of sun damage,
       • ideal weight and BMI under 30,
       • strong muscles and no sagging skin
     • Word of caution - Avoid or discuss these medications with your doctor:
       • Aspirin, anti-inflammatory prescriptions and herbal complements.
       • Please visit this page to find specialists who can consult you and provide affordable services - Plastic Surgeons.

Let us know if your locality is different and drop us a message if you have any more questions!

• You should approach a nutritionist/dietician regarding her first and put her on dieting & lifestyle modifications.
• Once it's ruled out that they aren't yielding desirable results, then she can move on to endoscopic procedures or other weight-loss surgeries, they are only concerned with limiting food intake, and are as mentioned below:
  • Gastric bypass, gastric binding, gastric sleeve, Biliopancreatic diversion with duodenal switch -- but the doctor will determine whether she's eligible or not, depending on her health background and pace of weight loss.
• The doctor shall guide on everything, just make them aware of her expectations, limitations and pre-existing health conditions as they could limit certain options and the dietician would have an easier way of providing realistic goals.
   

You may refer our page to contact experts and learn more - Dietitian/Nutritionists.

Let us know if your locality is different and leave us a message if you have any further questions! 

Your weight loss treatment will begin with dieting, exercise and lifestyle modifications, and in the event that they don't yield desired results, only then will you be considered for some medication or surgical treatment, but they would be parallel to your dieting, exercising, and lifestyle efforts.
 

• To put you on medication, your doctor will first expect you to meet one of the following criterions, in case clinical prescriptions aren't sufficient:
  • Your body mass index (BMI) is equal to or greater than 30.
  • Your BMI is greater than 27.
  • But if you have medical complications related to obesity as well, such as diabetes, high blood pressure or sleep apnea, or anything else, then discuss with the doctor.
  • Note: There could be side effects & risks for each, so keep your doctor updated on regular basis.

IMPORTANT:
There are surgeries meant to remove fats, but those specific surgeries are reserved only for those individuals who are not obese/fat overall, if you are obese then you will qualify for the surgeries below that are only concerned with limiting your food intake.
 

• Endoscopic surgeries: they are less invasive and are concerned with surgical procedures which limit your capacity to consume food, such as the methods mentioned below:
  • Putting stitches in your stomach to reduce its size and its capacity to consume food.
  • Or inserting a small balloon into your stomach, which is then filled with water to reduce the amount of space available. This helps you feel fuller faster.
     
• Bariatric surgeries: These surgical procedures have the same role as endoscopic surgeries, but with more invasive technologies.
  • You will qualify for them if earlier treatments failed, but your BMI will have to be between 35 to 40, and especially so, if the same is coupled with some serious weight-related problem, such as diabetes or high blood pressure.
  • The procedures are as follows: gastric by-pass, adjustable gastric banding, biliopancreatic diversion with duodenal switch, and gastric sleeve.
     
• Vagal nerve blockade:
  • It involves planting a device under the skin of your abdomen, which will send intermittent electrical signals to the abdominal vagus nerve, it is concerned with informing the brain when the stomach is empty or full.
  • Can be used for adults who have not been able to lose weight, or who have a BMI of 35 to 45, either/both with at least one obesity-related condition.
     
• Rough cost estimate:
  • The surgical procedures will cost anywhere between Rs. 2,25,000 to Rs. 7,00,000.
  • Whereas for dieting-related consultation it can vary from rs. 1,200 to rs. 20,000.
     

For more information regarding obesity treatment, you can visit experts - Dietitian/Nutritionists, let us know if your city is different, and drop us a message if you have any other concern!

The weight gain is definately a post pregnancy weight gain and pcos definately adds to the problem.you might meet your gynecologist they might advise you metformin based tablets or litagluride injections which will help you to loose weight.their main target will be controlling serum insulin which is fundamental problem in pcos.i think nutrition and some physical activity along with these metaformin based treatment will definitely bring your weight down.For this consult your gynecologist or nutritionist

Your wife's weight loss course will commence with dieting, exercise, and lifestyle modifications.
And in the event that they don't return desired results, only then she will be granted some medical or surgical treatment, but that would be parallel to her ongoing efforts pertaining to her diet, exercise, and lifestyle changes.

• To move on to prescription based remedies, she would be required to meet one of the following criteria:
  1. Her body mass index (BMI) is equivalent of or greater than 30
  2. Her BMI is greater than 27, and additionally, she has medical complications linked with obesity, such as diabetes, high blood pressure, or sleep apnea
      
• Before prescribing any medical remedy, the doctor will assess her on the basis of her health history, as well as possible side effects which could likely occur based on whatever symptoms she's showing.
  Weight loss medicine licensed by the Food and Drug Administration (FDA) include the following, but she will have to be monitored & permitted by her doctor as well:
  1. Orlistat (Alli, Xenical)
  2. Phentermine and topiramate (Qsymia)
  3. Bupropion and naltrexone (Contrave)
  4. Liraglutide (Saxenda, Victoza)

When she will stop taking her prescription medication, she might observe that she has regained more or all of her weight. And there could be side effects & risks as well, so keep the doctor updated on a routine basis.
 

• Endoscopic surgeries: less invasive surgical procedures concerned with limiting her overall intake of food, we have given some gist below, just for your reference:
  1. Planting stitches inside her stomach so as to reduce its size and the amount of food which she can consume.
  2. Or inserting a small balloon within her stomach, which is then filled with water to limit the space available. This helps you feel fuller quicker.
      
• Bariatric surgeries: These are surgical methods that have the same function as our endoscopic surgeries, but with more invasive procedures.
  1. She will qualify for them if earlier methods failed, but for this she would also have to be extremely obese (BMI of 40 or greater), and if her BMI happens to be between 35 to 39.9, then her serious weight-related problems will be taken into consideration as well.
  2. Following are the procedures which she can be counted for: gastric by-pass, adjustable gastric banding, biliopancreatic diversion with duodenal switch, and gastric sleeve.
      
• Vagal nerve blockade:
  1. It involves implanting a device under the skin of the abdomen, which transmits intermittent electrical pulses to the abdominal vagus nerve, same helps in communicating to the brain when the stomach is empty or full.
  2. Adult individuals who have not been able to lose weight and who have a BMI of 35 to 45, coupled with some obesity-related disease, are also eligible.
      
• Proceeding to weight loss treatment cost, the surgical procedures will cost anywhere between Rs. 2,25,000 to Rs. 7,00,000. Whereas dieting-related consultation can vary from rs. 1,200 to rs. 20,000.
   

For more information regarding obesity, you can visit experts and use our page to find them: Dietitian/Nutritionists in Bangalore, she will start out with these specialists but as she advances to further stages owing to her complications, she will be referred to other doctors as well. Let us know if you reside in a different city, to recieve better recommendations.

PCOS should not cause any complication as far as liposuction is concerned, but know that it is not a weight loss surgery or procedure, it can be helpful only if you have localized deposits of fats stored within certain parts of your body and which refuses to burn out no matter how much weight you lose or how fit your body is overall.

Additionally, you should look out for health conditions such as suppressed immune system, heart disease, diabetes, and problems with blood flow, as they make you ineligible.

Also, don't go for this surgery if your weight isn't 30% within your ideal weight, if you don't have a firm or elastic skin, or if you smoke.
Liposuction surgery cost can go up to Rs. 1,54,000 or more.

If you are looking to lose weight, then contact these experts - Obesity Specialists in Delhi. But if you feel that you can proceed with this surgery going by eligibility criteria which was mentioned, then approach relevant experts - Liposuction doctors in Delhi. Let us know if you reside in a different city, and come to us if you have any other doubt which is still not addressed!