Body Contouring Post Bariatric Surgery

Obesity is a global problem now, which, in extreme cases, responds only to special surgeries called Bariatric surgery. Successful loss of excess weight has a positive impact on health, mobility, joint pain and quality of life. However, the majority of massive weight loss (MWL) patients whether the result of bariatric surgery or diet-exercise, have huge amounts of loose skin and sagging of tissues in different parts of their body.

This distressing side effect of MWL can be solved by special set of surgeries called “post-bariatric body contouring”. These operations require special skills and experienced team to achieve success with safety. The surgeries are long and time-consuming. The excess skin and tissues are removed and the remaining tissues are lifted, tightened and also enhanced in some areas like the breasts and buttocks. Depending on the combination of problem areas, one or more surgeries may be required. There will be some scars, which are hidden in concealed areas as far as possible.

Different procedures are listed below. Some of them may be combined together but usually multiple stages are needed, the interval can vary from a few weeks to months.

    1. Circumferential lower body lift: this corrects the abdomen, sides and lower back while also lifting the buttocks and upper thighs
    2. Upper body lift: corrects the sagging tissues in mid and upper back, sides and chest area. The front portion of the surgery is different in men and women for obvious reasons (see below)
    3. Arm lift and thigh lifts: These help to remove excess saggy tissues in respective areas and tighten/contour the remaining tissues.
    4. Breast lift: depending on the anatomy, the woman may need breast lift, reduction with lift, enlargement alone or with lift or fat grafting
    5. Male Chest: A typical case may have a large saggy breast like structure on the chest. This requires careful planning and re-shaping to give a flat aesthetic chest with least scars.
    6. Other tissue tightening procedures: We have a full complement of ancillary techniques to help such persons; for example liposuction, J-Plasma technique, Thermage, E-matrix, Exilis body reshaper and others.
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Liposuction Surgery in Dubai

Liposuction, commonly known as liposculpture, involves removing unwanted subcutaneous fat while simultaneously re-contouring to create a more aesthetically appealing body.

While not a treatment for obesity, liposuction- liposculpture selectively removes persistent and unwanted subcutaneous fat.

Bothersome fatty deposits are found in areas that are resistant to diet and exercise, such as the face, neck, breast, abdomen, upper arm, hips, thighs, knees, and ankles. Liposuction liposculpture can be performed on multiple areas at one time your surgeon will follow accepted guidelines regarding safe volumes which may be removed in one session.

While goals include size improvement, this procedure is not for weight loss. Final results may not be evident for 6 months following your procedure. During this time your body balances fluids and the skin and remodels underlying tissues. Final results also depend on proper nutrition, exercise and decreasing your caloric intake.

Small incisions are made in hair bearing areas or natural skin folds. A special tumescent solution is next placed within the fatty areas to be removed. This solution provides anesthesia to the areas, while limiting the usual blood loss. Fat is then carefully removed from the areas of concern to the patient using a surgical instrument called a cannula, which is attached with tubing to a suction machine.

The time for completion of the procedure depends upon the total amount of fatty tissue removed. At the end of the procedure, the skin openings may be sutured or left open to heal, depending on the size of the openings. The patient may be placed in a compression garment that is worn for certain amount of time afterwards.

While recovery is easy, you should expect some initial drainage along with swelling, bruising and discomfort. Your compression garment will minimize the swelling, bruising, discomfort and assist in the retraction of any loose skin.

While some results are noted immediately, your final shape and form will continue to improve as your swelling subsides. You will be encouraged to be up and about the night of your surgery and progressively increase your activities. Usually light work duties may be resumed within three to five days and vigorous exercise within two to four weeks.

Who is a candidate?

  • Women and men desiring an improved facial, neck, breast, body or leg shape.
  • Patients of most ages who are healthy.
  • Patients who realize that this is not a weight loss procedure.

Procedure description

  • Liposuction-liposculpture is usually performed under local or conscious sedation, in an approved outpatient facility.
  • The incisions are small and heal with minimal scars.
  • Patients may be placed in a special support (compression) garment at the end of the procedure.

Recuperation and healing

  • You will be discharged home to the care of a responsible adult.
  • You are encouraged to be up and about the first night.
  • Some blood tinged drainage is expected for usually the first several days.
  • Light household duties may be resumed in several days.
  • Most patients resume standard pre-operative activities with 2 to 4 weeks after their surgery.

Other options

  • Laser assisted liposcuction-liposculpture.
  • Vaser and ultrasonic assisted liposcuction-liposculpture.


The specific risks and suitability of this procedure for a given individual can only be fully determined at the time of consultation with your cosmetic surgeon. All surgical procedures have some degree of risk. Minor complications which do not affect the overall cosmetic results occur occasionally. Major complications are rare.


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Synetica Evolution

Internal micro lipo-cavitation

The evolution of cavitation

Synetica Evolution is the most advanced development of the cavitation concept, because it acts from within and targets the most restricted areas that, so far, are untreatable by the cavitation equipment on the market. Its enormous potential is concentrated in the “needle” hand-piece, which transmits the contouring action directly inside the tissue, aiming it at the most affected points.

Internal action

With minimum invasiveness, the cannula is inserted under the skin area to be treated. The direct solicitation of fat greatly enhances the effect of dissolution of fat masses, because the cavitaion action stimulates fatty tissue in a more immediate way., However, th3e effectiveness of Synetica Evolution is even greater, because the ultrasonic waves are generated on the entire length of the inserted cannula, not only at the tip.

Micro action

Synetica Evolution cannulas have a thin diameter of 2 to 3 mm and penetrate areas are normally the most difficult to reach. For this reason, it is the method used to counteract the fatty deposits in areas hitherto impossible to treat, such as chin, armpit, inner thigh and knee and ankle areas. Moreover, thanks to the precision of the cannula’s action, it also possible to work in close proximity to the most delicate areas, without the risk of damaging them.

Internal action with micro lipo-cavitation and radiofrequency

The great modernity of Synetica Evolution lies in uniting the potential of internal micro lipo-cavitation and the firming effect on internal radio frequency. In this way, there is no risk replacing unsightly fat mass with the flaccidity of treated tissues, because action is taken on both fronts simultaneously.

Radio frequency waves are simultaneously emitted from the body cannula, compensating the dissolution and depletion of tissues through micro cavitation. Radio frequency is as also delivered along the entire length of the cannula and not only in the terminal part. In this way, the effect of skin rejuvenation induced by radio-frequency is continuous, wide spread and above all, parallel to cavitational action. Through the thin body of the cannula, radiofrequency reaches the smallest gaps treated, in such a way as to leave no sign of depletion due to cavitation action. As the cannula passes, firming action takes place to leave tissues firm immediately and not oblige the patient to resort to subsequent contouring treatments, in this way, the patient remains completely satisfied.

Synetica Evolution is ideal for liposculpture treatment of:

  • Chin
  • Arms
  • Knees
  • Ankles
  • Hips
  • Buttocks
  • Abdomen
  • Inner and outer thighs
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