Fighting obesity: Carlos Rosu on bariatric surgery (video)

According to the World Health Organization (WHO), the number of overweightproblems of overweight peopleis growing rapidly. Over the past four years, from 2014 to 2018, the number of overweight people has grown by almost one and a half times: from 565 to 671 million. At the same time, society dictates its own rules: in fashion – slenderness.

The issue of fighting extra pounds has become so topical that the list of all kinds of diets and physical exercises has been supplemented by another, more invasive and at the same time – an effective way to fight – bariatric surgery.

The features of this method were told to estet-portal.com by plastic surgeon, specialist in bariatric surgery, head of the surgical department at the Federo Hospital, a specialist in the inclusion of people suffering from the problem of excess weight in an active social life, Carlos Rosu ( Rio de Janeiro, Brazil).

Can bariatric surgery be beneficial for patients' health?

K. R.: I want to say a few words about what I am directly faced with – post-bariatric surgery, which aims to improve the appearance of a person after a significant loss of excess weight. Obesity – a global problem not only in Europe, but throughout the world. Why do people suffer from this disease? I hasten to immediately refute the common misconception that the main reason for painful fullness – binge eating. It's not.

People get obese not because they eat too much, but because they don't eat right.

They buy tasty, not healthy food, they don't count calories – and spend only a small fraction of what they eat throughout the day. The reason for obesity is in our lifestyle: we sit at work, sit on the weekends, when we go to a concert or to the movies.

Besides, overweight people get into a double vicious circle: extra pounds do not allow them to move, and the environment is hardly in a hurry to break it – who wants to go out with a full companion? As sad as it may sound, it is unlikely that many will react with enthusiasm.

Bariatric surgery allows you to become "normal" again and fit into the active environment, dropping all unnecessary — not only kilograms, but also the condemning glances of passers-by.

But immediately with the loss of excess weight, another problem arises: excess skin, its sagging and stretch marks. This affects areas such as the face, hips, chest, arms and even the back.

Post-bariatric surgery, in turn, makes sure that you not only return to normal weight, but also acquire an attractive silhouette.

Bariatric Surgery – this is, flawlessly, an innovation, because until the 2000s, no one physically could lose more than 50 kg of weight in one day.

Today, plastic surgery works wonders: it can turn you from a 150 kg person into someone who barely weighs 50 without causing irreparable damage to your health.

Doctors help a person not only model his body, but also make sure that when he leaves the ward he gets a new, improved, more active version of his social adaptability.

I often joke that the only possible complication after bariatric surgery for women is pregnancy.

But still, I am infinitely happy when I see my patients expecting a baby – albeit plump and rounded, but happy.

What are the most common mistakes doctors make during post-bariatric surgeries?

K. R: Let's start with an analysis of the main mistakes of patients, and then move on to doctors, if you don't mind, okay? A person who goes to bariatrics loves to eat. Food – it's his addiction. When the operation finally happens to the patient, his main pleasure is taken away from him.

What will replace him now? What can replace such an easily accessible and cheap drug as food? The main mistake of the doctor is ignoring the problem of addiction to products.

If the surgeon cannot switch the patient's pleasure center from food to something else, more useful, bariatrics is fraught with switching to other addictions — e.g. alcoholism.

A person, not noticing the achieved result, taking it for granted, but acutely feeling emptiness instead of emotions of joy from food, can gain weight again. The doctor should emphasize the difference "before" and "after", and also try to protect the patient from the wrong diet with a return to the previous overweight.

Perfect body in one operation: simultaneous plastic surgery

In this situation, the plastic surgeon acts as a kind of psychologist: in his duties – take care of the emotional comfort of a person, show him joy in something else not related to food.

For example, going to the gym, wearing a sexy bikini that used to be four sizes smaller, in ease of movement, dancing, walking – lots of options, the main thing – want to delve into and pay due attention to this issue.

I'm not talking about professional medical errors: it is unlikely that a serious doctor will encounter them, so I would emphasize first of all the importance of switching the patient's attention from difficulties and lack of "dose" food on the benefits he got from bariatric surgery.

Is there a need for a second surgical intervention after the operation?

K. R: I think so far. Perhaps in the future there will be no such need, because bariatrics will only deal with people who suffer more from moderate obesity.

I hope that in the foreseeable future there will be methods of preliminary preparation for operations. Now bariatric surgery is taken for every – and it happens that a person who weighs 120 comes to the doctor, and after the procedure leaves with a weight of 60 kg. What to do with all the skin that remains after the operation? Naturally, delete!

Correction of the body after weight loss: excess tissue will be eliminated by bodylifting

This is what re-surgical intervention after bariatric surgery is for. If a patient sees a specialist with a problem of moderate obesity, there is a chance that the skin will adjust to the new silhouette with light physical activity and there will be no need to go under the scalpel again.

Based on my medical practice, I would say that 100% of patients who undergo bariatric surgery – need reoperation; first of all, because of the problem of flabby skin that remains after getting rid of a dozen or two extra pounds.

Note that the video with the results of post-bariatric surgery was provided by estet-portal.com by a plastic surgeon, specialist in bariatric surgery, head of the surgical department at the Federo Hospital, a specialist in the inclusion of people suffering from the problem of excess weight in an active social life Carlos Rosu.