After weight loss

After weight loss, excess skin is often a concern. Abdominal tissues may sag, and the skin on the breasts and arms may become loose. There is often excess skin on the thighs, hips, and calves as well. Plastic surgery provides a solution for such situations.

Plastic surgery procedures are performed when the patient has maintained their target weight for about a year.

Plastic surgeon Riikka Veltheim performs surgeries at Cityklinikka in Helsinki.

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Prices

Available at: Helsinki

Under local anesthesia
5490 €
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Procedure under local anesthesia.

 

Under general anesthesia
5990 €
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Procedure under general anesthesia.

 

Available at: Helsinki

Under general anesthesia
5990 €
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  • Histology expenses +1000 €.
  • The procedure is performed under general anesthesia. The possibility of using local anesthesia can be discussed separately with the doctor.

 

Under anesthesia
6990 €
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  • In addition to the anesthesia fee, histology expenses +1000 €.
Axillary liposuction performed in the same procedure
+ 1500 €
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  • The procedure is performed under general anesthesia.
Histology expenses
+ 1000 €
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  • The pathological histological examination (PAD) is an additional cost of 1000 €.

Available at: Helsinki

Under local anesthesia
7490 €
Under general anesthesia
7990 €
Round implants
+790 €
Anatomic implants
+890 €
Ultralight B-Lite implants
+1800 €

Available at: Helsinki

Stomach
4500 €
Back
4200 €
Outer thigh
3800 €
Inner thigh
3200 €
Knees
3000 €
Calves
3800 €
Ankles
2900 €
Arms
3200 €
Neck
3600 €

Available at: Helsinki

Under general anesthesia
5990 €

Available at: Helsinki

Abdominoplasty
8490 €
Abdominoplasty (BMI over 25)
9490 €
With back liposuction
+3900 €

Available at: Helsinki

VAT 0 %
From 9590 €
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  • This abdominoplasty includes stomach and back area.
  • If procedure is done because of health reasons there is no VAT added to price.
With liposuction
+1000 €

Available at: Helsinki

Arm lift surgery under general anesthesia
5990 €

Available at: Helsinki

Inner thigh lift surgery; general anesthesia
From 7990 €

Painonpudotuksen jälkeen -wiki

Perustietoa

Kun ihminen lihoo, hänen ihonsa venyy. Lihomisen myötä venynyt iho ei välttämättä palaudu entiselleen painon laskiessa. Ylimääräinen iho muodostaa poimuja. Poimut voivat olla pieniä ja miltei huomaamattomia, mutta suuren painonpudotuksen jälkeen suuretkin ihopoimut ovat tavanomaisia.

Poimuttunut iho on useimmiten esteettinen vaiva. Joskus suuri ihoylimäärä aiheuttaa kuitenkin myös terveydellistä haittaa. Kasvojen alueella ihon veltostuminen on usein melko lievää, mutta vartalolla venynyt iho saattaa pussittaa paljonkin. Useimmiten suurimmat ihopoimut muodostuvat seuraaville alueille:

  • alavatsa
  • rinnat
  • olkavarret
  • sisäreidet
  • kyljet
  • pakaran seutu

Teen viikoittain useita operaatioita, joissa poistetaan ylimääräistä ihoa paljon laihduttaneelta. Näiden leikkausten määrä on kasvanut myös siksi, ettei julkisella puolella ole enää rahaa hoitaa niitä. Usein roikkuvan ihon terveyshaittoja ei katsota riittävän suuriksi.

(Plastiikkakirurgi Riikka Veltheim – Kauneus&Terveys 10/2017)


Leikkaus painonpudotuksen jälkeen

Painonpudotuksen jälkeen tehtävä kirurgia (postbariatrinen kirurgia) korjaa laihdutuksen myötä syntyneitä ihopoimuja. Leikkaukset voidaan tehdä siinä vaiheessa, kun riittävän alhainen paino on pysynyt vakaana noin vuoden ajan.

Ennen leikkausta potilaan painoa seurataan. Riittävän alhainen paino on, jos painoindeksi on alle 32. Leikkauspotilaan tulee olla perusterve sekä fyysisesti että psyykkisesti.


Mitä painonpudotuksen jälkeen leikataan?

Painonpudotuksen jälkeen ajankohtaisia toimenpiteitä ovat esimerkiksi rintaleikkaus, rasvaimu, abdominoplastia (vatsanpeitteiden kiristys) ja käsivarsien muotoiluleikkaus. Sirkumferentti abdominoplastia (bodylift) on myös yksi vaihtoehto silloin, kun potilas on pudottanut paljon painoa ja iho pussittaa huomattavasti. Tällöin vatsanpeitteiden kiristyksen lisäksi kohotetaan myös reisien, selän ja pakaroiden kudoksia, ja leikkausviilto tehdään “sirkulaarisesti” koko alavartalon ympäri.

Vatsanpeitteiden korjausleikkaus ja bodylift (abdominoplastia, sirkumferentti abdominoplastia) 

Painonpudotuksen jälkeen alavatsalle saattaa muodostua poimu, joka roikkuu intiimialueen päällä. Poimu saattaa haitata peseytymistä ja henkilökohtaisesta hygieniasta huolehtimista.

Vatsanpeitteiden korjausleikkauksessa eli abdominoplastiassa poistetaan ihoylimäärää sekä kiristetään ihoa. Usein myös lihakset korjataan oikeaan asentoon.

Joskus ihopoimu ympäröi koko kehon jatkuen alavatsalta myös selän puolelle. Tällöin voidaan tehdä ns. sirkumferentti abdominoplastia eli bodylift.

Rintojen pienennys- ja/tai kohotusleikkaus

Laihtumisen jälkeen sekä miehen että naisen rinnat laskeutuvat ja alkavat pussittaa. Jos poimu on suuri, poimunalusiho saattaa hiertyä rikki tai jopa tulehtua. Tällaisessa tilanteessa rintojen korjausleikkaus on lähestulkoon ainoa keino korjata toiminnallista haittaa.

Olka- ja käsivarsien kiristysleikkaus

Kun paino putoaa useita kymmeniä kiloja, myös olka- ja käsivarsien iho saattaa löystyä huomattavasti. Yleensä pussitus käsissä on maltillisempaa kuin vartalon muilla alueilla ja vaiva ainoastaan esteettinen. Esteettinen ongelma voidaan hoitaa olka- ja käsivarsien kohotusleikkauksen avulla.

Sisäreisien kiristys

Reisien alueella poimu muodostuu tavallisimmin aivan reiden tyviosaan. Tämän alueen poimut aiheuttavat melko usein ihon hiertymistä, haavaumia ja tulehduksiakin. Ihopoimu voidaan poistaa sisäreisien kiristys- ja kohotusleikkauksen avulla. Samalla voidaan poistaa alueelle jäänyttä ylimääräistä rasvaa rasvaimun keinoin.


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