Before Surgery
How long will it take to get surgery?
It can take an average of six months, from the time of your referral to surgery. It is important to know that this time frame varies significantly from patient to patient. The speed in which you get surgery is dictated by: mastering bariatric habits, appropriate clearance from dietitians, psychology and other specialties, additional testing, and insurance requirements. Each patient’s pathway is unique. Our program helps you be well prepared for the changes to come as you work toward surgery.
Why do I have to follow a liquid diet prior to surgery?
Prior to surgery, we require patients to complete a 14-day liquid diet that is high in protein, low in fiber, and low in carbohydrates. Completing the 14-day liquid diet helps to reduce the size of your liver, which allows the surgeon to have easier access to your stomach during the procedure and reduces the risk of complications.
How much weight can I expect to lose?
Bariatric surgery can be a useful tool for weight loss. However, this tool works best if you are following the recommended eating and exercise behaviors. With the right behaviors in place, it is predicted you will lose 60-80% of your excess weight. For example, if a person has 100 pounds of extra weight, they could lose 60-80 of those 100 pounds.
After Surgery - Birth Control and Pregnancy
Why do you recommended using two forms of birth control after bariatric surgery?
Studies show it may be easier to conceive after surgery due to rapid weight loss, which improves ovulation and regular menstrual cycles. The absorption of oral contraceptives could be affected by bariatric procedures. Please consult your primary care provider or OBGYN to discuss options. Please take appropriate precautions prior to surgery to decrease the chance of becoming pregnant before it is safe.
How long should I wait after surgery to become pregnant?
We ask individuals to wait 18 months after surgery to get pregnant. Dramatic weight loss can lead to an increased risk of vitamin and mineral deficiencies, which can increase risk and result in poor fetal growth. When you are pregnant, your caloric intake needs, vitamin needs, and overall goals will change. We encourage patients to follow up with dietitians at least once per trimester to track overall growth; and recommend appropriate bariatric specific prenatal vitamins. Please speak to your healthcare team as necessary when it comes to oral glucose tolerance tests.
After Surgery – Diet and Habits
When will I be able to go back to work after surgery?
We recommend taking two weeks off after surgery. However, depending on the nature of your job, more or less time may be needed. Please review your individual work schedule with your surgeon during your consultation to determine the best plan for you.
How long after surgery before I can travel or fly?
You should wait until six weeks after surgery before you travel. If a complication were to occur, it is more likely to occur in the weeks after surgery, and being close to your team for care is important.
Why can’t I drink alcohol after surgery?
Alcohol should be avoided after bariatric surgery because it can have serious consequences. Alcohol is absorbed more quickly into the blood stream after surgery, and bariatric surgery patients will have higher levels of alcohol in their system for longer periods of time after drinking compared to before surgery. These and other factors can lead to an increased risk of alcoholism in bariatric surgery patients.
Drinking alcohol regularly, in even small to moderate amounts after surgery, can have damaging effects on the liver. The physical effects associated with drinking alcohol are also magnified after bariatric surgery. Alcohol is very high in calories without any nutritional value which could make managing your weight more difficult.
Can I smoke/vape after surgery?
No. Smoking or vaping after bariatric surgery can put your health at risk and can increase the risk of complications like slower healing, ulcers, and blood clots, as well as potential long-term health issues like cancer and cardiovascular disease.
Will I have to take vitamins forever after weight loss surgery?
Yes. Bariatric surgery will affect your body’s ability to absorb micronutrients. Vitamin and mineral supplementation will be necessary for life after surgery. It will be important to have your vitamin levels checked regularly and your vitamin regimen may change according to the results. Your primary care provider will check your lab results every six months for the first two years after surgery then annually thereafter. Please reach out to your dietitian if you are in need of vitamin samples.
After Surgery – Pain Medication
What can I take for pain medication after bariatric surgery?
Acetaminophen/Tylenol is safe to take after bariatric surgery. If cleared by the surgeon, it is also safe to take nonsteroidal anti-inflammatory (NSAID) pain relievers such as Ibuprofen and Naproxen after having the sleeve gastrectomy. NSAIDS are NOT recommended after gastric bypass.
Why can’t I take nonsteroidal anti-inflammatory (NSAID)s after surgery?
- Increased Bleeding Risk: NSAIDs can thin the blood, which can increase the risk of excessive bleeding, especially during the initial recovery period after surgery.
- Gastrointestinal Issues: NSAIDs can cause stomach upset, ulcers, and even bleeding in the digestive tract, which can be problematic after surgery.
After Surgery – Follow-Up Appointments
Why do I have follow-up appointments scheduled after surgery?
Bariatric surgery is a tool for weight loss, but it's not a magic solution. Regular follow-up allows your bariatric team to track your progress, identify any issues with weight loss or regain, and make adjustments to your plan as needed. Weight regain can occur if you don't maintain healthy eating habits and exercise routines after surgery. Follow-up visits can help you stay on track, prevent weight regain, and stay connected to your support team.
If I’m happy with my weight/results, do I still need follow up appointments after surgery?
Yes. Follow up care after bariatric surgery is always recommended no matter how well you are doing. This can prevent back sliding into old habits and keep you accountable. It is important to address any potential complications early on that may be missed otherwise.
After Surgery – Loose Skin
Can I get rid of loose skin after surgery?
The answer is YES! There are ways to reduce the amount of loose skin following weight loss:
- Hydration: Staying well-hydrated helps maintain skin elasticity.
- Strength training: Building muscle mass can help fill out the skin and reduce sagging.
- Nutrition: A balanced diet rich in nutrients that support skin health, such as vitamins A, C, and E, can improve skin elasticity.
- Gradual weight loss: Losing weight slowly over time allows the skin to adjust gradually and reduces the risk of loose skin.
If loose skin is still causing problems such as rash, infection, chaffing, or pulling, some options include:
- Skin tightening procedures: Cosmetic procedures, such as laser skin tightening or surgery (e.g., tummy tuck, arm lift), can remove excess skin and improve skin tone.
- Body contouring: Procedures that remove fat deposits can help reduce the appearance of loose skin.
If you would like to speak to someone about removing skin, Northern Light Plastic and Hand is ready to help you.
Insurance Coverage for Weight Loss Surgery
This guide is designed to provide individuals with the knowledge needed to successfully work with their insurance provider and become an advocate for change. It offers readers information discussing the effects of obesity and severe obesity, tips for working with your insurance provider, detailed information concerning the treatment options available for severe obesity and much more.
This is an excellent tool for people who are affected by severe obesity and seeking weight-loss surgery. People rely on their insurance provider to assist them in the process of seeking access to safe and effective medical treatment. Many times, this process can be difficult when working with insurance providers. In addition, the process can often seem complicated, and physically and emotionally draining. Consult the following resources from the Obesity Action Coalition:
These frequently asked questions are designed to offer general guidance that may help you better understand our program and the expectations for our participants. If you have specific questions related to your care, please connect with us by calling 207.973.6383.