You will stay in the hospital for a total of 4 to 5 days. This is considered by feedback from our previous patients and the same results cannot be guaranteed or promised.
After you are admitted to the hospital, a nurse will take blood samples from your arm for preoperative laboratory tests. Lung X-rays and EKGs are then used to assess the lung and heart rhythm. In the radiology department, an ultrasound scan of the abdomen is made to examine the liver, stomach, gallbladder, and pancreas. With these results you will be examined by internal medicine, cardiology, anesthetists, and nutritionists. If nothing stands in the way of the operation, the stomach will be examined more closely by gastroscopy under general anesthesia.
If there are no serious problems with gastroscopy, surgical preparations are made and the patient is taken to the operating room.
The average time for operations is between 2 and 3 hours. 2-2.5 hours for the sleeve gastrectomy, 2.5-3 hours for the mini gastric bypass, 3 hours for the gastric bypass. Dr. Aynacı is only able to start the operation after 30 minutes as various procedures such as preparing surgical materials, positioning the patient, and performing anesthesia take place. The operation itself takes 1 to 1.5 hours. The patient takes about 30 minutes to wake up.
In the days after the surgery, pain and discomfort occur. The severity of the pain varies from person to person. There is usually nothing that cannot be treated with pain medication. You are given 3 types of strong intravenous analgesics. The pain will subside 4 hours after the surgery. If you continue to receive intravenous analgesics, you will not be allowed to leave the hospital, but this almost never happens.
On the day after the surgery, you can take a sip of water every 30 minutes in the morning.
Two days after the surgery, methylene blue (a blue dye) is placed in 60ml of juice and a leak test is performed. 60ml of liquid should be drunk in 30 minutes. If there is no problem with the leak test, a 60ml clear soup is provided. You will be reminded that you should drink the soup in half an hour.
The diet program will be explained to you 2 days after the surgery. Generally, on the 3rd day after the surgery, medication treatment will be arranged and you will be discharged.
Patients can fly back to their home country on the same day.
No. One of the many benefits of this surgery is that it reduces the hormone ghrelin, which is responsible for appetite. Less ghrelin means you will feel less hungry.
The diet plan consists of fluids for the first two weeks after obesity surgery where you will be already at home. During this time you will be in contact with Dr. Aynacı and the patient coordinator and be sure to report your problems.
3-4. weeks; Time of the puree diet. All meals should be mashed. Meals should be mashed with the mixer and brought into yoghurt consistency.
5-6. weeks; You will eventually be able to eat soft-solid food. This doesn't mean it's time to go to the pizzeria. Instead, take small steps and eat things like well-cooked vegetables, soup, and fruits.
From the beginning of the 7th week you should mainly eat solid foods and eat healthily.
One of the most important issues after surgery is forming good and healthy eating habits. If you are the person who eats snacks frequently before surgery, it will be good to stop with that. It is important not to eat fast food after surgery. The focus is on eating healthy foods, avoiding fat and sugar so you can maintain your weight loss for the rest of your life.
How much weight you will lose is difficult to tell as it will vary from patient to patient and will depend on a number of factors such as:
You have a high chance of losing 70-80% of your excess weight, and in some cases even more after surgery. Even if you ignore the doctor's advice, you will likely lose a lot of weight, but if you follow the diet and exercise program you will lose a lot more. If you don't follow your doctor's recommendations, you can also expose yourself to complications. In short, how much weight you will lose is up to you.
This is feedback from our previous patients and such results cannot be guaranteed or promised.
The first 6 months are the periods of highest weight loss. This period is called the "honeymoon period". It is expected that 20% of the excess weight will be lost in the first month after surgery, approximately 10% in the second month, and 5-10% every month after the 3rd month.
This expected weight loss is directly related to your program and your metabolic rate. Don't worry if your weight loss is different from the rates we have given. Losing healthy weight is the most important thing.
For example, a patient with an ideal weight of 75 and 125 kg (according to the body mass index) is expected to lose an average of 10-12 kg in the first month, 5-7 kg in the second month and 3-5 kg in the third month.
You will continue to actively lose weight for the first 12 months, although there may be obstructions, depending on your metabolic rate and how you are living your new lifestyle.
Although you should have reached your ideal weight by the 24th month, serious weight gain is not expected as long as the dietary rules are followed and supported by exercise.
In most cases, this type of surgeries are very successful. This allows the patient to lose weight and maintain a healthy new daily life. In some cases when it does not, it is almost always the case that the patient is not following the nutrition and exercise recommendations of the doctor. Therefore, it is not a surgical failure, but a failure to not follow the doctor's recommendations.
We advise to start with physical activity slowly.
Once you get home, you will be asked to get up and for the first week you should take fairly long walks (20-30 minutes) twice a day. You will also be given home exercises.
From the 2nd week onwards, you should start a 45-minute walk in the morning and evening.
You can start jogging in the 1st month.
It is important to start Pilates and Zumba in the 2nd month to get your body in shape.
In the 3rd month you can start fitness to keep your body toned and prevent sagging of the skin. You shouldn't be working with heavy weights.
You shouldn't carry more than 7 kg or do any abdominal exercises for 6 weeks.
If you are not working from home, we recommend that you return to work at least 2 weeks after the surgery. This period can last up to a month for those who do hard labor.
In most cases, we recommend that patients wait at least a week before starting to drive again. This allows time to recovery for any incisions and other surgical sites.
A laparoscopic surgery leaves a few small scars, each 2 cm. Over time, they will fade and be barely noticeable. Those who have difficulty healing scars should apply Contractubex cream thinly three times a day for 3-6 months until the wounds have healed.
Hair loss can occur after obesity surgery. The severity of hair loss varies from person to person. Hair loss is related to the decrease in iron, vitamin B12 and zinc levels. In almost all cases, when these vitamins get back into the normal range, the hair will begin to grow again in the first year and get its old shape.
There is no problem if you continue with your sexual life after 15 days.
After the surgery, the quality of your fertility and sexual life increases significantly due to the weight loss. The reasons for the positive effects are the healing, mobility, hormonal balance and the increase in motivation after the surgery.
Remember that the baby's health depends on the parent's health. It is good for you and your baby's health to wait 18 months for a pregnancy after the surgery.
You should not lie on your stomach for 15 days after the surgery. It is recommended to lie on your back and on your side.
In the first, third, sixth, twelfth and 24th months, your check-ups should be carried out by a doctor. Tests to be carried out are: Blood test, glucose, urea, creatinine, uric acid, SGOT, SGPT, total protein, albumin, total cholesterol, LDL, HDL, triglyceride, iron, iron binding capacity, ferritin, thiamine (vitamin B1), vitamin B12, vitamin D, parathyroid hormone, zinc, potassium, folic acid, calcium, free T3, free T4, TSH.
Due to the risk of the formation of gallstones, a USG of the upper abdomen should be performed during the check-up in the 12th month.
All of your test results will be reviewed and evaluated by Dr. Aynacı personally. If necessary, you will receive additional treatments.
Active weight loss continues for a year after surgery. Patients celebrate the new healthy body by scheduling abdominal, arm, leg, and chest surgeries. However, we recommend waiting at least a year before planning additional surgery to determine current weight loss and give the body the best opportunity to adjust to the new reality.
You can get medical support, information and pricing from our plastic surgery team.