• Plastic Surgery After Weight Loss: What You Should Know

    You opted for weight loss surgery in the hopes of improving your health and boosting your confidence.

    It worked. Your waist is smaller, your body is healthier, and your self-esteem is through the roof.

    Plastic surgery after weight loss

    Now, the only thing standing in your way is some sagging skin—a reminder of how far you’ve come. Should you call a plastic surgeon, or should you pass it off as a minor cosmetic issue?

    Why Plastic Surgery?

    Lose a significant amount of weight (e.g., over 100 pounds) in a short period of time, and you may notice loose folds of skin collecting around your waist, buttocks, thighs, and/or arms. It’s a common side effect of weight loss surgery.

    It occurs because your skin stretches to accommodate the extra weight you carry around. Once you remove the excess fat, the skin has nowhere to go. The result is sagging skin and overhanging folds.

    That can be a cosmetic problem, but it can also create pain and discomfort. Loose folds may get caught on clothes; sagging skin may rub against apparel; pockets of overhanging skin may be more prone to infection.

    For many people, the answer is plastic surgery.

    Weighing Your Options

    Before you sign up for cosmetic surgery, consider the pros and cons.


    • Eliminates painful rashes and rubbing caused by overhanging skin.
    • May reduce the risk of infection.
    • Makes it easier to fit into clothes.
    • Improves aesthetics and boosts confidence.


    • Permanent scarring, even when hidden, may bother some.
    • Aging and weight gain may negatively affect appearance.
    • Results may fail to meet your expectations.

    Am I Candidate for Plastic Surgery?

    Some people make good candidates for post-weight loss surgery. Others should wait or hold off altogether. As always, it’s important to speak with your doctor.

    You might be a good candidate for plastic surgery if you can achieve:

    Stable Weight Loss: It’s best to wait at least two years after your weight loss surgery. That will give your body time to achieve a stable weight. It will also give your skin the time to shrink as much as possible. At the very least, wait until your weight has been stable for at least six months before scheduling cosmetic surgery.

    After weight loss surgery

    • Good Health: Chronic medical conditions may increase the risk of complications. People who suffer from diabetes or heart disease, for example, do not make the best candidates for plastic surgery.
    • Good Habits: People who maintain a healthy diet and refrain from smoking make better candidates since their bodies are better able to heal.
    • Realistic Expectations: If you’re expecting a miracle, you’re liable to be disappointed. Maintain realistic expectations, and you’ll reap the rewards of plastic surgery.

    What Type of Plastic Surgery Should I Get?

    What procedure you undergo depends on which part of your body is most affected (e.g., abdomen or arms) or which area most troubles you.

    Some of the most common procedures include:

    • Body Lift (full body contouring, from the buttocks to the arms)
    • Tummy Tuck (abdominoplasty)
    • Buttock Augmentation
    • Breast Lift
    • Arm Lift

    Learn More

    Have questions about your post-weight loss options? Want to know more about what happens after you undergo surgery to lose weight ? Contact 1st Choice Weight Loss. We help our patients make decisions at every step of the way, from the consultation stage to the recovery stage.

    Disclaimer: This is only for general information. All patients should consult their doctors prior to following any of the recommendations in any articles, post, or video. Every patient has individual needs and limitations that only their treating physicians can be aware of.

  • Introducing our New SECA Body Composition Scale

    As one of the best bariatric surgeons serving patients throughout Houston, TX Dr. Brian Mirza is always on the edge of bringing updated equipment and technology in our 1 st Choice Weight Loss Clinic.

    Our new SECA body composition scale provides the patient with a personalized printout from the printer in our practice. It shows the calculated body mass index (BMI) and its meaning. The medical software enables our clinic to compare weight changes between follow up visits, BMI improvements, fat mass and fat free mass breakdowns, total body water volume and visceral fat measures.

    A Body Composition Analyzer that Delivers Medically Precise Results

    The SECA mBCA 514 measures body composition in just 17 seconds. Thanks to the intuitive user interface, the entire procedure, including preparation and follow-up, takes only a few minutes. With the help of precise measurements of fat mass and muscle mass, the doctor and dietitian can more accurately assess weight loss of overweight or diabetic patients in Houston, and more closely monitor nutrition therapy. Data on body water assists with the detection of edema, particularly in patients being treated for intestinal, liver, kidney, or heart disorders. A close look at muscle mass assists in the assessment of muscle status and physiological functions. The scale has weight capacity up to 660 lbs or 300 kg.

    For more information regarding the scale & how it works, please watch the video from Medisave Media. To see the scale in person, please contact 1 st Choice Weight Loss Center, proudly serving patients in Houston, TX, & schedule your appointment today !

  • Weight Loss Surgery and Overall Health

    Weight loss through stomach surgery can help patients prevent or manage more than 40 different medical conditions related to being overweight or obese. In some cases, significant weight loss may even resolve health problems entirely. If you’ve been considering bariatric surgery in Houston, you can talk to a bariatric surgeon about whether the procedure may improve your health conditions .

    When you watch this video, you’ll hear an interview with a nurse who suffered from ankle swelling, an enlarged heart, and other medical problems. After undergoing bariatric surgery, all of her health issues were resolved. She also lists some examples of patients that can benefit from weight loss surgery, including those with diabetes, sleep apnea, and joint problems.

    Disclaimer: This is only for general information. All patients should consult their doctors prior to following any of the recommendations in any articles and videos. Every patient has individual needs and limitations that only their treating physicians can be aware of.

  • The Importance of Weight Loss Surgery Aftercare

    Weight loss surgery is not a “magic bullet” solution. Gaining medical clearance, determining surgical candidacy, and preparing for stomach surgery is an exhaustive process. Similarly, after patients undergo bariatric surgery at a weight loss center serving Houston, they can expect an extensive schedule of follow-up care. The aftercare of gastric surgery patients is just as crucial for their long-term success as the procedure itself. The Importance of Weight Loss Surgery Aftercare

    Weight Loss Surgery Recovery

    Typically, follow-up care refers to a patient’s immediate recovery from a medical procedure. After having surgery to remove kidney stones, for example, patients might undergo diagnostic imaging a few months later to check whether new stones have begun to form. Following bariatric surgery, patients will be instructed to return to the weight loss clinic so the doctor can evaluate how they are healing. The bariatric surgeon will provide guidance on when the patient can return to work and begin exercising. Patients must also acquire approval from the doctor before transitioning from a liquids-only diet to pureed and soft foods, and finally, to normal foods.

    Weight Gain Prevention

    Long after the patient has healed from the weight loss surgery, follow-up care remains important. Many bariatric surgery patients lose a significant amount of weight, only to regain some or all of it within a few years. Aftercare can help patients adjust to their new lifestyles and monitor their weight.

    Checking and normalizing the levels of Nutrients in their bodies, and body functions, in conjunction with Detailed, in person counseling on diet, activity, and lifestyle are crucial in helping them keeping the weight off and enjoying a lifetime of good health.

    Nutritional Counseling

    For some bariatric surgery patients, nutrient deficiencies are a major concern. Patients may need to meet with a dietitian to ensure that they are getting all the nutrients their bodies need. Dietitians are likely to advise patients to take vitamins and other supplements.

    Psychological Support

    It isn’t always easy for weight loss surgery patients to adjust to their lives after the procedure. For many patients, the changes in dietary guidelines and exercise requirements can be difficult to manage. Support groups are a wonderful source of information, guidance, and encouragement. Simply being in the presence of other people who understand what life is like after surgery can be a tremendous comfort to patients.

    Disclaimer: This is only for general information. All patients should consult their doctors prior to following any of the recommendations in any articles and videos. Every patient has individual needs and limitations that only their treating physicians can be aware of.

  • Answers to Your Questions About Our Medical Weight Loss Program

    At 1 st Choice Weight Loss , we invite new patients to arrive at their consultations with a list of any questions they have about medical weight loss. Many patients who turn to our weight loss center serving Houston are concerned that our weight loss program involves injections or diet pills. Fortunately, our approach is different. We emphasize the value of making permanent lifestyle changes for long-term weight loss and maintenance.

    At our weight loss clinic, you won’t find proportioned diet meals. Instead, our providers help you learn how to select low-calorie, nutritious meals that have the proper balance of carbohydrates and proteins. You’ll be provided with all the information you need to support your non-surgical weight loss journey, including an allowed foods list. To boost your weight loss, you will replace one or two meals daily with a meal replacement shake. Another common question patients ask is how long the program lasts. After your initial physical clearance, the weight loss program lasts for 12 weeks, starting from your one-on-one consultation with our dietitian.

    Disclaimer: This is only for general information. All patients should consult their doctors prior to following any of the recommendations in any articles and videos. Every patient has individual needs and limitations that only their treating physicians can be aware of.

    Answers to Your Questions About Our Medical Weight Loss Program

  • Treating the Disease of Obesity

    Although the stigma remains, obesity is no longer considered to be merely a matter of self-control or willpower. Specialists in gastric surgery in Houston recognize that obesity is actually a disease that is treatable through medical management. Since weight loss can be very difficult to achieve independently of medical supervision, it’s advisable for patients to visit a weight loss clinic when they’re ready to reclaim their health. Treating the Disease of Obesity

    Understanding the Contributing Factors

    Weight loss and gain are complex phenomena that are influenced by a range of factors. The root cause of obesity is a positive energy balance, which is defined as the consumption of more calories than a person uses. However, there are many other factors that can affect weight gain or loss independent of calorie intake and calorie usage. Medical researchers now know that chronic sleep deprivation increases the risk of obesity, perhaps in part because sleep deprivation disrupts the proper balance of the hormones that regulate appetite. Other possible contributors to weight gain include psychological issues such as stress, a wide range of medications such as antipsychotics, and foods such as sugary junk food, processed grains, and preserved meats that can adversely affect the metabolic system. Furthermore, it’s important to note that obesity is a progressive disease . That is, the more weight one gains, the greater the risk one has of gaining even more weight. This is because gaining weight causes metabolic and hormonal changes in the body that encourage the body to increase its fat storage.

    Identifying the Obstacles to Weight Loss

    The progressive nature of obesity itself is often a hindrance to successful weight loss. When a person with obesity goes on a self-imposed, calorie-restricted diet, the body responds by reducing its energy usage. This is a natural survival mechanism, but it can significantly interfere with a person’s ability to lose weight.

    Achieving a Healthy Weight

    Although losing weight is difficult, patients can find the help they need at a bariatric clinic. If medically supervised weight loss programs are not sufficient to bring about healthy changes, patients might consider their weight loss surgery options. One of the ways bariatric surgery can induce weight loss is by altering the body’s hormonal balance.

    Disclaimer: This is only for general information. All patients should consult their doctors prior to following any of the recommendations in any articles and videos. Every patient has individual needs and limitations that only their treating physicians can be aware of.

  • Factors That Contribute to Obesity

    What is behind the national epidemic of obesity? If you want to achieve long-term weight loss in Houston , understanding the factors that contribute to obesity will help you make a plan to reach your goals. This video explains more.

    Sedentary lifestyles and diets rich in artificial foods are two major contributors to obesity. Moving more and choosing healthy, natural foods will support sustainable weight loss. For many people, however, these lifestyle changes are not enough to overcome obesity. For these patients, weight loss surgery, such as gastric bypass or bariatric sleeve surgery, are options for reaching and maintaining a healthy weight. Nearly all struggling with obesity can benefit from treatment at a weight loss clinic to learn healthy strategies for long-term weight control.

    Disclaimer: This is only for general information, and all patients should run this by their caring doctors prior to following any recommendations in any of these videos or postings, as every patient has specific needs and limitations only the treating surgeon could be aware of.

  • Choosing the Right Type of Weight Loss Surgery for You

    If you have decided that weight loss surgery is the right way for you to lose weight, then the next step is choosing which procedure is best for you. Your weight loss clinic in Houston can help you evaluate each type of surgery to pick the best one to help you reach your weight loss goals. Consider these factors when you are looking for the best weight loss surgery choice. Choosing the Right Type of Weight Loss Surgery for You

    How Much Weight Do You Hope to Lose?

    While all bariatric surgeries help patients lose weight, some are associated with greater weight losses than others. When you are considering your weight loss surgery options, determine your goal weight so you can pick a procedure that is most likely to get you there. Typically, patients who choose gastric bypass surgery lose 75 percent of their excess weight, while sleeve gastrectomy surgery encourages weight losses of 65 percent. Gastric banding patients drop about 40 percent of their excess pounds.

    How Fast Do You Want to Lose Weight?

    Most sleeve gastrectomy and gastric bypass patients lose weight at an average of 2-5 lbs. per week and often achieve their goals weights within 12 to 15 months of surgery. Weight loss with the gastric band is usually slower, with patients taking about two years to reach their goal weights.

    How Often Do You Want to Follow Up?

    All weight loss surgery patients will need regular follow-up appointments at their bariatric clinic to ensure that they are healing and progressing as expected. However, gastric band patients need more frequent follow-ups, because the band needs to be adjusted periodically. Keep in mind, as well, that gastric band fills require the use of a needle, which can be stressful for some patients.

    Disclaimer: This is only for general information, and all patients should run this by their caring doctors prior to following any recommendations in any of these videos or postings, as every patient has specific needs and limitations only the treating surgeon could be aware of”

  • When to Consider Weight Loss Surgery

    Before you can make the decision to have weight loss surgery, you will first need to determine if you are eligible for the procedure. if you aren’t quite sure whether bariatric surgery is appropriate for you, you can schedule a consultation at a weight loss center serving Houston. If any of the following factors describe your situation, it may be time to consider your weight loss surgery options. When to Consider Weight Loss Surgery

    When You Meet the Eligibility Criteria

    Your body mass index (BMI) is a significant indicator of your general health. It’s a comparison of your weight to your height. You could calculate yours here .

    Weight loss surgery is not appropriate for people who are just a few pounds overweight. Rather, it’s intended to help those who have severe obesity or morbid obesity. A diagnosis of obesity is measured by a patient’s BMI. If your BMI is 40 or higher , you may be a good candidate for the procedure due to high risks of medical problems related to your weight if not lowering your weight soon. However, patients with a BMI of 35 or higher may also be eligible for bariatric surgery if conditions related to obesity has developed . These include diabetes, high blood pressure, arthritis, acid reflux,sleep apnea, liver, lung or heart dysfunction.

    When You Can’t Achieve Weight Loss By Yourself

    Have you tried multiple diets and exercise programs in the past? If so, it may be time to start thinking about having bariatric surgery. This type of surgery is generally appropriate for patients who have not been able to succeed at weight loss by using non surgical weight loss options. Often, bariatric surgery patients have repeatedly lost weight, but then regained it.

    When You Understand the Commitment Required

    Bariatric surgery is commonly thought of as being a quick and easy way to resolve obesity that requires little to no effort on the part of the patient. In fact, bariatric patients must be wholly committed to making lifelong lifestyle changes. These commitments are integral to the safety and success of bariatric surgery.

    When You Have Addressed Psychological Issues

    Patients with obesity often have co-occurring psychological issues such as depression, anxiety disorders, and eating disorders. If this applies to you, your bariatric surgeon may request that you undergo a psychological evaluation. You may be asked to receive treatment for these disorders before having bariatric surgery. Again to improve the safety and success of weight loss surgery.

  • Comparing Gastric Sleeve and Bypass Procedures

    If you’ve made the decision to undergo bariatric surgery in Houston, you’ll meet with the bariatric surgeon to discuss your health history and what you can expect. You’ll also need to choose the type of bariatric surgery you wish to have. Your bariatric surgeon can provide recommendations, based on your current health and your goals for the outcome. These weight loss surgery options may include a gastric bypass procedure or gastric sleeve surgery. Comparing Gastric Sleeve and Bypass Procedures

    Surgical Approaches

    The primary difference between these two procedures is the approach the surgeon uses. During a gastric sleeve surgery, the bariatric surgeon removes about 60 percent of the stomach, leaving a tube-shaped “sleeve.” This type of surgery uses the restrictive approach, which means it significantly restricts the amount of food the patient can eat at a time. Gastric bypass combines the restrictive approach with the malabsorptive approach, which means patients eat less and their bodies absorb fewer calories and nutrients. During this surgery, the bariatric surgeon creates a smaller stomach pouch and reroutes the intestines. Food bypasses the main stomach and instead enters the small pouch, from which it goes directly into the small intestine.

    Anesthesia Requirements

    You may wish to consider anesthesia when choosing between these surgeries. Individuals who are obese, especially those with co-morbidities, have a higher risk of complications from general anesthesia. Undergoing a longer surgery requires you to be under anesthesia for a longer period of time. A gastric bypass surgery may take about two hours and 45 minutes. A gastric sleeve surgery may take about one hour and 40 minutes.

    Weight Loss Outcomes

    With either surgery, you can expect to lose a significant percentage of your excess weight , provided you follow your dietary guidelines. However, gastric bypass patients tend to lose weight faster than gastric sleeve patients. A gastric bypass may lead to a 60 to 80 percent loss of excess weight during the 12 to 18 months. During the first year after a gastric sleeve procedure, patients may lose 50 to 80 percent of excess weight. For some patients, slow and steady weight loss may actually be preferable because there is less concern regarding excess skin.

    Disclaimer: These articles do not provide patient-specific medical advice. Since all patients have unique needs and limitations, they should consult their physicians prior to following any recommendations presented here.