Remember that a tummy tuck is NOT a weight loss surgery. It helps contour your abdominal region. To lose weight, you should undergo a weight loss surgery, such as a gastric sleeve, gastric bypass or gastric balloon. Once you have lost all the weight, you will be a better candidate to undergo a tummy tuck to help contour and remove the excess skin/tissue. Physically healthy people ( Problems pertaining to Blood Pressure, Diabetes should not go ) Non-smokers, BMI is lower than 32, People who have a stable weight, Women who have had multiple pregnancies can be good candidates to undergo tummy tuck. Read more about the differences between gastric sleeve surgery and tummy tuck operation.

The patient is admitted to surgery the day she/he arrives. After the necessary tests are done, if there is no obstacle, the patient is taken to the operation. On the second day after the operation, ultrasounic tests are taken and information is given about the diet list that will be applied. On the third day after the operation, they can be discharged from the hospital and they can go back to their home.

If the patient has uncontrolled diabetes (If blood sugar and HbA1c levels are high despite taking insulin), If severe esophageal inflammation (esophagitis) due to gastric hernia or reflux is detected in endoscopy, gastric bypass is more appropriate for these patients. If there is no problem in the examination and endoscopy of the patient, gastric sleeve can be done.

You can board the plane as soon as you are discharged from the hospital.

After the operation, the patients start their diet program with liquid foods for the first month and with mashed/ puree foods for the second month. At the beginning of the third month, solid foods are started under the control of our dietitian. The aim here is not to make the patient lose weight quickly, but to prevent the growth of the stomach by keeping the stomach volume we have created.

Although this varies depending on the person, since the operation is performed with the closed (laparoscopic) method and the hospital stay is shortened, the patients can return to their normal life on the 4th-7th day of the operation.

Although the rate of weight loss may vary depending on the age and metabolic rate of the person, the patient loses weight rapidly in the first 3-4 months of the operation. As you lose weight, the rate of weight loss in the following months will slow down and may even pause normally in some periods. The most important factor in the following months is the patient's adopting the changing lifestyle and diet and complying with this order. During these periods, the patient is supported by being regularly called for control. Patients who comply with the recommendations and lifestyle changes can lose 70% of their excess weight within 1 year.

For the patients with type 2 diabetes due to morbid obesity, 70% complete recovery can be seen after gastric sleeve operation; If the patient has uncontrolled diabetes despite using insulin or has a low body mass index and type 2 diabetes, it would be more appropriate to apply metabolic surgery to this group. With metabolic surgery, complete recovery can be seen at rates of up to 90%.

Light exercises (walking, jogging, cycling, etc.) can be started 1 week after the operation. Heavy exercises should be done on the 6th-8th days of the surgery. In patients with very high body mass index (BMI), heavy exercises are started later (after reasonable weight loss).

Young patients generally do not experience sagging as they maintain their skin tightness. Even if there is sagging, it is not general, it happens in certain parts of the body. The main problem starts after the age of 30-40; because the skin loses its elasticity. Patients who experience sagging after weight loss are referred to the plastic surgery department after being followed for 12 months after their weight remains stable or 2-3 years after bariatric surgery. It is not recommended to undergo surgery for sagging during the period when the weight loss process continues.

When your thyroid levels are low or high, you should contact your doctor to get it checked and get medical treatment to regulate and bring the levels under control. If you decide having any bariatric treatment and if you have thyroid problems, our surgeon wants you to inform us about that and send us a recent thyroid test results.

The patient can do light workout and brisk walking 1 month after the surgery. The patient can start heavy sports after 2 months. These periods depend on patients age, vitamin levels, protein intake and metabolic rate.

Every patient who decides to have surgery should quit smoking with this decision. Before surgery, the pulmonologist will analyze the condition of your lungs and conduct a breathing test. It is also needed to be noted that smoking increases the complication rate of any surgery.

Intestinal activities after surgery are directly related to solid food intake. Since the patient has to follow a liquid diet for the first 14 days after the surgery, patient can think that he or she is constipated. The reason for this is that the patient is fed only with liquid foods. This is not constipation. Your GP may prescribe laxative medication for you if you have constipation complaints. It should not be forgotten that when laxative drugs are used, plenty of water should be drunk.

The use of vitamins can be started immediately after the surgery. Checking your vitamin levels by sharing the full blood count at the end of the first month with your doctor is an important part of the postoperative process.

We give your painkiller (Dolorex) at your discharge and you can start using it on the same day. Since the size of the pills given is small, there is no burden to swallowing.

One of the most common complications is wound infection. To prevent this, after the surgery, you’re given water-proof bandages that allows you to take shower. On the 5th day after the surgery, you can remove the bandages and cleanse the area with antiseptic solution and apply antibiotic cream in order to prevent any kind of infection that can occur. Please also note that you shouldn’t be touching the incision area with barehands and keep the area dry after the shower.

In accordance with the safest method, %75 - %80 of the stomach is removed during the standard gastric sleeve surgery with the help of Tri-Stapler surgical instruments using 40Fr bougie.

Our surgeon advices for patients to use gastroprotective medications at least for 2 months. After 2 months, if the patients experience heartburn, they should extend this time for 6 months.

Our surgeon doesn’t advise adding any spicy food in your dieting for 6 months since spicy foods have potential to disturb your stomach after the surgery.

Our surgeon advices biotin and also collagen supplements to prevent hair loss after the surgery.

Our surgeon will inform you in accordance with your tests results on your discharge day. The necessary information on this issue will be given by the surgeon.

The protein intake should be minimum 40 grams up to 80 grams is needed ideally.

Our surgeon conducts your leakage tests 3 times (once a day) after your surgery until your discharge day.

On the first day, blood values and body vitals are checked. After that, the patient begins to drink water. Drain checks are done twice a day, in the morning and in the evening.

As an academic, our surgeon doesn’t approve the credibility and reliability of blue water tests and indicated that is a just an outdated method that is performed by the hospitals. He indicates that blue water tests don’t show any leakage, but blood values and body vitals show it. Your doctor's clinical observation on this issue is extremely significant.

On the second day, you’ll have fruit juice and protein shakes. In the morning, your blood values and body vitals , in the evening, only your body vitals are checked. If these values are normal, the drains are removed. The logic of drinking blue water is that to check whether the color of the liquid coming from the drain changes and that way it shows whether there’s any leak. If there is a leak, even if you do not drink blue water, the color of the fluid coming from the drain changes and the surgeon can detect it.

This is the early stage leakage test. There are 2 types of leakage. Due to technical error and device error, there can be early stage leakage. It occurs in the first 2 days, therefore, hospitalization of the patient needs to be minimum 2 days.

The second type of leakage is late stage leakage. It may develop depending on additional diseases and tissue quality of the patient. This can occur from the 3rd and 4th day to the 1st and 2nd month after the surgeries. Blood supply disorder, tissue quality disorder, and additional diseases are the main causes of late stage leakages. Our surgeon has academic articles specifically on this subject.

Yes, since on your pointing finger, a device that calculates your saturation levels should be placed during the surgery. Longer finger nails is a burden for this device.

After the surgery, for 12 to 18 months, pregnancy is not advised and approved for the patients who had bariatric surgeries. Bariatric surgeries effectively increases the fertility level of the patients and the doctor warns patients about getting pregnant within 12 months after the surgery since it is quite dangerous for the development of the baby and also for the health of the mother herself. In case of any pregnancy after your surgery, you must consult your gynecologist and dietitian to discuss the next steps.

Our surgeon advices the patients to have bariatric surgeries after at least 6 months of the labour. If the patient is still breastfeeding, they should have their surgery when they stop breastfeeding.