Is surgery the right weight loss solution for you?

Deciding to have weight-loss surgery is tough enough; but you choose between several procedures — each with different risks and varying degrees of potential weight loss and long term success.

So how do you decide which one is best for you?

In a new research study that compares three types of weight-loss surgery in more than 46,000 patients may help. The three types of surgery included gastric bypass, sleeve gastrectomy and adjustable gastric banding (also known as lap band).

The study found that gastric bypass surgery boasted the greatest weight loss — both short- and long-term. But that procedure also had the highest rates of complications in the month following surgery.

Research more information on these procedures on our forum, to see what others have experienced, and consult with a qualified professional. You can easily contact the best professional for you and your particular situation in our Fat Freezing Directory.

The findings of the study states, “There are trade-offs. Bypass is more effective for weight loss, but has a greater risk of short-term complications. People need to consider, ‘What do I value most?’ Is safety your biggest concern? Or, is it the magnitude of the weight loss?” said study lead author Dr. David Arterburn. He’s a senior researcher at the Kaiser Permanente Washington Health Research Institute in Seattle.

Arterburn added that it’s important to consider other weight-loss treatments, such as medication.

Nearly 25,000 people in the study had Roux-en-Y gastric bypass. This procedure involves making the stomach smaller and bypassing part of the small intestine, according to the U.S. National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). After this surgery, people get fuller on much less food, and the body doesn’t absorb as many calories.

Almost 19,000 people in the study had sleeve gastrectomy, which involves taking out a portion of your stomach so that you get fuller faster.

Finally, more than 2,500 people had adjustable lap-band surgery. A surgeon places an inflatable band around the top of your stomach, leaving only a small pouch that can be filled with food. The rest of your stomach is filled with a balloon containing saline solution that is attached to the band, according to NIDDK. Arterburn said this procedure has fallen out of favor in recent years.

The study found that gastric bypass appeared to be most effective for weight loss:

  • Gastric bypass surgery resulted in an average 31 percent loss of total body weight in the first year and 25 percent of total body weight after five years.
  • Sleeve gastrectomy led to a 25 percent loss in total body weight in the first year and 19 percent loss of total body weight after five years.
  • Adjustable gastric banding led to a 14 percent total weight loss after a year and 12 percent at five years.

For the average person in this study, there was a 19-pound weight loss difference between the bypass and sleeve procedures after five years. The average person in this study weighed 277 pounds before surgery, the researchers said.

But the 30-day rate of serious complications for gastric bypass was nearly double the risk of the sleeve procedure. The rate of complications in the 30-day period after surgery was 5 percent for gastric bypass, 2.6 percent for sleeve gastrectomy and 2.9 percent for adjustable gastric banding.

The complications measured in the study included death, reoperation/repair procedures, clots, or failure to be discharged from the hospital within 30 days.

Gastric bypass and sleeve gastrectomy are similar in terms of cost, according to Arterburn. Each procedure averages between $20,000 and $30,000, he estimated. Adjustable gastric banding is less expensive and may average around $15,000, he noted. Insurance coverage for these procedures varies quite a bit, and not all will cover weight-loss surgery.

Dr. Mitchell Roslin, director of the bariatric surgery program at Northern Westchester Hospital in Mount Kisco, N.Y., said that people shouldn’t only focus on the total weight loss when trying to select a procedure.

“There is no perfect way. The more we change the body, the higher the weight loss, but complications may be higher. There’s no one-size-fits-all weight-loss surgery,” said Roslin, who wasn’t involved with the study.

“The decision really requires detailed conversation and education. You need to understand your own individual medical issues and objectives,” he said.

Arterburn added that people should look for a surgeon that has experience in multiple weight-loss procedures.

The findings were published Oct. 29 in the Annals of Internal Medicine.

Non-invasive Procedures

Fat Freezing, otherwise know as cryolipolysis (e.g., fat freezing), is just one of several non-invasive weight loss procedures that you will find information on here at FatFreezingInfo.com. We will also cover some effective invasive procedures. Information on other fat loss solutions include: injection lipolysis, radiofrequency lipolysis, and laser lipolysis.

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Non-invasive Weight Loss Procedures

More information on other non-invasive weight loss alternatives to look and feel your best. When you look your best, you feel your best!

  • Injection lipolysis (e.g. Kybella) uses a chemical to kill fat cells around the injection site. It accomplishes the desired result of fat loss by reducing the number of fat cells located in the targeted area. The chemical used is deoxycholic acid. The use of injections to reduce targeted fat deposits, first discovered in Italy in the 1980s, eliminates fat quickly and efficiently. A popular brand supplying this type of injection is Kybella.

    Injection lipolysis is FDA-approved for treatment of the area under the chin only and may take several treatments depending on your situation. Most patients usually use this method to get rid of “double chin”. Local anesthesia is used by the provider during the procedure. Some patients may experience temporary swelling, bruising, minimal pain and redness that will subside with time. Despite these possible temporary after affects, there will be no significant downtime or disruption in lifestyle.

    Most patients have at least two treatments administered over the course of a month for best results. Patients can have up to six treatments but with proper care, results should be long lasting.

  • Radiofrequency lipolysis (e.g. Vanquish) uses controlled heating and ultrasound technology to target fat cells in your target areas. The applicator used for radiofrequency heats the skin from a distance of one centimeter from the skin. Fat cells are affected from the heat without affecting surrounding tissue. A common brand of radiofrequency lipolysis is Vanquish

    The procedure can be done without anesthesia and there is no restriction on activity or lifestyle after the procedure is completed. You can use Radiofrequency lipolysis to target your abs and love handles as well as thighs and other tough to tone areas.

    While results vary from person to person, some patients have seen results of up to 2 inches in fat reduction per targeted area!

  • Laser lipolysis (e.g. SculpSure) is a minimally invasive procedure in which localized fat deposits are reduced surgically by means of a special laser. A popular brand of laser lipolysis is SculpSure. Unlike traditional liposuction, laser lipolysis does not use suction or local anesthesia. Despite this, laser lipolysis offers benefits on par with traditional liposuction. Laser lipolysis is generally recommended for smaller areas. Laser lipo is best for patients who have less than 30 pounds to lose over their ideal weight.

    After the procedure is completed, a day or two of rest may be needed. You may experience low to mild pain and discomfort; especially in the first 48 hours following the procedure. Temporary redness and swelling may be present. However, most patients are able to return to work within a 24-hour period.

    Results may be seen in as little as a month, but more substantial results can be seen around the 3-month mark after completing laser lipolysis.

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