Laparoscopic Bariatric Surgery
Provocative Plastic Surgery
Laparoscopic bariatric surgery—often called “keyhole” surgery—is a minimally invasive approach to achieving substantial, durable weight loss by reducing stomach volume and/or bypassing portions of the small intestine. By performing the procedure through several small incisions rather than a large open cut, patients experience less postoperative pain, shorter hospital stays, faster recovery, and lower risk of wound complications. At Provocative Plastic Surgery, our multidisciplinary team offers a full spectrum of laparoscopic bariatric options—gastric sleeve, gastric bypass, and adjustable gastric banding—tailored to your anatomy, health status, and weight-loss goals.
From your initial consultation through every postoperative milestone, you will receive comprehensive care: expert surgical technique, individualized nutritional counseling, behavior‐modification coaching, and long‐term follow‐up to maximize success. Our goal is to provide a safe, effective pathway to significant weight loss, improvement in obesity-related comorbidities, and enhanced quality of life—all with the benefits of minimally invasive surgery.
Understanding Laparoscopic Bariatric Surgery
Laparoscopic bariatric procedures utilize a camera-equipped telescope (laparoscope) and specialized instruments inserted through 5–6 tiny (5–12 mm) incisions in the abdominal wall. Key advantages include:
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Reduced Trauma
Smaller incisions lead to less soft-tissue disruption, diminished postoperative pain, and lower risk of hernia or infection.
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Enhanced Visualization
High-definition laparoscopic cameras provide magnified views of abdominal structures, improving precision in stapling, suturing, and dissection.
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Faster Recovery
Most patients mobilize within hours, tolerate clear liquids on postoperative day 1, and often discharge on day 1–2.
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Comparable Efficacy
Outcomes for sleeve gastrectomy and Roux-en-Y gastric bypass performed laparoscopically match those of open surgery in terms of weight loss and comorbidity resolution.
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Lower Complication Rates
Reduced blood loss, fewer wound complications, and minimal adhesion formation enhance safety and long-term abdominal health.
Our program integrates laparoscopic expertise with comprehensive perioperative support, ensuring you reap the full benefits of minimally invasive bariatrics.
Ideal Candidates for Laparoscopic Bariatric Surgery in Miami
You may be a great candidate for Laparoscopic Bariatric Surgery surgery if:
Ideal candidates for laparoscopic bariatric surgery generally meet the following criteria:
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Body Mass Index (BMI)
• ≥ 40 kg/m² (morbid obesity)
• ≥ 35 kg/m² with at least one serious obesity‐related comorbidity (type 2 diabetes, sleep apnea, hypertension, nonalcoholic fatty liver disease)
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Previous Weight‐Loss Attempts
Documented failure of medically supervised diet, exercise, and behavioral therapy to achieve or maintain significant weight loss.
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Understanding & Commitment
Demonstrated comprehension of risks, benefits, and lifelong dietary, exercise, and follow‐up commitments required for success.
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Absence of Contraindications
No active substance abuse, untreated major psychiatric illness, or conditions that make general anesthesia unsafe.
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Age Considerations
Typically 18–65 years old, though selected patients outside this range may qualify based on individual evaluation.
During your evaluation, we perform a detailed health assessment—including labs, cardiopulmonary testing, and nutritional screening—to confirm candidacy and optimize safety.
The Consultation Process: What to Expect
1. Medical & Lifestyle Assessment
• Review of medical history, medications, prior abdominal surgeries
• Evaluation of dietary habits, exercise routines, and psychosocial factors
2. Physical Examination
• Measurement of height, weight, BMI, abdominal exam
• Laboratory panels (CBC, metabolic panel, liver function, lipid profile)
• Cardiac clearance and possibly pulmonary function testing for high-risk patients
3. Aesthetic Goal Setting
• In-depth discussion of laparoscopic sleeve gastrectomy, Roux-en-Y gastric bypass, and adjustable gastric banding, including expected weight-loss curves and impact on comorbidities
• Considerations of long-term nutritional requirements, supplementation, and follow-up schedules
4. Multidisciplinary Team Introduction
• Meeting with dietitians, exercise physiologists, and behavioral health specialists who will guide preoperative optimization and postoperative lifestyle changes
5. Customized Treatment Plan
• Selection of the appropriate laparoscopic procedure based on your anatomy, comorbidities, weight-loss target, and personal preferences
• Scheduling of preoperative weight-loss requirements, smoking cessation (if applicable), and medication adjustments
6. Financial & Scheduling Planning
• Review of procedure fees, insurance coverage (most plans cover medically indicated bariatric surgery), and payment options
• Planning for time off work, postoperative support at home, and transportation
Procedure Options
Laparoscopic Sleeve Gastrectomy
• Stapled resection of ~ 80 percent of the greater curvature, creating a narrow tubular stomach
• Restrictive effect reduces meal volume; removal of ghrelin-producing gastric fundus may decrease hunger
Laparoscopic Roux-en-Y Gastric Bypass
• Creation of a small proximal gastric pouch (~ 15–30 mL) anastomosed to a Roux limb of small intestine
• Bypasses ~ 100–150 cm of proximal small bowel, reducing calorie absorption and inducing hormonal changes that improve satiety and glucose metabolism
Adjustable Gastric Banding
• Placement of a silicone band around the proximal stomach to create a 15–20 mL pouch
• Band port allows postoperative adjustment of restriction by saline inflation/deflation
Common Laparoscopic Steps
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Establish pneumoperitoneum (carbon-dioxide insufflation)
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Placement of 5–6 trocar ports under direct visualization
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Camera insertion and exploration of abdominal cavity
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Procedure-specific stapling, suturing, or band placement
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Leak testing (for sleeve and bypass) with methylene blue or air insufflation
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Hemostasis confirmation, drain placement if indicated, and port site closure
The Surgical Day: What to Expect
Arrival & Preoperative Preparation
• Check-in at our accredited ambulatory surgical center or hospital; verification of consent and fasting status
• Placement of sequential compression devices for DVT prophylaxis and an IV line for fluids and anesthesia
Anesthesia & Monitoring
• General anesthesia administered by board-certified anesthesiologists
• Continuous monitoring of ECG, blood pressure, oxygen saturation, end-tidal CO₂, and temperature
Procedure Execution
• Creation of pneumoperitoneum and insertion of laparoscopic ports
• Performance of your selected bariatric procedure (sleeve, bypass, or banding) using advanced stapling, suturing, or band placement techniques
• Intraoperative leak testing for sleeve and bypass to confirm anastomotic integrity
Immediate Recovery
• Transfer to Post-Anesthesia Care Unit (PACU) for close observation of vital signs, pain control, and early mobilization
• Initiation of clear liquid diet once awake and stable (for sleeve and bypass) or discharge diet protocols for banding
Discharge Instructions
• Typically discharged on postoperative day 1 for sleeve and bypass, same day or day 1 for banding, with detailed written and verbal instructions covering diet progression, activity guidelines, medication regimen, and follow-up schedule
Recovery and Aftercare
Dietary Progression
• Days 1–3: Clear liquids
• Days 4–7: Full liquids
• Weeks 2–4: Pureed and soft foods
• Weeks 5–6: Gradual introduction of solid foods—emphasizing protein, low fat, low sugar
• Beyond Day 42: Regular textured diet with lifelong emphasis on portion control and nutrient density
Medication Regimen
• Proton-pump inhibitors or H₂ blockers for 30–90 days post-sleeve/bypass
• Multivitamin and mineral supplementation lifelong (especially for bypass patients: B₁₂, iron, calcium, vitamin D)
Activity
• Early ambulation on the day of surgery to reduce DVT risk
• Light walking first week; gradual progression to moderate activity by week 2–4
• Return to full exercise by weeks 6–8, avoiding heavy lifting until cleared
Behavioral Support
• Regular follow-up with dietitians: weekly in month 1, biweekly in months 2–3, monthly through year 1
• Group support meetings and behavioral therapy for emotional-eating strategies and habit formation
Follow-Up Visits
• 1-Week Postoperative: wound check, diet adherence, symptom review
• 1-Month: weight-loss assessment, lab monitoring, dietary adjustments
• Quarterly for year 1; semiannually or annually thereafter to monitor weight trajectory, nutritional status, and comorbidity improvement
Achieving Natural, Long-Lasting Results
Our holistic approach combines surgical efficacy with sustained lifestyle change to ensure durable outcomes:
Personalized Nutrition
A high-protein, low-sugar, nutrient-dense diet tailored to individual caloric needs and gastrointestinal tolerance.
Behavioral Modification
Cognitive-behavioral strategies to address emotional-eating triggers, set realistic goals, and reinforce healthy habits.
Physical Activity Integration
Progressive exercise planning—from daily walking to structured strength and cardio programs—to boost metabolism and maintain muscle mass.
Multidisciplinary Follow-Up
Ongoing support from surgeons, dietitians, psychologists, and exercise specialists throughout the first year and beyond.
Outcome Tracking
Regular monitoring of weight, body composition, metabolic markers, and quality-of-life measures to guide adjustments and intervene early if plateaus or regressions occur.
By bridging the anatomical results of laparoscopic bariatrics with comprehensive lifestyle interventions, we help patients achieve not only initial weight loss but lifelong health transformation.
Potential Risks and Safety Considerations
Personalized Nutrition
A high-protein, low-sugar, nutrient-dense diet tailored to individual caloric needs and gastrointestinal tolerance.anaged with anti-nausea medications.
Behavioral Modification
Cognitive-behavioral strategies to address emotional-eating triggers, set realistic goals, and reinforce healthy habits.
Physical Activity Integration
Progressive exercise planning—from daily walking to structured strength and cardio programs—to boost metabolism and maintain muscle mass.
Multidisciplinary Follow-Up
Ongoing support from surgeons, dietitians, psychologists, and exercise specialists throughout the first year and beyond.
Outcome Tracking
Regular monitoring of weight, body composition, metabolic markers, and quality-of-life measures to guide adjustments and intervene early if plateaus or regressions occur.
Why Choose Provocative Plastic Surgery for Laparoscopic Bariatric Surgery in Miami?
When it comes to a Laparoscopic Bariatric Surgery, selecting the right surgeon is crucial. Here’s why Miami women and men trust Provocative Plastic Surgery:
Board-Certified Expertise
Our surgeons are certified by the American Board of Surgery and have specialized training in advanced minimally invasive and bariatric techniques.
State-of-the-Art Facilities
Fully accredited operating rooms and endoscopy suites equipped with the latest laparoscopic platforms and enhanced recovery protocols.
Patient-First Philosophy
Unhurried consultations, transparent risk-benefit education, and empathetic guidance from your first visit through long-term follow up.
Comprehensive Multidisciplinary Care
An integrated team of surgeons, dietitians, behavioral health specialists, and exercise physiologists ensures a seamless continuum of care.
Proven Outcomes
Demonstrated average excess weight loss of 60–70% at one year for sleeve and bypass patients, with sustained improvements in comorbid conditions.
Choosing Provocative Plastic Surgery for your laparoscopic bariatric procedure means partnering with a dedicated team committed to your safety, success, and lasting transformation.
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