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Procedure
Post-Bariatric Surgery in Lima
Comprehensive reshaping after gastric bypass or sleeve for a firm body.
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Post-bariatric surgery is the set of procedures that reshape the body after massive weight loss (gastric bypass, sleeve or natural loss >30 kg). It removes the hanging skin left on the abdomen, arms, thighs, breasts and back — the essential aesthetic and functional complement to a successful bariatric journey.
Post-bariatric surgery is the set of procedures that reshape the body after massive weight loss, whether from gastric bypass, a sleeve or natural weight loss. It removes hanging skin from the abdomen, arms, thighs, breasts and back. It is not a single operation: it is planned in stages. Your evaluation takes place in Lima with Dr. María del Carmen Martínez, plastic surgeon.
Dr. María del Carmen Martínez · Plastic surgeon · CMP 42467 · RNE 20164 · Updated September 30, 2026
Duration4 – 8 hours
AnesthesiaGeneral
Recovery21 – 30 days
InvestmentFrom $6,500 USD*
* Reference, variable price: this is not a fixed price or set rate and may vary entirely depending on the medical evaluation, the recommended technique, the implants or materials, operating room time and the complexity of each case. The exact amount is confirmed after your assessment with Dr. Martínez.
What is post-bariatric surgery?
It's a series of surgeries performed after reaching the goal weight from bariatric surgery or massive natural weight loss. It's not a single operation: it's a personalized plan in 2-4 stages. The most frequently treated areas are:
- Abdomen (circumferential abdominoplasty)
- Breasts (breast lift with or without implants)
- Arms (brachioplasty)
- Thighs (thigh lift)
- Back and flanks (in circumferential tummy tuck)
- Buttocks (buttock lift or fat transfer)
When is the right time?
Ideally 12-18 months after bariatric surgery, once your weight has been stable for at least 6 months. Other indicators:
- Loss of at least 50% of excess weight
- Current BMI between 25 and 32 (no surgery with a BMI >35)
- Balanced diet and vitamin supplementation
- No protein, iron or vitamin D deficiency
- Commitment to maintaining a stable weight after surgery
Staged planning
Dr. Martínez plans post-bariatric surgery in 2-4 stages, each 3-6 months apart:
- Stage 1 (the most requested): circumferential tummy tuck + breast lift. 5-7 hours.
- Stage 2: arm lift + thigh lift. 4-5 hours.
- Stage 3 (optional): facelift + neck + touch-ups.
- Stage 4 (optional): detailed HD liposculpture + buttock fat transfer.
Special considerations for post-bariatric patients
- Reduced skin quality (stretch marks, loss of elasticity from rapid weight loss)
- Slower healing than in non-bariatric patients
- Need for pre-operative nutritional optimization (protein, iron, vitamin D)
- Increased thrombotic risk: strict prophylaxis
- Higher risk of seroma: prolonged drains and strict compression garment
Recovery step by step
- Day 0-3: 48-72 hour hospital stay, compression garment 24/7, drains for 5-7 days
- Day 4-14: gradual drain removal, early mobilization, blood clot prevention (antithrombotic prophylaxis)
- Weeks 2-4: stitches removed, extended time off work (3-4 weeks)
- Months 1-3: gradual return to exercise
- Months 3-6: planning the next stage
- Months 6-12: mature scar, stable final result
Frequently asked questions
How much does post-bariatric surgery cost in Lima?
It depends on the number of areas. At Dr. Martínez's practice, Stage 1 (circumferential tummy tuck + mastopexy) costs from S/ 24,000 (≈ $6,500 USD). The following stages cost from S/ 14,000-18,000. Includes surgeon's fees, anesthesiologist, operating room, hospital stay, compression garments, tests and follow-up.
How many surgeries will I need in total?
It depends on your weight loss and the areas affected. Most commonly it's 2-3 stages spaced 3-6 months apart. The complete plan, personalized to your anatomy, is laid out at your consultation.
When is the ideal time to have surgery?
12-18 months after bariatric surgery, with a stable weight for at least 6 months. Operating too early or without a stable weight leads to contour relapse and suboptimal results.
Is it safe to have surgery after bariatric surgery?
Yes, with proper pre-operative nutritional optimization and at an accredited clinic. Dr. Martínez requires nutritional, hematological and endocrinological evaluation before operating on post-bariatric patients.
Are the scars very large?
Yes, they are extensive: a circumferential tummy tuck leaves a scar around the torso. A brachioplasty scar runs along the arm. It is the necessary trade-off for removing loose skin. At 12-18 months they fade significantly.
Does insurance cover these surgeries?
Usually NOT, because it is considered cosmetic. Only in specific cases (documented chronic dermatitis, functional hernias) do some insurers provide partial coverage. At your consultation we can help you with the paperwork.
How long does the result last?
Permanent if you keep a stable weight (±5 kg). Removed skin does not grow back. Significant later weight gain or loss may require touch-ups.
Personalized consultation
Book your evaluation with Dr. Martínez
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Personalized consultation
Book your Post-Bariatric Surgery evaluation
Every case is unique. The price is set after a medical evaluation with Dr. Martínez. Leave us your details and we'll contact you via WhatsApp.
Post-Bariatric Surgery Price subject to medical evaluation
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