Bariatric Surgery is typically done for adults between 18 and 65 years old. It's not usually recommended for those over 65 because of potential risks like thinning bones. For children under 18, surgery might be considered in rare cases with severe health issues like diabetes, but only with parental consent and after careful evaluation by a specialised doctor.

       After the procedure, patients typically have only three small incisions:

       1. Two incisions are about 1.5 cm in size.
       2. One incision is approximately 0.5 cm in size.

       Bariatric surgery is preferred for obesity treatment because it involves small incisions, minimal discomfort, and a quick recovery.

1. Keep the wound dry until completely healed, usually within 7-14 days.
   
2. Once dry, apply scar-reducing cream to the wound.
   
3. Consider using silicone sheets to minimise raised scars or keloids, starting when the wound is dry.
   
4. It's normal to have a hard lump under the initial surgical wound, which will gradually disappear during the healing process.
   
5. Laser surgery can lighten scar colour starting 6 months post-surgery.
   
6. Injections can also reduce raised scars (keloids) after 6 months.

       After stomach surgery for obesity, it's crucial to follow a specific diet to aid healing and prevent complications like stomach ulcers or suture splitting. Here's a simplified breakdown:

Phase 1: Liquid Diet (First 14 Days):

High-protein milk: Provides essential nutrients and energy. Consume 4 glasses daily.

Soups: Easy to eat but may lack sufficient nutrients. Limit sodium intake to 2,300 milligrams per day.

Phase 2: Soft Food Period (15 - 28 Days):

Include soft foods like steamed eggs, tofu soups, boiled pork blood, and steamed or grilled fish.

Phase 3: Solid Foods (After One Month):

Transition to regular solid foods typically consumed in daily life.

       Following these dietary phases supports healing and ensures a smooth recovery after surgery.

Spicy Foods: Begin three months after surgery. Be cautious with flour, sugar, and strong seasonings to avoid weight gain. Some may find spicy foods harder to tolerate.

Raw salmon and raw foods: Start three months post-surgery. Monitor salmon intake to prevent weight regain. Chew thoroughly before swallowing.

Alcoholic drinks: Not recommended until six months after surgery. Be aware of quicker alcohol absorption and avoid carbonated beverages.

Rice: Introduce some varieties six months after surgery, like riceberry or brown rice. Eat slowly to avoid Dumping Syndrome symptoms.

Raw Vegetables: Preferably three months after surgery, however starchy options like corn and taro may result in weight retention.

1. Avoid rice, flour, sugar, sugary drinks, fried foods, oily foods, and processed foods for the first 6 months post-surgery.
2. Aim for at least 8 hours of sleep per day.
3. Start incorporating strenuous exercise into your routine one month after surgery.

• Folic acid 400 microgram
• Thiamine or Vitamin B1 12mg
• Vitamin D3 3,000 IU
• Vitamin B12, 500 micrograms orally, or injection every 1 or 6 months if bypass surgery.
• Calcium 1,200 - 1,500mg.
• Iron is 18mg for sleeve surgery or 45-60mg for bypass surgery.
• Zinc 8-11mg for sleeve incision or 16mg for bypass incision.

1. Nausea and vomiting: Often caused by eating too quickly or not chewing thoroughly. Adjusting eating habits can help, but consult a doctor if vomiting persists.
   
2. Bitter mouth: Typically occurs immediately after surgery and may last 6-8 weeks. Remedies include mouthwash and lime juice, but avoid lemon water.
3. Constipation: Resulting from dietary changes post-surgery, with a bowel movement expected within 4-5 days. Drinking plenty of water and consuming fiber-rich foods can help. Laxatives or enemas may be necessary if constipation persists.
   
4. Stomach bloating: Common in the first 2-3 weeks post-surgery due to reduced stomach size. Walking and using carminative medicines like Simethicone can provide relief.
   
5. Dehydration: Caused by inadequate fluid intake, leading to symptoms like fatigue, dizziness, and dry mouth. Drink 1.5 - 2 liters of water daily and monitor urine color for hydration levels.
   
6. Hair loss: Typically begins in the 3rd month after surgery due to rapid hormonal changes and protein loss. It usually resolves within 6 months. Focus on protein-rich foods and supplements containing vitamins like zinc and biotin to support hair regrowth.
   

1. Botox or filler injections and Ulthera Thermage Hifu: Can be done immediately after surgery.
   
2. Breast augmentation: Recommended to wait at least 6 months after surgery to allow for weight stabilization and better sizing selection.
   
3. Nose augmentation and double eyelid surgery: Recommended to wait 6 months post-surgery for weight stabilization and improved facial aesthetics.
   
4. Double chin surgery: Can be done as early as 6 months after surgery once weight has stabilized.
   
5. Face smashing or jaw cutting: Can be done immediately after surgery.
   
6. Removal of sagging skin: Recommended to wait one year after surgery, ensuring weight stability first.
   
7. Acne injections and surgery wound laser: Can be done immediately after surgery.
8. Keloid injections for surgical wounds: Can be injected after 6 months if the wound is raised, but not recommended otherwise to avoid tunnelling wounds.

1. Driving: You can drive immediately after leaving the hospital, preferably with an automatic transmission vehicle. If using a manual transmission, wait one month post-surgery.
   
2. Working: You can work online or attend meetings right after surgery, even while in the hospital.
3. Standing: You can stand for extended periods starting from the hospital stay.
4. Walking and stairs: You can walk and use stairs normally from the first day after surgery.
5. Lifting: Avoid lifting anything over 5 kilograms for the first month post-surgery. After that, gradually resume lifting heavier objects, with caution for very heavy items.
6. Massage: Self-massage can begin from 2 months post-surgery, including foot massages right after leaving the hospital and neck/shoulder massages after 2 weeks.
7. Bathing: Herbal and sauna baths can be resumed 2 months after surgery.
8. Exercise: You can start exercising 1 month after surgery.
9. Sexual activity: It's advisable to abstain from sexual intercourse for the first 14 days post-surgery to allow the internal wound to heal properly.