May 31 (iVillage Total Health) -- Although the number of obese people getting bariatric surgery has skyrocketed in recent years, a new survey suggests that the majority of these patients are not getting tummy tucks and other body contouring procedures to get rid of excess skin after their weight loss.

Bariatric surgery is a procedure in which the digestive tract is surgically altered to prevent normal absorption of food and nutrients. Two commonly performed procedures involve reducing the size of the stomach (through bands or staples) or bypassing a section of the small intestine.

The massive weight loss typically experienced following the procedure often leaves patients with unsightly folds of loose, sagging excess skin. Moisture can become trapped in the folds of the skin and cause skin infections. Some patients may experience chronic infections, physical restrictions and psycho-social related health problems.

According to a report published in the May issue of Plastic and Reconstructive Surgery, the medical journal of the American Society of Plastic Surgeons (ASPS), most bariatric patients consider having the surgery. However, only 15 percent actually follow through and have the procedure.

Body contouring options include tummy tucks, lower body lifts, thigh lifts, arm lifts and breast lifts. According to ASPS data, some 66,000 body contouring procedures were performed after weight loss surgeries in 2006 -- up 18 percent from 2004.

"Bariatric surgery is a useful tool for treating obesity and many patients benefit from completing their weight loss journey with plastic surgery every year. However, the data shows that more patients could be helped by these procedures," Dr. Alan Matarasso, the report's lead author, said in a press release. "Major obstacles to surgery for patients include cost, difficulty in receiving insurance coverage and reluctance to have additional surgery."

Dr. Peter Rubin, chairman of the ASPS Post Bariatric Task Force, added that patients should consider the risks as well as benefits of the procedures. "This is serious surgery that may involve multiple procedures performed over many months, significant recovery time and a financial commitment; however, the benefits are incredibly positive."

He said, "Removing excess skin is not only necessary to achieve optimal body shape, but it's also helpful in improving overall health and quality of life. Because of these benefits and the rising number of bariatric procedures being performed, we expect to see a continued increase in the number of patients who have these procedures."

The ASPS recommends the following tips for anyone considering body contouring after weight loss surgery:

• Weight maintenance. Try to maintain a stable weight for at least three months prior to the surgery.

• Goal weight. Try to get as close to your goal weight as possible. This may produce better body contouring results.

• Surgery plan. Work out the plan for what procedures, how many operations and when you will need them in order to achieve your desired results.

• Nutritional intake. Since many bariatric procedures reduce the ability to digest or absorb nutrients, patients should discuss the need for dietary supplements prior to surgery. For example, protein may help reduce blood clots and promote faster healing, but it may be difficult to digest after bariatric surgery.

• Diet and exercise. Experts recommend patients develop good diet and exercise habits prior to surgery and be prepared to continue them as part of their normal lifestyles.

• Realistic expectations. Results of body contouring may vary from person to person and it may be difficult to achieve perfect symmetry. Make sure you understand the limitations and what to expect following the procedure, including whether there will be a need for additional followup surgeries.

Copyright 2007 iVillage Total Health.