One of the most interesting things we see after bariatric surgery is what happens with joints. Patients come in expecting to feel amazing once the weight’s off – and they do, mostly. But then around the six-month mark, they start mentioning new aches and pains. “I thought losing weight would fix my knees,” they say. “Why do my feet hurt more now?”

It’s actually a fascinating process when you understand what’s happening.

Why joints can hurt more after weight loss

Think about it. You’ve been carrying extra weight for maybe 10, 20 years. Your whole body has adapted. The way you walk, how you get up from chairs, even how you sleep – it’s all developed around managing that weight.

Your joints haven’t just been carrying extra load. They’ve been carrying it in specific patterns. Maybe you’ve been rolling your feet inward to balance. Maybe you’ve been hyperextending your knees. These compensations work, sort of, but they cause their own problems.

Then boom – you lose 40, 50, 60 kilos in less than a year. Fantastic for your health, but your body’s still trying to walk like it’s carrying that weight. And now you can actually feel what’s been happening in those joints all along.

It’s not that weight loss damages joints. It reveals damage that was already there.

Feet tell the whole story

If you want to see what excess weight really does to the body, look at feet after major weight loss. The changes are remarkable.

First, the fat pads under the feet shrink. Yes, you lose weight there too. Suddenly bones that had cushioning are pressing more directly on the ground. Patients often say it feels like walking on marbles.

Then there’s the arch situation. Years of excess weight can flatten arches completely. But when the weight comes off, those stretched ligaments don’t just snap back. You’re left with mechanically inefficient feet that now have to work harder with each step.

The really tricky part? Your entire walking pattern needs to change. The wide-based gait that helped with balance at higher weight doesn’t work anymore. Learning to walk “normally” again is harder than people expect.

Different joints, different issues

Knees get interesting Less weight should mean less knee pain, right? Often yes, but not always. What we see is that generalised knee aching might disappear, but specific problems become obvious. That grinding under the kneecap? Now you can feel exactly where the cartilage is worn. The vague discomfort becomes precise pain in specific movements.

Hips reveal their secrets Hip joints that have been operating in a limited range for years suddenly have freedom to move. Sounds good, except impingements and early arthritis that were hidden by limited motion now make themselves known. Patients often say “I can finally cross my legs, but it hurts when I do.”

Ankles need retraining Ankle instability is huge after major weight loss. All those stabilising muscles that worked overtime? They need to learn a completely new job. The proprioception – knowing where your joint is in space – needs recalibration.

When to worry, when to wait

Here’s what we tell patients: some discomfort is normal as your body adapts. But certain things need attention:

Pain that gets worse with activity rather than better? That’s worth investigating. Swelling that doesn’t settle overnight? Same thing. Any feeling of joints giving way or catching? Definitely needs assessment.

The timeline matters too. Month three post-surgery, with new activities? Probably normal adaptation. Month twelve with worsening pain? Time to look deeper.

Getting the right help

This is where it gets a bit complex. Your GP can handle many post-weight loss joint issues. But sometimes you need someone who specialises in specific joints. Particularly for feet and ankles – they’re incredibly complex and the changes after weight loss are unique.

Orthopaedic surgeons increasingly subspecialise now. In Adelaide, someone like Dr Christy Graff focuses specifically on foot and ankle problems even if the patient is diabetic. Every major city has these subspecialists. For post-bariatric foot issues, that level of expertise can make a real difference. They see patterns that others might miss.

Practical approaches that actually work

Start low, go slow Everyone wants to run marathons immediately. But joints that have been compressed for years need gradual loading. Pool exercises are gold – all the movement, fraction of the impact.

Shoes matter more than ever Those supportive shoes from your heavier days? Probably too structured now. But going straight to minimalist shoes? Recipe for disaster. Get properly assessed. Yes, it costs money. Yes, it’s worth it.

Strength before cardio Building muscle support around vulnerable joints should be priority one. Boring? Maybe. But stronger muscles mean better joint protection when you do start that couch-to-5K.

The mental side no one talks about

Here’s something we see constantly: patients feel like joint pain after weight loss means they’ve failed somehow. Like they should be grateful for the weight loss and not complain about “minor” things like foot pain.

Rubbish. Joint pain that limits your newfound mobility is absolutely worth addressing. The whole point of weight loss surgery is improved quality of life. If joint problems are limiting that, they need attention.

Looking long-term

Joint recovery after bariatric surgery isn’t a straight line. Month six might be harder than month three. Year two might bring new challenges as you attempt activities you haven’t done in decades.

This is normal. Bodies are complex. Adaptation takes time. The patients who do best are those who:

• Listen to their bodies
• Get help when needed
• Adjust expectations
• Keep the long view

The overwhelming majority of our patients end up more mobile and less painful than they’ve been in years. But getting there might involve some detours through physiotherapy, orthotics, or even orthopaedic consultations.

Bottom line

Weight loss surgery transforms lives. The joint issues that sometimes surface afterward aren’t failures – they’re part of the journey. Address them properly and you’ll enjoy the mobility you’ve worked so hard to achieve.

Every patient’s different. Some sail through with no joint issues. Others need significant support. Most fall somewhere in between. Whatever your journey looks like, remember that seeking help for joint problems isn’t weakness.

It’s smart healthcare.

If you’ve had bariatric surgery, you might have noticed something unexpected – your teeth feel different. Or maybe your smile looks different in your new face shape. You’re not imagining it.

This isn’t about selling you anything. It’s about understanding what’s actually happening in your mouth after major weight loss and what you might want to know.

What’s Actually Going On With Your Teeth

After bariatric surgery, several things affect your oral health:

Your face shape changes – As you lose weight, your facial structure shifts. Teeth that were proportional before might look different now. It’s not that they’ve moved much – it’s that everything around them has changed.

Nutritional challenges – Even with supplements, your body might not absorb calcium and vitamins the same way. This can affect tooth strength and gum health over time.

The acid factor – If you’re dealing with reflux (common after surgery), that stomach acid doesn’t just burn going down. It can erode tooth enamel, making teeth look more yellow or translucent.

Dry mouth – Many post-bariatric patients experience reduced saliva production. Less saliva means less natural protection for your teeth.

Why Some People Think About Cosmetic Dental Work

It’s not vanity. After transforming your body, noticing your smile doesn’t match how you feel inside is pretty normal. Some people find:

• Their teeth look bigger or more prominent in their slimmer face
• Years of neglect (when they weren’t feeling great about themselves) are now more noticeable
• Acid damage has made teeth look worn or discolored
• They’re finally ready to address issues they’ve put off for years

There’s no pressure to do anything about it. Plenty of people are perfectly happy with their teeth as they are. But if you’re curious about options, that’s normal too.

If You’re Considering Doing Something About Your Teeth

Wait for weight stability – Most dental professionals suggest waiting 12-18 months after surgery. Your body (and face) are still changing. What looks right at 6 months might not at 18 months.

Get your nutrition sorted first – Make sure any deficiencies are under control. Healthy teeth need proper nutrition, whether you’re getting cosmetic work or not.

Research your options – From simple whitening to more complex work, there’s a huge range. Some things to consider:

• Professional whitening (can help with staining from acid)
• Bonding (fixes chips and minor gaps)
• Clear aligners (if teeth have shifted)
• Veneers or crowns (for more dramatic changes)
• Full reconstructions (for extensive issues)

Talk to professionals who understand – Not all dentists are familiar with post-bariatric challenges. You want someone who understands the nutritional issues, acid concerns, and the emotional journey you’ve been on.

For instance, some practices like Complete Dental, Oral Surgery and Implants offer comprehensive cosmetic services. We have no connection with this Newcastle-based practice – they’re just an example of facilities that handle everything from basic cosmetic work to complex reconstructions in one location.

The Reality Check

Cosmetic dental work isn’t cheap, but maybe worth it for some people, as it’s the final piece of their transformation puzzle.

Others decide they’re happy as they are – and that’s perfectly valid too. There’s no right answer here.

Taking Care of What You’ve Got

Whether you pursue cosmetic work or not, protecting your teeth after bariatric surgery matters:

• Stay on top of your supplements
• Manage acid reflux aggressively
• Don’t skip dental cleanings
• Consider prescription fluoride if recommended
• Stay hydrated to combat dry mouth

Your teeth have been through a lot with your body changes. They deserve some attention, whether that’s just good maintenance or something more.

The most important thing? You’ve already done the hardest part – changing your life through surgery. Whatever you decide about your teeth, make sure it’s for you, not because you feel you “should.”

This information is general in nature. Always consult with dental and medical professionals about your specific situation, especially regarding timing of any dental work after bariatric surgery.

Weight loss surgery is often a turning point—a major shift not just in weight, but in how people move through the world. It brings big wins: better blood pressure, easier breathing, more energy. But there are also smaller, quieter changes that deserve attention.

One that doesn’t get talked about enough is oral health.

Research suggests bariatric procedures can affect saliva production and nutrient absorption—both of which play a role in oral health.¹ It’s not something everyone experiences, but it’s worth being aware of.

That doesn’t mean sounding the alarm. It just means keeping your dentist in the loop and mentioning anything new.

And while we don’t provide dental care at our practice, we will an example outside our area for context to avoid any endorsement or affiliation. For example someone might consider speaking with a cosmetic dentist in Brisbane to get assistance with their teeth post surgery. That’s not a recommendation—just a hypothetical to illustrate the kinds of services that someone may seek elsewhere.

The bigger picture? Better health isn’t only about the obvious. Sometimes, it’s in the little details—like a smile that still feels like your own.

It’s a peculiar fact of life that sometimes we only truly appreciate mobility once we’ve lost a bit of it. I’m not just talking about getting out of a low-slung couch without making a real effort of it. I mean the sort of movement that lets you chase after your grandkids, stroll through unfamiliar towns, or climb a hill simply because it’s there and you’ve got a spare twenty minutes.

At Advanced Obesity Surgery, weight loss isn’t just about kilos or centimetres — it’s about reclaiming the quiet, often-overlooked joys of life. The kind that sneak up on you in the best way: tying your own shoelaces, or flying in economy without feeling extremely cramped.

But here’s the marvellous part: weight loss often opens the door to far more than comfort. It can rekindle the travel bug. Suddenly, weekends away are back on the cards. You might fancy hiking in the Blue Mountains, swimming at the Gold Coast, or even hitting the road for a long-overdue adventure.

To avoid any conflict of interest or endorsements, we often use examples from outside our area when discussing this. For this example, we went with caravan hire— a splendid way to roam wide open spaces without having to pack light or book anything more complex than a map.

Because really, weight loss isn’t the end goal — it’s the beginning of getting your life back. And if that includes sunrises seen through a caravan window, so much the better.

This article is for general informational purposes only and does not constitute medical advice. Please consult a qualified healthcare professional for advice tailored to your circumstances.

Bariatric Surgery in Sydney

At Advanced Surgicare Sydney we have bariatric surgery options for people managing obesity and related health conditions. We offer procedures such as Gastric Bypass, Sleeve Gastrectomy and Adjustable Gastric Banding performed by a qualified surgeon in a private hospital.

What is Bariatric Surgery

Bariatric surgery is a surgical procedure that modifies the stomach and digestive system to aid weight loss and metabolic health. These procedures are for people with obesity related conditions such as type 2 diabetes, high blood pressure and sleep apnoea.

Bariatric Surgery Options

Laparoscopic Roux-en-Y Gastric Bypass

A small gastric pouch is created and a portion of the small intestine is rerouted, modifying nutrient absorption and food intake.

Sleeve Gastrectomy (Gastric Sleeve Surgery)

A large portion of the stomach is removed leaving a smaller tube like structure. This reduces food intake and may also affect hormones that control hunger.

Adjustable Gastric Banding

A band is placed around the upper part of the stomach creating a smaller stomach pouch. The band can be adjusted to control food intake.

Revisional Bariatric Surgery

For patients who have had complications or weight regain after previous bariatric surgery, revisional procedures may be considered after a full assessment.

Who May Be Suitable for Bariatric Surgery

Bariatric surgery is suitable for people who meet the following criteria:

• BMI over 40 or BMI over 35 with obesity related health conditions.
• History of unsuccessful weight loss through lifestyle changes.
• Presence of medical conditions related to obesity, such as diabetes or hypertension.
• Commitment to post surgical lifestyle changes to support long term weight management.

Which Procedure is Right for Me

The best bariatric procedure for you depends on several factors including your health status, weight loss goals and medical history. We recommend you discuss your options with a qualified practitioner to determine a approach tailored to your needs.

Benefits of Bariatric Surgery

Potential benefits of bariatric surgery include:

• Improved blood sugar control for people with type 2 diabetes.
• Reduction of cardiovascular risk factors, high blood pressure.
• Better sleep for people with sleep apnoea.

Outcomes vary depending on individual patient health and adherence to post surgical care plans.

The Surgical Journey and Recovery

Each bariatric procedure follows a set medical pathway:

• Pre surgery assessment: Full medical evaluation including imaging and metabolic tests.
• Surgery: Performed in a private hospital by a qualified bariatric surgeon.
• Post operative care: Diet guidelines, follow up appointments and structured support programs.

Patients receive personalised post surgical care to support their recovery and transition into new lifestyle.

Preparation for Surgery

Patients having bariatric surgery will need to:

• See a specialist to discuss medical history and surgical options.
• Undergo medical testing to assess suitability for surgery.
• Follow a pre operative diet to reduce surgical risks.
• Plan for recovery, including arrange support during the post operative period.

Ongoing Support After Surgery

Post surgery care is crucial for long term outcomes. Patients have access to:

• Nutrition advice for healthy eating.
• Exercise programs designed for post bariatric patients.
• Follow up appointments to track progress.
• Support networks and counseling to help with lifestyle changes.

Specialist Care in Other Surgical Fields

While Advanced Surgicare Sydney provides bariatric surgery, other surgical specialties focus on different areas of care. For example, people seeking nasal reconstruction or functional rhinoplasty may see a Nose Surgeon Melbourne Practitioner. Other options could mean finding surgeons located within Sydney, Adelaide, Darwin, Brisbane where other surgical fields are available closer to home. Information is available to help you make an educated choice on what option suits you and we always encourage you to seek advice from medical professionals.

Promoting a healthy lifestyle in the workplace has become increasingly important as Australians face a rise in diet and lifestyle-related health issues, particularly as they age. Maintaining a balanced diet combined with regular exercise can significantly reduce the risk of chronic conditions such as heart disease, diabetes, obesity, and certain cancers. By actively encouraging these healthier choices, companies not only enhance employee wellbeing but also improve productivity and workplace morale.

One practical step businesses can adopt is offering nutritious food options during corporate events. Such initiatives send a positive message to employees, highlighting the company’s investment in their health. For example, businesses in NSW hosting events within Sydney’s bustling CBD can engage services like Zest Catering, a corporate catering Sydney specialist. Companies like Zest offer menus designed specifically with healthy, fresh ingredients, providing tasty yet balanced meals ideal for corporate gatherings.

Incorporating exercise into the working day can be equally effective. Initiatives such as workplace fitness programmes, flexible breaks for short walks, or even encouraging stair usage can lead to substantial health benefits. Regular physical activity improves energy levels, reduces stress, and enhances overall mental health, contributing to a happier and more engaged workforce.

Implementing these strategies also aligns with broader social responsibility goals. Businesses demonstrating commitment to employee health may see reduced absenteeism, lower healthcare costs, and improved employee retention. Encouraging healthy eating habits and regular physical activity fosters a supportive, health-conscious workplace culture, benefiting both employees and the organisation long-term.

By prioritising healthy lifestyle choices through nutritious catering options and promoting daily exercise, Australian businesses play a crucial role in reducing health risks among their employees. This proactive approach ensures that the workforce remains vibrant, healthy, and productive well into the future.

People often ask why the consultation process for bariatric surgery involves so many appointments. Fair question – you’d think once you’ve decided on surgery, you could just book it and get on with things.

The reality is that no two patients are actually the same, even when they have similar starting weights or health conditions. Take two people, both with a BMI of 45 and type 2 diabetes. One might be perfect for a sleeve gastrectomy, the other might need a bypass. Why? Could be anything – previous surgeries, medication allergies, work schedules, family situation.

Age definitely matters. A 30-year-old teacher and a 60-year-old retiree aren’t going to have the same recovery timeline, even with identical procedures. The younger person might be back at work in two weeks, the older person might need a month. Neither is wrong – bodies just work differently.

Medical history gets complicated fast. Someone who’s had their gallbladder out already has scar tissue to work around. Someone on blood thinners needs different surgical planning. Reflux disease might rule out certain procedures entirely.

Then there’s lifestyle stuff that people don’t always think about. Night shift workers heal differently than day workers. Someone who lives alone needs different discharge planning than someone with family support. Travel schedules, caring for elderly parents, even something like living in a second-floor apartment without a lift – it all affects recovery.

When we look at how different surgical specialties handle individual patient needs, we sometimes reference examples from other regions for comparison. A cosmetic surgeon toowoomba practice faces similar challenges in tailoring procedures to individual anatomy and circumstances, just with different end goals.

The pre-surgery assessments aren’t bureaucracy for the sake of it. They’re about working out what’s actually going to work for you specifically. Takes longer upfront, but saves problems later.

Weight loss surgery can honestly turn your life around, and not just in the ways you might expect. At Advanced Obesity Surgery, we see it all the time: people don’t just feel better physically—they’re moving easier, sleeping better, and tackling stuff like type 2 diabetes with a new kind of energy. But it’s more than that—it’s the emotional lift, too, that really hits home for so many.

For a lot of folks, it’s about confidence catching up with the changes. After dropping serious weight, patients often tell us how they’re noticing little things—how they feel chatting with friends, standing a bit taller, or even liking what they see in the mirror more than they used to. It’s not just about the kilos; it’s about feeling comfortable in your own skin again.

And as they settle into this new chapter, some start thinking about other things they’ve wanted to fix for a while—things that’s nagged at their confidence. Take someone who’s always hated smiling in photos because of their teeth. Now, with this fresh start, they might start looking into what’s out there to spruce up their smile. While researching, they could stumble across a place like cosmetic dentist Adelaide Smile and Implant Centre—just as an example. To be crystal clear, we’re not referring you to them or tied to them in any way; it’s just an example, so that is why we showed this example company, because they are not located in our state.

Everyone’s journey after bariatric surgery is their own. Maybe it’s about getting your health on track, feeling steadier emotionally, or just rediscovering what it’s like to be yourself. Whatever it is, we’re here to back you up, step by step, toward a life that feels good—inside and out.

If you’re thinking about weight loss surgery, our team’s ready to walk you through it. We’ll focus on what matters to you—your goals, your safety, your wellbeing—every bit of the way.

Undergoing bariatric surgery is often described as life-changing, and not just in a poetic, abstract sense — it’s literally changing your shape, inside and out. One of the more quietly surprising shifts? The face.

As weight comes off, particularly in the first six to twelve months post-surgery, the face often becomes slimmer, sharper, and — depending on the person — a little unfamiliar at first glance. Cheekbones appear that haven’t been seen since the late ‘90s. The jawline, previously tucked away, steps forward into the spotlight. It’s not unusual for patients to look in the mirror and experience what can only be described as mild facial whiplash: “That’s me?”

While this transformation is generally positive, some people notice volume loss in areas like the cheeks or under the eyes, especially if the weight loss is rapid. In some cases, it might even highlight existing dental or jaw alignment issues that weren’t noticeable before.

We occasionally discuss these changes with patients exploring their post-surgical confidence. To avoid any conflict of interest or endorsements, we use examples from outside our region when referring to aesthetic concerns. For example, someone might consider visiting cosmetic dentist Malvern Dental and Smile Design to explore options that support facial balance or smile design. We have no affiliation — it’s simply an illustration.

At Advanced Obesity Surgery, we believe that post-weight-loss care includes both health and self-image. Because while you’re losing weight, you’re also rediscovering parts of yourself — sometimes starting with your reflection.

A New Chapter Begins with Bariatric Surgery

Embarking on the journey towards a healthier life often starts with that one crucial decision—undergoing bariatric surgery. At Advanced Surgicare in Sydney, Dr. V. Kuzinkovas, a seasoned expert in this field, has been helping individuals transform their lives through various weight loss surgery procedures like sleeve gastrectomy, gastric bypass, and adjustable gastric banding. More than just trimming down, these procedures can rejuvenate one’s well-being, banishing co-morbidities like type-2 diabetes and sleep apnea.

But let’s not put carts before horses. Surgery is merely the springboard. To catapult towards long-term success, integrating physiotherapy as part of post-surgical care is key. You might wonder why? Let me tell you a little story.

Why Physiotherapy Is the Unsung Hero

Imagine grasping a fresh start, only to stumble when you should be soaring. Post-surgery, your body’s like a car fresh out of the shop—it’s tuned up but still adjusting to new parts. Here’s where physiotherapy steps in, like your personal co-pilot guiding you through recovery’s winding road.

At Advanced Surgicare, we take great pride in a comprehensive weight loss program aimed at managing recovery holistically. And physiotherapy, offered through trusted partners like Physio Preston, plays a pivotal role by improving mobility and reducing pain. Our physiotherapy partners are like the seasoned guides who lead expeditions through rugged terrains—you see, they know just which muscle to nudge, which joint to encourage. They light the path back to strength and vitality.

Regain Your Strength: One Session at a Time

Think of those physiotherapy sessions as stepping stones. Every step gives back a piece of your strength, like slowly refilling the cup of energy surgery seems to drain. At Advanced Surgicare, our emphasis lies in a balanced blend of surgery, dietary change, and structured physiotherapy. It’s akin to making a hearty soup where each ingredient sweetens the pot.

Now let’s talk benefits. Physiotherapy involves exercises tailored to recuperate your physical prowess safely and swiftly. These exercises are not your run-of-the-mill push-ups or squats but thoughtfully crafted routines that uniquely suit post-bariatric surgery needs. You begin with gentle flexibility and mobility exercises, moving on to strength-training as recovery progresses. It’s all about building resilience and reclaiming your ability to move freely—and step confidently—into a healthier life.

The Interplay of Mind and Body Healing

Ever heard the phrase ‘mind over matter’? It rings especially true in recovery. The mental scars that accompany obesity and ensuing surgery are real. Here, incorporating physiotherapy can uplift spirits—by reducing pain levels, boosting physical confidence, and enabling a gradual return to daily activities. It’s like peeling back clouds to reveal long-hidden sunshine.

There’s camaraderie, too. Encountering others on similar journeys in physiotherapy can be as comforting as a warm mug on a chilly day. Sharing experiences, motivation, and resilience creates an environment ripe for empathy and growth, which are vital components in the holistic healing process.

Leaping over Hurdles Together

Recovery’s road is no walk in the park. It has its ups and downs, akin to carbs sneaking into your low-carb dish at a family gathering. Consistent support through physiotherapy ensures these hurdles turn into mere bumps over time. It complements Advanced Surgicare’s weight loss initiatives splendidly, nurturing a steady momentum towards a healthier lifestyle.

Dr. Kuzinkovas and our team believe in the profound impact of this holistic treatment approach. When blended with free dietitian appointments and psychological counselling, it molds a recovery plan stronger than steel.

Your Invitation to Flourish

Ultimately, it’s your journey. However, Advanced Surgicare wants you to know you’re not alone as you embark on this transformative path. Imagine sitting beside a warm campfire, friends holding a map to your success. Bariatric surgery is that first brave step. Yet, every step after is sculpted by choices—choices bolstered by a comprehensive approach that includes both Advanced Surgicare’s proven techniques and the top-notch physiotherapy services in the mix. Isn’t it high time to reclaim your life? Jumpstart your post-op regimen, and let physiotherapy be your guide as you juggle life’s dynamics post-surgery.

Feel free to connect with us today, let’s make magic happen—one physiotherapy session at a time.