“Scarless” weight loss surgery


Dr. Thoman offers “scarless” weight loss surgery for Fresno patients

Central Coast bariatric surgeon Dr. David Thoman of Advanced Surgical Associates of Santa Barbara offers a minimally-invasive approach to weight loss options for Fresno area patients. The revolutionary technique, known as the SILS™ procedure, allows Dr. Thoman to operate using a single incision through the belly button, rather than the standard 3 or 4 half-inch incisions required for most laparoscopic surgeries.

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    Thank you! You have given me my life back.
    — GS
  • “The SILS technique streamlines the surgical process through a single point of entry, thereby eliminating many of the traditional scar patterns associated with weight loss surgery,” Dr. Thoman says. “A single-incision approach enables my bariatric surgery patients in Fresno and elsewhere to receive the same level of care while enjoying a better cosmetic result.”

    Dr. Thoman specializes in minimally-invasive laparoscopic gastrointestinal and weight loss surgery, including the LAP-BAND® procedure and gastric bypass surgery. He is the first surgeon on the Central Coast of California to offer LAP-BAND using the SILS technique, and frequently performs LAP-BAND for Bakersfield, Fresno, Santa Barbara, San Luis Obispo, and Los Angeles residents. During this procedure, Dr. Thoman creates an incision in the belly button using the SILS approach and then uses microscopic instruments, including a camera, to guide him during the procedure. An adjustable silicone band is inserted through this incision and placed around the top of the stomach to restrict food consumption. Most patients are able to return home the same day, or within 24 hours.

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  • “Because the SILS technique is minimally-invasive, I am able to perform weight loss procedures like LAP-BAND on an outpatient basis, thereby eliminating lengthy hospital stays,” Dr. Thoman says. “Additionally, there are fewer risks associated with the SILS approach than traditional surgical measures, and my patients generally enjoy a faster, more comfortable recovery.”

    Not everyone is a candidate for the SILS procedure, however. Some men or women with previous abdominal surgeries or individuals who weigh more may not be good candidates for surgery using the SILS technique. In these cases, Dr. Thoman may instead create small incisions in the abdomen through which to insert the surgical tools.

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    We're here to help you through this challenging time as you consider your options for a healthier lifestyle. Our goal is to provide sage and effective modern care in an environment of support and compassion. We strive to give you confidence in our techniques and comfort in our care.
  • “Whether through the SILS technique or more traditional measures, weight loss surgery is truly life changing,” Dr. Thoman states. “My patients enhance their self-esteem and body image. They can even improve their health if they have obesity-related health conditions such as diabetes and high blood pressure.”