Introduction
Advances in bariatric surgery continue to make procedures safer, less invasive, and more effective. One of the latest innovations is SILS (Single Incision Laparoscopic Surgery), which allows surgeons to perform weight loss procedures using just one incision—typically hidden inside the belly button. But while SILS offers cosmetic and recovery advantages, it’s not right for everyone. So, how do you know if you’re a good candidate?
What Is SILS in Bariatric Surgery?
SILS is a minimally invasive technique where the surgeon uses a single incision instead of multiple incisions on the abdomen. Through that incision, specialized instruments and a camera are inserted to perform the surgery.
Common bariatric procedures that may be performed with SILS include:
- Gastric Sleeve (Sleeve Gastrectomy)
- Adjustable Gastric Band (in select cases)
- Certain revisional surgeries
The result is fewer visible scars, less post-operative pain, and faster recovery.
Benefits of SILS Procedures
- Minimal scarring – often hidden within the belly button.
- Reduced pain compared to traditional laparoscopic approaches.
- Faster recovery times with less impact on abdominal muscles.
- Improved cosmetic results, which can be especially important for patients concerned about visible scars.
Candidate Criteria for SILS Bariatric Surgery
You may be a good candidate if you:
- Have a BMI of 35 or higher (with obesity-related conditions) or 40 and above.
- Are in generally good health aside from obesity-related conditions.
- Have not had extensive prior abdominal surgeries that cause scar tissue, which may complicate SILS.
- Do not present with extreme obesity that would require wider access for surgical safety.
- Want a procedure with minimal visible scarring.
Who May Not Be a Candidate?
SILS may not be recommended if you:
- Have a very high BMI (often above 50), where visibility and access are more challenging.
- Have a history of multiple abdominal surgeries leading to adhesions.
- Require a more complex procedure like gastric bypass or duodenal switch, which may be safer with traditional multi-port laparoscopy.
- Have certain medical conditions that make anesthesia or minimally invasive techniques riskier.
The Role of Surgeon Expertise
Not all bariatric surgeons offer SILS, as it requires advanced training and specialized instruments. At VIVE Bariatrics, our surgical team has experience in cutting-edge minimally invasive techniques, ensuring patient safety while delivering the best possible outcomes.
Lifestyle and Commitment Still Matter
Regardless of whether you are a candidate for SILS, it’s important to remember that:
- Surgery is a tool, not a cure.
- Success depends on your commitment to long-term lifestyle changes, including diet, exercise, and regular follow-up care.
- All bariatric patients—SILS or not—must take supplements and maintain ongoing monitoring to stay healthy.
Conclusion
If you’re considering bariatric surgery and want minimal scarring with a faster recovery, SILS may be an excellent option. However, not everyone qualifies. The best way to know is through a personalized evaluation with a bariatric surgeon.
At VIVE Bariatrics, we provide expert assessments to help determine if SILS—or another bariatric procedure—is the right choice for you.
