Body Contouring After Weight Loss

2019 ◽  
pp. 137-152
Author(s):  
Dalit Amar ◽  
J. Peter Rubin
Keyword(s):  
Weight Loss ◽  
Patient Management ◽  
Preoperative Evaluation ◽  
Body Contouring ◽  
Massive Weight Loss ◽  
Essential Elements ◽  
Surgical Reconstruction ◽  
Critical Factors ◽  
Operative Planning ◽  
Plastic Surgical Reconstruction

The goal of this chapter is to provide a comprehensive approach to management of massive weight loss (MWL) patients seeking plastic surgical reconstruction. The topics covered include the medical impact of obesity and the rise in bariatric surgical procedures that has increased the demand for plastic surgical reconstruction after MWL, critical factors for consideration in the preoperative evaluation of the MWL patient presenting for body contouring surgery, essential elements of intraoperative patient management, and a framework for deciding when to combine multiple procedures and when to perform them in separate stages. Preoperative evaluation of this unique cohort must take into account complex medical and psychosocial issues associated with obesity and operative planning requires unique strategies.

Body Contouring After Massive Weight Loss

2019 ◽  
pp. 563-575
Author(s):  
Natalie S. Barton ◽  
Al S. Aly ◽  
Gregory R. D. Evans
Keyword(s):  
Weight Loss ◽  
Body Contouring ◽  
Massive Weight Loss

Body Contouring After Massive Weight Loss

2010 ◽  
pp. 542-548 ◽  
Author(s):  
Michele A. Shermak ◽  
Sonal Pandya ◽  
Sean T. Doherty
Keyword(s):  
Weight Loss ◽  
Body Contouring ◽  
Massive Weight Loss

scholarly journals Body contouring surgery in a massive weight loss patient: An overview

2008 ◽  
Vol 41 (S 01) ◽  
pp. 114-129 ◽  
Author(s):  
Prabhat Shrivastava ◽  
Aggarwal Aditya ◽  
Khazanchi Rakesh Kumar
Keyword(s):  
Weight Loss ◽  
Positive Impact ◽  
Body Contouring ◽  
Massive Weight Loss ◽  
The Body ◽  
Successful Outcome ◽  
Exciting Field ◽  
Body Contouring Surgery ◽  
Number Of Patients ◽  
The Individual

ABSTRACTThe number of patients with history of extreme overweight and massive weight loss (MWL) has risen significantly. Majority of patients are left with loose, ptotic skin envelopes, and oddly shaped protuberances, subsequent to weight loss. Redundant skin and fat can be seen anywhere on the body following MWL. This group of population presents many unique problems and challenges. Body contouring surgery after MWL is a new and exciting field in plastic surgery that is still evolving. Conventional approaches do not adequately cater to the needs of these patients. Complete history, detailed physical examination, clinical photographs and lab investigations help to plan the most appropriate procedure for the individual patient. Proper counseling and comprehensive informed consent for each procedure are mandatory. The meticulous and precise markings based on the procedure selected are the cornerstones to achieve the successful outcome. Lower body contouring should be performed first followed six months later by breast, lateral chest and arm procedures. Thighplasty is usually undertaken at the end. Body contouring operations are staged at few months′ intervals and often result in long scars. Staging is important as each procedure can have positive impact on adjacent areas of the body. Secondary procedures are often required. However, proper planning should lead to fewer complications and improved aesthetic outcome and patient satisfaction.

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