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Body contouring following massive weight loss.

Langer V, Singh A, Aly AS, Cram AE - Indian J Plast Surg (2011)

Bottom Line: This results in redundant tissues in various parts of the body.These procedures are complex and part of a painstaking process that needs a committed patient and an industrious plastic surgeon.As complications in these patients can be quite frequent, both the patient and the surgeon need to be aware and willing to deal with them.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery and Plastic Surgery, Armed Forces Medical College, Pune, Maharashtra, India.

ABSTRACT
Obesity is a global disease with epidemic proportions. Bariatric surgery or modified lifestyles go a long way in mitigating the vast weight gain. Patients following these interventions usually undergo massive weight loss. This results in redundant tissues in various parts of the body. Loose skin causes increased morbidity and psychological trauma. This demands various body contouring procedures that are usually excisional. These procedures are complex and part of a painstaking process that needs a committed patient and an industrious plastic surgeon. As complications in these patients can be quite frequent, both the patient and the surgeon need to be aware and willing to deal with them.

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Related in: MedlinePlus

The same patient as in Figure 7 following upper body lift including bilateral mastopexy for breast reshaping. The lower abdominal scar is that of an earlier belt lipectomy
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Figure 8: The same patient as in Figure 7 following upper body lift including bilateral mastopexy for breast reshaping. The lower abdominal scar is that of an earlier belt lipectomy

Mentions: Obesity, defined as a body mass index (BMI) equal to or greater than 30, is associated with a high risk of morbidity and mortality. Fortunately bariatric surgery often leads to massive weight loss (MWL) that is considered as 100 pounds (approximately 45.45 kg) or more. Shermak et al. defined MWL as 50% or greater loss of excess weight.[2] This often results in redundant tissues of the lower trunk, upper back, breasts, arms, and thighs. Loose skin often causes intertrigo, difficulty in walking, urinating, or performing sexual activity, and consequent low self-esteem. This necessitates various body contouring procedures, usually excisional, in these patients [Figures 1–8]. The weight loss occurs over 1–3 years after intervention and therefore, body contouring procedures are undertaken once the weight has stabilized. This usually takes 12–24 months. Owing to the above, this article attempts to unveil the mystery that shrouds body-contouring procedures and prepare the Indian plastic surgeon to undertake these daunting procedures in patients fraught with complications.


Body contouring following massive weight loss.

Langer V, Singh A, Aly AS, Cram AE - Indian J Plast Surg (2011)

The same patient as in Figure 7 following upper body lift including bilateral mastopexy for breast reshaping. The lower abdominal scar is that of an earlier belt lipectomy
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3111107&req=5

Figure 8: The same patient as in Figure 7 following upper body lift including bilateral mastopexy for breast reshaping. The lower abdominal scar is that of an earlier belt lipectomy
Mentions: Obesity, defined as a body mass index (BMI) equal to or greater than 30, is associated with a high risk of morbidity and mortality. Fortunately bariatric surgery often leads to massive weight loss (MWL) that is considered as 100 pounds (approximately 45.45 kg) or more. Shermak et al. defined MWL as 50% or greater loss of excess weight.[2] This often results in redundant tissues of the lower trunk, upper back, breasts, arms, and thighs. Loose skin often causes intertrigo, difficulty in walking, urinating, or performing sexual activity, and consequent low self-esteem. This necessitates various body contouring procedures, usually excisional, in these patients [Figures 1–8]. The weight loss occurs over 1–3 years after intervention and therefore, body contouring procedures are undertaken once the weight has stabilized. This usually takes 12–24 months. Owing to the above, this article attempts to unveil the mystery that shrouds body-contouring procedures and prepare the Indian plastic surgeon to undertake these daunting procedures in patients fraught with complications.

Bottom Line: This results in redundant tissues in various parts of the body.These procedures are complex and part of a painstaking process that needs a committed patient and an industrious plastic surgeon.As complications in these patients can be quite frequent, both the patient and the surgeon need to be aware and willing to deal with them.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery and Plastic Surgery, Armed Forces Medical College, Pune, Maharashtra, India.

ABSTRACT
Obesity is a global disease with epidemic proportions. Bariatric surgery or modified lifestyles go a long way in mitigating the vast weight gain. Patients following these interventions usually undergo massive weight loss. This results in redundant tissues in various parts of the body. Loose skin causes increased morbidity and psychological trauma. This demands various body contouring procedures that are usually excisional. These procedures are complex and part of a painstaking process that needs a committed patient and an industrious plastic surgeon. As complications in these patients can be quite frequent, both the patient and the surgeon need to be aware and willing to deal with them.

No MeSH data available.


Related in: MedlinePlus