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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

An MWL patient prior to a medial thigh lift
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Figure 3: An MWL patient prior to a medial thigh lift

Mentions: The trunk is the foundation of the thighs and they are both linked aesthetically. MWL patients who have normal thigh contour and only a minor anterior thigh descent can be treated by belt lipectomy/body lift alone. Liposuction alone also usually does not work in these patients. In many patients, anteromedial thigh laxity is caused by a descent of relaxed lower abdominal and inguinal tissues after MWL. Usually, the trunk along with the lateral thigh is addressed initially by the lower body lift/belt lipectomy, which may reduce the amount of subsequent thigh surgery. This is then followed by the excisional thigh lift. Lockwood revolutionized medial thigh lift by anchoring it to the Colles' fascia.[5] However, in the MWL patient, the large amount of tissue movement and anchoring that must occur can lead to spreading of the labia, a very difficult complication to treat, despite properly anchored tissues. Thus the authors prefer to limit their excision to a vertical resection, avoiding any potential for labial spreading [Figures 3 and 4]. Should the surgeon choose to combine a vertical and horizontal resection, it is best to create most of the tension on the vertical closure. Despite all preventive measures being taken, the patient should be warned about the possibility of labial spreading. For some patients who, despite MWL, still have inflated thighs, it is preferable to deflate the thighs by circumferential liposuction and then undertake an excisional procedure 6 months later. After the liposuction, the patient must be prepared for worsening of the contour till the excision is undertaken.


Body contouring following massive weight loss.

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

An MWL patient prior to a medial thigh lift
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 3: An MWL patient prior to a medial thigh lift
Mentions: The trunk is the foundation of the thighs and they are both linked aesthetically. MWL patients who have normal thigh contour and only a minor anterior thigh descent can be treated by belt lipectomy/body lift alone. Liposuction alone also usually does not work in these patients. In many patients, anteromedial thigh laxity is caused by a descent of relaxed lower abdominal and inguinal tissues after MWL. Usually, the trunk along with the lateral thigh is addressed initially by the lower body lift/belt lipectomy, which may reduce the amount of subsequent thigh surgery. This is then followed by the excisional thigh lift. Lockwood revolutionized medial thigh lift by anchoring it to the Colles' fascia.[5] However, in the MWL patient, the large amount of tissue movement and anchoring that must occur can lead to spreading of the labia, a very difficult complication to treat, despite properly anchored tissues. Thus the authors prefer to limit their excision to a vertical resection, avoiding any potential for labial spreading [Figures 3 and 4]. Should the surgeon choose to combine a vertical and horizontal resection, it is best to create most of the tension on the vertical closure. Despite all preventive measures being taken, the patient should be warned about the possibility of labial spreading. For some patients who, despite MWL, still have inflated thighs, it is preferable to deflate the thighs by circumferential liposuction and then undertake an excisional procedure 6 months later. After the liposuction, the patient must be prepared for worsening of the contour till the excision is undertaken.

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