Photographic Credit: Anatoliy_Gleb
A recent review in Therapeutic It describes surgical cosmetic procedures after weight loss, training clinicians in providing advice to patients with cosmetics and functional goals.
A review published in Therapeutic provided that patients may be interested after massive weight loss.
“This guide serves to train patients about the surgical options they can elect after bariatric surgery to achieve their cosmetic and functional goals,” the corresponding author wrote Kandace Kichler, MDAnd colleagues. “Doctors or other medical personnel can also use this guide as a help to advice on patients.”
Abdominal surgery
Procedure Objectives:
- Remove excess skin and fat, tighten the abdominal muscles and achieve a natural, aesthetically pleasing abdominal outline.
- The ideal results are a natural osmos, enhanced abdominal muscular system, preserved skin integrity and a clearly defined waist.
- Liposuction can help define waist, especially for patients with blunt or government abdomen.
- The signs mimic the postoperative skin intensity to prevent high -driving scars.
Candidate Criteria:
- The best suitable for patients with significant skin looseness, excessive fat deposits and weak wall muscles of the abdomen.
- They are usually performed in patients after weight loss, who may have additional challenges such as pre -existing scars and higher BMI.
Risks and complications:
- Common complications include term and hematomas (which occur in about 33% of cases), which can lead to necrosis or infection if they have not been treated. They also include surface wounds, infections and weakening wounds due to the high suture voltage.
- Patients with mass weight loss are more likely to have back pain, intra -business and nutritional deficiencies. The increased BMI increases the risk of complications such as soft tissue deformation.
Results & Satisfaction:
- High patient satisfaction rates:
- 98% Total satisfaction with commander.
- Combined liposuction-hectoplasty procedures achieve the highest satisfaction at 99.2%.
- QOL improvements include improved self -esteem and body image.
- The levels of discomfort are similar to the common and the combined process.
Average cost:
- Abdominoplasty: $ 6,173.
- Liposuction: $ 3,382.
Jumper
Procedure Objectives:
- Remove adipose tissue from subcutaneous space to enhance the body’s outline.
- Most often it is performed between infrastructure and buttocks.
- Often in combination with commander, breast increase, fat buttocks and rebuilding processes for the chest and face.
Liposaffion’s role in mass weight loss:
- Critical to improving body contour, although rarely adequate as an autonomous process.
- Often in combination with surgeries for optimal results.
Staging process:
- Simultaneous liposuction and rejuvenation can treat an area without additional surgery, but may increase the risk of edema and vascular compromise.
- A gradual approach (liposuction followed by resection after six months) minimizes complications and allows for better description.
Risks and complications:
- The usual complications include border, infections, hematomas and vascular compromise.
- The highest BMI and the percentage of surplus weight sheds are associated with increased post -operative complications in patients with mass weight loss.
Results & Satisfaction:
- Liposuction has a satisfaction rate of 67% among post-habitat patients undergoing body contours.
- Liposuction is essential for the outline of the body, but requires additional procedures to achieve the desired aesthetic results in patients who have lost significant weight.
Average cost:
Lifting
Overview:
- Peripheral lift of the body that combines the lifting of the buttock, the communoplasty and often the non – – – – – -ger -n – – – – – -wi -n – – – – – –mp of functional and aesthetic concerns in patients with mass weight loss .
- It restores tumor and shape to affected areas, supplying patients with atoneal, loose skin that requires web resection.
- They are increasingly preferred for comprehensive reconstruction in patients undergoing bariatric surgery.
Procedure Objectives by region:
- Belly: Maximum reduction of skin and fat. muscle contours for defining abdominal wall. Reduction of waist with subcutaneous fat resection and horizontal resection (fleur-de-lis).
- Sides: Vertical tissue resection to restore the contour.
- Glush area: Special approaches to improve volume and shape.
Risks and complications:
- The usual risks include pulmonary embolism (PE), deep vein thrombosis (DVT), parable, numbness, seromas (usually in the abdominal area) and wound healing complications, especially in patients with massive weight loss.
- PE/DVT risks manage with protection. Smokers and oral contraceptive users are advised to stop these habits/medicines four weeks pre-surgery.
- Overall body lifts reduce infection, thrombophlebitis and transfusion risks compared to multiple gradual surgeries.
Results & Satisfaction:
- It combines multiple contour processes in a single stage, enhancing efficiency.
- High levels of satisfaction due to integrated correction and minimized need for repeated surgery.
Average cost:
- It ranges from $ 7,000 to $ 30,000, depending on the scope (lower, upper or total body lift).
Shorts
Overview:
- A surgery to improve the arm contour by facing severe deformities, such as excess and loose skin that extends from the rear axillary fold under the hand.
- Liposuction may be preceded or accompanied by bracehomoplasty to optimize skin tone, contour and proportions.
Assessments:
- Weapons can appear too inflated, even after weight.
- It is recommended that liposuction be performed first, followed by resection after six months for best results.
Risks and complications:
- Common complications include infection (14.6%), hematoma, seromas, sensory nerve damage, recurrent relaxation and asymmetry. Hypertrophic scars occurs in 24% of cases, with 8.3% demanding review surgery.
- Patients with massive weight loss often have fine skin, making them prone to open wounds and scars.
Results & Satisfaction:
- Optimal candidates are patients with fixed weight for six months.
- There is a high risk of scarring and careful attention is needed to manage elbow range problems.
- Brashomyoplasty achieves a significant improvement in the outline of the arm, especially when combined with liposuction.
Average cost:
Watch about Part 2 of this series, in which review authors describe the thoughts of non -existent, inflammation, mastic and facelift processes.
