Photographic Credit: PixelSeffect
Part 2 of a series that describes surgical cosmetic procedures after weight loss to help clinicians to consult patients with cosmetic and functional goals.
To a recent document published in Therapeutic; Kandace Kichler, MDAnd his colleagues have described cosmetic procedures that patients may be interested in after mass loss of weight after bariatric surgery.
Part 1 covered the guidance of review authors on synoplasty, liposuction, body lifting and bracelets. Part 2 of this feature offers fast hitters to facilitate the provision of patients’ tips in Flankplasty, Thighplasty, Mastopexy and Facelift procedures.
Winged
Overview:
- Flankplasty is a body contour surgery that is often combined with liposuction to treat excess skin and fat on the sides, lower back and abdomen.
Procedure Objectives:
- Improve both aesthetics and functional results.
- Lower body focus: Attach the belly, alert the lower rollers, relocate the umbilical cord, redefine the waist and buttocks, reduce the pubis and lift the anterior thigh.
- Focusing the body: Eliminate the folds of the waist and upper back, reshape the arm by removing the loose skin and recreate the shoe.
Candidate Criteria:
- Patients who have undergone bariatric surgery usually treat soft tissue looseness from the neck to the lower back due to excessive grease.
- Patients usually have lower immigration of the rear skin and sides.
- The protrusion of Pannus in the lower abdomen and the pubic region can cause discomfort and irritation.
Benefits:
- This procedure describes the soft tissue from the upper back to the lumbar region, removes the folding soft tissue in the middle and upper back, corrects the sides and deepen the waist when combined with lipominoplasty.
- Flankplasty improves the physical function and aesthetic appearance, which can enhance the overall qol.
Complications and risks:
- The usual risks include weakening wounds, especially at the lower back. Seroma and hematoma development. and risk of lymphedema and inappropriate appearance or loss of the navel.
- The perioperative use of tobacco and the highest BMI (> 30 kg/m²) are associated with increased rates of complications.
- Patients may experience infections, hematomas and delayed wound healing in areas with thin or relaxing skin.
Results & Satisfaction:
- Patients have high satisfaction rates (98%), with results ranging from pleasant to excellent.
Average cost:
$ 7.768.
Zero
Overview:
- Zero is a surgery to reduce skin looseness and remove excess skin from the thighs. It is often combined with liposuction for enhanced contour.
- The extent of the procedure depends on the severity of skin looseness. A horizontal resection is sufficient for relaxation limited to the upper third of the thigh.
Procedure targets:
- Improve the contour of the thigh and the lower trunk waterproofing while minimizing visible scars.
- Proper deformities, such as mid -thigh relaxation, stacked anterior skin and side “Saddlebag”.
Procedure Details:
- Approach:
- It requires a lower lifting of the body followed by skin resection.
- It incorporates medium thighs, liposuction and prone/supine functional positions for optimal results.
- Targeted areas:
- Loose skin on the upper back thigh, medium relaxation and stacked anterior and lateral skin.
Complications and risks:
- The general risks include weakening wounds due to fine and atrophic skin. Scar issues, such as enlargement, immigration and withdrawal (possibly deformation of Labia Majora or the vagina in the groin area). Seroma formation if closed space drains and compression clothing fails. Risk of infection due to proximity to the anus and genitals. Libidem caused by a lymphatic channel injury. and sutures and slow wound healing due to the wet surroundings of the inner thigh.
- Large complications may include infection, hematoma, fluid overload and venous thromboembolism. There are higher rates of complications in hospital environments than in walking regulations.
Results & Satisfaction:
- Most patients (72%) report complete satisfaction, while 8% are partially satisfied with their results.
- Despite the higher rates of complications, patient satisfaction remains high due to the effective contour and correction of deformations.
Average cost:
$ 5.030.
Mastic
Overview:
- Mastopexy is a surgery designed to repair and reshape breasts in patients with severe drop and asymmetry after bariatric surgery. It helps to elevate and the center of the nipples cluster-and improves the symmetry and outline of the breast.
Procedure targets:
- Remove excess skin, lift the nipple-season complex and restore the fullness to the breasts.
- Proper ptosis (sagging) and reset symmetry using excess tissue from the epigastric or lateral thoracic areas.
Candidate Criteria:
- Post-brine changes can include severe rational, asymmetry, reduced volume of upper pole, loose subdivisions and side thoracic wall cylinders and lack of elasticity of the skin.
Complications and risks:
- Common complications include recurrence of falling, reduced upper pole volume, and upward migration of the nipple-arales complex. implantation of malnutrition; and thromboembolic events, mountains, hematomas and nipple necrosis.
- The position and expansion of the scar can affect aesthetic effects.
- Age is linked to postoperative decline, while smoking, alcohol or drug use can increase the risk of necrosis or nipple loss. A higher BMI is associated with complications such as implantation malnutrition.
Results & Satisfaction:
- A 2019 study showed that 100% of patients reported satisfaction with mastic results, ranging from somewhat to extremely satisfied.
Average cost:
$ 4,864.
Volume
Overview:
- Facelift is a cosmetic surgery that treats soft tissue deflation, excessive skin and loosening on the face and throat, which are common after significant weight loss. Its purpose is to improve the appearance of the cervix by restoring the tumor and tighten the skin.
Procedure targets:
- Eliminate skin mouse, deeper rhinos and malar descent.
- Determine the outlines of the jaw and face.
- Often in combination with increasing the fat apartment, especially for deflationing of the media.
Candidate Criteria:
- Post -bariatric surgery changes may include significant deflation in the face and throat, with excessive skin around the central neck and deeper face aspects. persistent loosening of the skin due to deflation of soft tissues. and the loss of facial volume, especially in the middle.
Complications and risks:
- Common complications include soft tissue deflation, hematomas, serums and hypertrophic scars.
- The highest loss of tissue due to the most important skin removal increases the risk of hematoma. Smoking is also linked to increased growth of hematoma.
- Persistent skin relaxation can lead to the need for revision.
- Patients with mass weight loss often require greater incisions and repositioning skin flaps, especially in the lower throat area.
Results & Satisfaction:
- A 2010 study reported 97.8% satisfaction of patients with face appearance one year after surgery.
Average cost:
$ 9.127.
Lost part 1 of this series? Read it here!
