(San Diego) - For patients who lose large amounts of weight - 100 pounds or more - the battle did not end when they reach their goal weight. They are left with hair hanging and excess fat and can opt for body contour surgery, which can include multiple operations.
The procedures improved as surgeons have gained experience, learned when combining liposuction and excision, and I learned how to reduce complications, let's say surgeons who talked about a panel about corporal contour surgery at the Annual Meeting of the American Society Aesthetic plastic surgery in San Diego.
10 Body Fat Loss - Body Contouring Surgery Improves
"These patients enter and say:" I lost weight and I still feel fat, "says plastic surgeon Al Alyly, MD, He spoke at the meeting. His goal for these patients, he says, is to help them spill the "fat" stigma, eliminating maximum excess skin and fat possible.
This usually translates into a Variety of procedures that can combine liposuction and surgery. Large amounts of loose and heavy skin folds can be left around the arms, thighs, breasts, buttocks, face and abdomen.
One of the most common surgical procedures to improve appearance is a lower body lift, in which an incision is made around the bottom trunk and thighs, abdomen and buttocks are lifted. Almost 13,000 of these were made in 2007, according to the American aesthetic plastic surgery society.
Because buttocks tend to flatten with extreme weight loss, an increase in buttock can be done. An abdominoplasty is also made. More than 5,000 buttock increases and more than 185,000 belly tucks were made in 2007.
Some patients also have an upper body elevator, sometimes including increased breast to restore lost volume and An arm lift to improve the droopy-looking skin there.
How doctors have gained experience, says Ally, they have gained control over the position of surgeries scars, so that they are less noticeable .
Body outline procedures can be accompanied by complications, including hemorrhage, infection, tissue death, abnormal scars and formation of a seroma - a mass or nodule resulting from the accumulation of organ or tissue fluids.
Doctors now know that certain patients are more able to have these complications. "The higher the BMI [body mass index], the higher the complications and the worst results," says Ally.
for patients with the highest body mass index, "I tell them there is a chance of 100% complications."
The trend, says Ally, it's far from Perform many procedures at one time. "We feel very strongly that multiple smaller procedures are safer than the larger ones," says Ally, who worked as Ethicon consultant, who makes surgical instruments and other device manufacturers.
other trend is to use two teams of surgeons, says Dirk Richter, MD, plastic surgeon in Wesseling, Germany, who also spoke at the meeting and was consultant at Ethicon Endo-Surgery, a manufacturer of surgical instruments and other companies .
Instead of increasing flattened buttocks, as with an implant, it moves fat outside the thighs to build them. "It's easy to bring you" to the area of buttocks, he says.
Despite the variety of procedures that can be made to remove excess skin and fat after massive weight loss, sometimes " Less to be well, "says Sharon Giese, MD, a plastic surgeon of New York city who also talked about body contour. And fewer procedures are sometimes acceptable for patients, it finds.
There is no procedure or correct procedures for these patients, it says. Ideally, she would rather do body contour surgery on those whose body mass index is below 30 (and no longer considered obese). But it will perform appropriate surgeries in patients who have lost large quantities of weight but still have an IMC of up to 35 years, it says if they do not have other medical problems.
Only for some, liposuction is satisfactory for them, without the elevator of the body, she says. And she adds, liposuction motivates many patients to pay more attention to diet and exercise. "Many lose more weight after liposuction."
