Study of the Upper Body Contouring After Massive Weight Loss
Mohamed Rajab Ashmam;
Abstract
T
he worldwide increase in the prevalence of obesity is accompanied by a proportional increase in the number of patients undergoing bariatric surgery.
The rising success rates of these surgeries have led to the emergence of a population of patients who have lost a massive amount of weight. However, although medical problems associated with obesity are better controlled or cured by this weight loss, these patients are left with various deformities in different parts of the body.
Although dietary and life style modifications have traditionally been the mainstay of treatment for obesity, their lack of success at long-term weight reduction and the paucity of effective pharmacologic agents led to the emergence of surgical management. Guidelines recommend bariatric operation for morbidly obese patients, defined as those with a body mass index (BMI) ≥40 or patients with a BMI ≥ 35 who have associated co morbidities.
Despite considerable improvement in their health after massive weight loss (MWL), patients are discouraged by the large amounts of excess skin that remain in various regions of their body as they lose weight.
They find that they are unable to minimize the skin laxity through activity or targeted exercise, and many of these patients subsequently seek plastic surgery consultation for alternative management options.
The plastic surgeon most often will see the patient after he/she has lost weight and stabilized.
Although many massive-weight-loss patients experience significant improvement of their medical problems, they still need a complete workup.
Complication rates in massive weight loss patients increase with body mass index, but there are steps that can be taken to reduce the potential for these problems.
Understanding a patient's potential risks helps the surgeon develop better preoperative, intraoperative, and postoperative care plans, allowing for a complete informed consent. Active patient participation in these plans can also help to reduce potential risks and ensure a better outcome.
The upper body is one of the areas that patients request correcting, either as part of a total body lift, or as a separate procedure.
he worldwide increase in the prevalence of obesity is accompanied by a proportional increase in the number of patients undergoing bariatric surgery.
The rising success rates of these surgeries have led to the emergence of a population of patients who have lost a massive amount of weight. However, although medical problems associated with obesity are better controlled or cured by this weight loss, these patients are left with various deformities in different parts of the body.
Although dietary and life style modifications have traditionally been the mainstay of treatment for obesity, their lack of success at long-term weight reduction and the paucity of effective pharmacologic agents led to the emergence of surgical management. Guidelines recommend bariatric operation for morbidly obese patients, defined as those with a body mass index (BMI) ≥40 or patients with a BMI ≥ 35 who have associated co morbidities.
Despite considerable improvement in their health after massive weight loss (MWL), patients are discouraged by the large amounts of excess skin that remain in various regions of their body as they lose weight.
They find that they are unable to minimize the skin laxity through activity or targeted exercise, and many of these patients subsequently seek plastic surgery consultation for alternative management options.
The plastic surgeon most often will see the patient after he/she has lost weight and stabilized.
Although many massive-weight-loss patients experience significant improvement of their medical problems, they still need a complete workup.
Complication rates in massive weight loss patients increase with body mass index, but there are steps that can be taken to reduce the potential for these problems.
Understanding a patient's potential risks helps the surgeon develop better preoperative, intraoperative, and postoperative care plans, allowing for a complete informed consent. Active patient participation in these plans can also help to reduce potential risks and ensure a better outcome.
The upper body is one of the areas that patients request correcting, either as part of a total body lift, or as a separate procedure.
Other data
| Title | Study of the Upper Body Contouring After Massive Weight Loss | Other Titles | دراسة إعــادة هيكلـة الجـزء العلـوى من الجســم بعــد الفقـدان الشديــد للـوزن | Authors | Mohamed Rajab Ashmam | Issue Date | 2014 |
Recommend this item
Similar Items from Core Recommender Database
Items in Ain Shams Scholar are protected by copyright, with all rights reserved, unless otherwise indicated.