New trends in Post Bariatric Surgery Abdominoplasty

Abstract

Patients best suited for abdominoplasty surgery present with lower truncal excess limited to the anterior abdomen. Those with a high BMI greater than or equal to 30 have a greater complication rate. The technique used in any particular patient should be individualized to accommodate the patient’s anatomy and desires, but the extent of flap should be minimal to reduce vascular compromise. Complications are minimized by use of sequential compression devices, early ambulation, vigorous pulmonary toilet, appropriate hydration, discontinuing nicotine, birth control pills, and hormone replacement therapy, and avoiding lengthy operations. In the following sections, we will examine the nature of the post-bariatric deformity in each body region and briefly review common approaches to their treatment.