Aesthetic Surgery After Massive Weight Loss, 1e by J. Peter Rubin MD FACS, Alan Matarasso MD

By J. Peter Rubin MD FACS, Alan Matarasso MD

Your sufferers have fought the burden loss conflict and gained. support them within the ultimate part of physique contouring utilizing this new e-book as your consultant. This fantastically illustrated atlas comprehensively examines strategies for coping with aesthetic problems with the face and neck, breast, stomach, palms, and legs in most cases dealing with sufferers after bariatric surgical procedure. Over eighty five colour illustrations and 500 full-color images demonstrate operative thoughts, pre-operative visual appeal, and post-operative effects, making this article not just functional yet invaluable.

  • Examines the entire variety of aesthetic concerns difficult the burden loss sufferer, offering insurance of the full physique in a single e-book!
  • Presents a whole bankruptcy on total-body lifts and mixing numerous approaches right into a unmarried operation.
  • Includes key issues bins in the beginning of every bankruptcy, making professional tips effortless to find.
  • Discusses mental and perioperative administration matters specific to the weight loss sufferer looking physique contour surgery.
  • Uses 87 colour surgical illustrations and 500 complete colour photos to illustrate innovations and the implications you could supply patients.

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Extra resources for Aesthetic Surgery After Massive Weight Loss, 1e

Sample text

If a midline incision is to be used, this scar will not only be brought inferiorly but also medially, and will be resected in part. 4). Despite this shortening of the scar, there is still concern about the viability of the skin and fat inferior to this scar. The potential risk of loss of tissue below this old scar should be raised with the patient. In general, perhaps due to the increased vascularity that developed when the patient was heavy, this tissue can survive without a problem. However, patients with other disease processes (such as cardiac disease) or patients who smoke will be at higher risk for tissue loss.

The presence of a prominent axillary roll of skin that extends from the lateral breast. We have identified few contraindications for the use of this technique. Because of the extensive flap dissection, we have avoided performing this procedure on active tobacco users. As with all breast reshaping patients, we perform a thorough history and physical examination for breast disease, as well as require mammography imaging consistent with the American Cancer Society screening guidelines. Scars from previous breast surgery may present a relative contraindication if they pose a risk to perfusion of undermined tissues.

The authors have found that ‘fatty necks’ after being aggressively defatted often have a surprising degree of tissue elasticity and retraction and that less skin excision than expected is required accounting for the dramatic result that can be achieved in the short scar face-lift in ‘large’ necks. In contrast, thin necks in older patients with ‘chicken skin’ lack elasticity and have poor collagen structure in addition to the diminished number of pilosebaceous units normally found in neck skin. Consequently, no amount of excessive pulling or tightening ultimately overcomes these characteristics.

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