2. Why body contouring surgery? You deserve to feel healthy You deserve to look good You deserve to feel good about your weight loss
3. Why body contouring surgery? Loose, hanging skin Rashes and infections Difficulty moving Clothes don’t fit right
4. Trading shape for scars Results depend on: Integrity of Musculofascial layer--examine standing and supine Distribution of Fat Location of scars on abdomen Incisional/Umbilical hernias Skin tone and Quality
5. Body areas - Abdomen Most common area Panniculectomy Abdominoplasty
6. Body Areas – Back and Buttocks Belt Lipectomy Lower Body Lift GlutealAutoaugmentation
7. Body areas - Arms Brachioplasty Extension onto chest
8. Body areas - Breasts Breast lift Breast augmentation
10. Who is a good candidate? Stable weight Nonsmoker Optimal health Nutrition
11. Contraindications Scars above the umbilicus Future pregnancy Gross obesity Smoking Diabietes, poor general medical condition Thromboembolic disease Unrealistic expectations
12. What will insurance cover Different for every insurance company Commonly covered: panniculectomy Harder to cover: other areas considered cosmetic Mygastricbypass.com
13. Risks Serious complications Heart and lung problems from anesthesia DVT /PE Less serious complications Wound healing problems Fluid collections (hematoma, seroma) Infection Skin necrosis
Snowman effect…losing weight, clothes feel different but may not look better2007: over 360,000 body contouring procedures
Rashes under skin folds despite meticulous hygiene and preventative powers, persistent infections despite treatment with antibiotics heavy to lift your arms, it’s difficult to exercise and even walkHard to wear clothing styles you want or wear sizes that fit your new frame, hard to fit folds of skin Recurrent Infections (intertrigo)Facilitate mobilizationFacilitate other abdominal operationsFacilitate general hygiene
Tattoos may be incompletely removed and or rearranged.
For each section address: incisions, post op care (ie: drains, binder or ), post op restrictions, time off work
Glutealautoaugmentation
Stable weight (ideally stable weight for 2 months which averages about 1 ½ to 2 years after gbp) - nutrition (don’t want to be in break down), no additional excess skin, closer to ideal weight (decreases complications by half)Non smoker (increases risk of wound healing problems)Stable comorbid diseases (bp and blood sugar under good controlAdequate nutrition (protein, vitamins…keep in close contact with your pcp and bariatric surgeon)
