Aesthetic Plastic Surgery

, Volume 43, Issue 1, pp 163–166 | Cite as

Discussion of One-Stage Combined Postbariatric Surgery: A Series of 248 Procedures in 55 Cases

  • Dennis J. HurwitzEmail author
Editor’s Invited Commentary Body Contouring

Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors

With the recognition of the complex and intertwined nature of surgery to correct deformity after massive weight loss (MWL), the need for thorough planning, organization for multiple operations during a single session has become routine [1]. Improved execution, convenience, economics and/or patient preference led me to single-stage high-quality surgical rehabilitation averaging 8 h in a series of 59 patients [2]. Single-stage total body lift, however, has never gained broad acceptance as cosmetic plastic surgeons rarely team up. Additionally, MWL patients are a high-risk patient population, and the purported benefits did not measure up to increased case morbidity.

Nevertheless, this discussant remains faithful to the principle...


Compliance with Ethical Standards

Conflict of interest

The author declares that he has no conflict of interest.


  1. 1.
    Hurwitz DJ (2004) Single stage total body lift after massive weight loss. Ann Plast Surg 52(5):435–441CrossRefGoogle Scholar
  2. 2.
    Hurwitz DJ, Agha-Mohammadi S, Ota K, Unadkat J (2008) A clinical review of total body lift. Aesthet Surg J 28(3):294–304CrossRefGoogle Scholar
  3. 3.
    Hurwitz DJ (2016) Comprehensive body contouring: theory and practice. Springer, New YorkCrossRefGoogle Scholar
  4. 4.
    Hurwitz D (1924) Invited discussion of optimizing body contour in massive weight loss patients: the modified vertical abdominoplasty by da Costa LF, Landecker A, Manta AM, et al. Plast Reconstr Surg 114(7):2004Google Scholar
  5. 5.
    Hurwitz DJ, Rubin JP, Risen M, Sejadian A, Serieka S (2004) Correcting the saddlebag deformity in the massive weight loss patient. Plast Reconstr Surg 114:1313–1325CrossRefGoogle Scholar
  6. 6.
    Hurwitz DJ, Beidas O, Wright L Reshaping the oversized waist through Oblique Flankplasty with Lipoabdominoplasty (OFLA). Plast Reconstr Surg (accepted)Google Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2018

Authors and Affiliations

  1. 1.University of PittsburghPittsburghUSA

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