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Body Contouring Surgery after Bariatric Surgery

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Obesity, Bariatric and Metabolic Surgery

Abstract

Bariatric surgery leads to massive weight loss (MWL) in patients resulting in heavy folds of redundant skin and contour irregularities. The resultant functional problems have raised concerns about the quality of life of these patients. As a direct consequence, this has led to an increasing uptake of body contouring surgery, to manage the complex problems associated with redundant skin. Body contouring surgery in this context, is thus reconstructive surgery performed after massive weight loss. This is the final part of the MWL patient journey.

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References

  1. Agha-Mohammadi S, Hurwitz DJ. Nutritional deficiency of post-bariatric surgery body contouring patients: what every plastic surgeon should know. Plast Reconstr Surg. 2008;122:604–13.

    Article  CAS  PubMed  Google Scholar 

  2. Martí-Carvajal AJ, Solà I, Lathyris D, karakitsiou D, Simancus-Racines D. Homocysteine lowering interventions for preventing cardiovascular events. Cochrane Database Syst Rev. 2013;(4):CD006612.

    Google Scholar 

  3. Kenkel JM. The physiological impact of bariatric surgery on the massive weight loss patient. Plast Reconstr Surg. 2006;117(1):14S–6.

    Google Scholar 

  4. Sugerman HJ. Bariatric surgery for severe obesity. J Assoc Acad Minor Phys. 2001;12:129–36.

    CAS  PubMed  Google Scholar 

  5. Prospective Studies Collaboration, Whitlock G, Lewington S, Sherliker P, Clarke R, Emberson J, et al. Body-mass index and cause-specific mortality in 900 000 adults: collaborative analyses of 57 prospective studies. Lancet. 2009;373(9669):1083–96.

    Article  PubMed Central  Google Scholar 

  6. Arthurs ZM, Cuadrado D, Sohn V, Wolcott K, Lesperance K, Carter P, et al. Post-bariatric panniculectomy: pre-panniculectomy body mass index impacts the complication profile. Am J Surg. 2007;193(5):567–70; discussion 570.

    Article  PubMed  Google Scholar 

  7. Coon D, Gusenoff JA, Kannan N, El Khoudary SR, Naghshineh N, Rubin JP. Body mass and surgical complications in the postbariatric reconstructive patient: analysis of 511 cases. Ann Surg. 2009;249(3):397–401.

    Article  PubMed  Google Scholar 

  8. Shermak MA. Body contouring. Plast Reconstr Surg. 2012;129:963e–78.

    Article  CAS  PubMed  Google Scholar 

  9. Shermak MA. Pearls and perils of caring for the postbariatric body contouring patient. Plast Reconstr Surg. 2012;130(4):585e–96.

    Article  PubMed  Google Scholar 

  10. Broughton 2nd G, Crosby MA, Coleman J, Rohrich RJ. Use of herbal supplements and vitamins in plastic surgery: a practical review. Plast Reconstr Surg. 2007;119(3):48e–66.

    Article  PubMed  Google Scholar 

  11. Rowe DJ, Baker AC. Perioperative risks and benefits of herbal supplements in aesthetic surgery. Aesthet Surg J. 2009;29(2):150–7.

    Article  PubMed  Google Scholar 

  12. Shermak MA, Chang DC, Heller J. Factors impacting thromboembolism after bariatric body contouring surgery. Plast Reconstr Surg. 2007;119(5):1590–6; discussion 1597–8.

    Article  CAS  PubMed  Google Scholar 

  13. Soldin M, Akhavani M, Griffin M. Risk of thromboembolism following body contouring surgery after massive weight loss. BAPRAS Summer Scientific Meeting 2013. Available online at http://www.bapras.org.uk/downloaddoc.asp?id=971. Accessed 6 Nov 2014.

  14. Rieger UM, Erba P, Kalbermatten DF, Schaefer DJ, Pierer G, Haug M. An individualized approach to abdominoplasty in the presence of bilateral subcostal scars after open gastric bypass. Obes Surg. 2008;18:863–9.

    Article  PubMed  Google Scholar 

  15. Sørensen LT, Jørgensen S, Petersen LJ, Hemmingsen U, Bülow J, Loft S, et al. Acute effects of nicotine and smoking on blood flow, tissue oxygen, and aerobe metabolism of the skin and subcutis. J Surg Res. 2009;152:224–30.

    Article  PubMed  Google Scholar 

  16. Rohrich RJ, Coberly DM, Krueger JK, Brown SA. Planning elective operations on patients who smoke: Survey of North American plastic surgeons. Plast Reconstr Surg. 2002;109(1):350–5; discussion 356–7.

    Article  PubMed  Google Scholar 

  17. Abela C, Stevens T, Reddy M, Soldin M. A multidisciplinary approach to post-bariatric plastic surgery. Int J Surg. 2011;9(1):29–35.

    Article  PubMed  Google Scholar 

  18. Colwell AS, Borud LJ. Autologous gluteal augmentation after massive weight loss: aesthetic analysis and role of the superior gluteal artery perforator flap. Plast Reconstr Surg. 2007;119(1):345–56.

    Article  CAS  PubMed  Google Scholar 

  19. Kenkel JM. Marking and operative techniques. Plast Reconstr Surg. 2006;117(1):45S–73; discussion 82S–3.

    Google Scholar 

  20. Hurwitz DJ, Agha-Mohammadi S. Postbariatric surgery breast reshaping: the spiral flap. Ann Plast Surg. 2006;56:481–6.

    Article  CAS  PubMed  Google Scholar 

  21. Rubin JP, Gusenoff JA, Coon D. Dermal suspension and parenchymal reshaping mastopexy after massive weight loss: statistical analysis with concomitant procedures from a prospective registry. Plast Reconstr Surg. 2009;123(3):782–9.

    Article  CAS  PubMed  Google Scholar 

  22. Lejour M. Vertical mammaplasty: update and appraisal of late results. Plast Reconstr Surg. 1999;104:771–81; discussion 782–4.

    Article  CAS  PubMed  Google Scholar 

  23. Kwei S, Borud LJ, Lee BT. Mastopexy with autologous augmentation after massive weight loss: the intercostal artery perforator (ICAP) flap. Ann Plast Surg. 2006;57:361–5.

    Article  CAS  PubMed  Google Scholar 

  24. Halbesma GJ. The reverse abdominoplasty: a report of seven cases and a review of English-language literature. Ann Plast Surg. 2008;61:133–7.

    Article  CAS  PubMed  Google Scholar 

  25. Aly A. Abdominoplasty and lower truncal circumferential body contouring. In: Thorne CH, editor. Grabb and Smith’s plastic surgery. 6th ed. Philadelphia: Lippincott, Williams and Wilkins; 2007. p. 542–50.

    Google Scholar 

  26. Losken A, Holtz DJ. Versatility of the superomedial pedicle in managing the massive weight loss breast: the rotation-advancement technique. Plast Reconstr Surg. 2007;120:1060–8.

    Article  CAS  PubMed  Google Scholar 

  27. Molina AR, Kokkinos C, Soldin M. Male pseudogynaecomastia following massive weight loss: introducing the superolateral pedicle. J Plast Reconstr Aesthet Surg. 2014;67(1):e25–6.

    Article  CAS  PubMed  Google Scholar 

  28. Losken A. Breast reshaping following massive weight loss: principles and techniques. Plast Reconstr Surg. 2010;126(3):1075–85.

    Article  CAS  PubMed  Google Scholar 

  29. Gusenoff J, Coon D, Rubin JP. Pseudogynecomastia after massive weight loss: detectability of technique, patient satisfaction, and classification. Plast Reconstr Surg. 2008;122(5):1301–11.

    Article  CAS  PubMed  Google Scholar 

  30. Gonzalez-Ulloa M. Belt lipectomy. Br J Plast Surg. 1960;13:179–86.

    Article  CAS  PubMed  Google Scholar 

  31. Lockwood TE. Superficial fascial system (SFS) of the trunk and extremities: a new concept. Plast Reconstr Surg. 1991;87(6):1009–18.

    Article  CAS  PubMed  Google Scholar 

  32. Lockwood TE. Fascial anchoring technique in medial thigh lifts. Plast Reconstr Surg. 1988;82:299–302.

    Article  CAS  PubMed  Google Scholar 

  33. Aly A, Cram AE, Chao BS, Pang J, McKeon M. Belt lipectomy for circumferential truncal excess: the university of Iowa experience. Plast Reconstr Surg. 2003;111:398–413.

    Article  PubMed  Google Scholar 

  34. Thorek M. Esthetic surgery of the pendulous breast, abdomen and arms in the female. Ill Med J. 1930;58:48.

    Google Scholar 

  35. Correa-Iturraspe M, Fernandez JC. Dermatolipectomia braquial. Prens Med Argent. 1954;41:2432.

    CAS  Google Scholar 

  36. Knoetgen 3rd J, Moran S. Long-term outcomes and complications associated with brachioplasty: a retrospective review and cadaveric study. Plast Reconstr Surg. 2006;117(7):2219–23.

    Article  CAS  PubMed  Google Scholar 

  37. Bruschi S, Datta G, Bocchiotti MA, Boriani F, Obbialero FD, Fraccalvieri M. Limb contouring after massive weight loss: functional rather than aesthetic improvement. Obes Surg. 2009;19:407–11.

    Article  CAS  PubMed  Google Scholar 

  38. Lewis Jr JR. The thigh lift. J Int Coll Surg. 1957;27:330–4.

    PubMed  Google Scholar 

  39. Borud LJ, Cooper JS, Slavin SA. New management algorithm for lymphocele following medial thigh lift. Plast Reconstr Surg. 2008;121(4):1450.

    Article  CAS  PubMed  Google Scholar 

  40. Hurwitz DJ. Single-staged total body lift after massive weight loss. Ann Plast Surg. 2004;52:435–41.

    Article  PubMed  Google Scholar 

  41. Nemerofsky RB, Oliak DA, Capella JF. Body lift: an account of 200 consecutive cases in the massive weight loss patient. Plast Reconstr Surg. 2006;117:414–30.

    Article  CAS  PubMed  Google Scholar 

  42. van Huizum MA, Roche NA, Hofer SO. Circular belt lipectomy: a retrospective follow-up study on perioperative complications and cosmetic outcome. Ann Plast Surg. 2005;54:459–64.

    Article  PubMed  Google Scholar 

  43. Buchanan PJ, Nasajpour H, Mast BA. Safety and efficacy of outpatient lower body lifting. Ann Plast Surg. 2013;70:493–6.

    Article  CAS  PubMed  Google Scholar 

  44. Kolker AR, Lampert JA. Maximizing aesthetics and safety in circumferential-incision lower body lift with selective undermining and liposuction. Ann Plast Surg. 2009;62:544–8.

    Article  CAS  PubMed  Google Scholar 

  45. Iglesias M, Ortega-Rojo A, Garcia-Alverez MN, Vargas-Vorackova F, Gonzalez-Chavez AM, Gonzalez-Chavez MA, et al. Demographic factors, outcomes, and complications in abdominal contouring surgery after massive weight loss in a developing country. Ann Plast Surg. 2012;69:54–8.

    Article  CAS  PubMed  Google Scholar 

  46. Soldin M, Mughal M, Al-Hadithy N. National Commissioning guidelines: body contouring surgery after massive weight loss. J Plast Reconstr Aesthet Surg. 2014;67(8):1076–81.

    Article  PubMed  Google Scholar 

  47. Candiani P, Campiglio GL, Signorini M. Fascio-fascial suspension technique in medial thigh lifts. Aesthetic Plast Surg. 1995;19:137–40.

    Article  CAS  PubMed  Google Scholar 

  48. Richter DF, Stoff A. The scarpa lift—a novel technique for MinimalInvasive medial thigh lifts. Obes Surg. 2011;21:1975–80.

    Article  PubMed  Google Scholar 

  49. Kolker AR, Xipoleas GD. The circumferential thigh lift and vertical extension circumferential thigh lift: maximizing aesthetics and safety in lower extremity contouring. Ann Plast Surg. 2011;66:452–6.

    Article  CAS  PubMed  Google Scholar 

  50. Sozer SO, Agullo FJ, Palladino H. Spiral lift: medial and lateral thigh lift with buttock lift and augmentation. Aesthet Plast Surg. 2008;32:120–5.

    Article  Google Scholar 

  51. Song AY, Rubin JP, Thomas V, Dudas JR, Marra KG, Fernstrom MH. Body image and quality of life in post massive weight loss body contouring patients. Obesity (Silver Spring). 2006;14(9):1626–36.

    Article  Google Scholar 

  52. Soldin M. BAPRAS. London; 2011.

    Google Scholar 

  53. van der Beek ES, Te Riele W, Specken TF, Boerma D, van Ramshorst B. The impact of reconstructive procedures following bariatric surgery on patient well-being and quality of life. Obes Surg. 2010;20(1):36–41.

    Article  PubMed  Google Scholar 

  54. Klassen AF, Cano SJ, Scott A, Johnson J, Pusic AL. Satisfaction and quality-of-life issues in body contouring surgery patients: a qualitative study. Obes Surg. 2012;22(10):1527–34.

    Article  PubMed  Google Scholar 

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Correspondence to Maleeha Mughal MBBS, MSc, MRCS .

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Soldin, M., Bain, C.J., Mughal, M. (2016). Body Contouring Surgery after Bariatric Surgery. In: Agrawal, S. (eds) Obesity, Bariatric and Metabolic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-04343-2_78

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  • DOI: https://doi.org/10.1007/978-3-319-04343-2_78

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-04342-5

  • Online ISBN: 978-3-319-04343-2

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