Body contouring presentation

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  • 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) 
  • www.mlendfinancial.com/
  • Body contouring presentation

    1. 1. Dana Goldberg, MD<br />Body Contouring after massive weight loss <br />
    2. 2. Why body contouring surgery?<br />You deserve to feel healthy<br />You deserve to look good<br />You deserve to feel good about your weight loss<br />
    3. 3. Why body contouring surgery? <br />Loose, hanging skin<br />Rashes and infections<br />Difficulty moving<br />Clothes don’t fit right<br />
    4. 4. Trading shape for scars<br />Results depend on:<br />Integrity of Musculofascial layer--examine standing and supine<br />Distribution of Fat<br />Location of scars on abdomen<br />Incisional/Umbilical hernias<br />Skin tone and Quality<br />
    5. 5. Body areas - Abdomen<br />Most common area<br />Panniculectomy<br />Abdominoplasty<br />
    6. 6. Body Areas – Back and Buttocks <br />Belt Lipectomy<br />Lower Body Lift<br />GlutealAutoaugmentation<br />
    7. 7. Body areas - Arms<br />Brachioplasty<br />Extension onto chest<br />
    8. 8. Body areas - Breasts<br />Breast lift<br />Breast augmentation<br />
    9. 9. Body areas – Thigh lift<br />
    10. 10. Who is a good candidate?<br />Stable weight<br />Nonsmoker<br />Optimal health<br />Nutrition<br />
    11. 11. Contraindications<br />Scars above the umbilicus<br />Future pregnancy<br />Gross obesity<br />Smoking<br />Diabietes, poor general medical condition<br />Thromboembolic disease<br />Unrealistic expectations<br />
    12. 12. What will insurance cover<br /> Different for every insurance company<br />Commonly covered: panniculectomy<br />Harder to cover: other areas considered cosmetic<br />Mygastricbypass.com <br />
    13. 13. Risks<br />Serious complications<br />Heart and lung problems from anesthesia<br />DVT /PE<br />Less serious complications<br />Wound healing problems<br />Fluid collections (hematoma, seroma)<br />Infection<br />Skin necrosis<br />
    14. 14.
    15. 15. JP drain and binder post op<br />
    16. 16. Steps involved<br />Consultation and pre op visit<br />Clearance from your primary doctor<br />Insurance<br />

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