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العنوان
Study of the Upper Body Contouring
After Massive Weight Loss /
المؤلف
Ashmam, Mohamed Rajab.
هيئة الاعداد
باحث / Mohamed Rajab Ashmam
مشرف / Moemen Mohamed AbouShloa
مشرف / Wafi Fouad Salib
مناقش / Haitham Mostafa ElMaleh
تاريخ النشر
2015.
عدد الصفحات
116 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة
تاريخ الإجازة
1/1/2015
مكان الإجازة
جامعة عين شمس - كلية الطب - جراحة عامة
الفهرس
Only 14 pages are availabe for public view

from 116

from 116

Abstract

T
he worldwide increase in the prevalence of obesity is accompanied by a proportional increase in the number of patients undergoing bariatric surgery.
The rising success rates of these surgeries have led to the emergence of a population of patients who have lost a massive amount of weight. However, although medical problems associated with obesity are better controlled or cured by this weight loss, these patients are left with various deformities in different parts of the body.
Although dietary and life style modifications have traditionally been the mainstay of treatment for obesity, their lack of success at long-term weight reduction and the paucity of effective pharmacologic agents led to the emergence of surgical management. Guidelines recommend bariatric operation for morbidly obese patients, defined as those with a body mass index (BMI) ≥40 or patients with a BMI ≥ 35 who have associated co morbidities.
Despite considerable improvement in their health after massive weight loss (MWL), patients are discouraged by the large amounts of excess skin that remain in various regions of their body as they lose weight.
They find that they are unable to minimize the skin laxity through activity or targeted exercise, and many of these patients subsequently seek plastic surgery consultation for alternative management options.
The plastic surgeon most often will see the patient after he/she has lost weight and stabilized.
Although many massive-weight-loss patients experience significant improvement of their medical problems, they still need a complete workup.
Complication rates in massive weight loss patients increase with body mass index, but there are steps that can be taken to reduce the potential for these problems.
Understanding a patient’s potential risks helps the surgeon develop better preoperative, intraoperative, and postoperative care plans, allowing for a complete informed consent. Active patient participation in these plans can also help to reduce potential risks and ensure a better outcome.
The upper body is one of the areas that patients request correcting, either as part of a total body lift, or as a separate procedure.
The key in deciding which procedure or procedures to perform in the upper truncal region is the position of the lateral inframammary crease. If it has ‘‘dropped out’’ or descended, then, by definition, the patient will have upper-back excess in T
he worldwide increase in the prevalence of obesity is accompanied by a proportional increase in the number of patients undergoing bariatric surgery.
The rising success rates of these surgeries have led to the emergence of a population of patients who have lost a massive amount of weight. However, although medical problems associated with obesity are better controlled or cured by this weight loss, these patients are left with various deformities in different parts of the body.
Although dietary and life style modifications have traditionally been the mainstay of treatment for obesity, their lack of success at long-term weight reduction and the paucity of effective pharmacologic agents led to the emergence of surgical management. Guidelines recommend bariatric operation for morbidly obese patients, defined as those with a body mass index (BMI) ≥40 or patients with a BMI ≥ 35 who have associated co morbidities.
Despite considerable improvement in their health after massive weight loss (MWL), patients are discouraged by the large amounts of excess skin that remain in various regions of their body as they lose weight.
They find that they are unable to minimize the skin laxity through activity or targeted exercise, and many of these patients subsequently seek plastic surgery consultation for alternative management options.
The plastic surgeon most often will see the patient after he/she has lost weight and stabilized.
Although many massive-weight-loss patients experience significant improvement of their medical problems, they still need a complete workup.
Complication rates in massive weight loss patients increase with body mass index, but there are steps that can be taken to reduce the potential for these problems.
Understanding a patient’s potential risks helps the surgeon develop better preoperative, intraoperative, and postoperative care plans, allowing for a complete informed consent. Active patient participation in these plans can also help to reduce potential risks and ensure a better outcome.
The upper body is one of the areas that patients request correcting, either as part of a total body lift, or as a separate procedure.
The key in deciding which procedure or procedures to perform in the upper truncal region is the position of the lateral inframammary crease. If it has ‘‘dropped out’’ or descended, then, by definition, the patient will have upper-back excess in T
he worldwide increase in the prevalence of obesity is accompanied by a proportional increase in the number of patients undergoing bariatric surgery.
The rising success rates of these surgeries have led to the emergence of a population of patients who have lost a massive amount of weight. However, although medical problems associated with obesity are better controlled or cured by this weight loss, these patients are left with various deformities in different parts of the body.
Although dietary and life style modifications have traditionally been the mainstay of treatment for obesity, their lack of success at long-term weight reduction and the paucity of effective pharmacologic agents led to the emergence of surgical management. Guidelines recommend bariatric operation for morbidly obese patients, defined as those with a body mass index (BMI) ≥40 or patients with a BMI ≥ 35 who have associated co morbidities.
Despite considerable improvement in their health after massive weight loss (MWL), patients are discouraged by the large amounts of excess skin that remain in various regions of their body as they lose weight.
They find that they are unable to minimize the skin laxity through activity or targeted exercise, and many of these patients subsequently seek plastic surgery consultation for alternative management options.
The plastic surgeon most often will see the patient after he/she has lost weight and stabilized.
Although many massive-weight-loss patients experience significant improvement of their medical problems, they still need a complete workup.
Complication rates in massive weight loss patients increase with body mass index, but there are steps that can be taken to reduce the potential for these problems.
Understanding a patient’s potential risks helps the surgeon develop better preoperative, intraoperative, and postoperative care plans, allowing for a complete informed consent. Active patient participation in these plans can also help to reduce potential risks and ensure a better outcome.
The upper body is one of the areas that patients request correcting, either as part of a total body lift, or as a separate procedure.
The key in deciding which procedure or procedures to perform in the upper truncal region is the position of the lateral inframammary crease. If it has ‘‘dropped out’’ or descended, then, by definition, the patient will have upper-back excess in T
he worldwide increase in the prevalence of obesity is accompanied by a proportional increase in the number of patients undergoing bariatric surgery.
The rising success rates of these surgeries have led to the emergence of a population of patients who have lost a massive amount of weight. However, although medical problems associated with obesity are better controlled or cured by this weight loss, these patients are left with various deformities in different parts of the body.
Although dietary and life style modifications have traditionally been the mainstay of treatment for obesity, their lack of success at long-term weight reduction and the paucity of effective pharmacologic agents led to the emergence of surgical management. Guidelines recommend bariatric operation for morbidly obese patients, defined as those with a body mass index (BMI) ≥40 or patients with a BMI ≥ 35 who have associated co morbidities.
Despite considerable improvement in their health after massive weight loss (MWL), patients are discouraged by the large amounts of excess skin that remain in various regions of their body as they lose weight.
They find that they are unable to minimize the skin laxity through activity or targeted exercise, and many of these patients subsequently seek plastic surgery consultation for alternative management options.
The plastic surgeon most often will see the patient after he/she has lost weight and stabilized.
Although many massive-weight-loss patients experience significant improvement of their medical problems, they still need a complete workup.
Complication rates in massive weight loss patients increase with body mass index, but there are steps that can be taken to reduce the potential for these problems.
Understanding a patient’s potential risks helps the surgeon develop better preoperative, intraoperative, and postoperative care plans, allowing for a complete informed consent. Active patient participation in these plans can also help to reduce potential risks and ensure a better outcome.
The upper body is one of the areas that patients request correcting, either as part of a total body lift, or as a separate procedure.
The key in deciding which procedure or procedures to perform in the upper truncal region is the position of the lateral inframammary crease. If it has ‘‘dropped out’’ or descended, then, by definition, the patient will have upper-back excess in varying degrees and, thus, an upper body lift, in one of its forms, is needed.
If a massive weight loss patient has a normal upward sweeping lateral inframammary crease, he or she presents with upper-arm and breast deformities that are separate from each other and can be treated as such by independent brachioplasty and breast reconstruction procedures.
By definition, if the lateral inframammary crease is correctly positioned, the patient does not have upper-back excess and thus does not need to have the thorax treated as a unit.
Isolated procedures are still indicated in patients who want as few scars as possible or in those who fail to see the values of an upper body lift.
The arms, breast/male chest, lateral thoracic region and upper back constitute the upper body unit. Several reports in the literature have described.
A degree of breast ptosis is always present in the MWL. Choice of surgery depends on breast volume, availability of axillary tissue, surgeon preference for technique, and patient preference for scar.