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Reconstructive Plastic Surgery

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Multidisciplinary Approach to Obesity

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Abstract

Obesity is a complex mixture of psychological, environmental, social, cultural, economic, geographic, and genetic influences with little discrimination regarding age, ethnicity, or gender. Bariatric surgery may help in massive weight loss but often determine significantly alteration to the body profile with functional impairment. Reconstructive plastic surgery interventions correct post-bariatric surgery deformities and must be included in morbid obesity management as body contouring helps long-term weight control. As a general rule, contouring operations should be done after weight loss is complete, as wound complications tend to be higher when surgery is performed in patients who are still obese. The authors present a description of personal surgical approaches to abdominoplasty, mastopexy, brachioplasty, and inner-thigh lift.

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References

  1. Rubin JP, Matarasso A (2007) Aesthetic surgery after massive weight loss. Elsevier –Saunders. Philadelphia ISBN -13: 978-1-4160-2952-6

    Google Scholar 

  2. Ay S, Jean RD, Hurwitz DJ et al (2005) A classification of contour deformities after bariatric weight loss: the Pittsburgh rating scale. Plast Reconstr Surg 116:1535–1544

    Article  Google Scholar 

  3. Jabir S (2013) Assessing improvement in quality of life and patient satisfaction following body contouring surgery in patients with massive weight loss: a critical review of outcome measures employed. Plast Surg Int 2013:515737

    PubMed  PubMed Central  Google Scholar 

  4. Balagué N, Combesure C, Huber O, Pittet-Cuénod B, Modarressi A (2013) A plastic surgery improves long-term weight control after bariatric surgery. Plast Reconstr Surg 132(4):826–833

    Article  PubMed  Google Scholar 

  5. Giordano S, Victorzon M, Stormi T, Suominen E (2014) Desire for body contouring surgery after bariatric surgery: do body mass index and weight loss matter? Aesthet Surg J 34(1):96–105

    Article  PubMed  Google Scholar 

  6. Aldaqal SM, Makhdoum AM, Turki AM, Awan BA, Samargandi OA, Jamjom H (2013) Post-bariatric surgery satisfaction and body-contouring consideration after massive weight loss. N Am J Med Sci 5(4):301–305

    Article  PubMed  PubMed Central  Google Scholar 

  7. Singh D, Zahiri HR, Janes LE, Sabino J, Matthews JA, Bell RL, Thomson JG (2012) Mental and physical impact of body contouring procedures on post-bariatric surgery patients. Eplasty 12:e47, Epub 2012 Sep 12

    PubMed  PubMed Central  Google Scholar 

  8. Song AY, Rubin JP, Thomas V, Dudas JR, Marra KG, Fernstrom MH (2006) Body image and quality of life in post massive weight loss body contouring patients. Obesity (Silver Spring) 14(9):1626–1636

    Article  Google Scholar 

  9. Torio-Padron N, Stark GB (2009) Body contouring after massive weight loss. Zentralbl Chir 134(1):57–65

    Article  CAS  PubMed  Google Scholar 

  10. Colwell AS (2010) Current concepts in post-bariatric body contouring. Obes Surg 20(8):1178–1182

    Article  PubMed  Google Scholar 

  11. Matarasso A, Swift RW, Rankin M (2006) Abdominoplasty and abdominal contour surgery: a national plastic surgery survey. Plast Reconstr Surg 117(6):1797–1808

    Article  CAS  PubMed  Google Scholar 

  12. Persichetti P, Simone P, Scuderi N (2005) Anchor-line abdominoplasty: a comprehensive approach to abdominal wall reconstruction and body contouring. Plast Reconstr Surg 116(1):289–294

    Article  CAS  PubMed  Google Scholar 

  13. Kim J, Stevenson TR (2006) Abdominoplasty, liposuction of the flanks, and obesity: analyzing risk factors for seroma formation. Plast Reconstr Surg 117(3):773–779; discussion 780–1

    Article  CAS  PubMed  Google Scholar 

  14. Le Lourne C, Pascal JF (2000) High superior tension abdominoplasty. Anesth Plast Surg 24:375–381

    Article  Google Scholar 

  15. Vastine VI, Morgan RF, WilliAms GS et al (1999) Wound complications of abdominoplasty in obese patients. Ann Plast Surg 42(1):34–39

    Article  CAS  PubMed  Google Scholar 

  16. Pollock H, Pollock T (2000) Progressive tension sutures: a technique to reduce local complications in abdominoplasty. Plast Reconstr Surg 105(7):2583–2586

    Article  CAS  PubMed  Google Scholar 

  17. Matarasso A, Schneider LF, Barr J (2014) The incidence and management of secondary abdominoplasty and secondary abdominal contour surgery. Plast Reconstr Surg 133(1):40–50

    Article  CAS  PubMed  Google Scholar 

  18. Colwell AS, Driscoll D, Breuing KH (2009) Mastopexy techniques after massive weight loss: an algorithmic approach and review of the literature. Ann Plast Surg 63(1):28–33

    Article  CAS  PubMed  Google Scholar 

  19. Rubin JP (2006) Mastopexy after massive weight loss: dermal suspension and total parenchymal reshaping. Aesthet Surg J 26(2):214–222

    Article  CAS  PubMed  Google Scholar 

  20. Persichetti P, Tenna S, Brunetti B et al (2012) Anterior intercostal artery perforator flap autologous augmentation in bariatric mastopexy. Plast Reconstr Surg 130(4):917–925

    Article  CAS  PubMed  Google Scholar 

  21. Rubin JP, Khachi G (2008) Mastopexy after massive weight loss: dermal suspension and selective auto-augmentation. Clin Plast Surg 35(1):123–129

    Article  PubMed  Google Scholar 

  22. Losken A, Holtz DJ (2007) Versatility of the superomedial pedicle in managing the massive weight loss breast: the rotation-advancement technique. Plast Reconstr Surg 120(4):1060–1068

    Article  CAS  PubMed  Google Scholar 

  23. Bossert RP, Rubin JP (2012) Evaluation of the weight loss patient presenting for plastic surgery consultation. Plast Reconstr Surg 130:1361–1369

    Article  CAS  PubMed  Google Scholar 

  24. Lewis JR Jr (1957) The thigh lift. J Int Coll Surg 27:330–334

    PubMed  Google Scholar 

  25. Lockwood TE (1988) Fascial anchoring technique in medial thigh lifts. Plast Reconstr Surg 82:299–304

    Article  CAS  PubMed  Google Scholar 

  26. Moreno CH, Neto HJ, Junior AH, Malheiros CA (2008) Thighplasty after bariatric surgery: evaluation of lymphatic drainage in lower extremities. Obes Surg 18:1160–1164

    Article  PubMed  Google Scholar 

  27. Sarwer DB, Fabricatore AN (2008) Psychiatric considerations of the massive weight loss patient. Clin Plast Surg 35(1):1–10

    Article  PubMed  PubMed Central  Google Scholar 

  28. American Society of Plastic Surgeons (2012) Plastic surgery statistics report. http://www.plasticsurgery.org/Documents/news-resources/statistics/2012-Plastic-Surgery-Statistics/body-contouring-after-massive-weight-loss.pdf. Accessed 22 Feb 2014

  29. Baroudi R (1975) Dermolipectomy of the upper arm. Clin Plast Surg 2:485–494

    Google Scholar 

  30. Symbas JD, Losken A (2010) An outcome analysis of brachioplasty techniques following massive weight loss. Ann Plast Surg 64:588–591

    CAS  PubMed  Google Scholar 

  31. Gusenoff JA, Coon D, Rubin JP (2008) Brachioplasty and concomitant procedures after massive weight loss: a statistical analysis from a prospective registry. Plast Reconstr Surg 122(2):595–603

    Google Scholar 

  32. Bossert RP, Dreifuss S, Coon D, Wollstein A, Clavijo-Alvarez J, Gusenoff JA, Rubin JP (2013) Liposuction of the arm concurrent with brachioplasty in the massive weight loss patient: is it safe? Plast Reconstr Surg 131(2):357–365

    Google Scholar 

  33. Zomerlei TA, Neaman KC, Armstrong SD, Aitken ME, Cullen WT, Ford RD, Renucci JD, VanderWoude DL (2013) Brachioplasty outcomes: a review of a multipractice cohort. Plast Reconstr Surg 131(4):883–889

    Google Scholar 

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Author information

Authors and Affiliations

  1. Plastic Surgery Unit, Campus Bio Medico University, Via Alvaro del Portillo 200, 00128, Rome, Italy

    Paolo Persichetti MD, PhD, Stefania Tenna MD, PhD & Pierfranco Simone MD

Authors
  1. Paolo Persichetti MD, PhD
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  2. Stefania Tenna MD, PhD
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  3. Pierfranco Simone MD
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Corresponding author

Correspondence to Stefania Tenna MD, PhD .

Editor information

Editors and Affiliations

  1. Department of Experimental Medicine, Section of Medical Pathophysiology, Endocrinology and Nutrition, Sapienza University, Rome, Italy

    Andrea Lenzi

  2. Department of Movement, Human and Health Sciences, Unit of Endocrinology, Foro Italico University, Rome, Italy

    Silvia Migliaccio

  3. Department of Experimental Medicine, Section of Medical Pathophysiology, Endocrinology and Nutrition, Sapienza University, Rome, Italy

    Lorenzo Maria Donini

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© 2015 Springer International Publishing Switzerland

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Persichetti, P., Tenna, S., Simone, P. (2015). Reconstructive Plastic Surgery. In: Lenzi, A., Migliaccio, S., Donini, L. (eds) Multidisciplinary Approach to Obesity. Springer, Cham. https://doi.org/10.1007/978-3-319-09045-0_25

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  • DOI: https://doi.org/10.1007/978-3-319-09045-0_25

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-09044-3

  • Online ISBN: 978-3-319-09045-0

  • eBook Packages: MedicineMedicine (R0)

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