By J. Peter Rubin MD FACS, Alan Matarasso MD
Your sufferers have fought the load loss conflict and received. support them within the ultimate section of physique contouring utilizing this new publication as your consultant. This superbly illustrated atlas comprehensively examines recommendations for coping with aesthetic problems with the face and neck, breast, stomach, hands, and legs quite often dealing with sufferers after bariatric surgical procedure. Over eighty five colour illustrations and 500 full-color photos reveal operative thoughts, pre-operative visual appeal, and post-operative effects, making this article not just functional yet necessary.
- Examines the complete diversity of aesthetic matters hard the load loss sufferer, delivering assurance of the entire physique in a single e-book!
- Presents a complete bankruptcy on total-body lifts and mixing a number of systems right into a unmarried operation.
- Includes key issues bins at the start of every bankruptcy, making specialist assistance effortless to find.
- Discusses mental and perioperative administration matters specific to the weightloss sufferer looking physique contour surgery.
- Uses 87 colour surgical illustrations and 500 complete colour pictures to illustrate options and the implications you could supply patients.
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Your sufferers have fought the burden loss conflict and gained. support them within the ultimate part of physique contouring utilizing this new e-book as your consultant. This superbly illustrated atlas comprehensively examines thoughts for coping with aesthetic problems with the face and neck, breast, stomach, fingers, and legs mostly dealing with sufferers after bariatric surgical procedure.
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Extra info for Aesthetic Surgery After Massive Weight Loss
18). No unique postoperative care is necessary. Complications in rhytidoplasty are infrequent yet can bring great distress to the patient and to the surgeon. • It is essential to eliminate from surgery patients who continue to smoke, as the risk for skin slough is greatly increased. Smoking must be stopped completely at least 2 weeks in advance. • In the immediate postoperative period, blood pressure must be constantly monitored by the nursing staff to prevent hypertension and consequently hematoma formation.
Dermatol Clin 2005; 23:495–504. 6%). The face-lift procedure begins with liposuction of the neck through a submental incision. A subcutaneous neck dissection is performed and jowl liposuction through a preauricular stab wound. The midline platysma is then isolated. A wide strip wedge platysmaectomy is performed to shorten redundant platysma muscle and deepen the cervicomental angle. When fat excision is indicated, the exposed fat deep to the platysma muscle is excised under direct vision and eletrocoagulated to further reduce it.
Careful evaluation for parenchymal volume is undertaken, as well as asymmetry. The lateral breast region is inspected for a significant skin roll, and an assessment is made regarding the amount of tissue that may be mobilized from the lateral chest wall for autologous breast augmentation. In the case of significant asymmetry, we will either selectively augment the smaller breast using lateral chest wall tissue or, if this is not possible, reduce the larger breast to match the smaller one. The surgical goals for breast reshaping in the face of these deformities are to: • use all available breast tissue, and also have the ability to recruit additional autologous tissue; • address the nipple position; • restore superior pole projection; • reshape the skin envelope without relying on it for support; • eliminate the lateral skin roll; and • create a discrete ‘lateral sweep’ to the breast shape.