By J. Peter Rubin MD FACS, Alan Matarasso MD
Your sufferers have fought the burden loss conflict and received. support them within the ultimate section of physique contouring utilizing this new ebook as your consultant. This fantastically illustrated atlas comprehensively examines strategies for dealing with aesthetic problems with the face and neck, breast, stomach, palms, and legs typically dealing with sufferers after bariatric surgical procedure. Over eighty five colour illustrations and 500 full-color photos show operative suggestions, pre-operative visual appeal, and post-operative effects, making this article not just functional yet worthy.
- Examines the whole variety of aesthetic matters hard the burden loss sufferer, supplying assurance of the complete physique in a single booklet!
- Presents a whole bankruptcy on total-body lifts and mixing a number of approaches right into a unmarried operation.
- Includes key issues packing containers firstly of every bankruptcy, making professional suggestions effortless to find.
- Discusses mental and perioperative administration matters specific to the weight loss sufferer looking physique contour surgery.
- Uses 87 colour surgical illustrations and 500 complete colour images to illustrate innovations and the implications you could supply patients.
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Additional info for Aesthetic Surgery After Massive Weight Loss
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.
The entire lateral wing of the Wise pattern may be deepithelialized and preserved to add volume to the breast, as needed. Conversely, a smaller portion may be preserved and the remainder excised. • Keep the breast flap approximately 1 cm thick (or greater), and once at the level of the pectoralis fascia, continue undermining superiorly above the level of the second rib. • Avoid performing this operation on smokers because of the risk of flap necrosis. • Plication of the dermis is most effective on the lateral and inferior aspects of the breast, where it serves to increase projection and create a distinct lateral curvature to the breast mound.
15). The postauricular sulcus incision is closed with staples carefully walking out the excess skin to avoid pleating. The transverse sideburn incision is closed from lateral to medial, similarly adjusting the bulge at the lateral end that can occur. At the completion of one side, the patient is turned and surgery continues on the opposite side. Finally, final hemostasis is obtained and sealant is sprayed at the submental incision, and while pressure is applied, the wound is closed with a 5-0 nylon suture.