Plastic surgery following weight loss

Abstract

The success and popularity of gastric bypass surgery has required that interested plastic surgeons respond to patient demands for correction of their generalized deflated skin deformity. Upmost is to understand these patients and acquire new skills for their comprehensive treatment. Ten plastic surgical principles have been proposed to guide therapy: (1) Analyze deformity and patient. (2) Be efficient in design and execution. (3) Excise excess as much as possible transversely. (4) Position incisions favorably, and respect scars. (5) Focus on the contour and tissue tension. (6) Preserve healthy dermis and subcutaneous fascia. (7). Remove fat from flaps gently and effectively. (8). Make closure tight and secure. (9). Minimize swelling, infection, phlebitis, and seroma. (10) Analyze your experience. This chapter presents the operations that constitute a total body lift and their integration based on an elaboration of these principles.