body contouring presentation
DESCRIPTION
TRANSCRIPT
DANA GOLDBERG, MD
Body Contouring after massive weight loss
Why body contouring surgery?
You deserve to feel healthy
You deserve to look good
You deserve to feel good about your weight loss
Why body contouring surgery?
Loose, hanging skin
Rashes and infections
Difficulty moving
Clothes don’t fit right
Trading shape for scars
Results depend on: Integrity of Musculofascial layer--examine standing
and supine
Distribution of Fat
Location of scars on abdomen
Incisional/Umbilical hernias
Skin tone and Quality
Body areas - Abdomen
Most common area
Panniculectomy
Abdominoplasty
Body Areas – Back and Buttocks
Belt Lipectomy
Lower Body Lift
Gluteal Autoaugmentation
Body areas - Arms
Brachioplasty
Extension onto chest
Body areas - Breasts
Breast lift
Breast augmentation
Body areas – Thigh lift
Who is a good candidate?
Stable weight
Nonsmoker
Optimal health
Nutrition
Contraindications
Scars above the umbilicusFuture pregnancyGross obesitySmokingDiabietes, poor general medical conditionThromboembolic diseaseUnrealistic expectations
What will insurance cover
Different for every insurance company
Commonly covered: panniculectomy
Harder to cover: other areas considered cosmetic
Mygastricbypass.com
Risks
Serious complications Heart and lung problems from anesthesia DVT /PE
Less serious complications Wound healing problems Fluid collections (hematoma, seroma) Infection Skin necrosis
JP drain and binder post op
Steps involved
Consultation and pre op visit
Clearance from your primary doctor
Insurance