Bolitho MD

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9834 Genesee Ave Ste 311 La Jolla San Diego, California
Phone: (858) 458-5100

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31Jan, 2015

The Gratification From After Weight Loss Surgery

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Woman At Sunset

A person has done the work and has lost a large amount of weight. That should be enough, but sometimes it is not. After a significant weight loss, there may be leftover excess skin still remaining around a person’s entire body.

A person may decide to have a body contouring after weight loss surgery by a board certified plastic surgeon that removes excess skin, which provides a more firm and shapely silhouette. For many this surgery is the final step of their weight loss journey which will give them a huge boost in self-confidence.

The best candidate for this procedure is someone who has reached their ideal weight and has remained firm on the scale. If a person had bariatric surgery, surgeons would like them to stay at a stable weight for a period of time. That may be from six months to a year.

There are two reasons doctors want their patients to maintain their weight loss before the surgery. One is that if there is a weight gain after the procedure, there could be an increase in stretch marks and post-surgical scaring. The other reason is if a person gains weight after the surgery and loses it after the procedure, more sagging can occur.

To maintain the weight a patient should be diligent in establishing a healthy lifestyle and a habit of eating a well-balanced diet.

Areas of slack skin that may need attention after a large weight loss are upper arms, abdomen, thighs, buttocks, groin and breasts.

Some patients might need more than one surgery to address these areas.

The best candidates are nonsmokers, have no medical history that could interfere with the surgery and have maintained a healthy lifestyle since the weight loss. They also need to have realistic expectations and goals.

A patient’s doctor works closely with the plastic surgeon. Together they decide when is the right time to do the body contouring surgery.

30Jan, 2015

New Study Reveals Thigh Lift Complications Are Minor

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Group of medical doctors in laboratory. Scientific research.

Thigh lift surgery is a procedure highly sought after from those who have lost a significant amount of weight. The surgery removes redundant skin making a patient’s thighs firmer and shapely.

Also called a medial thigh lift surgery, this procedure is under the body contouring surgical umbrella. A study recently revealed while some complications do exist, they are minor.

The research was performed by ASPS member surgeon, Dr. Jeffrey Adam Gusenoff and his colleagues at the University of Pittsburgh. Their findings were published in the January issue of Plastic and Reconstructive Surgery®. This publication is the official medical journal of the (ASPS), also known as the American Society of Plastic Surgeons.

The beginning of the report stated, “Wound complications in medial thighplasty are common, but most are minor and can be managed without reoperation.”

The study included 106 patients who underwent a medial thigh lift. From these patients, 90 were female and the remainder patients were male. Their median age was 45. The report indicated that these post-bariatric surgery patients had saggy and excess skin.

“Overall, 68 percent of patients experienced some type of complication after thigh lift surgery. The complication rate varied with the extensiveness of surgery: from 43 percent for patients undergoing the least-extensive ‘horizontal thighplasty,’ to 64 percent with an intermediate ‘short-scar thighplasty,’ to 74 percent with the most-extensive ‘full-length vertical thighplasty,’”

the authors wrote. They continued, “But while complications were frequent, they usually weren’t serious. The most common issues were minor wound healing problems: problems with wound closure (dehiscence) and fluid collections (seromas). Most of these were managed without any further surgery.”

It was estimated that in this study only 6 percent of these patients required another surgery. Additionally, more than 10 percent of patients elected to have additional surgery to enhance their aesthetic goals.

Body Contouring After Weight Loss Surgery is a popular procedure given the fact that medical science has introduced a variety of procedures to help individuals lose excess weight of 100 pounds or more. For many, this surgery is indeed the last part of their weight loss journey. With that said, many have done their research along with taking part in online forums for support, encouragement and education.

The report also clearly points out, “With the increased use of bariatric surgery, the numbers of patients seeking body contouring surgery after massive weight loss have increased sharply.”

When consulting with a board certified plastic surgeon, one will not only receive a better understanding of the surgery but will also be more informed of any possible side-effects. Every surgery has its own set of risks. With that said, when a patient follows their postoperative guidelines, such risks may be minimized.

“Despite these considerable challenges, massive weight loss patients also stand to benefit immensely from contouring procedures,” Dr. Gusenoff and colleagues conclude.

Nevertheless, this report was outstanding in terms of the research and indicating while complications may be present, they are minor.