Contour surgery in the patient with great weight loss.
Obesity can be defined as a chronic disease in which there is excess of body adiposity, leading to severe secondary health problems. This metabolic pathology shortens life-span and is a main cause of diabetes, atherosclerosis, systemic arterial hypertension, and reduction of pulmonary function, among others. The plastic surgeon is involved with the obese patient under two circumstances: either the patient is currently overweight and requests reduction of excess adipose tissue, or has suffered a great weight loss and desires correction of one, or more, contour deformities. In either case, planning demands a close preoperative analysis and careful preparation of the patient, execution of a meticulous surgical routine, and close postoperative follow-up. In this article, various body contour deformities will be addressed, showing the senior author's strategy in treating the obese patient that has achieved the loss of considerable weight.
Department of Plastic Surgery, The Pontifical Catholic University of Rio de Janeiro, The Carlos Chagas Post-Graduate Medical Institute, Brazil.
I
I
Pitanguy
N F
NF
Gontijo de Amorim
H N
HN
Radwanski
D000328:Adult; D015992:Body Mass Index; D062109:Dermatologic Surgical Procedures; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000150:complications* / Q000523:psychology; D010347:Patient Care Planning; D019651:Plastic Surgery Procedures; D012649:Self Concept; D015431:Weight Loss