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.
Pitanguy
I
I
Department of Plastic Surgery, The Pontifical Catholic University of Rio de Janeiro, The Carlos Chagas Post-Graduate Medical Institute, Brazil.
Gontijo de Amorim
N F
NF
Radwanski
H N
HN
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