Bariatric and body-contouring surgery: a continuum of care for excess and lax skin.
Obesity continues to reach epidemic proportions in the United States, with more than 60% of Americans classified as obese. Correspondingly, the number of individuals undergoing bariatric surgery has increased dramatically. There are several bariatric procedures that may be performed, with laparoscopic adjusted gastric band (LABG) the newest. Following bariatric surgery and massive weight loss, patients may be left with problematic loose, hanging skin. The loose or redundant skin may occur on the abdomen, back, upper arms, and inner and outer thighs. Body-contouring surgery may be performed to correct the residual excess tissues. Prebariatric planning for plastic surgery to correct skin defects, as well as postoperative bariatric and body-contouring care, is discussed.
Zuelzer
Helen B
HB
Division of Plastic & Reconstructive Surgery, Virginia Commonwealth University Medical Center, PO Box 980154, Richmond, VA 23298, USA. s2hbzuel@mail.vcu.edu
Baugh
Nancy G
NG
D000273:Adipose Tissue / Q000601:surgery*; D050110:Bariatric Surgery; D001940:Breast / Q000601:surgery; D002081:Buttocks / Q000601:surgery; D062109:Dermatologic Surgical Procedures; D019587:Dietary Supplements; D004548:Elasticity; D006801:Humans; D011184:Postoperative Period; D019651:Plastic Surgery Procedures / Q000379:methods*; D015431:Weight Loss; D014945:Wound Healing