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Cosmetic Surgery After Massive Weight Loss Seth R. Thaller, Mimis Cohen

CHAPTER 1:Surgical options for weight loss
- INTRODUCTION
- PREOPERATIVE EVALUATION
- CHOICE OF PROCEDURE
- OPEN VERSUS LAPAROSCOPIC TECHNIQUES
- REVISIONAL SURGERY
- CONCLUSION
CHAPTER 2:Psychological evaluation of the postbariatric patient
CHAPTER 3:Medical management of the postbariatric patient and evaluation before body contouring procedures
- INTRODUCTION
- FOLLOW UP AFTER BARIATRIC SURGERY
- BODY CONTOURING AFTER MASSIVE WEIGHT LOSS
CHAPTER 4:Preoperative evaluation of the postbariatric patient
- PREOPERATIVE EVALUATION: A HOLISTIC APPROACH
- BARIATRIC PROCEDURES
- PATIENT HISTORY
- NUTRITIONAL DEFICIENCY
  - Macronutrients
  - Micronutrients
- LABORATORY WORKUP
CHAPTER 5:Anesthetic challenges encountered in the postbariatric patient
- OBESITY
- BODY-CONTOURING SURGERY – CONSIDERATIONS FOR THE ANESTHESIOLOGIST
CHAPTER 6:Anatomical deformities secondary to massive weight loss
- FACE AND NECK
- ARMS
- MALE CHEST
- FEMALE BREAST
- ABDOMEN
- BACK
- THIGH
- CONCLUSION
CHAPTER 7:Outpatient lower body lift
- OBESITY, BARIATRIC SURGERY, AND BODY CONTOURING
- PATIENT SELECTION
- TERMINOLOGY
- PREOPERATIVE MARKINGS
- ANESTHESIA: OPTIONS AND STATISTICS
- ANESTHESIA AND PERIOPERATIVE PROTOCOL
- SURGICAL TECHNIQUE FOR OUTPATIENT LOWER BODY LIFT
- RECOVERY
- RESULTS
- COMPLICATIONS
- CONCLUSION
CHAPTER 8:Sequencing and timing of surgery of the postbariatric patient
- INTRODUCTION
- PRESENTATION
- OBESITY AND MASSIVE WEIGHT LOSS
- PREPARATION
- EXAMINATION
- SHARED ANALYSIS AND PLANNING
- COMBINING OPERATIONS
- KEYS TO SUCCESS
- CONCLUSIONS
CHAPTER 9:Panniculectomy and abdominoplasty
- PREOPERATIVE EVALUATION
- SURGICAL TECHNIQUES
- CONCLUSIONS
CHAPTER 10:Belt lipectomy and total body lift
- INTRODUCTION
- HISTORY OF THE PROCEDURE
  - Belt lipectomy
  - Total body lift
- RELEVANT ANATOMY
- PREOPERATIVE CONSIDERATIONS
- TECHNIQUE
  - Belt lipectomy Marking (Figure 10.2)
    - Positioning
    - Operation
  - Total body lift
- POSTOPERATIVE CARE
  - Immediate inpatient postoperative care
  - Long-term postoperative care
- COMPLICATIONS
- CONCLUSION
CHAPTER 11:Hernia repair in the massive weight loss patient
- INTRODUCTION
- ANATOMY OF THE ABDOMINAL WALL
- INCISIONAL HERNIAS
- PREOPERATIVE EVALUATION
- OPTIONS FOR INCISIONAL HERNIA REPAIR
- THE USE OF MESH IN INCISIONAL HERNIA REPAIR
- SURGICAL PROCEDURES
- COMPLICATIONS
- CONCLUSIONS
CHAPTER 12:Reconstruction of abdominal wall defects after bariatric surgery and simultaneous abdominal lipectomies
- INTRODUCTION
- PREREQUISITES FOR SUCCESS
- RECONSTRUCTIVE PRINCIPLES
  - Reconstruction of open wound and panniculectomy
  - Description of technique
- RESULTS
- CONCLUSIONS
CHAPTER 13:Brachioplasty
- ANATOMY OF THE ARM
- HISTORY
- INDICATIONS
- DETAILS OF THE PROCEDURE
- THE POSTOPERATIVE PERIOD
- COMPLICATION AVOIDANCE
- OUTCOME STUDIES
- CONCLUSION
CHAPTER 14:Male breast surgery after massive weight loss
- DEFINITIONS
- CLASSIFICATION AND TREATMENT
- NIPPLE–AREOLA COMPLEX
CHAPTER 15:Female breast surgery after massive weight loss
- INTRODUCTION
- BREAST ANATOMY
- PATIENT EVALUATION
- SURGICAL APPROACHES
- CONCLUSION
CHAPTER 16:Gluteal contouring after massive weight loss
- ANATOMY
  - Anatomic changes with weight loss
- EVALUATION OF THE GLUTEAL REGION
  - Ptosis
- TREATMENT APPROACHES
- REFERENCES
CHAPTER 17:Medial and lateral thigh surgery after massive weight loss
- EVALUATION OF THE PATIENT
- HISTORY
- CRESCENT MEDIAL THIGH LIFT
  - First-stage debulking
- EXTENDED MEDIAL THIGH LIFT
  - Surgical procedure
- LATERAL THIGH
- COMPLICATIONS
- CONCLUSION
CHAPTER 18:Facial contouring after bariatric surgery
- INTRODUCTION
- PREOPERATIVE EVALUATION OF THE BODY-CONTOURING PATIENT
- VENOUS THROMBOEMBOLISM PROPHYLAXIS
- POSTBARIATRIC FACE AND NECK
- SURGERY
- POSTOPERATIVE CARE
- CONCLUSION
CHAPTER 19:Role of suction-assisted lipectomy
- INTRODUCTION
- BACKGROUND
- UPPER EXTREMITY CONTOURING
  - Outcomes
- LOWER EXTREMITY CONTOURING
  - Outcomes
- CONCLUSION
CHAPTER 20:Unfavorable results: identification and avoidance
- INTRODUCTION
- ABDOMINOPLASTY AND PANNICULECTOMY
- BREAST CONTOURING
  - Extremity contouring
  - Facial contouring
- GENERAL CONSIDERATIONS FOR OPTIMAL OUTCOMES
- MANAGING PATIENT EXPECTATIONS
- CONCLUSION
CHAPTER 21:Tissue transfer for cancer reconstruction in the massive weight loss patient
- INTRODUCTION
- PREOPERATIVE WORKUP
- HISTORY
- PHYSICAL EXAMINATION AND PREOPERATIVE SURGICAL PLANNING
- WOUND HEALING
- COMPLICATIONS
- CONCLUSIONS
- ACKNOWLEDGMENTS
CHAPTER 22:Medicolegal issues
- MEDICAL MALPRACTICE
- THE INTERNET
- EXPERTS
- MALPRACTICE INSURANCE
- LITIGATION
- INFORMED CONSENT
  - Elements required in informed consent
- THE PHYSICIAN AS FIDUCIARY
- VICARIOUS LIABILITY
- ASSET PROTECTION
- MEDICAL RECORDS
  - Alteration of medical records
- CONFIDENTIALITY
- FRAUD AND ABUSE
- TABLE OF CASES

INDEX

TOC
Index

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Chapter Notes