Published by JP Medical Ltd, 83 Victoria Street, London, SW1H 0HW, UK

Tel: +44 (0)20 3170 8910 Fax: +44 (0)20 3008 6180

Email: info@jpmedpub.com Web: www.jpmedpub.com

The rights of Seth R. Thaller and Mimis Cohen to be identified as editors of this work have been asserted by them in accordance with the Copyright, Designs and Patents Act 1988.

All rights reserved. No part of this publication may be reproduced, stored or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by the UK Copyright, Designs and Patents Act 1988, without the prior permission in writing of the publishers. Permissions may be sought directly from JP Medical Ltd at the address printed above.

All brand names and product names used in this book are trade names, service marks, trademarks or registered trademarks of their respective owners. The publisher is not associated with any product or vendor mentioned in this book.

Medical knowledge and practice change constantly. This book is designed to provide accurate, authoritative information about the subject matter in question. However readers are advised to check the most current information available on procedures included and check information from the manufacturer of each product to be administered, to verify the recommended dose, formula, method and duration of administration, adverse effects and contraindications. It is the responsibility of the practitioner to take all appropriate safety precautions. Neither the publisher nor the editors assume any liability for any injury and/or damage to persons or property arising from or related to use of material in this book.

This book is sold on the understanding that the publisher is not engaged in providing professional medical services. If such advice or services are required, the services of a competent medical professional should be sought.

Every effort has been made where necessary to contact holders of copyright to obtain permission to reproduce copyright material. If any have been inadvertently overlooked, the publisher will be pleased to make the necessary arrangements at the first opportunity.

A catalogue record for this book is available from the British Library

A catalog record for this book is available from the Library of Congress

JP Medical Ltd is a subsidiary of Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India.

Indexed, typeset printed and bound in India.

It is an honor and great privilege to write this foreword. Seth Thaller and Mimis Cohen are both renowned educators, forward thinkers and internationally recognized leaders in plastic surgery.

Due to the almost epidemic proportion of the population afflicted with morbid obesity and associated morbidity, there has been an ever expanding number of patients undergoing bariatric surgical procedures. Postbariatric body contouring surgery is centered on enhancing the overall quality of life following weight loss surgery. This focuses on the overall loss of skin tone, resultant sagging fat and skin, and concomitant functional deficiencies associated with these clinical issues. At the completion of the plastic surgical rehabilitation, the patient should enter a final stage where they are able to obtain a more natural look. Prior to embarking on this surgical endeavor, the plastic surgeon must ensure that the patient is an appropriate candidate for surgical intervention. Key considerations are that the patient's weight is stabilized, they have developed a new, healthy and fit lifestyle, they have satisfactory motivation, are medically stable, and possess reasonable goals and expectations. However, all surgical procedures and sequences must be individualized and may even require serial operative approaches. The priority must always remain patient safety.