Plastic surgery to remove excess skin

Surgery for the treatment of morbid obesity - surgery bariatric surgery - has been performed for about 20 years and already has its place in the treatment of obese patients.

The procedure has good results in weight loss, causing positive reflexes on quality of life, body image and improvement of the physical and mental health of the patients who undergo it.

A very common question that arises after the accomplishment of the bariatric surgery is about the need for a plastic surgery to remove the patient's excess skin. Since the great demand for bariatric surgery, plastic surgeons have had to dedicate themselves to the development of specific techniques for these patients, who have a large volume of skin in common.

Plastic surgery should be done when the goal of weight loss stipulated by the bariatric surgeon is reached or when weight stabilization occurred.

Weight stabilization usually occurs between one and two years after bariatric surgery. Still, the plastic surgeon should select patients with BMI below 30.

When BMI is above 30, surgery should only be done if there are strong reasons, such as, for example, when the leftover skin and excess grease impairs the patient's movement.

"The best time to undergo this type of plastic surgery is when the patient stabilizes his weight."

Plastic surgery of obesity is important for the obese grade three, formerly called obese morbid. These patients have lost a lot of weight after having undergone bariatric surgery.

These are people who have lost skin elasticity, a fact that harms not only the aesthetic aspect, but some basic functions of life.

Patient problems begin with damage to the posture and balance caused by excess skin. Then we can mention the problems of social integration and sexual intercourse.

The dermatitis caused by dermatitis located in the skin folds is accentuated. Patients should be carefully observed before plastic surgery.

In general, patients who have been assisted by a multidisciplinary team are better prepared for the plastic surgery stage. Those who have a picture of depression or some other type of problem require more attention.

What is the best time?

The best time to undergo this type of plastic surgery is when the patient stabilizes his weight, with the food considered normal for him after bariatric surgery.

That is, when the patient stops to lose weight is the right time to do plastic surgery of obesity. The BMI, among other indicators, helps to determine the ideal weight not only to perform the plastic surgery successfully, but also to provide quality of life for this patient.

To define the best moment, a detailed clinical and psychological evaluation is also essential . Such patients are more subject to changes such as anemia and metabolic disorders than the general population. In addition, pictures such as depression, alcoholism, and drug use may also be present.

In general, these patients undergo more than one procedure. The most sought after surgeries are abdominoplasty (to correct the abdomen in an apron), mammoplasty, brachioplasty (to remove excess arms), thigh surgery, liposuction and facelift, which will be done in isolation or in combinations, depending on each case, and mainly aimed at the safety of the intervention.

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