Safety first: precautions for the massive weight loss patient

Clin Plast Surg. 2008 Jan;35(1):173-83. doi: 10.1016/j.cps.2007.08.002.


A significant increase in bariatric procedures has led to success in maintaining long-term weight loss. The increasing population of patients who have lost massive amounts of weight also has led to a growing responsibility placed on body-contouring surgeons to perform safe and cautious procedures in this inherently difficult patient population. We stratify risk groups and present several case reports and a systematic review of safety precautions. The risks and complications of body contouring can be minimized by a team approach with a meticulous attention to patient evaluation, preoperative planning, safe detailed operative measures, and thorough postoperative care.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Antibiotic Prophylaxis
  • Dermatologic Surgical Procedures*
  • Diabetes Complications
  • Humans
  • Hypothermia / prevention & control
  • Infection Control
  • Malnutrition / complications
  • Patient Selection
  • Plastic Surgery Procedures / methods*
  • Pulmonary Embolism / prevention & control
  • Safety*
  • Venous Thrombosis / prevention & control
  • Weight Loss*