Abdominoplasty After Massive Weight Loss

Jonathan P Brower; J Peter Rubin

doi:10.1016/j.cps.2020.03.006

Abdominoplasty After Massive Weight Loss

Clin Plast Surg. 2020 Jul;47(3):389-396. doi: 10.1016/j.cps.2020.03.006. Epub 2020 May 5.

Authors

Jonathan P Brower¹, J Peter Rubin²

Affiliations

¹ Department of Plastic Surgery, University of Pittsburgh Medical Center, 3380 Boulevard of the Allies, Suite 158, Pittsburgh, PA 15213, USA.
² Department of Plastic Surgery, University of Pittsburgh Medical Center, Scaife Hall, Suite 6B, Room 690, 3550 Terrace Street, Pittsburgh, PA 15261, USA. Electronic address: rubinjp@upmc.edu.

PMID: 32448475
DOI: 10.1016/j.cps.2020.03.006

Abstract

After massive weight loss (MWL), patients present with deformities that are more severe and often different than those observed in standard cosmetic abdominoplasty. The first step is careful consideration of the special factors involved in preoperative screening of patients with MWL presenting for body contouring surgery. Once these patient factors are optimized and surgery is considered, careful analysis of anatomic deformities should ensue. Technical variations of standard abdominoplasty are often required. With proper attention to safe screening, analysis of the anatomic deformities, and application of relevant techniques, plastic surgeons can have a positive impact on the lives of these patients.

Keywords: Body contouring; Fleur-de-lis; Massive weight loss; Monsplasty; Vertical abdominoplasty.

Publication types

Review

MeSH terms

Abdominoplasty / methods
Body Contouring / methods*
Body Mass Index
Humans
Patient Selection
Weight Loss*