body contouring presentation
DESCRIPTION
TRANSCRIPT
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DANA GOLDBERG, MD
Body Contouring after massive weight loss
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Why body contouring surgery?
You deserve to feel healthy
You deserve to look good
You deserve to feel good about your weight loss
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Why body contouring surgery?
Loose, hanging skin
Rashes and infections
Difficulty moving
Clothes don’t fit right
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Trading shape for scars
Results depend on: Integrity of Musculofascial layer--examine standing
and supine
Distribution of Fat
Location of scars on abdomen
Incisional/Umbilical hernias
Skin tone and Quality
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Body areas - Abdomen
Most common area
Panniculectomy
Abdominoplasty
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Body Areas – Back and Buttocks
Belt Lipectomy
Lower Body Lift
Gluteal Autoaugmentation
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Body areas - Arms
Brachioplasty
Extension onto chest
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Body areas - Breasts
Breast lift
Breast augmentation
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Body areas – Thigh lift
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Who is a good candidate?
Stable weight
Nonsmoker
Optimal health
Nutrition
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Contraindications
Scars above the umbilicusFuture pregnancyGross obesitySmokingDiabietes, poor general medical conditionThromboembolic diseaseUnrealistic expectations
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What will insurance cover
Different for every insurance company
Commonly covered: panniculectomy
Harder to cover: other areas considered cosmetic
Mygastricbypass.com
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Risks
Serious complications Heart and lung problems from anesthesia DVT /PE
Less serious complications Wound healing problems Fluid collections (hematoma, seroma) Infection Skin necrosis
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JP drain and binder post op
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Steps involved
Consultation and pre op visit
Clearance from your primary doctor
Insurance