Aesthetic Surgery After Massive Weight Loss pptx

[...]... observed monthly for the first year to assess weight loss and to make further adjustments if necessary Efficacy Reports of weight loss after LAGB have been variable but generally fall in the 40–55% EWL range 3 years after the procedure Weight loss after LAGB is more gradual than with RYGB, and most of the weight loss after LAGB takes place in the first 3 years after surgery O’Brien reported results on 706... short scar face-lift in the massive weight loss patient Technique by Dr Alan Matarasso The short scar face-lift with or without fibrin sealant is the preferred method of treatment in all aging and massive weight loss patients The characteristics of patients faces following massive weight loss are similar to the changes seen in the aging face However, in certain massive weight loss patients, there may... history of their weight loss surgery and compliance with the nutritional regimen after weight loss The surgeon should know what type of procedure the patient had, as different operations will have varying potential to cause nutritional deficits Other important data points include: • the timing of the weight loss surgery relative to the plastic surgery consult, • Body Mass Index (BMI) prior to surgery, 13... procedure • • • • lowest weight reached since bariatric surgery, current BMI, goal weight, and the last time the patient has met with his or her bariatric team We ask specifically about weight loss (or gain) in the 3 months prior to the plastic surgery consult to assess stability The plastic surgeon takes a nutritional history relevant to the weight loss surgery patient Most weight loss patients will have... weight loss between the open and laparoscopic approach, and weight loss typically reaches a nadir 18–24 months after surgery In a study by Schauer and colleagues, the mean EWL was 83% at 1 year and 77% at 30 months.26 Longer follow-up after RYGB reveals some weight regain, with 60–70% EWL at 5 years The Swedish Obese Subjects Study demonstrated 10-year weight loss (as a percentage of initial body weight) ... consult, • Body Mass Index (BMI) prior to surgery, 13 2 Evaluation of the massive weight loss patient who presents for body-contouring surgery Patient name: Date of consult: GBP GBP Date of GBP: Surgeon: Complications: Max weight: Lowest post-GBP weight: Referral source: Goal weight: Max BMI: Current weight: Current BMI: Recent weight loss Last month: Previous body contouring: History of DVT/PE? (Circle... bypass • After 2 years, the control group’s weight increased by 0.1%, and the surgery group had a 23.4% decrease from their preoperative weight • Ten-year follow-up of 1268 patients in this study revealed a weight increase of 1.6% in the control group and a weight decrease of 16.1% in the surgery group compared with preoperative weight • Only 3.8% of control patients achieved a 20% weight loss over... referring weight loss surgeon may want to be involved with these cases in a team approach CONCLUSION Body contouring is a wonderful adjunct to bariatric surgery and completes the weight loss process for many patients Any plastic surgeon who evaluates patients after massive weight loss will see the full spectrum of patient subtypes The majority of patients who present to the office for contouring surgery. .. eligible for bariatric surgery 3 1 Weight loss surgery: state of the art • Patients must have attempted medical weight loss programs and should be highly motivated to change their lifestyle after surgery • The majority of patients undergoing bariatric surgery are between ages 18 and 60 There was insufficient evidence at the time of the 1991 NIH consensus to make recommendations about surgery at the extremes... procedures are blepharoplasty and treatment of the aging lip In general these areas are treated as they might be in a non massive weight loss patient Occasionally massive weight loss patients can be observed to have persistence of periorbital lower eyelid fat after their weight loss not associated with generalized facial aging Figure 3.10 Traditional open face-lift approach, which allows wider access . years after the procedure. Weight loss after LAGB is more gradual than with RYGB, and most of the weight loss after LAGB takes place in the first 3 years after. of obesity, qualify for weight loss surgery. • The type of weight loss procedure performed can have differential effects on weight loss and on long-term