Body Contouring Following Bariatric Surgery And Massive Weight Loss: Post-Bariatric Body Contouring

Author(s): Bishara S. Atiyeh and Saad A. Dibo

DOI: 10.2174/978160805238711201010127

Back Contouring after Massive Weight Loss

Pp: 127-131 (5)

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Abstract

SHS investigation development is considered from the geographical and historical viewpoint. 3 stages are described. Within Stage 1 the work was carried out in the Department of the Institute of Chemical Physics in Chernogolovka where the scientific discovery had been made. At Stage 2 the interest to SHS arose in different cities and towns of the former USSR. Within Stage 3 SHS entered the international scene. Now SHS processes and products are being studied in more than 50 countries.

Abstract

Management of excessive laxity of the abdomen, breasts, arms, thighs and buttocks following massive weight loss has received much attention, however little has been written about the surgical approach to the back rolls and folds. “Back rolls” can range in a number from one to four on either sides of the midline. In post-bariatric patients, the excess tissue must be excised. Liposuction is rarely indicated because the skin and subcutaneous tissue remains in excess in these patients. In addition, back tissue is dense and fibrous, making it less amenable to liposuction. Post-bariatric contouring of back-roll deformities requires an approach that allows for direct excision of the two lower folds (lower thoracic and hip rolls) during the circumferential lower body lift procedure and of the two upper folds.

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