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Plastic surgery
Sommaire Plastic Surgery
Key-points of the strategy in plastic surgery in an obese patient with mass
Therapeutic strategy
Parts of the body on which to have plastic surgery
Plastic surgery without weight-loss, plastic surgery for local obesity
Plastic surgery

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Plastic surgery

Parts of the body on which to have plastic surgery
 
Abdomen
Abdominoplasty is the most claimed operation (80%). It aims at the following:
- To remove excess fat tissue.
- To remove excess skin above and beneath the umbilicus.
- To repair overdistended muscles resulting from pregnancy or the pressure formerly exerted by body fat before weight loss.
The scar resulting from the abdominoplasty is situated very low, just above the pubis, going up sligthly on either side, and can be hidden in the swimsuit. The pubic hair is repositioned as normal.
An additional liposuction may also decrease the size of the "Venus mount".
Follow-up is generally simple. Hospitalisation lasts about one week. The main complication patients face is a thrombo-embolism (phlebitis of the legs and pulmonary embolism, for which anti-coagulants should be taken), and wound problems (e.g. hematomas and abscess). The patient should remain off work for one month.
 
Breasts
Both functions of the breasts, i.e. feeding and erotic, are important. The psychological role they play according to their shape is major, and any flaw in their shape or size can cause much distress.
From of health point of view, they may cause lumbago if too heavy.
Hence, the aim of surgery is to recreate a normal shape and volume.
The procedure is relatively straightforward: a hospitalisation of 48 to 72 hours is enough.
The only cause for concern is the scars left behind after surgery, but these are getting smaller and smaller thanks to rapidly improving techniques.
 
Inside part of the thighs
This is one of the areas of the body where skin is the thinnest. As the patient loses weight, the skin shrinks, creating a distressing roll of fat, which in turn leads to functional and aesthetic problems ("it rubs").

Surgery is effective (1,5 kg of skin is removed from each thigh) and discreet because the scar can be hidden at the root of the thigh.

Scar healing does, however, take longer than usual because the scar is located in a fold which is very mobile and is also prone to steep.
 
Bodylift
This is a complete lift of the lower body, with a scar going right round the body, low enough to be hidden by the swimsuit. A bodylift is often performed in conjunction with liposuction of the fat on the buttocks. The bodylift is a relatively heavy procedure because of the amount of skin removed (20 to 30 cm in height of skin around the body), the weight of the tissues (4 to 6 kg in an average, sometimes more), the length of the intervention (4 to 5 hours).
Also the fact that the abdomen, buttocks, hips, and thighs are all lifted at the same time adds to the seriousness of this intervention. The recovery period is often marked by extreme fatigue but the result can be very spectacular.
 
Arms
The excess of fat and skin on the arms can be a problem with clothing.
Lifting of the arms is therefore very sought after operation.
The operation itself is relatively straighforward, and the scar is easily hidden under the arm.
This operation can, for example, can be combined with a breast reduction.
 
Face
- Facial lift can decrease the ptosis of the skin on the face and the neck. Individual bone shape, heredity and quality of the skin all play an important role regarding the outcome, and to a certain extent how long the lift will be effective. The aim is to enable the patient to "look good for his age" and to give the face a sharper outline and a brighter look.
-

The surgeon works on one side of the face, then the other, through small incisions made in the scalp, or in the natural creases around and at the back of the ears. Incisions are designed to obtain the smallest possible scars. If necessary, excess fat is removed and distended muscles are tightened. The skin is then pulled and any excess skin is removed.

The aim is to give the face a firm and fresh contour. The colour of the skin may temporarily change after the operation, and the patient may experience a feeling of tingling and hardening of the skin on the face and the neck. Healing is slow, and it can take weeks or even months before the final result is obtained.

The scars can be hidden within the hair, and by appropriate make-up.

The skin remains fragile for several weeks. It is therefore recommended to avoid exposure to the sun and to protect the skin with a total sunblock cream. The patient may use make-up very soon after surgery.


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