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Semin Plast Surg 2006; 20(1): 015-023
DOI: 10.1055/s-2006-932445
Copyright © 2006 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Abdominoplasty Following Massive Weight Loss

Jordan M.S Jacobs1 , Steven Schechner2 , Jonathan S. Jacobs2
  • 1Department of Surgery, New York University School of Medicine, New York, New York
  • 2Associates in Plastic Surgery, Inc., Virginia Beach, Virginia
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Publikationsdatum:
26. Januar 2006 (online)

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ABSTRACT

Bariatric surgery has become an effective treatment for severe obesity. Various techniques have evolved over the years, with the most common now being the Roux-en-Y gastric bypass. Patients who experience massive weight loss are left with disfiguring skin laxity that warrants surgical excision of the redundant tissue. Our experience comes from 400 abdominoplasties performed on patients with massive weight loss over the past 20 years. Special consideration must be given to this subset of patients when designing their abdominoplasties because of compromised vascularity from previous surgeries and persistent volumes of subcutaneous adipose tissue. In particular, the groin flap or cross-abdominal flap or both are presented as options for the postbypass patient in whom subcostal and midline scarring is present. The reverse abdominoplasty remains an option in special circumstances. In addition, we focus on complications these patients are more likely to develop, mainly related to associated incisional hernias and a disrupted vascular anatomy.

KEYWORDS

Massive weight loss - groin flap - cross-abdominal flap

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Jonathan S JacobsD.M.D. M.D. 

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Virginia Beach, VA 23454