DANA GOLDBERG, MD

Body Contouring after massive weight loss

Why body contouring surgery?

You deserve to feel healthy

You deserve to look good

You deserve to feel good about your weight loss

Why body contouring surgery?

Loose, hanging skin

Rashes and infections

Difficulty moving

Clothes don’t fit right

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

Body areas - Abdomen

Most common area

Panniculectomy

Abdominoplasty

Body Areas – Back and Buttocks

Belt Lipectomy

Lower Body Lift

Gluteal Autoaugmentation

Body areas - Arms

Brachioplasty

Extension onto chest

Body areas - Breasts

Breast lift

Breast augmentation

Body areas – Thigh lift

Who is a good candidate?

Stable weight

Nonsmoker

Optimal health

Nutrition

Contraindications

Scars above the umbilicusFuture pregnancyGross obesitySmokingDiabietes, poor general medical conditionThromboembolic diseaseUnrealistic expectations

What will insurance cover

Different for every insurance company

Commonly covered: panniculectomy

Harder to cover: other areas considered cosmetic

Mygastricbypass.com

Risks

Serious complications Heart and lung problems from anesthesia DVT /PE

Less serious complications Wound healing problems Fluid collections (hematoma, seroma) Infection Skin necrosis

JP drain and binder post op

Steps involved

Consultation and pre op visit

Clearance from your primary doctor

Insurance