The number of surgical
body-contouring procedures performed on post-bariatric surgery patients
after significant weight loss is soaring (up 22 percent from 2004 to 2005
alone) according to the American Society of Plastic Surgeons. An article in
the June, 2006, issue of Plastic Reconstructive Surgery by the leading
practitioner of these techniques describes in detail how improved mid-body
lift techniques trim away the massive amounts of excess skin in the
post-bariatric surgery population.
"The radical weight loss following gastric by-pass leads to improved
blood pressure, and in many patients improves or eliminates diabetes
symptoms," said Berish Strauch, MD, chairman of the Department of Plastic
and Reconstructive Surgery at Montefiore Medical Center, and author of the
paper. "Nevertheless, patients are left with a massive sagging of the
entire body that leads to severe medical and cosmetic deformities," said
Dr. Strauch, who now finds that 80 percent of his surgical practice
involves post-bariatric surgery patients. "It is truly gratifying to be
able to give these patients the body they have dreamed of having."
"A traditional abdominoplasty (tummy tuck) is insufficient for these
patients, who after this kind of extreme weight loss require a special
operation called a circumferential abdominoplasty, a type of complicated,
mid-body lift, which we have modified," said Dr. Strauch.
"We trim excess skin from the stomach, thighs and buttocks in one
operation, rotating the patient carefully on the operating table during the
surgery," Dr. Strauch said. "At a later date, we perform plastic surgery on
other areas of the body. This staged approach improves the patients'
quality of life, has wonderful esthetic results and has proven to be safe
and effective."
Dr. Strauch describes 75 mid-body lift operations in the article. He
has performed more than 300 of these new procedures in the past five years.
Circumferential abdominoplasty is more extensive than a standard tummy
tuck, and involves additional operating room time, more blood loss and
increased recovery time, the article says. After recovery, typically three
months later, further body contouring procedures are considered such as
brachioplasty (trimming underarm 'wings') as well as breast, thigh, face,
neck and back lifts. Each of these procedures requires special techniques
for formerly obese patients, said Dr. Strauch.
He notes a remarkably low incidence of complications. Only one patient
has experienced deep vein clotting, and there have not been any cases of
pulmonary emboli or seroma problems.
Montefiore Medical Center, The University Hospital and Academic Medical
Center for the Albert Einstein College of Medicine, ranks among the top one
percent of all US hospitals based on its investments in medical innovation
and cutting-edge technology.
Montefiore invests more in order to enable compassionate, personalized
care and the most positive outcomes for patients and their families in New
York, the tri-state area and beyond.
Montefiore's unique combination of 'state-of-the-art' technology with
'state-of-the-heart' medical and nursing care in a teaching and research
environment offer patients access to world-class medical experts, the
newest and most innovative treatments and the best medical center
experience anywhere.
This 1,062 bed medical center includes the Henry and Lucy Moses
Division, the Jack D. Weiler Hospital and The Children's Hospital at
Montefiore, a large home healthcare agency and a 21-site medical group
practice located throughout the Bronx and nearby Westchester.
Montefiore treats all major illnesses and has distinguished centers of
excellence in cardiology and cardiac surgery, cancer care, tissue and organ
transplantation, children's health, women's health, surgery and the
surgical subspecialties. Montefiore Medical Center focuses on providing
family- centered healthcare in a nurturing environment that extends well
beyond its hospital and ambulatory settings.
Montefiore Medical Center
montefiore/
Комментариев нет:
Отправить комментарий