Safety in Body Contouring to Avoid Complications.

George Kokosis, Devin Coon

Journal: Clinics in plastic surgery 2019;46(1):25-32

PMID: 30447825

Full Text on Elsevier Science View on PubMed

Abstract

Body contouring after weight loss is becoming more prevalent. An appropriate systematic approach that starts from the first consultation needs to focus on residual comorbidities and weight of the patient. A thorough discussion about potential outcomes manages expectations. Preoperative optimization with smoking, herbal cessation, and nutritional assessment is mandatory. Planned staged approach minimizes lengthy procedures associated with increased postoperative morbidity. In the operating room, appropriate ambient temperature, positioning of the patient, and continuous discussion between surgeon and anesthesiologist prevent further complications. Careful transition to postoperative care with early ambulation and use of compressive garments add to an approach to minimize postoperative complications.

Address: Department of Plastic and Reconstructive Surgery, Johns Hopkins University, 601 North Caroline street, Baltimore, MD 21287, USA.; Department of Plastic and Reconstructive Surgery, Johns Hopkins University, 601 North Caroline street, Baltimore, MD 21287, USA. Electronic address: [email protected].

DOI: 10.1016/j.cps.2018.08.004

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MeSH Terms: Bariatric Surgery, Body Contouring, Counseling, Humans, Postoperative Care, Postoperative Complications, Weight Loss