Handal Marina, Handal Jenna, Nevill Tiffany, Finkelstein Paige, Kichler Kandace
Medicine, Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale, USA.
Biology, Nova Southeastern University, Fort Lauderdale, USA.
Cureus. 2024 Nov 1;16(11):e72864. doi: 10.7759/cureus.72864. eCollection 2024 Nov.
In the United States, bariatric surgery has become the gold standard treatment for patients struggling with obesity and its severe sequelae. Often, after bariatric surgery, massive weight loss (MWL) occurs, leaving patients with cutaneous deformities such as excess tissue and redundant skin. As such, MWL patients struggle with cosmetic and functional impairments that hinder their quality of life, self-esteem, and body image. Here, we present the first guide to cosmetic surgical procedures available to patients following MWL to improve aesthetic and functional results after bariatric surgery. The guide features several body contouring procedures such as abdominoplasty, liposuction, body lift, brachioplasty, thighplasty, flankplasty, mastopexy, and facelift. This guide serves to educate patients about the surgical options they can elect after bariatric surgery in order to achieve their cosmetic and functional goals. Physicians or other medical staff may also use this guide as an aid for counseling MWL patients. Each surgical procedure is highlighted for the reader to understand its goals, expected outcomes, and patient-perceived cost-effectiveness. The guide seeks to be transparent about all benefits, risks, and options available to these MWL patients. Ultimately, the purpose of this guide is to inform post-MWL patients about their options for cosmetic procedures and to assist them in this critical health decision-making process.
在美国，减肥手术已成为肥胖症及其严重后遗症患者的金标准治疗方法。通常，减肥手术后会出现大量体重减轻（MWL），使患者出现皮肤畸形，如组织过多和皮肤松弛。因此，MWL患者会面临美容和功能障碍，这些障碍会影响他们的生活质量、自尊和身体形象。在此，我们提供了第一份针对MWL患者的美容手术指南，以改善减肥手术后的美学和功能效果。该指南介绍了几种身体塑形手术，如腹壁成形术、抽脂术、身体提升术、上臂成形术、大腿成形术、侧腹成形术、乳房上提术和面部除皱术。本指南旨在让患者了解减肥手术后可供选择的手术方案，以实现他们的美容和功能目标。医生或其他医务人员也可将本指南作为咨询MWL患者的辅助工具。每种手术都有重点介绍，以便读者了解其目标、预期效果以及患者认为的性价比。该指南力求对这些MWL患者可获得的所有益处、风险和选择保持透明。最终，本指南的目的是告知MWL术后患者其美容手术的选择，并在这一关键的健康决策过程中为他们提供帮助。
