Dinis Jacob, Otero Sofia C Perez, Quirarte Diego M, Owens Winston R, Winocour Sebastian J
Division of Plastic Surgery, Michael E. DeBakey, Department of Surgery, Baylor College of Medicine, Houston, Texas.
Division of Plastic Surgery, Department of Surgery, Texas Children's Hospital, Houston, Texas.
Semin Plast Surg. 2025 May 21;39(2):113-118. doi: 10.1055/s-0045-1807724. eCollection 2025 May.
Body contouring procedures have become increasingly common to meet the growing demand for aesthetic surgery, particularly in the context of bariatrics. Massive weight loss (MWL) patients are complex and often require extensive management of comorbidities, malnutrition status, physical debilitation, and psychological sequelae. Patient optimization prior to body contouring surgery in addition to strict postoperative maintenance are crucial to achieve favorable and sustainable outcomes. Surgical candidates should be screened thoroughly, and in the MWL patient population specifically, multidisciplinary care is needed for proper evaluation and support. Notable specialists that routinely contribute in MWL and body contouring patient care include plastic surgeons, bariatric surgeons, primary care physicians, dieticians, endocrinologists, mental health providers, and physical therapists. This article details essential roles within the multidisciplinary approach to body contouring surgery and MWL patients and reviews critical pre-, intra-, and postoperative aspects of care.
为满足日益增长的美容手术需求,尤其是在肥胖症治疗背景下,身体塑形手术已变得越来越普遍。大量减重(MWL)患者情况复杂,往往需要对合并症、营养不良状况、身体虚弱和心理后遗症进行广泛管理。除了严格的术后维持措施外,身体塑形手术前的患者优化对于取得良好且可持续的效果至关重要。手术候选人应接受全面筛查,特别是在MWL患者群体中,需要多学科护理来进行适当评估和支持。经常参与MWL和身体塑形患者护理的知名专家包括整形外科医生、肥胖症外科医生、初级保健医生、营养师、内分泌学家、心理健康服务提供者和物理治疗师。本文详细介绍了身体塑形手术和MWL患者多学科方法中的重要作用,并回顾了护理中关键的术前、术中和术后方面。