BOOK
Body Contouring, An Issue of Clinics in Plastic Surgery, E-Book
J. Peter Rubin-DUPLICATE DO NOT USE
(2014)
Additional Information
Book Details
Abstract
This issue of Clinics in Plastic Surgery offers the surgeon information on the most recent approaches to body contouring, primarily focused on this procedure performed after massive weight loss. Gastric bypass surgery practically foretells abdominoplasty, with ~75% of patients undergoing plastic surgery following gastric bypass. A total of almost one-half million body contouring procedures are performed annually by plastic surgeons according to ASPS statistics. Topics in this issue include: Assessing outcomes in body contouring; Preoperative evaluation of the body contouring patient; What happens to the skin after weight loss; Effect of further weight loss following body contouring; Effect of weight gain following body contouring; Anesthesia considerations; Procedures for Brachioplasty; Bra line back lift; Breast contouring; Abdomen contouring; the Fleur Di Lis Abdominoplasty; Extended abdominoplasty; Medial thigh lift; Buttock contouring; Truncal contouring; Lower body lift; and Prevention and management of complications.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Body Contouring\r | i | ||
| Copyright\r | ii | ||
| Contributors | iii | ||
| Contents | v | ||
| Clinics In Plastic Surgery\r | ix | ||
| Preface\r | xi | ||
| Preoperative Evaluation of the Body Contouring Patient | 637 | ||
| Key points | 637 | ||
| Introduction | 637 | ||
| Preoperative evaluation and procedure timing | 637 | ||
| Patient BMI | 638 | ||
| Medical comorbidities | 638 | ||
| Nutritional status | 640 | ||
| Psychological considerations and managing patient expectation | 640 | ||
| Combining and staging procedures | 641 | ||
| Summary | 642 | ||
| References | 642 | ||
| Assessing Outcomes in Body Contouring | 645 | ||
| Key points | 645 | ||
| Introduction | 645 | ||
| Bariatric Surgery | 645 | ||
| Body Contouring | 646 | ||
| Need for a New PRO Instrument: The BODY-Q | 647 | ||
| Methods and results | 647 | ||
| Phase 1 | 647 | ||
| Theoretic approach | 647 | ||
| Literature review | 647 | ||
| Qualitative interviews | 647 | ||
| Development of preliminary items and scales | 648 | ||
| Cognitive interviews | 650 | ||
| Expert input | 650 | ||
| Phase 2 | 650 | ||
| Field test | 650 | ||
| Discussion | 652 | ||
| Summary | 653 | ||
| References | 653 | ||
| Abdominoplasty | 655 | ||
| Key points | 655 | ||
| Introduction | 655 | ||
| Patient selection and screening | 657 | ||
| Preoperative planning and preparation | 657 | ||
| Surgical markings | 658 | ||
| Surgical technique | 659 | ||
| Potential complications | 663 | ||
| Postprocedural care | 665 | ||
| Scars | 665 | ||
| Peregrinations on the umbilicus | 667 | ||
| Drains | 668 | ||
| Pain | 670 | ||
| Rehabilitation and recovery | 670 | ||
| Summary | 670 | ||
| References | 670 | ||
| The Fleur-De-Lis Abdominoplasty | 673 | ||
| Key points | 673 | ||
| Background | 673 | ||
| Patient selection | 673 | ||
| Surgical technique | 674 | ||
| Postoperative management | 677 | ||
| Outcomes and complications | 677 | ||
| Summary | 678 | ||
| References | 679 | ||
| Two Position Comprehensive Approach to Abdominoplasty | 681 | ||
| Key points | 681 | ||
| Introduction | 681 | ||
| History of abdominoplasty | 682 | ||
| Goals of the two position comprehensive abdominoplasty | 682 | ||
| Pre-operative preparation | 682 | ||
| Patient markings | 682 | ||
| Anatomic pearls | 683 | ||
| Anesthesia | 683 | ||
| Patient positioning | 684 | ||
| Patient turning | 684 | ||
| Treatment of the rectus diastasis | 687 | ||
| Abdominal flap thinning | 687 | ||
| Umbilical placement and fixation | 688 | ||
| Pain control, drains, and the umbilical locator | 689 | ||
| Abdominal closure | 689 | ||
| Optimizing outcomes | 690 | ||
| Postoperative care | 692 | ||
| Abdominoplasty in Combined Body Contouring Procedures | 692 | ||
| Preoperative preparation | 695 | ||
| Surgical technique | 699 | ||
| Complications and their management in combined body contouring procedures | 700 | ||
| Summary | 703 | ||
| Acknowledgments | 704 | ||
| Supplementary data | 704 | ||
| Suggested Readings | 704 | ||
| The Extended Abdominoplasty | 705 | ||
| Key points | 705 | ||
| Introduction | 705 | ||
| Preoperative evaluation | 707 | ||
| Technique | 707 | ||
| Discussion | 711 | ||
| Summary | 712 | ||
| Acknowledgments | 712 | ||
| References | 712 | ||
| The Bra-Line Back Lift | 715 | ||
| Key points | 715 | ||
| Introduction/Overview | 715 | ||
| Treatment goals and planned outcomes | 716 | ||
| Preoperative planning and preparation | 716 | ||
| Patient evaluation | 716 | ||
| Preoperative markings | 716 | ||
| Patient positioning | 718 | ||
| Procedural approach | 718 | ||
| Potential complications and management | 722 | ||
| Postprocedural care | 723 | ||
| Outcomes and evidence | 725 | ||
| Summary | 726 | ||
| References | 726 | ||
| The Vertical Medial Thigh Lift | 727 | ||
| Key points | 727 | ||
| Introduction | 727 | ||
| Patient selection and screening | 728 | ||
| Treatment goals and planned outcomes | 733 | ||
| Preoperative planning and preparation | 735 | ||
| Patient positioning | 735 | ||
| Procedural approach | 735 | ||
| Patient Preparation | 735 | ||
| Tumescent Fluid | 736 | ||
| Dissection | 736 | ||
| Clamping | 736 | ||
| Marking | 736 | ||
| Incision, Dissection, Closure | 738 | ||
| Potential complications and management | 739 | ||
| Postprocedural care | 740 | ||
| Rehabilitation and recovery | 742 | ||
| Outcomes | 742 | ||
| Summary | 742 | ||
| References | 742 | ||
| Brachioplasty | 745 | ||
| Key points | 745 | ||
| Discussion | 750 | ||
| References | 751 | ||
| Brachioplasty with Limited Scar | 753 | ||
| Key points | 753 | ||
| Introduction | 753 | ||
| Patient selection | 754 | ||
| Preoperative preparation | 755 | ||
| Surgical technique | 755 | ||
| Markings | 755 | ||
| The Procedure | 756 | ||
| Optimizing outcomes | 759 | ||
| Postoperative care | 759 | ||
| Complications: based on a review of 1200 cases | 759 | ||
| Summary | 762 | ||
| References | 763 | ||
| Circumferential Truncal Contouring | 765 | ||
| Key points | 765 | ||
| Introduction | 765 | ||
| Patient presentation | 765 | ||
| Patients with Massive Weight Loss | 766 | ||
| Patients with Massive Weight Loss Status Post Anterior-only Resection Surgery | 766 | ||
| Preoperative evaluation | 766 | ||
| History | 766 | ||
| Physical Examination | 767 | ||
| Testing and Imaging | 768 | ||
| Markings | 768 | ||
| Patient positioning and surgical technique | 769 | ||
| Management of Abdominal Scars | 770 | ||
| Postprocedural care, rehabilitation, and recovery | 770 | ||
| Outcomes | 771 | ||
| Patients with Massive Weight Loss | 772 | ||
| BMI Greater than 35 | 772 | ||
| BMI of 35 to 30 | 772 | ||
| BMI Less than 30 | 772 | ||
| Patients with Massive Weight Loss Status Post Anterior-only Resection Surgery | 773 | ||
| Complications | 773 | ||
| Suggested readings | 774 | ||
| Circumferential Body Contouring | 775 | ||
| Key points | 775 | ||
| Introduction | 775 | ||
| Patient selection and screening | 776 | ||
| Treatment goals and planned outcomes | 778 | ||
| Preoperative planning and preparation | 779 | ||
| Markings | 780 | ||
| Patient positioning | 780 | ||
| Procedural approach | 780 | ||
| Anterior Preparation | 781 | ||
| Mons Pubis Reconstruction | 782 | ||
| Adjuvant Liposuction | 783 | ||
| Male “Love Handles” | 783 | ||
| Potential complications and management | 783 | ||
| Postoperative care | 783 | ||
| Outcomes | 784 | ||
| Maximal Point of Gluteal Projection | 784 | ||
| Scar Appearance | 784 | ||
| Transition Vectors | 785 | ||
| Summary | 788 | ||
| References | 788 | ||
| Noninvasive and Minimally Invasive Techniques in Body Contouring | 789 | ||
| Key points | 789 | ||
| Minimally invasive modalities | 789 | ||
| Introduction | 789 | ||
| Adjunctive modalities in liposuction | 789 | ||
| Laser-Assisted Liposuction (LAL) | 790 | ||
| Preoperative preparation | 790 | ||
| Surgical technique | 790 | ||
| Postoperative care | 791 | ||
| Complications and management | 791 | ||
| Summary | 791 | ||
| Ultrasound-Assisted Liposuction (UAL) | 791 | ||
| Preoperative preparation | 792 | ||
| Surgical technique | 793 | ||
| Treatment recommendations | 794 | ||
| Posterior trunk | 794 | ||
| Abdomen | 794 | ||
| Extremities and buttocks | 794 | ||
| Gynecomastia | 794 | ||
| Face and neck | 794 | ||
| HIV-associated cervicodorsal lipodystrophy | 794 | ||
| Optimizing outcomes | 794 | ||
| Postoperative care | 795 | ||
| Complications and management | 795 | ||
| Noninvasive modalities | 795 | ||
| Cryolipolysis | 795 | ||
| Preprocedure preparation | 795 | ||
| Technique | 795 | ||
| Optimizing outcomes | 796 | ||
| Postprocedure care | 796 | ||
| Complications and management | 796 | ||
| Summary | 796 | ||
| High-Intensity Focused Ultrasound | 797 | ||
| Preprocedure preparation | 797 | ||
| Technique | 797 | ||
| Optimizing outcomes | 797 | ||
| After procedure care | 797 | ||
| Complications | 798 | ||
| Low-Level Laser Therapy | 798 | ||
| Preprocedure preparation | 799 | ||
| Technique | 799 | ||
| Complications | 800 | ||
| Summary | 800 | ||
| Tissue Liquefaction Lipoplasty | 800 | ||
| Radiofrequency (RF) | 801 | ||
| Mesotherapy | 802 | ||
| Formulations | 802 | ||
| Preparation for mesotherapy | 802 | ||
| Injections | 802 | ||
| Side effects and treatment | 802 | ||
| Prevention and Management of Complications in Body Contouring Surgery | 805 | ||
| Key points | 805 | ||
| Introduction | 805 | ||
| Preoperative evaluation | 806 | ||
| Perioperative interventions | 806 | ||
| Common complications in body contouring | 807 | ||
| Infection | 807 | ||
| Prevention | 807 | ||
| Diagnosis | 807 | ||
| Index | 819 |