Body contouring is a procedure that changes the shape of the human body. This includes procedures that eliminate or reduce excess skin and fat remaining after obese individuals previously lost significant weight, in various places including the body, upper arm, chest, and thighs.
Video Body contouring
Operasi bariatric
Bariatric surgery (weight loss surgery) includes various procedures performed on people who are obese. Weight loss is achieved by reducing the size of the stomach with the gastric band or through partial removal of the stomach (gastrectomy of the arm or biliopancreatic transfer by duodenal switch) or by changing and re-route the small intestine into a small abdominal sac (gastric bypass surgery). Long-term studies show procedures for causing long-term weight loss, recovery from diabetes, increased cardiovascular risk factors, and reduced mortality from 40% to 23%. The US National Institutes of Health recommends bariatric surgery for obese individuals with a minimum body mass index (BMI) of 40, and for people with a minimum BMI of 35 and serious joint medical conditions such as diabetes. However, emerging studies suggest that bariatric surgery may be appropriate for those with a BMI of 35-40 without comorbidity or BMI 30 to 35 with significant comorbidities. American Society for Metabolic & amp; Bariatric Surgery Guidelines suggest position statements on consensus for BMIs as an indication for bariatric surgery. Recent guidelines show that any patient with a BMI of more than 30 with comorbidity is a candidate for bariatric surgery.
Maps Body contouring
Potential risks and side effects
Body lift is not done lightly. This process requires a commitment on the part of patients who must remain with the program through bariatric surgery, for 18 months is required to lose weight, then the procedure of body building and recovery. Often, beginning to end takes three years. Single body removal surgery can take seven to 10 hours under general anesthesia, blood transfusions and often, other surgeons to help. Plastic surgeons advise patients that body shaping is not an obesity surgery. A patient who is more than 50 percent of her ideal weight should lose as much weight as possible before continuing. Other medical considerations that plastic surgeons should consider include existing scars in the body, current medical conditions such as heart disease or bleeding disorders, and if the patient smokes. Other possible risks include infection and reactions and complications due to being under anesthesia for more than six hours. The patient may also have sera , fluid buildup; dehiscence (wound separation) and deep venous thrombosis (blood clots form in the legs.) Rare complications include lymphatic injury and large wound dehiscence. The hospital stay for this procedure can take one to four days while recovery can take about a month to lift the whole body. Basically, patients trade "skin for scars". However, skin relaxation is always risky and can not be stopped by one procedure. Leading plastic surgeons will fully explain all the risks and complications to their patients and even encourage second or third consultation visits with other plastic surgeons to gain additional insight into such a large undertaking.
Surgical removal procedure
While body building can be performed in a single marathon session, it is usually broken down into one to three surgical stages, with patients under general anesthesia. But if the patient is a smoker, has a history of deep vein thrombosis or clotting disorders along with high BMI and other medical risk factors, the surgeon may insist on performing several short procedures in the hospital to ensure maximum safety for the patient..
The following are the individual components of body contouring:
Raise your arm or brachioplasty. The extra meat on the arm of the bariatric patient almost always appears at the bottom of the upper arm and is sometimes referred to as the "bat wing". The surgeon makes an incision made from the armpit to the elbow to lift the skin. The brachioplasty procedure may use some liposuction after the incision is made. With the arm opened, the surgeon pulls the skin tight and then trims the excess skin that, depending on the patient, can be a pound of skin per arm or more.
Breast enhancement or mastopection. By trimming the excess tissue from the upper breast, the surgeon can move the normally drooping breast to umbilicalus to a more upright and full position. This procedure also often requires an implant to replace the fat and tissue lost in the breast. Scars on women are almost always hidden inside the area covered by a bra.
Gastric abdomen or abdominoplasty. Overhanging skin in the pubic area is often the most disturbing and disturbing feature of the patient. The abdominal pannus retains moisture, and causes a rash because the skin rubs itself which usually causes poor hygiene. While the surgical procedure to remove it is known as panniculectomy , there is often much work to be done for patients suffering from large hanging skins. To provide better contours of the waist, back and pelvis, surgeons sometimes do
Lift the lower body trim the excess skin on the buttocks and thighs. To lift the inner thighs, the surgeon makes a high incision in the inner leg, starting near the groin and continuing to the knee. Some fat can be removed with liposuction. The surgeon then lifts the excess skin and restores the remaining skin before closing the long incision, leaving the patient with a tighter and more attractive thigh.
The outer thigh and buttocks can be lifted through a hip-to-hip incision on the back, above the buttocks.
Non-surgical method
Source of the article : Wikipedia
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