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ARTICLES
Post-bariatric surgery
Morbid obesity is
characterized by the
excessive accumulations of
adipose tissue (fat) that
are heterogeneously
distributed throughout the
body, having reached
epidemic rates worldwide,
being the most recent
gastroplasty treatment
technique.
Tables of obesity are those
in which the body mass index
(BMI) is above 30kg/m2 and
morbid obesity, when levels
are above 35 kg/m2 or above
when associated with
40Kg/m2-morbidities, as
coronary artery disease,
hypercholesterolemia,
hypertension, bone disease,
diabetes mellitus, lung
disease, sleep apnea, which
compromise the quality of
life of obese.
The morbidly obese patients
who are treated by bariatric
surgery, have great weight
loss, which subsequently
result in huge body
dysmorphia characterized by
asymmetrically distributed
dermograsas redundancies in
the various segments
corporeal and worsen the
quality of life. Patients
with dermograsos excesses in
the region of the abdomen,
flanks, buttocks associated
with mitosis,
circumferential
abdominoplasty is a surgical
solution proven effective.
The excesses dermograsos
abdomen, flanks and buttocks
mitosis are frequent
alterations in patients with
severe weight loss induced
by bariatric surgery.
In studies conducted in
Brazil, Sintra and Modolin
(Brazilian Journal of
Plastic Surgery Vol 24-2009)
in patients post-bariatric
surgery is performed to
correct redundancy of
tissue, who underwent
surgery to improve their
appearance physical, it was
demonstrated that
affective-sexual benefit,
providing personal hygiene
and productivity,
introducing an improved
quality of life, directly
influencing their
self-esteem, self-image and
body image.
Other current session of
evaluation methods are
happiness, social
indicators, standard of
health.
Plastic surgery in these
patients has an important
role on the self-image. The
body contour surgery depends
primarily on the extent of
surgery, the period that the
patient was obese and his
weight loss. To get success
in body contouring surgery,
emotional and personal
aspects must be analyzed, ie
the patient must be
psychologically stable.
The qualitative avaliación
adaptation of these patients
showed that plastic surgery
positively influenced them,
becoming, more sociable,
showing improvements in
mood, self-esteem, rafters
in their behavior, improving
their social and family
life.
While the techniques
outlined in this type of
patient satisfaction with
the achieved results in the
abdominal region, buttocks,
breasts, arms and legs.
It is emphasized that the
traditional techniques of
cosmetic surgery, do not
provide good results in
patients with major weight
loss of tissues, therefore
it is mandatory the use of
unique techniques for these
patients, as well as
experience in this type of
surgery. For example, a
traditional abdominoplasty
technique, only improves the
anterior abdominal wall,
while compared with a
circumferential
abdominoplasty, this
provides an improvement in
the anterior, posterior of
the abdomen and buttocks.
The ideal patient is one
with stable weight loss
about 4 months, with less
body mass index (BMI) as
possible, emotional balance
and stable clinical
condition.
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Figure 1:
preopraratorio
and
post-operative |
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Figure 2:
Appearance and
post-operative
preopraratorio |
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Figure 3:
Appearance and
post-operative
preopraratorio |
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