The Clinical Problem ( Fig. 39.1 ) The lower extremities, and especially the thighs, are one of the most typical surgery consultations in Argentina. Most patients with massive weight loss desire a better-looking shape of the thighs because they look…
The Clinical Problem ( Fig. 38.1 ) The medial thigh is a problematic zone for body contouring both in the aging patient, who has skin laxity and lipodystrophy, and in the massive weight loss patient, with critical skin flaccidity in…
The Clinical Problem ( Fig. 37.1 ) The hand is a major organ of the body. It is a sensory organ that has locomotor function and is used as a means of communication and assessing social status. The features of…
The Clinical Problem ( Fig. 36.1 ) Synopsis Performing procedures to rejuvenate the arm requires an understanding of the aesthetic arm deformity and its pathophysiology. Excisional techniques (e.g., brachioplasty), liposuction, and nonsurgical treatment options may all be used for arm…
The Clinical Problem ( Figs. 35.1 and 35.2 ) Gluteal augmentation surgery has grown by 42%/year in Brazil. Patients who look for gluteoplasty augmentation with implants are about 36 years of age. This type of surgery does not have any…
The Clinical Problem ( Fig. 34.1 ) Truncal body-contouring surgery aimed at excising large quantities of redundant skin and subcutaneous tissue, especially after massive weight loss, with or without bariatric surgery, is not without risk, but can be made safer…
The Clinical Problem See Fig. 33.1 . The Aesthetic Problem A patient will present at surgery with a number of perceived concerns about their abdominal area. Often, this is a surplus of unwanted subcutaneous fat, visceral fat, loose skin, lack…
The Clinical Problem Contour deformities after post–bariatric surgery weight loss are varied and often complex. The Pittsburgh Rating Scale is a useful classification system that allows grading of 10 areas of the body following massive weight loss. Each area is…
The Clinical Problem ( Fig. 31.1 ) Abdominoplasty is a surgical procedure designed to rejuvenate truncal aesthetics, in which flattening a protuberant abdomen, removing redundant tissue, and restoring normal waistline definition is a surgical challenge. Advancement in surgical techniques should…
The Clinical Problem ( Fig. 30.1 ) Why is Gynecomastia Important? When my breasts developed as an adolescent male, I was winning medals for swimming, but I never swam in public again. The embarrassment felt by the patient may be…