Post-Bariatric Body Contouring Surgery and Patient Safety
Pp. 50-62 (13)
Bishara S. Atiyeh and Amir Ibrahim
Massive Weight Loss (MWL) patients differ from other patients in several parameters. They
are at an increased risk for complications secondary to potential nutritional deficiencies, persistent
obesity, venous varicosities, poor quality and inelastic tissue. As the numbers of patients who seek body
contouring after extreme weight loss increase, surgeons must be able to inform patients of the risks and
complications of body-contouring surgery as they relate to the specific co-morbidities of the particular
patient. Likewise, surgeons will need to alter the aggressiveness of the procedure according to the risk
versus benefit in patients who fall into higher-risk groups. The foundation for a safe body contouring
practice involves a combination of good patient selection and managing patient expectations.
Appropriate pre-operative assessment intra- and post-operative care as well as selection of the
appropriate timing, type, and magnitude of surgery are all essential.
Body contouring, patient selection, patient safety.
American University of Beirut Medical Center, Beirut, Lebanon.