Summary: Massive weight loss patients present specific challenges to the plastic surgeon. Review of these issues may be valuable for the surgeon who does not specialize in this area. Obtaining excellent results involves a comprehensive perioperative approach, beginning with proper patient selection and appropriate expectations. Operative considerations such as hypothermia prevention and thromboembolic prophylaxis can play a role in improving outcomes and reducing morbidity. Appropriately focused postoperative care completes the surgical plan, leading to satisfying results for both patient and surgeon.
North Bethesda and Baltimore, Md.; and Pittsburgh, Pa.
From private practice; the Department of Plastic, Maxillofacial, and Reconstructive Surgery, The Johns Hopkins Medical Institutions; and the Department of Plastic and Reconstructive Surgery, University of Pittsburgh Medical Center.
Received for publication May 7, 2010; accepted August 30, 2010.
Disclosure: None of the authors has a financial interest in any of the products, devices, or drugs mentioned in this article.
J. Peter Rubin, M.D., Division of Plastic and Reconstructive Surgery, 4553 Terrace Street, 6B Scaife Hall, Pittsburgh, Pa. 15261, firstname.lastname@example.org