Body Contouring after Body Contouring after Massive Weight LossMassive Weight Loss

Post-bariatric Post-bariatric ReconstructionReconstructionPlastic Surgery ChicagoPlastic Surgery Chicago

Body contouring after Body contouring after Massive Weight LossMassive Weight Loss

N o w th at b ariatri c s u rg e ry h as m ad e m e s o

th in an d h e alth y, w h at d o I d o w i th all m y

h an g in g s k i n ?

Jack Gelman, MD, FACSJack Gelman, MD, FACSPost Bariatric Surgery ChicagoPost Bariatric Surgery Chicago

ASPS 2009 StatisticsASPS 2009 Statistics

✺2 0,000 T u m m y tu ck s

✺2 ,800 B u tto ck li fts

✺6,300 U p p e r arm li fts

✺5 ,600 T h ig h li fts

✺1 6,000 B re as t li fts

(specifically after massive weight loss)

MWL and Plastic SurgeryMWL and Plastic SurgeryThere are maj or dif ferences in body cont our ing aft er massive weight l oss compared t o t hose same procedures in ot her pat ient s ( it is no day at t he beach)

Re-cont our ing t he t r unkis t he key st ep!

How to do a How to do a tummy tucktummy tuck

AbdominoplastyAbdominoplasty (T u m m y

T u ck )

Tighten the Rectus Muscles

Remove the Pannus

AbdominoplastyAbdominoplasty

AbdominoplastyAbdominoplasty

AbdominoplastyAbdominoplasty(th e ve rti cal s car i s fro m h e r g as tri c

b yp as s , o u r s car i s h i d d e n b y h e r

u n d e rw e ar)

Abdominoplasty Abdominoplasty (th e ve rti cal s car i s fro m h e r g as tri c b yp as s ,

o u r s car i s h i d d e n b y h e r u n d e rw e ar)

AbdominoplastyAbdominoplasty(th e ve rti cal s car i s fro m h e r g as tri c

b yp as s , o u r s car i s h i d d e n b y h e r

u n d e rw e ar)

AbdominoplastyAbdominoplasty(th e ve rti cal s car i s fro m h e r g as tri c b yp as s ,

o u r s car i s h i d d e n b y h e r u n d e rw e ar)

(th e ve rti cal s car i s fro m h e r g as tri c b yp as s ,

o u r s car i s h i d d e n b y h e r u n d e rw e ar)

(th e ve rti cal s car i s fro m h e r g as tri c b yp as s ,

o u r s car i s h i d d e n b y h e r u n d e rw e ar)

(th e ve rti cal s car i s fro m h e r g as tri c b yp as s ,

o u r s car i s h i d d e n b y h e r u n d e rw e ar)

(th e ve rti cal s car i s fro m h e r g as tri c b yp as s ,

o u r s car i s h i d d e n b y h e r u n d e rw e ar)

(th e ve rti cal s car i s fro m h e r g as tri c

b yp as s , o u r s car i s h i d d e n b y h e r

u n d e rw e ar)

One Year Post-OperativeOne Year Post-Operative

(th e ve rti cal s car i s fro m h i s g as tri c b yp as s )