For massive weight loss patient, there is a large amount of excess skin around the abdominal area. This is exacerbated with buttock ptosis, mons ptosis. This is extremely troublesome for patients both socially and physically with recurrent skin infection and unable to buy clothing. The treatment of choice is to have a circumferential body lift. The surgery encompassed the excision of large volume of skin and loose tissue around the mid-torso (belt lipectomy) and lifting the buttock and mons upwards (trouser lift) and tightened the abdominal region (abdominoplasty). The combination of the above will re-shape the mid-trunk area.
This is a large operation and patient is required to stay in hospital for 5 days. A circumferential scar is formed at the level of the hip bone and this will required a longer period to heal. In some cases, abdominoplasty can be performed in the first instance and the remaining circumferential lift can be performed as a staged procedure.
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