Objectives: Body contouring is a challenging single stage procedure. Teamwork, planning and effective execution of each step of the procedure leads to minimal complications perioperatively.
Introduction: Body contouring after weight loss is gradually growing in the field of plastic surgery. Bariatric procedures aimed at reducing weight result in significant skin relaxation and invariably these patients need surgery to correct the residual issues and improve overall appearance. Single stage body contouring can be challenging as its major hemodynamic challenge. As with other aesthetic procedures, it’s important to have proper patient selection, risk identification and safe and effective execution of surgery to achieve optimal results.
Materials / method: The aim of the study was to review all single stage body contouring surgeries carried out between July 17 to December 18.
All cases were performed under GA combined with tumescent LA infiltration (18-20 mg/kg lidocaine) with adrenaline.
Single stage surgery included: Extended abdominoplasty, reduction/mastopexy/augmentation, brachioplasty, medial vertical thigh lift in all patients i.e., all patients had five procedures as a single stage. All these areas were also combined with liposuction.
All patients had pressure garments for 6 weeks.
Results: 15 cases were performed between July 17 to December 18. The mean age was 40 years, and 13 were females and 2 males. All cases were performed under GA with range of 4-6 lit of tumescent LA infiltration. All patients had five procedures as a single stage.
The mean surgery time was 4 hours and range form 3-4.5 hrs. The follow up period ranged from 6-20 months. The mean hospital stay was 1.5 days.
No major complication was noted. 12 cases required small revision surgery; Liposuction 6 cases, dog ear excisions 7 cases, other scar revisions 3 cases.
Conclusion: Body contouring is a challenging one stage procedure. Teamwork, planning and effective execution of each step of the procedure leads to minimal complications perioperatively. We think if these procedures are performed as well organized team work in short period of time under effective use of tumescent anesthetic fluid, it results in shorter anesthetic time and also reduces the bleeding. All these contribute in reducing perioperative problems and result in quicker recovery.
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