scholarly journals Plastic Surgery After Bariatric Surgery and Massive Weight Loss: In Response

2005 ◽  
Vol 80 (1) ◽  
pp. 136
Author(s):  
R. John Presutti
2005 ◽  
Vol 80 (1) ◽  
pp. 136 ◽  
Author(s):  
James Knoetgen ◽  
Paul M. Petty ◽  
Craig H. Johnson

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Samrat Mukherjee ◽  
Sachin Kamat ◽  
Samuel Adegbola ◽  
Sanjay Agrawal

Background. With the increase in bariatric surgery in the UK, there has been a substantial increase in patients undergoing massive weight loss (MWL) seeking postbariatric body-contouring (bariplastic) surgery. However, there is a wide variation of availability on the National Health Service (NHS). Aims. To (1) review the funding policies of Primary Care Trusts (PCTs) in England for bariplastic surgery and (2) analyse the number of procedures funded in two consecutive financial years. Methods. We sent out questionnaires to all PCTs in England regarding their funding policies for bariplastic surgery and requested the number of procedures funded in 2008-09 and 2009-10. Findings. 121/147 (82%) PCTs replied to our questionnaires. 73 (60%) excluded all bariplastic procedures. 106/121 (87.6%) PCTs had referral guidelines for plastic surgery. 46/121 (38%) PCTs provided the total number of funded abdominoplasty-apronectomy (A-A) in the two financial years: total number of A-A applicants rose from 393 to 531, but approval for funding fell from 24.2% to 19.6%. Only 3 (2%) PCTs indicated increase in their future spending on bariplastic procedures in the next 5 years, with 67% planning to decrease or unsure about future funding. Conclusion. There exists a postcode lottery for bariplastic surgery in England and we feel the need for guidelines on provision of bariplastic procedures following MWL.


2005 ◽  
Vol 80 (1) ◽  
pp. 136 ◽  
Author(s):  
James Knoetgen ◽  
Paul M. Petty ◽  
Craig H. Johnson

2019 ◽  
Vol 40 (1) ◽  
pp. NP21-NP31 ◽  
Author(s):  
Rodrigo P Sizenando ◽  
Marco Túlio C Diniz ◽  
Paulo Roberto da Costa ◽  
Luiz Gustavo S Manhães

Abstract Background In 1971, Ribeiro isolated a segment in the inferior pole of the ptotic breast, nourished by muscular perforating vessels, and moved it cranially to the posterior region of the remaining detached breast tissue, where it was fixed to the pectoral fascia. This maneuver created a flap with autologous implant function, independent from the rest of the breast’s support, that maintained long-term mammary projection. Objectives The objectives of this study were to measure the vertical movement of this flap 1 year after mammaplasty and to evaluate the factors involved. Methods The sample included 13 patients who had previously undergone bariatric surgery. The position of a titanium marker attached to the Ribeiro flap was compared on chest radiographs taken 1 day and 1 year after the mammaplasty. The significance level was set at 5%. Results All of the titanium markers moved 0.6 cm to 4.1 cm caudally during the study period (average, 2.4 cm ± 1.02 cm). The greater the weight loss after the plastic surgery, the further the marker’s descent. Weight loss between bariatric surgery and plastic surgery, the vertical dimension of the ptotic breast tissue immediately before plastic surgery, the vertical extent of the nipple-areola complex elevation during mammaplasty, the Ribeiro flap thickness and volume, and the breast volume after mammaplasty were not associated with the vertical movement of the flap. Conclusions The Ribeiro flap employed in mammaplasty of patients who previously underwent bariatric surgery undergoes ptosis that is exacerbated by weight loss after mammaplasty. Level of Evidence: 4


2012 ◽  
Vol 23 (2) ◽  
pp. 277-277 ◽  
Author(s):  
Britta Wilms ◽  
Barbara Ernst ◽  
Martin Thurnheer ◽  
Burkhard Weisser ◽  
Bernd Schultes

2018 ◽  
Vol 26 ◽  
pp. 57-65 ◽  
Author(s):  
Michele Novaes Ravelli ◽  
Dale A. Schoeller ◽  
Alex Harley Crisp ◽  
Natalie M. Racine ◽  
Karina Pfrimer ◽  
...  

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