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plasticsurgery.org - No Increase in Complications with 'Tummy Tuck' in Obese Patients

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"Tummy tuck" surgery (abdominoplasty) can be safely performed in obese patients, with no increase in complications compared to non-obese patients, reports a study in the April issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS). "Abdominoplasty, with or without concurrent liposuction, in obese patients is a safe and effective procedure with similar perioperative complication rates as the non-obese patient population," write ASPS Member Surgeon Laurence Glickman, MD, MSc, FACS, and colleagues of Long Island Plastic Surgical Group, Garden City, NY. The findings help to alleviate concerns that obese patients are at higher risk of complications after tummy tuck.

Good Outcomes and Safety of Abdominoplasty in Patients with Obesity

The study included 82 patients who underwent abdominoplasty – a popular cosmetic surgery procedure to improve the appearance of the abdomen – over a seven-year period. Twenty-one patients were classified as obese, based on an average body mass index (BMI) of 35 kilograms per square meter (kg/m2). The remaining 62 patients were classified as non-obese, average BMI 25 kg/m2. Complication rates were compared between groups, with an average follow-up time of close to one year. Obese patients were more likely to have high blood pressure; otherwise, risk factors were similar between groups. All procedures were performed by Dr. Glickman, following the same technique. For most patients in both groups, tummy tuck surgery was combined with liposuction. As in previous studies of abdominoplasty, there was a significant risk of complications. However, all complication rates were similar between groups. Obese patients had a higher rate of fluid collections under the skin (seromas) requiring drainage: 22.5 versus 14.2 percent. However, the difference between groups was not statistically significant. Rates of other complications were also similar between groups, including infections, wound-healing problems (dehiscence), and blood collections under the skin (hematomas). No patient in either group developed problems with blood clots (venous thromboembolism), a more serious type of complication. Abdominoplasty is the fifth most common cosmetic procedures in the United States, with nearly 130,000 procedures performed in 2017, according to ASPS statistics. Although widely performed, abdominoplasty carries the highest complication rate of all cosmetic procedures. "Many surgeons elect not to perform abdominoplasty on patients with a high BMI, fearing an increased risk of perioperative complications," Dr. Glickman and coauthors write. Most previous studies of abdominoplasty in high-BMI patients have focused on those who have undergone bariatric surgery (such as gastric bypass), who are at increased risk of complications. The findings help to clarify the "risks and rewards" of abdominoplasty in non-bariatric surgery patients with a BMI in the obese range. "Our study results suggest that patients with a BMI greater than 30 in and of itself should not be viewed as a strict contraindication to abdominoplasty," Dr. Glickman and coauthors conclude. They cite a previous study suggesting that decisions about tummy-tuck surgery should consider the individual patient's risk factors, and not be based on BMI alone. "Plastic surgeons should evaluate patients on a case-by-case basis and patients should be counseled as to the potential perioperative risks of this procedure," the researchers add. They also emphasize the importance of discussing realistic postoperative goals with patients considering abdominoplasty.

Plastic and Reconstructive Surgery® is published by Wolters Kluwer.

Click here to read "Abdominoplasty in the Obese Patient: Risk versus Reward"

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Does tummy tuck lift FUPA?

Get Rid of a FUPA: Tummy Tuck The definitive way to be completely rid of a FUPA, if you are done having kids, is a Tummy Tuck. During a Tummy Tuck procedure, I cut out the extra skin and fat that makes up the FUPA and I re-suspend that tissue on your abdominal wall.

tannanplasticsurgery.com - The Best Way to Get Rid of a FUPA (Fat Upper Pubic Area)

Where our body stores fat is based on our unique genetics. For some it is more on the inside, or the visceral fat. For others it is on their thighs. Yet another place where we store extra fat is in the upper pubic area, affectionately known as the “FUPA.” A FUPA results in a more pronounced lower belly area that can affect anyone, even Beyonce! Having kids and a C-section scar can make the shelf of tissue in the FUPA be more saggy. The skin and fat stretch during pregnancy. If that tissue does not snap back (which is pretty common), then we are left with a sagging area of skin and fat under the C-section scar. If you reached your limit with a healthy diet and regular exercise and now wonder how to get rid of that FUPA, keep reading. Depending on your specific needs, there are three good options to get rid of a fatty upper pubic area. These options are a Tummy Tuck, Liposuction and CoolSculpting. Let’s go over the details below.

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