الفهرس 
Anatomy of the Anterior Abdominal Wall and ThighOnly 14 pages are availabe for public view
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Abstract
Obesity is a major health problem worldwide and has reached an epidemic proportion in the Western society. Evidence continues to accumulate that obesity is a major risk factor for many diseases and is associated with significant morbidity and mortality.
The universal definitions of overweight and obesity have been established using body mass index (BMI equal kilograms of body weight/height [m 2] squared). For adults a BMI between 25 and 29.9 is considered overweight and a BMI of 30 or greater is defined as obese.
As a result of the obesity pandemic, more and more individual are seeking bariatric surgery for weight loss and resolution of conditions related to obesity. As the numbers have risen to greater than 200,000 cases per year, the number of post-bariatric massive weight loss patients presenting to the plastic surgeon for body contouring to address excess skin laxity is increasing.
After the massive weight loss following bariatric surgery, about 90% of patients tend to display the negative effects secondary to the large amount of redundant skin. In addition to the aesthetic problems, this leads to functional problems, dermatoses and difficulties in carrying on personal hygiene.
The treatment of redundant skin is a necessary and essential step to improve the quality of life of patients after bariatric surgery. Nevertheless, there is clinical evidence on the differences in the healing and recovery processes of patients with massive weight loss after bariatric surgery.
Patient expectations must be assessed at the initial patient consultation. Generally, post bariatric surgery patients want the procedure immediately; they want perfect results, no downtime, and no risks.
Thus, patients have to be informed that body -contouring procedures are complex and labor-intensive, with big scars, long recovery times, and common wound healing complications.
Staging for a massive weight loss patient desiring total body contouring includes, firstly, lower body lift including abdominoplasty then breast or arm procedures, followed by medial thigh, and upper back surgery. Facial rejuvenation procedures are performed last.
Abdominoplasty deals with the excess abdominal pannus and scars of the abdominal wall and may be used to correct diastasis of the rectus muscles and sometimes the looseness of the external oblique muscles.
Types of abdominoplasty operations include standard (full) abdominoplasty, miniabdominoplasty, extended abdominoplasty, circumferential abdominoplasty, High lateral tension abdominoplasty and Fleur de Lys abdominoplasty.
Thigh is one of the most complex regions to address in massive weight loss patients because of differing degree, location and quality of skin excess and fatty tissue, as well as surgical risk factors. Thigh lift divided in to medial and lateral thigh lift.
Postoperative care and follow up is very important to avoid some complications which are common with these operations like seroma, wound dehiscence and thromboembolism.
Subsequently, with an increase in number of successful weight loss patients, contouring of all regions of the body after bariatric surgery is growing in frequency and is rapidly undergoing modification and refinement growing to a new specialty.