General strategy for reconstruction [General strategy for reconstruction] |
Therapeutic strategy
>> Scheduling the operation:
There is a general consensus for scheduling the operation when the weight has stabilized and remained so for several months. As a rule, one counts at least one year after digestive surgery (gastroplasty) or the successful outcome of an intensive diet. Notwithstanding, some patients are prepared to have surgery when they still have few kilograms to lose.
This is not necessarily a contra-indication, for the following reasons:
- Plastic surgery can reinforce the motivation for further weight-loss.
- The operation can remove kilos that would otherwise have been very difficult to lose, even with the most effective procedure or a very strong diet.
- An abdominoplasty can, for example, remove 2 to 3 kg,
- a bodylift 4 to 6 kg,
- a breast reduction 1 to 2 kg,
- and liposuction 3 to 4 kg.
>> Where to start?
One should start with the most troublesome area, which is most cases is the abdomen. Some patients prefer to start with a breast reduction because postoperative care is short, enabling them to return to work rapidly. For some, even if upset by a hanging abdomen, reshaping their face is a priority because of its obviousness ('they can't stand looking at themselves in the mirror first thing in the morning').
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