 |
|
Plastic surgeons warn of malnutrition in body contouring patients
November 13, 2008ASPS study suggests nutritional supplements prior to surgery
ARLINGTON HEIGHTS, Ill. - Identifying malnutrition before surgery in massive weight loss patients seeking body contouring will significantly decrease surgical complications, accelerate wound healing, improve scar quality and boost patient energy levels, according to a study in the December issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS). Optimizing nutrition with the addition of supplements, such as powder drinks and multi-vitamin tablets formulated for massive weight loss patients, is vital to successful body contouring surgery, the study reveals.
"Body contouring procedures for massive weight loss patients are major operations with large incisions in many areas that demand a lot of the body during the healing process," said ASPS Member Surgeon and study co-author Dennis Hurwitz, MD. "By carefully monitoring nutritional deficiencies preoperatively and supplementing the patient with the necessary nutrients, minerals and vitamins, I have seen a significant decrease in complications and improved postoperative healing. In my practice, I won't do body contouring procedures on this patient population without a preoperative regimen of nutritional supplements."
The study was performed in two parts; First, medical literature regarding nutrition's effect on healing from the 1940s to the present was reviewed. The authors then compared healing and wound problems in 75 of their massive weight loss body contouring patients from 2001 to 2005 who did not receive supplementation, with 37 patients from 2006 to present, who participated in a uniquely designed nutritional supplement program prior to surgery. The study also noted the role of each nutrient in wound healing and immune response.
The study found that complications and wound problems occurred in 66 percent of the 75 patients who did not receive supplementation before 2006. In the 37 patients on the nutritional supplement regimen after 2006, major complication rates were reduced to 19 percent. The study found specifically that improving nutritional deficiencies in massive weight loss patients improved the healing process, wound tension, and scar quality, in addition to increasing patients' energy levels.
Because of reduced calorie intake for massive weight loss patients, they are highly susceptible to malnutrition, the study observed. At one year after bariatric surgery, most patients' food intake remains at about 1,000 calories per day, not even close to meeting standard recommendations regarding calories and protein intake. The study also noted the role various nutrients play in wound healing: Protein, vitamins A, B complex, C, arginine, glutamine, iron, zinc and selenium promote wound healing, collagen production and immune response; Vitamin B complex has also been associated with reducing the risk of deep vein thrombosis.
According to the ASPS, nearly 67,000 body contouring procedures after massive weight loss were performed in 2007.
American Society of Plastic Surgeons
The study was performed in two parts; First, medical literature regarding nutrition's effect on healing from the 1940s to the present was reviewed. The authors then compared healing and wound problems in 75 of their massive weight loss body contouring patients from 2001 to 2005 who did not receive supplementation, with 37 patients from 2006 to present, who participated in a uniquely designed nutritional supplement program prior to surgery. The study also noted the role of each nutrient in wound healing and immune response.
The study found that complications and wound problems occurred in 66 percent of the 75 patients who did not receive supplementation before 2006. In the 37 patients on the nutritional supplement regimen after 2006, major complication rates were reduced to 19 percent. The study found specifically that improving nutritional deficiencies in massive weight loss patients improved the healing process, wound tension, and scar quality, in addition to increasing patients' energy levels.
Because of reduced calorie intake for massive weight loss patients, they are highly susceptible to malnutrition, the study observed. At one year after bariatric surgery, most patients' food intake remains at about 1,000 calories per day, not even close to meeting standard recommendations regarding calories and protein intake. The study also noted the role various nutrients play in wound healing: Protein, vitamins A, B complex, C, arginine, glutamine, iron, zinc and selenium promote wound healing, collagen production and immune response; Vitamin B complex has also been associated with reducing the risk of deep vein thrombosis.
According to the ASPS, nearly 67,000 body contouring procedures after massive weight loss were performed in 2007.
American Society of Plastic Surgeons
Selecting appropriate massive weight loss patients for body contouring critical
The importance of pre-operative screening for patients seeking body contouring after massive weight loss will be assessed in three studies presented at the American Society of Plastic Surgeons (ASPS) Plastic Surgery 2008 conference, Oct. 31 - Nov. 5, in Chicago.
More Body Contouring Current Events and Body Contouring News Articles
 |
Body Contouring Surgery After Weight Loss by Jeffrey L. Sebastian MD (Author), Joseph F. Capella MD (Author), J. Peter Rubin MD (Author) Are you among the tens of thousands of people who have lost a dramatic amount of weight? If so, congratulations! You did it! Those years of struggling and failed diets are behind you. Perhaps you did it through weight loss surgery. Or, perhaps it was through diet and exercise. Either way, you have created a new body and a new life for yourself. But, now that the weight is gone, are you left with extra skin? If so, it likely causes you embarrassment and perhaps hygiene problems as well. Fortunately, body contouring surgery can help restore a more natural look to your body. The authors of this book, respected plastic surgeons, have performed hundreds of body contouring procedures on weight loss patients, and they understand your concerns as you explore... |
|
Body Contouring After Massive Weight Loss by Al, M.D. Aly (Editor) | |
 |
Avon Anew Clinical Body Contouring Treatment by Avon Avon Anew Clinical Body Contouring Treatment - 5 fl. oz. : Designed to be an at-home answer to a dermatologist's thermal body lift. Works like an invisible body shaper to minimize unwanted curves. Powered with exclusive technology to help skin hug your natural curves better. It is formulated to form a tightening 3D matrix on skin to help with surface firming. * INSTANTLY, skin feels firmer, more toned and revitalized. * IN JUST 3 DAYS, hips, thighs, abdomen and buttocks feel firmer and toned. * IN 2 WEEKS, 82% of women saw a more contoured-looking body. * TO USE: Every AM and PM, massage thoroughly onto areas showing signs of sagging and crepiness including abdomen, thighs, buttocks and hips. |
 |
Elemis Silhouette Body Detox - Body Contouring Capsules 60 caps by Elemis Silhouette food compliment contains Centella Asiatica, Laminaria Algae and Klamath Lake algae which helps to purify effectively the blood and increase the body's fat burning ability. Recommended as part of a contouring and cellulite program. |
|
Cosmetic Surgery Video Series-Volume 4-Body Contouring Starring: Dr. Domanskis' patients Directed By: Dr. Edward J. Domanskis Full length feature of several of the most popular Body Contouring cosmetic surgery operations, including an Abdominoplasty or Tummy Tuck as well as Liposuction of the Abdomen and Hips and Thighs. The operations are professionaly edited and narrated with Before and After photographs, during the recovery phase and up to a year after the surgery. This is Volume 4 of the a set of cosmetic surgery videos for those contemplating plastic surgery or those just curious about it. | |
 |
Elemis Silhouette Contouring Body Enhancement Capsules by Elemis Blue-green algae, rich in over 30 vitamins, minerals and trace elements, acts as a tonic and blood-purifier. Centella asiatica and laminaria, rich in organic iodine, help boost circulation and the bodyâs natural fat-burning ability. Recommended as part of a contouring and anti-cellulite program. |
 |
La Prairie Cellular Body Contouring Complex, 5-Ounce Box by La Prairie La Prairie a full-bodied, rich floral. romantic |
 |
Lancome Body Sculptesse Tightening and Contouring Anti-Cellulite Silky Gel 200ml/6.7oz by Lancome This luxurious gel treatment leaves your body looking redefined and firmer. Unique complex tones and tightens, leaving skin supple and smooth. Penetrates skins surface to restore firmness and definition. |
|
DuMi shapewear Contouring Balconet Bra Cami (582) S/Taupe by DuMi shapewear | |
 |
A Woman's Guide to Cosmetic Breast Surgery and Body Contouring by Jerrold R. Zeitels MD (Author), Allen J. Parungao MD (Author), Steven M. Morris MD (Author) If you're considering breast augmentation surgery, you're not alone. The procedure consistently ranks among the top five most popular cosmetic surgical procedures in the United States. But is breast augmentation right for you? The authors of this book are board-certified plastic surgeons who give you the information you need to make an informed decision about cosmetic breast surgery and body contouring procedures. They address many of the questions and concerns you likely have. Among the topics they cover: choosing the right plastic surgeon, whether you’re a candidate for surgery, how much your breasts should be enlarged, and which types of implants should be used. Placement of incisions, potential complications, and good follow-up care are also covered. In addition to covering... |
| © 2009 BrightSurf.com |