Plastic surgery procedures used in massive-weight-loss patients are similar in principle to those surgeries for other patients, what does differ is the extent of the surgery. The surgeon is dealing with large amounts of skin, large areas of the body, and large incisions. The procedures are longer and more strenuous on the patient's body, and the potential for blood loss is greater.
The potential for revision is also greater, as the patient will probably need to undergo multiple procedures over time to achieve the best result. It is very important for a patient considering these changes to have realistic expectations. These are long and complicated procedures that produce amazing changes, but they are not perfect.
The surgeon is reconstructing your body and working with what is available. This is one reason it is important to look at before-and-after photos. Your surgeon must have experience with and skill in these reconstructive procedures.
You can get a good idea of his expertise by looking closely at the photos and speaking with previous patients who have undergone the same procedure or procedures. You must ask yourself if the results you see on those people would be what you consider good results.
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