RESUMO
Obesity can be defined as a chronic disease in which there is excess of body adiposity, leading to severe secondary health problems. This metabolic pathology shortens life-span and is a main cause of diabetes, atherosclerosis, systemic arterial hypertension, and reduction of pulmonary function, among others. The plastic surgeon is involved with the obese patient under two circumstances: either the patient is currently overweight and requests reduction of excess adipose tissue, or has suffered a great weight loss and desires correction of one, or more, contour deformities. In either case, planning demands a close preoperative analysis and careful preparation of the patient, execution of a meticulous surgical routine, and close postoperative follow-up. In this article, various body contour deformities will be addressed, showing the senior author's strategy in treating the obese patient that has achieved the loss of considerable weight.
Assuntos
Procedimentos Cirúrgicos Dermatológicos , Obesidade Mórbida/complicações , Procedimentos de Cirurgia Plástica , Redução de Peso , Adulto , Índice de Massa Corporal , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Obesidade Mórbida/psicologia , Planejamento de Assistência ao Paciente , AutoimagemRESUMO
This paper evaluates the use of CO2 laser peeling as an isolated procedure or associated with the 'round lifting' technique for correction of the aging face. This technique, as described by the senior author, allows for the treatment of signs of facial aging while maintaining anatomical structures. The article reviews the philosophy and evolution of the classical surgical procedures in an overall experience of 7477 patients operated on at the Ivo Pitanguy Clinic, and emphasizes how the CO2 laser resurfacing has enhanced the aesthetic result in selected cases.