Excess Skin Removal After Extreme Weight Loss (cont.)
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Subsequent procedures are performed based on the original plan, but can be modified depending on the response to the first stage of the procedure. Asymmetries are common, and healing problems are more significant with greater weight loss. Revisions are often necessary.
Complications are common in patients after major weight loss but can also occur in patients with less severe changes in body weight. The most common complication is a fluid collection under the skin (seroma). Drains are frequently used to minimize this complication and are usually removed after one to three weeks. Infections, wound breakdown, reaction to sutures, and hypertrophic scarring can also occur.
Gregory Caputy, MD, PhD
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