Obesity has many risk for health complications. Dr. O’Toole explains to his patients that even after major weight loss there will will be residual health conditions. This is the major reason patients should only consider post massive weight loss surgery with experienced board-certified plastic surgeons. Procedures such as a thighplasty, brachioplasty, and abdominoplasty are common for weight loss patients. These procedures can have life threatening complications that can become worse in the hands of an inexperienced surgeon. It is a mistake to believe that all surgeons are created equal. Post massive weight loss patients should consider their plastic surgery choices seriously. According to The Los Angeles Times about 34% of U.S. adults are now thought to be obese — with a body mass index, or BMI, of 30 or higher — up from just 15% a decade ago, the authors said. Meanwhile, the volume of plastic surgery has increased 725% between 1992 and 2005.
Performing surgery on the obese presents a special set of problems, said Makary, a surgeon himself. The surgeries take longer, the operating fields are deeper, the spaces in which an infection can take root are typically greater, and blood flow in fat tissue is less than in other tissues, impairing healing.
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