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Cosmetic Surgery After Weight loss Glossary
Abdominoplasty ( tummy tuck) – Cosmetic
Surgery to remove excess skin and fat from the abdomen created by
weight loss, aging or pregnancies
Abdominoplasty Bariatric surgery –
Following surgery to create weight loss patient frequently develop
excess skin on their trunk and abdomen benefiting from excision
Abdominal Binder – Compressive binder
used following some abdominal procedures to maintain uniform abdominal
pressure around the abdomen
Abdominal Laxity – Excess skin and
fat on the abdomen usually created by weight loss, aging or pregnancy
Arm Lift – A plastic surgery procedure
to recontour the shape of the arms by removing hanging, sagging
skin from the arms
Bariatric nutritional team – A team
of surgeons and support staff that manage the patient through the
bariatric surgery weight loss process
Bariatric surgery – Surgery to aid
in weight loss for obese patients
Belt Lipectomy – A type of abdominoplasty
( tummy tuck ) that places the scar in the belt line all the way
around the abdomen and trunk. This form of abdominoplasty is one
of the procedures used for patients following massive weight loss.
BMI- Body Mass Index
(Obesity Definitions)
* BMI = Body Mass Index (kg/m2)
* BMI = 20 -25 Normal
* BMI = 25- 30 overweight
* BMI = 30-35 class 1 obesity
* BMI = 35-40 class 2 obesity
* BMI = > 40 class 3 obesity
* BMI = >50 super obesity
Body Contouring Surgery – Cosmetic
surgery to remove excess saggy skin and/or fat from the body. This
can be as simple as liposuction to refine an area such as the thighs
or abdomen to more extensive procedures such as a trunk or thigh
lift to remove extra skin and fat
Body Lift – Also called a Trunk Lift
– An extensive plastic surgery procedure to recontour and remove
excess hanging skin and fat from the body following massive weight
loss
Brachioplasty – The plastic surgery
procedure to remove excess hanging skin and fat from the arms usually
created from weight loss or aging
Breast Lift – or “Mastopexy”
is a plastic surgery procedure to restore a youthful contour to
the breast, sometimes lost with pregnancy, weight loss or aging,
by repositioning the natural breast tissue and nipple areola complex.
Breast Reduction – Is a plastic surgery
procedure to reduce the breast size in patients with large breasts.
The breast reduction procedure is usually necessitated because of
back pain, shoulder pain and neck aches secondary to the large size
of the breasts. The procedure may be covered by insurance.
Breast Ptosis – Drooping of the breasts
with the nipple areola complex falling below the bottom of the breast
usually associated with weight loss, aging or pregnancies and breast
feeding
Buttocks Lift ( butt lift ) – A plastic
surgical procedure to recontour the buttock are following weight
loss, or aging, or sagging
Cellulite – Irregularities of the skin
surface usually associated with the extremities caused by irregular
deposits of fat under the skin surface from irregular attachments
of the skin to the underlying muscle or fascia
Buttock Contour – The shape of the
buttock
Chafing – Abrasions of the skin caused
by overlap of skin in obesity or tight garments
Circumferential Abdominoplasty ( tummy tuck
) – A plastic surgery procedure, frequently performed where
there has been significant weight loss, that necessitates carrying
the scar all the way around to the back in order to remove all the
skin and fat in an abdominoplasty
Circumferential belt lipectomy – or
Belt Lipectomy is a form of abdominoplasty ( tummy tuck) occasionally
performed in massive weight loss patients where the scar is placed
in the belt line.
Drains – Hollow or flat silicone rubber
devices used to allow fluid to be removed from incision sites either
gravity or suction
Diabetes – A hereditary or acquired
system disease associated with resistance to insulin that leads
to elevated sugar levels in the blood
Dog-ears – Elevations of skin and fat
seen at the ends of surgical incisions where not enough skin was
removed
Decreased Skin Tone – Loss of natural
elasticity in the skin either secondary to weight loss or aging
Dehiscence – Separation of a surgical
incision site frequently associated with underlying infection or
tension on the wound.
Deep vein thrombosis – Clotting of
one of the veins in the pelvis or legs that can lead to pulmonary
emboli.
Defatting – Surgical removal of fat
from the under surface of the skin usually associated with some
type of flap procedure.
Fat – Glycerides of fatty acids that
make up most of the subcutaneous tissue
Fascial Anchoring – A surgical procedure
to attach tissues to the fascia as a way of holding them in place
as the fascia is strong and holds sutures well
Flankplasty
Free Derma fat Grafts – A composite
of tissue in which there is dermis and fat usually used to fill
a small area of tissue loss
Gastric Bypass – A surgical weight
loss or Bariatric surgical procedure to aid in weight loss
Gynecomastia – The accumulation of
fat or actual breast in the chest area of men simulating a breast
( other lay terms for gynecomastia are: male breasts , bitch tits
and gyno )
Hematoma – A collection of blood under
the tissues occasionally seen as a complication following surgery.
Hip Adiposity – A collection of fat
on the hips
Hypertension – Elevated blood pressure
Hypertrophic scar – An increase in
scar tissue in a surgical incision site that usually flattens with
time but may lead to a spread scar as opposed to a keloid scar that
does not flatten
Infection – Bacterial or viral contamination
Inferior Trunk – Lower part of the
body below the umbilicus but above the legs
Internal Hernia – An outpocketing with
in the abdomen either naturally occurring or from previous surgery
in which bowel may become trapped causing obstruction or incarceration.
Interiginous dermatitis – An inflammation
of the skin due to irritation created by excessive wetness from
to layers of skin lying on each other such as under large breasts
and the chest wall or under a large abdominal pannus.
Inverted T mastopexy – A type of breast
lift that is associated with an inverted “T” scar with
an incision around the nipple areola, extending downward vertically
to the inframammary crease and then one in the breast crease
Keloid Scar – A scar that grows beyond
its natural border and is frequently associated with symptoms of
itching and pain
Laparoscopic Obesity Surgery – Surgery
for obesity involving the use of a laparoscopic to avoid large incisions
and hasten recovery.
Lap Band Surgery – One of the obesity
surgery procedures that can frequently be done laparoscopically
that involves placing a band around the stomach
Lateral thighplasty – A plastic surgery
procedure to elevate the skin over the lateral thigh and buttock
area in patients with laxity
Lateral Thigh Lift – A cosmetic surgery
procedure to lift the skin over the outer thigh and butt in patients
with excess saggy skin.
Laxity – Loose skin or tissue secondary
to loss of elasticity due to age or weight loss
Liposuction – A plastic surgery procedure
involving the removal of fat from under the skin with a hollow suction
cannula
Lower Body Lift – Also called trunk
lift that involves the removal of extra saggy skin and fat usually
created from massive weight loss
Lymphedema – The collection of lymphatic
fluid in the tissues usually due to some type of obstruction
Lymphatic drainage – The body has veins,
arteries and lymph channels the former carry blood the later lymph
Perineal Bands – Scar tissue in the
perineum usually from previous surgery
Mastopexy – A cosmetic surgery procedure
to lift the breasts to give them a youthful appearance
Medial Thigh Adiposity – Increased
fat of the inner aspect of the leg
Medial thighplasty – A cosmetic surgery
procedure to remove excess drooping skin and fat from the inner
aspect of the thigh usually necessitated due to weight loss or aging
Medial Thigh Lift - Also called Medial Thighplasty
is a cosmetic surgery procedure to remove excess saggy skin and
fat from the inner aspect of the thigh usually created by excessive
weight loss or aging
Metabolic Syndrome ( Diabetes, Hypertension,
vascular disease) – a medical condition associated with a high
risk of cardiac complications. The hall mark of the condition is
the association of a large waist line, diabetes and hypertension
Midline Scar – A vertical scar in the
center of the abdomen often associated with a gastroplasty
Morbid obesity – A BMI of over 35 or
someone in lay terms who is obviously over weight
Mons Pubis ptosis – Drooping of the
soft tissues in the pubic area usually secondary to major weight
gain or loss
Obesity – A BMI of over 30 or in lay
terms someone who over weight
Pannus – A collection of skin and fat
along the lower abdomen secondary to major weight gain
Panniculectomy – The surgical procedure
to remove the extra skin and fat overhanging the lower abdomen.
Pneumomediastinum – A collection of
air in the mediastinum usually secondary to some form of injury
Polypropylene mesh – A mesh used surgically
to repair hernias
Psychosocial issues – Psychological
issues or social issues that may come to play in determining who
is and who is not a candidate for bariatric surgery
Ptosis – Drooping of tissues that may
be used to describe the condition of the upper lid, breasts or thighs.
Pulmonary Embolus – A blood clot that
travels to the lungs and can prevent perfusion leading to hypoxemia
Recurrent Laxity – Return of laxity
in tissues despite procedures to tighten – frequently a problem
in patients following body resculpting procedures where the skin
relaxes creating a return of the initial defect
Seroma – A collection of serum under
the skin or other body tissues
Skin Ptosis – Drooping of the skin
frequently seen in patients following massive weight loss. Other
lay terms used to describe skin ptosis are: saggy skin, droopy skin,
hanging skin and loose skin.
Stretch Marks- Stretch marks are tears in
the dermis. They are the result of pressure or force elongating
the skin. During this time the skin thins and loses its elasticity.
The only way to permanently remove stretch marks is with surgery
to cut them out. There is no magic eraser, laser or topical treatment
that permanently removes stretch marks.
Suprapublic skin necrosis – Skin death
in the area above the pubis uncommonly seen as a complication of
an abdominoplasty due to a tight closure and poor blood supply
Superficial thigh venous thrombosis –
Clotting of a vein in the superficial soft tissues of thigh
Supine – On one’s back
Thighplasty – A cosmetic surgery procedure
to remove excess saggy skin and fat from the thigh
Thigh Laxity – Loose skin and subcutaneous
tissue in the thigh usually secondary to weight loss or aging. Sagging
extra hanging skin
Tummy Tuck – The cosmetic surgery procedure
also called an abdominoplasty that involves the removal of stretch
mark, sagging skin and fat from the abdomen and the tightening of
the underlying muscle fascia
Truncal Lift – The cosmetic surgery
procedure that involves the removal of excess hanging skin and fat
from the abdomen and thighs and thereby while tightening the abdomen
lifts and tightens the skin of the buttock and thighs
Trunk Laxity – Laxity of skin and subcutaneous
tissue of the abdomen, thighs and buttock associated with massive
weight loss or aging
Trochanteric fat – Fat in the soft
tissues over lying the thighs
Umbilical scar – A scar on or around
the umbilicus (belly button)
Vertical banded Gastroplasty – A bariatric
surgical procedure on the stomach to narrow its capacity leading
to weight loss
Vulvar Distortion – Distortion of the
female genital area secondary to previous surgery or weight gain
and loss
Wound Breakdown – Opening or dehiscence
of a surgical wound usually secondary to tension or infection
Wound complications – A general term
that refers to one of many unfavorable events that can occur in
the healing of a surgical would such as simply “spitting a
stitch” to a total wound separation or dehiscence
Z-plasty – A cosmetic surgery procedure
on a scar to place the scar in a more favorable position for healing
or to correct webbing across an area of motion
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