An article in the June, 2006, issue of Plastic Reconstructive Surgery by the leading practitioner of new plastic surgery techniques for America's growing obese population, describes in detail how improved mid-body lift contouring techniques trim away the massive amounts of excess skin in the post-bariatric surgery population.

The number of surgical body-contouring procedures performed on post-bariatric surgery patients after significant weight loss is soaring (up 22 percent from 2004 to 2005 alone) according to the American Society of Plastic Surgeons. An article in the June, 2006, issue of Plastic Reconstructive Surgery by the leading practitioner of these techniques describes in detail how improved mid-body lift techniques trim away the massive amounts of excess skin in the post-bariatric surgery population.

"The radical weight loss following gastric by-pass leads to improved blood pressure, and in many patients improves or eliminates diabetes symptoms," said Berish Strauch, MD, chairman of the Department of Plastic and Reconstructive Surgery at Montefiore Medical Center, and author of the paper. "Nevertheless, patients are left with a massive sagging of the entire body that leads to severe medical and cosmetic deformities," said Dr. Strauch, who now finds that 80 percent of his surgical practice involves post-bariatric surgery patients. "It is truly gratifying to be able to give these patients the body they have dreamed of having."

"A traditional abdominoplasty (tummy tuck) is insufficient for these patients, who after this kind of extreme weight loss require a special operation called a circumferential adbominoplasty, a type of complicated, mid-body lift, which we have modified," said Dr. Strauch.

"We trim excess skin from the stomach, thighs and buttocks in one operation, rotating the patient carefully on the operating table during the surgery," Dr. Strauch said. "At a later date, we perform plastic surgery on other areas of the body. This staged approach improves the patients' quality of life, has wonderful esthetic results and has proven to be safe and effective."

Dr. Strauch describes 75 mid-body lift operations in the article. He has performed more than 300 of these new procedures in the past five years.

Circumferential abdominoplasty is more extensive than a standard tummy tuck, and involves additional operating room time, more blood loss and increased recovery time, the article says. After recovery, typically three months later, further body contouring procedures are considered such as brachioplasty (trimming underarm 'wings') as well as breast, thigh, face, neck and back lifts.

Each of these procedures requires special techniques for formerly obese patients, said Dr. Strauch.

He notes a remarkably low incidence of complications. Only one patient has experienced deep vein clotting, and there have not been any cases of pulmonary emboli or seroma problems.

Montefiore Medical Center, The University Hospital and Academic Medical Center for the Albert Einstein College of Medicine, ranks among the top one percent of all US hospitals based on its investments in medical innovation and cutting-edge technology.

Montefiore invests more in order to enable compassionate, personalized care and the most positive outcomes for patients and their families in New York, the tri-state area and beyond.

Montefiore's unique combination of 'state-of-the-art' technology with 'state-of-the-heart' medical and nursing care in a teaching and research environment offer patients access to world-class medical experts, the newest and most innovative treatments and the best medical center experience anywhere.

This 1,062 bed medical center includes the Henry and Lucy Moses Division, the Jack D. Weiler Hospital and The Children's Hospital at Montefiore, a large home healthcare agency and a 21-site medical group practice located throughout the Bronx and nearby Westchester.

Montefiore treats all major illnesses and has distinguished centers of excellence in cardiology and cardiac surgery, cancer care, tissue and organ transplantation, children's health, women's health, surgery and the surgical subspecialties.

Montefiore Medical Center focuses on providing family-centered healthcare in a nurturing environment that extends well beyond its hospital and ambulatory settings.

About Obesity

Obesity is a condition in which the natural energy reserve, stored in the fatty tissue of humans and other mammals, exceeds healthy limits. It is commonly defined as a body mass index (BMI) (weight divided by height squared) of 30 kg/m² or higher.

Mortality is increased in obesity, with a BMI of over 32 being associated with a doubled risk of death.  Central obesity (male-type or waist-predominant obesity, characterized by a high waist-hip ratio), is an important risk factor for the metabolic syndrome, the clustering of a number of diseases and risk factors that heavily predispose for cardiovascular disease. These are diabetes mellitus, Type 2 diabetes mellitus, high blood pressure, high blood cholesterol, and triglyceride levels (combined hyperlipidemia).

Apart from the metabolic syndrome, obesity is also correlated with a variety of other complications. For some of these complaints, it has not been clearly established to what extent they are caused directly by obesity itself, or have some other cause (such as limited exercise) that causes obesity as well. The affected health conditions include but are not limited to:

• Cardiovascular: congestive heart failure, stroke, enlarged heart and its associated arrhythmias and dizziness, varicose veins, and pulmonary embolism
• Endocrine: type 2 diabetes mellitus, insulin resistance, polycystic ovarian syndrome (PCOS), menstrual disorders, and infertility
• Gastrointestinal: gastroesophageal reflux disease (GERD), fatty liver disease, cholelithiasishernia, and colorectal cancer
• Renal and genitourinary: erectile dysfunction, urinary incontinence, chronic renal failure, hypogonadism (male), breast cancer (female), uterine cancer (female), stillbirth
• Integument (skin and appendages): stretch marks, acanthosis nigricans, lymphedema, cellulitis, carbuncles, intertrigo
• Musculoskeletal: hyperuricemia (which predisposes to gout), immobility, joint pain, osteoarthritis, low back pain
• Neurologic: stroke, meralgia paresthetica, headache, carpal tunnel syndrome, dementia, idiopathic intracranial hypertension
• Respiratory: obstructive sleep apnea, obesity hypoventilation syndrome, asthma
• Psychological: depression, low self esteem, body dysmorphic disorder, social stigmatization
• Erectile Dysfunction