Body Contouring by Michele A. Shermak

By Michele A. Shermak

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B Figure 3-5. A. This 49-year-old woman with diabetes lost 100 lb after open gastric bypass surgery. 6. She had a right subcostal scar from prior cholecystectomy. B. In light of her medical issues, a conservative panniculectomy with minimal undermining was performed initially. C. Two years later, she had an upper abdominoplasty with minimal undermining. Body dysmorphic disorder (BDD) is described in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition as comprising (1) preoccupation with an imagined or minor defect in physical appearance; (2) marked distress or impairment in social functioning resulting from the appearance preoccupation; and (3) the preoccupation is not attributable to the presence of another psychiatric disorder.

2008;35(1):1-10. Chapter 4. Nonprescription Medications to Avoid While certain prescription medications, such as blood thinners and appetite suppressants, lead to known detrimental issues in surgery, there are a great number of nonprescription supplements patients take that may unknowingly impact patient outcomes. Herbal medications are classified as dietary supplements in Dietary Supplement Health and Education Act of 1994, not as prescription medications, so they are exempt from safety and efficacy regulations applicable to prescription and over-the-counter drugs.

Vitamin B12 complexes with intrinsic factor and is absorbed into the bloodstream. Deficiency is seen in malabsorption associated with gastric bypass surgery, pernicious anemia, and in strict vegetarians who do not consume animal proteins. Vitamin C is required for synthesis of collagen and plays an important role in the synthesis of norepinephrine. It is also an effective antioxidant. Vitamin E is a fat-soluble vitamin with antioxidant properties and a free radical scavenger. Platelet aggregation and adherence are inhibited by vitamin E.

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