๐ ็ธฝ็ฎ้ ๏ฝ ๐ ่ฑๆๅๆ๏ผๆฌ็ฏ๏ผ ๏ฝ ๐ ๅฎๆด็ฟป่ญฏ ๏ฝ โญ ็ฒพ่ฏ็ญ่จ
SURGICAL CRITERIA
SURGICAL CRITERIA
Not all patients are candidates for HDBC. Indeed, the majority are not good candidates and need to be guided toward the proper treatment plan with alternatives. Those with significant loose or lax skin with or without stretch marks, higher BMI (>10 lb over expected weight), poorly defined or toned underlying musculature, and extreme cellulite are not the best candidates. These patients must be directed to lose weight, improve muscle tone, and consider skin removal and lifting surgery with HDBC in the future. Even with full lifestyle modification, in some cases the results can only be much improved, but will not lend an HDBC โchiseledโ or โsculptedโ look such as the outcome someone with tight skin, no cellulite, very athletic underlying musculature, and very low BMI (below or at expected weight) would expect (Fig. 60-4A and B). Expectations should be discussed with brutal honesty prior to any surgical intervention. Lifelong maintenance of these results will require full lifestyle modification with exercise, healthy eating, and radiofrequency and/or ultrasound skin tightening procedures at a minimum.