Current statistics put obesity rates in England at 25, with a further 36 being classed as overweight; the associated prescription cost for medical management is £15 300 000. The sequelae of obesity include heart disease, diabetes, hypertension, stroke and mental health illness. Post-bariatric surgical patients face significant on-going morbidity related to excess tissue, mobility and general wellbeing. The national guidelines for reconstructive plastic surgery on post-bariatric patients attempt to ration funding for surgery while eliminating the postcode lottery effect. This article summarises key points in the management of the post-bariatric surgical patient and emphasises referral criteria for body contouring.
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