Read part 1of thisDr. Joseph F. CapellaInterview
**Dr. Capella abdominoplasty patient**
车身轮廓提供所看到的前后的照片病人的腹部（肚子抱膝）后三个月减肥手术后显着改善。
The Need for Body Contouring Surgery After Weight Losy Bariatric Life:卡佩拉博士，一个survey conducted with members of the American Society for Metabolic and Bariatric Surgery(ASMBS) found that pre-bariatric surgery counseling regarding outcomes and discussions of body contouring procedures is deficient and that few bariatric surgeons refer their patients to plastic surgeons even when patients ask about these procedures.
So my question is what must be done to improve the综合治疗经历的减肥手术，以保证病人他们充分了解的减肥手术的功能和美学的后果，以及对整容信息和访问？
Dr. Capella:我认为，教育应该与医生减肥开始。和患者应了解自己的轮廓大规模减肥的潜在后果通知。当我和我的父亲，谁现在是一个退休的外科医生减肥工作，我们花了大量时间来教育我们的病人有关，这样他们就不会被它感到惊讶。我认为这些后果更好收到当人们意识到他们才真正发生。
So, I think education has to start with the bariatric surgeon. What some of my colleagues in the society [American Society of Plastic Surgeons] have done is made presentations at the bariatric surgical meetings. So that is one step in that direction. I just think that bariatric surgeons are very concerned with what they're doing. They may not be very familiar with the nuances of the plastic surgery. So, it might be easier for them just to avoid the topic.
MBL：As for me, I was not made aware of thefunctional and aesthetic consequences of bariatric surgery. I expected my flesh would shrink with the weight loss as it had done in the past. Why is weight loss after bariatric surgery different?
Dr. Capella:我觉得这个很多。而我想说的是，多余的组织，当我说我组织平均皮肤和底层结构，人有超过减肥后与一些事情相关。我认为他们是用的时间长短的人是超重最相关，同时也与他们的年龄，性别，并在其中过剩而与速度方面的性别与他们失去了重量。
I think it's a misconception that if you lose your weight very quickly you're going to have more excess skin. The damage is done by the extensive period of time that the skin is under tension. In women the skin's a little thinner, certainly lighter complexions tend to have more excess skin. Patients of darker complexion and men tend to have less excess skin and soft tissue.
MBL: So I'm getting a mental image of a balloon. When you blow it up, if you don't leave it inflated for a long time it pretty much returns to its pre-inflated state. Versus if you leave it inflated for a while, the shape is puckered when you deflate it.
Dr. Capella:Absolutely it's all shriveled up. That's exactly right.
MBL：It was not until I came through my abdominoplasty that I was struck with the awareness that body contouring is the final step in completing my weight-loss journey by removing the last traces of my former obesity. Please share your perspective on plastic surgery in the bariatric treatment plan and its role in improving the patient's quality of life.
Dr. Capella:There's no doubt that bariatric surgery has potential to improve people's health enormously, in a way that plastic surgery does not. However, I think despite the improvements people are often surprised by how their self-esteem and other daily activities are not improved without body contouring. And so issues having to do with rashes or what we call intertrigo or intertriginous dermatitis are often exacerbated by the weight loss. And people are encumbered by a large pannus [apron of belly fat]. So it's not like they're now then able to exercise like they thought they would by losing weight. And it's only body contouring that has a significant impact on that.
Now I would not want people to believe that plastic surgery, per se, improves their health by removing weight. There is weight loss but it's not the kind that would necessarily improve people's health conditions like diabetes and hypertension. And the reason being is the kind of fat that needs to go away to improve health is visceral fat, meaning the fat around the organs. The improvement in health really comes from increased functionality: They are able to be more active. But not because weight because it can be substantial is removed by the plastic surgery. So I think it plays a very important role in patients' recovery from a self-esteem point of view, emotionally and functionally.
Continue topart 3 of the Interview with Dr. Joseph F. Capella**居住生活精心喂养，****我的减肥Lifore从sharepostsMyBariatricLife on HealthCentral**** FollowMyBariatricLife on Twitter* * * *联系MyBariatricLife在StumbleUpon** ** View my谷物使我发胖！Pinterest上的食谱卡****参考**
PubMed.gov, American Association of Plastic Surgeons,http://www.ncbi.nlm.nih.gov/pubmed/19730313