[Reconstruction of the silhouette after gastroplasty]. / Reconstruction de la silhouette après gastroplastie.

The authors report their experience in reconstruction of the silhouette in patients experiencing rapid and marked weight loss after calibrated vertical gastroplasty, usually greater than 50 kg. They present a one-stage strategy for reconstruction of the silhouette, combining repair of the abdomen, waist and thighs. The serious nature of surgical procedure requires a very precise preoperative assessment and, most importantly, very detailed information of the patient concerning this operation and the expected results. Very intensive preoperative, intraoperative and postoperative psychological support is essential.