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Massive Weight Loss Surgery

Indications

Authors: Anne Mosebo, MD, Julie Tastesen, MD and Magnus Balslev Avnstorp, MD

The general indications and contraindications when performing MWL-surgery will be addressed in this chapter:

Indications and contraindications

Procedure specific

A criterion for MWL surgery in the Danish health care system is MWL characterized as second (moderate) or third (severe) degree in accordance with the Danish scale. Regarding brachioplasty the classifications are as follows: 

Second degree (moderate) Excess skin makes up >50% of the muscular part of the upper arm (from the lower definition of the muscle)
Third degree (severe) Excess skin makes up >100% of the muscular part of the upper arm

Bat-Wing deformity: Extended brachioplasty (Richter) or extended mastopexy
Figure 1 | From left to right: Grade 1, grade 2 (excess skin makes up >50% of the muscular part of the upper arm), grade 3 (excess skin makes up >100% of the muscular part of the upper arm).

Acknowledgements

Illustrators: Anne Mosebo, Stud. Med.


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