[Plastic reconstructive interventions after metabolic bariatric surgery].

Reconstructive and plastic surgery plays an important role in the treatment of patients after bariatric surgery. The reconstruction of body form and function with body contouring procedures leads to a significant increase in the quality of life after achieving weight stability and stabilization of potential side effects of the bariatric treatment. From a surgical perspective tightening of the extremities and trunk play an important role. Precise knowledge of the anatomical structures and perfusion patterns of the generated skin flaps as well as a careful patient selection for reduction of perioperative complications are very important. In addition to the surgical procedures the accompanying measures with respect to dietary changes and exercise therapy are important keystones in the complex treatment of bariatric and postbariatric treatment patients.