Dr. Fulvio Urso-Baiarda

Good morning.

Thank you.

That is a really tough question to answer.

It's all in the private sector and it's not widely shared.

There are some audits by societies like BARPS, the British Association of Aesthetic Plastic Surgeons, and ISAPS that give some data on that.

My personal data will be a bit skewed because I do quite large, sort of relatively low volume cases.

So what's a very large operation?

Something like a post-massive weight loss total body lift.

So that might take somewhere like four to six hours to complete that.

And would that include liposuction as well as a facelift?

Probably not a facelift at that stage.

So that would include liposuction.

It would include removal of a lot of skin excess I removed previously.

five and a bit kilos of skin from someone last week.

And none of that is fat?

It would be skin with connected fat underneath it, but it's the skin and fat as a block, plus a bit of liposuction with it, and that will be the first stage in people who've got really major weight loss.

That will be the first stage of many.

yeah um so we're certainly seeing we've always done these kind of cases the post-massive weight loss cases as a result of bariatric surgery so weight loss surgery gastric sleeves gastric bands and so forth but now it's hitting the mainstream because the threshold for having that kind of intervention was reasonably high yeah but now that these this this treatment is so accessible yeah there's likely to be a sort of epidemic of skin excess right now i think that's set to change in the

longer term actually so we're going to so these people did achieve these these big weights and a lot of skin excess but actually as these medications become more and more used and widespread we're likely to see the the lesser extremes so the new wave of drugs will remove the skin excess after you've lost all the weight i think it will just prevent them because people will uh access them at an earlier stage right is it good for your business the rise of ozempic and manjaro

No, it's good.