Desire for body contouring surgery after bariatric surgery: do body mass index and weight loss matter?
Aesthet Surg J, 2014/1/01;34(1):96-105.
Giordano S[1], Victorzon M, Stormi T, Suominen E
Affiliations
PMID: 24334498DOI: 10.1177/1090820X13515701
Impact factor: 4.485
Abstract
background: There is disparity between the number of postbariatric surgery subjects who desire body contouring and those who receive it due to lack of resources or insurance criteria.
objectives: The authors evaluate the desire for body contouring after bariatric surgery and its relationship with demographic patient characteristics.
methods: Three hundred sixty patients who had undergone bariatric surgery procedures >1 year previously completed a questionnaire designed by the surgical team to analyze each patient's desire for body contouring by area (face, upper arm, upper back, chin/neck, chest/breast, waist/abdomen, lower back, rear/buttock), scored from 0 to 3 (do not want, want somewhat, want, want a great deal). Data were compared with patient characteristics, postoperative body mass index (BMI), amount of weight loss, and BMI difference (ΔBMI).
results: Most patients desired body contouring surgery, with high or very high desire for waist/abdomen (62.2%), upper arm (37.6%), chest/breast (28.3%), and rear/buttock (35.6%) contouring. Many patients (36.4%) cited "very high" expectations for how body contouring might change their appearance. Patients >50 years old and >3 years postsurgery had a significantly lower desire. Patients with a ΔBMI >10 and with a weight loss >20 kg showed a significantly stronger overall desire for body contouring compared with other groups.
conclusions: Most patients desire body contouring surgery after bariatric surgery, and our multivariate analysis showed a significant positive association between female sex, younger age, amount of weight loss, and ΔBMI with desire for body contouring.
Keywords: body contouring; body contouring indications; massive weight loss; obesity; patient preferences; postbariatric surgery; questionnaire
MeSH terms
Adult; Age Factors; Bariatric Surgery; Body Image; Body Mass Index; Cosmetic Techniques; Female; Humans; Male; Middle Aged; Multivariate Analysis; Obesity; Plastic Surgery Procedures; Reoperation; Self Concept; Sex Factors; Surveys and Questionnaires; Time Factors; Treatment Outcome; Weight Loss
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