Body Contouring Surgery Following Bariatric Surgery and Dietetically Induced Massive Weight Reduction: A Risk Analysis

Kerviler, Sora de; Hüsler, Rolf; Banič, Andrej; Constantinescu, Mihai A.

doi:10.1007/s11695-008-9659-8

Cited by 58 publications

(28 citation statements)

References 27 publications

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“…Due to their strict selection criteria like a minimum excess body mass index loss ≥30% and long plateau phase of 12 months, de Kerviler at al. [7] did reduce their complication rate from 40 to 26.9% which support our findings. In a study of Agha-Mohamadi and Hurwitz [11], nutritional supplementation reduced the complication rate from 66 to 18.9%.…”

Section: Patient Satisfactionsupporting

confidence: 90%

“…ing a stable weight plateau for 3 months or longer before body contouring surgery experience significant less complications in comparison to patients with a pre-operative variable weight (19.5 vs. 45.8%). Except for Kerviler et al [7], no author emphasize the importance of a stable weight. An exact explanation for this relationship cannot be given thus far, but one hypothesis is that the nutrition status is better in patients with a stable weight because the body is no longer in a katabolic state.…”

Section: Patient Satisfactionmentioning

confidence: 99%

“…Pre-body contouring BMI [2-4, 6, 7], percentage excessive weight loss [5], smoking [8][9][10], diabetes mellitus and/or hypertension [8], nutritional deficiency [11] ASA classification [5], total amount of removed tissue [4,7], intra-operation time, multiple procedures, maximum BMI and change in BMI from maximum to current BMI [12] are mentioned variable as risk factors.…”

Section: Introductionmentioning

confidence: 99%

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Complications after Body Contouring Surgery in Post-Bariatric Patients: The Importance of a Stable Weight Close to Normal

2011

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Objective: Body contouring surgery is in high demand following the increase in bariatric surgery. Massive weight loss leads to an excess of lax, overstretched skin causing physical and psychosocial discomfort. Plastic surgical procedures can give rise to an improvement in quality of life, but the relative high complication rate could negatively affect these potential gains. The purpose of this study is to identify predictors of complications in order to optimize outcomes in this patient population. Methods: Out of a group of 465 post-bariatric patients, 61 patients underwent body contouring surgery following massive weight loss. A total of 43 respondents were reviewed retrospectively for demographic data, pre- and post-operative weight status and co-morbidities. Medical complications were categorized according to the modified Clavien classification. All cases were analyzed for risk factors. Results: A stable weight over a period of at least 3 months prior to body contouring surgery is associated with a significant lower complication rate (odds ratio 0.24; CI 0.07–0.79) and the percentage excess weight loss (odds ratio 0.96; 95% CI 0.92–1.00) was an independent predictor for the occurrence of complications. The overall complication rate was 27.9% with a major complication rate of 8.8%. Most frequent procedures were abdominoplasty (61%) and breast reduction/ mammapexy (25%). Conclusion: This study emphasizes the importance to strive for a stable weight close to normal before surgery to minimize the risk of complications. The positive effects of the long-term results of bariatric surgery tolerate the relative high complications rate. Careful pre-operative planning and patient selection are essential to optimize the results of body contouring surgery of post-bariatric patients.

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Section: Patient Satisfactionsupporting

confidence: 90%

Section: Patient Satisfactionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Complications after Body Contouring Surgery in Post-Bariatric Patients: The Importance of a Stable Weight Close to Normal

2011

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“…The morbidly ex-obese patient has more postoperative complications than would normally be anticipated [8,26], independent of the mode of weight loss, whether induced by diet alone or bariatric surgery [28]. Not every post-bariatric patient reaches a level of body weight classified as normal per se (≤30 kg/m 2 ), as many remain somewhat overweight.…”

Section: Discussionmentioning

confidence: 99%

Impaired Abdominal Skin Sensory Function in Morbid Obesity and After Bariatric Surgery

et al. 2011

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“…Most frequent procedures offered were abdominoplasty and breast reduction/mastopexy. The rate of complications of body contouring after massive weight loss is quite high at 26 % including wound dehiscence, wound infection, hematoma, and tissue necrosis [155]. Body contouring surgery is recommended 18-24 months after bariatric surgery to ensure that weight loss has stabilized.…”

Section: Body Contouring Surgerymentioning

confidence: 99%

Perioperative Care of the Surgical Patient

Boonchaya‐anant

Powell

Apovian

2015

The Clinician’s Guide to the Treatment of Obesity

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Body Contouring Surgery Following Bariatric Surgery and Dietetically Induced Massive Weight Reduction: A Risk Analysis

Abstract: Bariatric surgery does not increase risks for complications in subsequent body contouring procedures when compared to massive dietetic weight reduction.

Cited by 58 publications

References 27 publications

Complications after Body Contouring Surgery in Post-Bariatric Patients: The Importance of a Stable Weight Close to Normal

Complications after Body Contouring Surgery in Post-Bariatric Patients: The Importance of a Stable Weight Close to Normal

Impaired Abdominal Skin Sensory Function in Morbid Obesity and After Bariatric Surgery

Perioperative Care of the Surgical Patient

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