Optimization of the Results in Abdominoplasty after Massive Weight Loss

Abstract

Objectives: Assess different modalities and techniques of abdominoplasty post weight loss and post bariatric patients to enhance the results and achieve more cosmetic contouring with less complications. Subjects and Methods: This study included 21 patients by different modalities and trends abdominoplasties in post weight loss and bariatric surgery were performed in Plastic Surgery Department-Shebin El-Kom Teaching Hospital and Menoufia University from January 2017-September 2019. Results: Patients' expectations and satisfaction were varied but in most of situations, patients find their expectation right. All those who think they 'might' have excellent outcome subjectively have an excellent outcome beside 3 patients thought the outcome may be 'very good'. Only one patient had unsatisfied outcome after 'very good' expectation. So the total number of constant impressions were 16/21 (76.1%) while 5/21 (23.9%) of impressions had different opinions. Generally, comparing both outcomes by Wilcoxon rankedsum test, there were no statistically significant difference between both groups of outcomes. There were only 3/21 (14.28%) cases developed complications in our study. These complications were seroma (2 cases) and wound infection (one case). Conclusion: After measuring patient's satisfaction, abdominal girths and complication rate, abdominoplasty was safe and effective maneuver for abdominal contouring with good patient selection.