Standardized Reporting of Weight Control following Body Contouring

Henderson, Joshua T; Koenig, Zachary A; Woodberry, Kerri M.

doi:10.1097/gox.0000000000003740

Cited by 2 publications

(6 citation statements)

References 5 publications

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“…When evaluating BC or BS outcomes, it is important to measure weight loss as %TWL. 25 The multivariable linear regression analyses ( Table 7 ) in this study revealed no significant difference in change in glucose or lipid levels between cohorts when accounting for %TWL.…”

Section: Discussionmentioning

confidence: 56%

Changes in Glucose Control and Lipid Levels Following Trunk-Based Body Contouring Surgery in Postbariatric and Nonbariatric Patients

Henderson

Koenig

Woodberry

2022

Aesthetic Surgery Journal Open Forum

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Background Despite consistent interest over the past 2 decades regarding the metabolic effects of body contouring (BC), previous studies are limited by short follow-up periods, small sample sizes, gender-specific cohorts, and assessment of all anatomic regions together. Objectives This study evaluates the changes in glucose and lipid levels over long-term follow-up after trunk-based BC and compares postbariatric with non-bariatric patients. Methods The retrospective cohort study included patients who underwent trunk-based BC from January 1, 2009 through July 31, 2020 at West Virginia University. A minimum 12-month follow-up was required for inclusion. With BC surgery as the reference point, patients’ glucose, hemoglobin A1c, and lipid levels were assessed prior to surgery and at long-term follow-up. Change over time was compared between postbariatric and non-bariatric cohorts. Multivariable linear regression models were performed to assess the effect of potential confounding variables on the difference between cohorts. Results Seventy-seven BC patients had glucose levels evaluated during the study period, and 36 had lipid profiles obtained. Average follow-up from date of BC was 41.2 months for the patients with glucose follow-up and 40.9 months for those with lipid levels. From pre-BC to endpoint follow-up, glucose levels mildly increased in all patients. Multivariable linear regression models accounting for age showed non-bariatric patients experience significantly improved total cholesterol levels compared to postbariatric patients (p = 0.0320). Weight loss maintained following BC was not associated with significant differences between cohorts. Conclusions Fasting glucose levels marginally increase in most BC patients through follow-up. Non-bariatric patients generally experience more favorable changes in lipid profile following trunk-based BC than do postbariatric patients.

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Section: Discussionmentioning

confidence: 56%

Changes in Glucose Control and Lipid Levels Following Trunk-Based Body Contouring Surgery in Postbariatric and Nonbariatric Patients

Henderson

Koenig

Woodberry

2022

Aesthetic Surgery Journal Open Forum

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“…The percentage changes of weight loss (%TWL and %EWL) are more ideal metrics, and %TWL is the goal standard. 15,19 It is worth noting that TWL and %TWL can yield slightly different results, as in our nonbariatric patients who experienced an average TWL of 1.16 ± 11.12 kg but an average %TWL of −0.25 ± 9.43 (see average TWL more than the average %TWL. The outcomes of a series of patients are more accurately reflected by calculating %TWL.…”

Section: Ideal Weight Metricsmentioning

confidence: 72%

“…Many of these studies are also challenging to pool because of the discrepancy in reference times from which weight assessment begins. 19,23…”

Section: Discussionmentioning

confidence: 99%

“…[16][17][18] To streamline these outcomes, we recently proposed standardized guidelines for reporting weight measurement outcomes following BC surgery (Table 1). 19 There is a need to better evaluate these patients with ideal metrics over a long follow-up period, ideally specific to BC procedures of certain anatomical areas. Comparing the BC patients who have previously undergone bariatric surgery with those who have not can also provide insight into the expectations for each group of patients.…”

Section: Plastic and Reconstructive Surgery • November 2023 818ementioning

confidence: 99%

“…16–18 To streamline these outcomes, we recently proposed standardized guidelines for reporting weight measurement outcomes following BC surgery (Table 1). 19…”

mentioning

confidence: 99%

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“Weight Control Following Body Contouring Surgery – Long-Term Assessment of Postbariatric and Non-bariatric Patients”

Henderson

Koenig

Woodberry

2023

Plastic &Amp; Reconstructive Surgery

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Background: Few reports of weight maintenance following body contouring (BC) surgery present weight measurements as percentage weight change, and most of these studies do not isolate BC to specific body areas. This study analyzed weight control in the trunk-based BC population and further compared BC outcomes in postbariatric and nonbariatric patients. Methods: The authors performed a retrospective cohort study of consecutive postbariatric and nonbariatric patients who underwent trunk-based BC (abdominoplasty, panniculectomy, and circumferential lipectomy) from January 1, 2009, through July 31, 2020, at West Virginia University. A minimum 12-month follow-up was required for inclusion. With BC surgery date as the reference point, percentage total weight loss was assessed at 6-month intervals for 2 years following BC and every year thereafter. Change over time was compared between postbariatric and nonbariatric patients. Results: Within the 12-year timeframe, 121 patients meeting criteria underwent trunk-based BC. Average follow-up from date of BC was 42.9 months. Sixty patients (49.6%) had previously undergone bariatric surgery. From before BC to endpoint follow-up, postbariatric and nonbariatric patients experienced a 4.39% ± 10.93% and 0.25% ± 9.43% increase in weight from baseline, respectively (P = 0.0273). Once nadir weight loss was attained, weight regain occurred through endpoint follow-up in both groups (11.81% in the postbariatric cohort and 7.56% in the nonbariatric BC cohort; P = 0.0106). Conclusions: Long-term weight regain is common following trunk-based BC operations—specifically, in postbariatric patients. Although this should not contend with the psychological benefit of removing this excess tissue, it is important to report results with ideal weight metrics to optimally assess outcomes in this population. CLINICAL QUESTION/LEVEL OF EVIDENCE: Risk, II.

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Standardized Reporting of Weight Control following Body Contouring

Cited by 2 publications

References 5 publications

Changes in Glucose Control and Lipid Levels Following Trunk-Based Body Contouring Surgery in Postbariatric and Nonbariatric Patients

Changes in Glucose Control and Lipid Levels Following Trunk-Based Body Contouring Surgery in Postbariatric and Nonbariatric Patients

“Weight Control Following Body Contouring Surgery – Long-Term Assessment of Postbariatric and Non-bariatric Patients”

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