Abstract:A sharp increase in bariatric surgery has resulted in a spike in the population of patients seeking plastic surgery after massive weight loss. This study was undertaken to determine how patients experience plastic surgical removal of an overlap flap and how they benefit from the surgery. A content analysis of interviews with 10 patients who underwent abdominoplasty was carried out approximately 12 months after the procedure. All interviews were audio-taped, transcribed, and analyzed using inductive reasoning. … Show more
“…Song et al, [14] investigated patients submitted to body contouring after 3 and 6 months and found out better quality of life and body image but not mood, which remained stable. These results are similar to the results of quantitative and qualitative research studies that describe improvement in body image, self-esteem, quality of life, and mental health [15,16].…”
Background: Correction of abdominal wall deformities is one of the most frequent procedures in plastic surgery, and the aesthetic, reconstructive, and functional aspects should always be considered. Patients seeking abdominoplasty desire correction of an existing abdominal wall contour deformity resulting from excess skin and fat as well as musculofascial laxity. The objective of this study is to evaluate the safety and outcome of thinning of anterior abdominal wall flap during abdominoplasty from the aesthetic and the functional point of view.Patients and Methods: 20 females complaining of abdominal lipodystrophy, skin laxity and musculoaponeurotic flaccidity were subjected to lipoabdominoplasty with direct surgical resection of the deep fat. Then the results were evaluated from the aesthetic and functional points of view.Results: The mean hospital stay was 3.75±0.91 days (range 3-6 days), two cases were reported with flap dehesince. (10%) and only one case of seroma was reported (5%). 90% of cases were satisfied and esthetic results as evaluated by a senior plastic surgeon not involved in the study were accepted in 18 cases (90%) of cases.Conclusion: Lipoabdominoplasty with limited supraumblical paramedian undermining with thining of the anterior abdominal wall flap through resection of the deep subscarpal fat, is a powerful and safe body sculpturing tool that can lead to better aesthetic and functional results.
“…Song et al, [14] investigated patients submitted to body contouring after 3 and 6 months and found out better quality of life and body image but not mood, which remained stable. These results are similar to the results of quantitative and qualitative research studies that describe improvement in body image, self-esteem, quality of life, and mental health [15,16].…”
Background: Correction of abdominal wall deformities is one of the most frequent procedures in plastic surgery, and the aesthetic, reconstructive, and functional aspects should always be considered. Patients seeking abdominoplasty desire correction of an existing abdominal wall contour deformity resulting from excess skin and fat as well as musculofascial laxity. The objective of this study is to evaluate the safety and outcome of thinning of anterior abdominal wall flap during abdominoplasty from the aesthetic and the functional point of view.Patients and Methods: 20 females complaining of abdominal lipodystrophy, skin laxity and musculoaponeurotic flaccidity were subjected to lipoabdominoplasty with direct surgical resection of the deep fat. Then the results were evaluated from the aesthetic and functional points of view.Results: The mean hospital stay was 3.75±0.91 days (range 3-6 days), two cases were reported with flap dehesince. (10%) and only one case of seroma was reported (5%). 90% of cases were satisfied and esthetic results as evaluated by a senior plastic surgeon not involved in the study were accepted in 18 cases (90%) of cases.Conclusion: Lipoabdominoplasty with limited supraumblical paramedian undermining with thining of the anterior abdominal wall flap through resection of the deep subscarpal fat, is a powerful and safe body sculpturing tool that can lead to better aesthetic and functional results.
“…The majority of the population was satisfied with the intervention despite occasional scar troubles, and reported better quality of life after abdominoplasty. Such findings are consistent with other studies, pointing out 75-90% satisfaction with abdominoplasty [10,11].…”
Background: Aiming to analyze whether abdominoplasty might benefit quality of life of postbariatric females with redundant abdominal skin folds beyond the first year, a clinical investigation after 2-4 years was designed. Despite being a reputed and popular procedure after massive weight loss, results are still debated. It was hypothesized that sustained improvements in quality of life, independent of previous anti-obesity gastroplasty, would be demonstrated.
“… “My abdomen was like a part that didn't belong to me and now it's all part of me again.” (bariatric surgery patient after body contouring , p.548).…”
Poor body image is common among individuals seeking bariatric surgery and is associated with adverse psychosocial sequelae. Following massive weight loss secondary to bariatric surgery, many individuals experience excess skin and associated concerns, leading to subsequent body contouring procedures. Little is known, however, about body image changes and associated features from pre-to post-bariatric surgery and subsequent body contouring. The objective of the present study was to conduct a comprehensive literature review of body image following bariatric surgery to help inform future clinical research and care. The articles for the current review were identified by searching PubMed and SCOPUS and references from relevant articles. A total of 60 articles examining body image post-bariatric surgery were identified, and 45 did not include body contouring surgery. Overall, there was great variation in standards of reporting sample characteristics and body image terms. When examining broad levels of body image dissatisfaction, the literature suggests general improvements in certain aspects of body image following bariatric surgery; however, few studies have systematically examined various body image domains from pre-to post-bariatric surgery and subsequent body contouring surgery. In conclusion, there is a paucity of research that examines the multidimensional elements of body image following bariatric surgery.
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