Weight Reduction following Abdominoplasty

Fuller, Jennifer C.; Nguyen, Catherine N.; Moulton-Barrett, Rex

doi:10.1097/prs.0b013e3182778649

Cited by 14 publications

(9 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Only two reports of exclusively nonbariatric BC patients have follow-up longer than 3 months, and neither study reported %TWL or %EWL, precluding comparison to our nonbariatric cohort. 11,13 The systematic review by Seretis et al evaluating predominantly nonbariatric BC patients showed no sustained weight loss following abdominoplasty in studies with longer follow-up (18 to 20 months). 16 A retrospective review of postbariatric and nonbariatric BC patients by Wiser et al similarly presents only BMIL.…”

Section: Discussionmentioning

confidence: 99%

“…Only two reports of exclusively nonbariatric BC patients have follow-up longer than 3 months, and neither study reported %TWL or %EWL, precluding comparison to our nonbariatric cohort. 11,13 The systematic review by Seretis 4) and is used in this figure to more clearly convey the average increase in weight in both groups of patients. et al evaluating predominantly nonbariatric BC patients showed no sustained weight loss following abdominoplasty in studies with longer followup (18 to 20 months).…”

Section: Follow-up Timelinementioning

confidence: 99%

“…Even less is understood about the weight control of patients who pursue BC surgery without previously undergoing bariatric surgery, as most outcomes studies of these patients contain follow-up as short as 3 months. 11–14…”

mentioning

confidence: 99%

See 2 more Smart Citations

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

Henderson

Koenig

Woodberry

2023

Plastic &Amp; Reconstructive Surgery

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Only two reports of exclusively nonbariatric BC patients have follow-up longer than 3 months, and neither study reported %TWL or %EWL, precluding comparison to our nonbariatric cohort. 11,13 The systematic review by Seretis 4) and is used in this figure to more clearly convey the average increase in weight in both groups of patients. et al evaluating predominantly nonbariatric BC patients showed no sustained weight loss following abdominoplasty in studies with longer followup (18 to 20 months).…”

Section: Follow-up Timelinementioning

confidence: 99%

See 1 more Smart Citation

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

Henderson

Koenig

Woodberry

2023

Plastic &Amp; Reconstructive Surgery

View full text Add to dashboard Cite

show abstract

“…The retrospective study by Arthurs et al 16 examined 126 patients undergoing panniculectomy after massive weight loss and discovered that prepanniculectomy BMI was an independent risk factor for postoperative complication. Fuller et al 22 retrospectively examined 20 patients undergoing abdominoplasty after bariatric surgery and noted that 70% of their series lost additional weight (beyond the panniculus specimen) at 1 year. They attributed this weight loss to the rectus plication, as 86% of these patients reported feelings of satiety.…”

Section: Discussionmentioning

confidence: 99%

Evaluating Outcomes and Weight Loss After Panniculectomy

et al. 2021

View full text Add to dashboard Cite

Objective The objective of this study was to evaluate long-term outcomes and weight loss after panniculectomy. Methods A retrospective chart review study was performed on 225 consecutive patients who had undergone panniculectomy from 2002 and 2020. Demographic variables including smoking status, medical comorbidities, and prior history of weight loss/bariatric surgery were collected for 173 patients. Preoperative and postoperative body mass index (BMI) were calculated in addition to postoperative outcomes. Results The study population was 85% female with a mean age of 57 years and an average follow-up of 3.9 years. Relevant comorbidities included obesity (88%), hypertension (65%), diabetes (37%), and smoking (8%), and the majority (53%) of patients had undergone prior bariatric surgery. The overall complication rate was 40%. Twenty percent of patients required reoperation or readmission, and 20% had minor complications addressed in an outpatient setting. Patients who had higher preoperative BMI experienced a significant long-term reduction in BMI. In addition, patients who did not undergo prior bariatric surgery tended to lose weight more often and by larger amounts than patients who had prior bariatric surgery (71.6% vs 57.6, P = 0.023). Complications were not uncommon and included infection (17%), delayed wound healing (16%), seroma (8%), and hematoma (3%). Patients who had prior bariatric surgery were at reduced risk of any complication (P = 0.012). Smoking increased the incidence of infection (38.5% of smokers vs 15.6% of nonsmokers, P = 0.039). Concomitant hernia repair increased the risk of overall complications (64.3% vs 35.9%, P = 0.003) and delayed wound healing (39.2% vs 11.7%, P < 0.001). In the subgroup of patients who did not lose weight, a panniculus weight greater than 5 kg was associated with an increased complication rate (61.5% vs 27%, P = 0.03). Conclusions Patients who underwent a panniculectomy tended to lose weight postoperatively, particularly those who had not undergone previous bariatric surgery. Complications were not uncommon, especially in patients with a smoking history. Prior bariatric surgery patients had a significant decrease in postoperative complications but tended to lose less weight after panniculectomy than those without prior bariatric surgery. Concomitant hernia repair put patients at an increased risk of complications.

show abstract

“…There is additional evidence that weight loss is not only maintained post‐body contouring surgery but there is increased weight loss over and above the weight of the tissue removed at the time of surgery …”

mentioning

confidence: 99%