What Happens to Weight Following Abdominoplasty: An Analysis of 188 Consecutive Cases.

IF 3.2 2区医学 Q1 SURGERY

Plastic and reconstructive surgery Pub Date : 2025-01-14 DOI:10.1097/PRS.0000000000011959

Jonathan Bricker, Sarah Ferenz, Simon Moradian, Kareem Termanini, Brandon Jackson, John Y S Kim

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引用次数: 0

Abstract

Background: Abdominoplasty may be considered a procedure performed after a patient has already lost weight, but many surgeons have clinically observed that patients continue to lose weight in the postoperative period. This study sought to quantify continued weight loss after abdominoplasty procedures.

Methods: A retrospective chart review was conducted on all abdominoplasty cases performed by the senior author between 2018 and 2022. Patient demographics, surgical information, and postoperative weights were all obtained. Independent samples t-tests were used for comparisons between groups.

Results: One-hundred eighty-eight patients were included with an average age of 42.5 years and follow-up of 26.5 months. Average preoperative weight and BMI were 167.8 lbs and 27.7, respectively. Average weight loss and percentage of body weight following surgery was -5.77 lbs (-3.15%) at 3 months, -5.28 lbs (-2.77%) at 6 months, -4.02 lbs (-2.17%) at 12 months, -4.18 lbs (-2.23%) at 2 years, -4.16 lbs (-2.20%) at 3 years, and -9.8 lbs (-5.29%) at 5 years. No patient who lost weight required revision surgery for additional skin removal.

Conclusion: Patients undergoing abdominoplasty experienced maintenance of surgical weight reduction and continued weight loss up to 5 years postoperatively. Those with higher BMIs had significantly greater weight loss that increased at later time intervals.

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188例连续腹部成形术后体重变化分析。

背景：腹部成形术可能被认为是在患者体重已经减轻后进行的手术，但许多外科医生在临床上观察到患者在术后继续体重减轻。这项研究试图量化腹部成形术后持续的体重减轻。方法：回顾性分析作者在2018年至2022年期间进行的所有腹部成形术病例。患者人口统计资料、手术信息和术后体重均被获得。组间比较采用独立样本t检验。结果：纳入188例患者，平均年龄42.5岁，随访26.5个月。术前平均体重和BMI分别为167.8磅和27.7磅。手术后的平均体重减轻和体重百分比为：3个月-5.77磅（-3.15%），6个月-5.28磅（-2.77%），12个月-4.02磅（-2.17%），2年-4.18磅（-2.23%），3年-4.16磅（-2.20%），5年-9.8磅（-5.29%）。体重减轻的患者没有需要进行额外的皮肤去除手术。结论：接受腹部成形术的患者可以维持手术减重并持续减重至术后5年。bmi指数高的人体重减轻的幅度更大，而且在较晚的时间间隔内减轻的幅度更大。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Plastic and reconstructive surgery 医学-外科

CiteScore

5.00

自引率

13.90%

发文量

1436

审稿时长

1.5 months

期刊介绍： For more than 70 years Plastic and Reconstructive Surgery® has been the one consistently excellent reference for every specialist who uses plastic surgery techniques or works in conjunction with a plastic surgeon. Plastic and Reconstructive Surgery® , the official journal of the American Society of Plastic Surgeons, is a benefit of Society membership, and is also available on a subscription basis. Plastic and Reconstructive Surgery® brings subscribers up-to-the-minute reports on the latest techniques and follow-up for all areas of plastic and reconstructive surgery, including breast reconstruction, experimental studies, maxillofacial reconstruction, hand and microsurgery, burn repair, cosmetic surgery, as well as news on medicolegal issues. The cosmetic section provides expanded coverage on new procedures and techniques and offers more cosmetic-specific content than any other journal. All subscribers enjoy full access to the Journal''s website, which features broadcast quality videos of reconstructive and cosmetic procedures, podcasts, comprehensive article archives dating to 1946, and additional benefits offered by the newly-redesigned website.