Change in perception of non-operated body areas after abdominoplasty in massive weight loss patients – A prospective multicenter study

IF 2.4 3区医学 Q2 SURGERY

Journal of Plastic Reconstructive and Aesthetic Surgery Pub Date : 2025-05-13 DOI:10.1016/j.bjps.2025.05.005

Jakub Opyrchal , Anne van Beek , Maarten Hoogbergen , Lisa van den Berg , Julie Verkaar , Marek Paul

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引用次数: 0

Abstract

As obesity becomes more prevalent worldwide, the demand for obesity-related treatments, including bariatric surgeries and Body Contouring Surgery (BCS) has surged. While bariatric surgery effectively induces weight loss, most patients are left with excess skin. As a result, the demand for BCS has steadily increased. Studies consistently report improvements in Health-Related Quality of Life (HRQoL) and body satisfaction of the operated areas after body contouring surgery. However, little research has investigated how BCS affects the perception of untreated body areas.

A total of 241 patients were enrolled in the prospective study, 144 (34% Polish, 66% Dutch) completed the BODY-Q questionnaire preoperatively and one year postoperatively. The Total Weight Loss (TWL) before BCS was 40.3% (SD ± 9.1). Our results show that body contouring surgery positively impacts both satisfaction with surgically treated areas and overall HRQoL. The indirect body area scales demonstrated significant improvements in all non-operated body areas, except for inner thigh satisfaction, which did not reach significance at twelve months (p=0.09).

In conclusion, this study shows that a single body contouring procedure after massive weight loss can significantly improve patients' perception of their entire body, enhancing whole body image and health-related quality of life.

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大量减肥患者腹部成形术后非手术身体区域感知的变化-一项前瞻性多中心研究

随着肥胖在世界范围内变得越来越普遍，对肥胖相关治疗的需求激增，包括减肥手术和身体轮廓手术（BCS）。虽然减肥手术有效地诱导了体重减轻，但大多数患者留下了多余的皮肤。因此，对BCS的需求稳步增长。研究一致报告了身体塑形手术后与健康相关的生活质量（HRQoL）和手术区域的身体满意度的改善。然而，很少有研究调查BCS如何影响未经治疗的身体部位的感知。共有241名患者被纳入前瞻性研究，144名患者（34%波兰人，66%荷兰人）术前和术后1年完成BODY-Q问卷。BCS前总体重减轻（TWL）为40.3% （SD±9.1）。我们的研究结果表明，身体轮廓手术对手术治疗区域的满意度和总体HRQoL都有积极的影响。间接体面积量表显示，除大腿内侧满意度在12个月时未达到显著性外，所有非手术体面积均有显著性改善（p=0.09）。总之，本研究表明，大规模减肥后的单一身体轮廓手术可以显著改善患者对整个身体的感知，增强全身形象和健康相关的生活质量。

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

Journal of Plastic Reconstructive and Aesthetic Surgery 医学-外科

CiteScore

3.10

自引率

11.10%

发文量

578

审稿时长

3.5 months

期刊介绍： JPRAS An International Journal of Surgical Reconstruction is one of the world''s leading international journals, covering all the reconstructive and aesthetic aspects of plastic surgery. The journal presents the latest surgical procedures with audit and outcome studies of new and established techniques in plastic surgery including: cleft lip and palate and other heads and neck surgery, hand surgery, lower limb trauma, burns, skin cancer, breast surgery and aesthetic surgery.