Skip to main content

Advertisement

SpringerLink
Log in

Desire for Body Contouring Surgery After Laparoscopic Sleeve Gastrectomy

  • Original Article
  • Aesthetic
  • Published:
Aesthetic Plastic Surgery Aims and scope Submit manuscript

Abstract

Background

Laparoscopic sleeve gastrectomy (LSG) is an effective approach for the treatment of morbid obesity. Surgically induced massive weight loss provokes skin deformities that can be addressed with plastic surgery. However, there is a paucity of data regarding the esthetic outcome of patients after LSG. The aim of the study was to assess the postoperative appearance and the request for body contouring surgery after LSG.

Methods

All the patients who underwent LSG between August 2006 and September 2014 with a minimum follow-up of 1 year were interviewed using the Post-Bariatric Surgery Appearance Questionnaire. Postoperative satisfaction with their appearance, and the desire and frequency for body contouring surgery were assessed.

Results

A total of 175 patients were interviewed. Overall, 75 % of the patients rated that they felt attractive with their appearance. More specifically, 84 % of men and 72 % of women were satisfied with their appearance. Females were most dissatisfied with waist/abdomen, chest/breasts, and upper arms, in descending order. Males were dissatisfied with chest/breasts, upper arms, and waist/abdomen, respectively. The most desired procedures were abdominoplasty, chest/breast lift, and upper arm lift in females and abdominoplasty, thigh lift and upper arm lift in males. Only 3.6 % of patients underwent body contouring surgery postoperatively.

Conclusion

LSG patients rated their overall appearance from slightly to moderately attractive. There was a strong desire for abdominoplasty; breast lift and upper arm lift in females, although only a small proportion of patients proceeded to plastic surgery.

Level of Evidence II

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to Table of Contents or the online Instructions to Authors www.springer.com/00266.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Buchwald H, Oien DM (2008) Metabolic/bariatric surgery Worldwide. Obes Surg 2009(19):1605–1611

    Google Scholar 

  2. Buchwald H, Avidor Y, Braunwald E, Jensen MD, Pories W, Fahrbach K, Schoelles K (2004) Bariatric surgery: a systematic review and meta-analysis. JAMA 292:1724–1737

    Article  CAS  PubMed  Google Scholar 

  3. Dixon JB, Dixon ME, O’Brien PE (2002) Body image: appearance orientation and evaluation in the severely obese. Changes with weight loss. Obes Surg 12:65–71

    Article  PubMed  Google Scholar 

  4. Kitzinger HB, Abayev S, Pittermann A, Karle B, Kubiena H, Bohdjalian A, Langer FB, Prager G, Frey M (2012) The prevalence of body contouring surgery after gastric bypass surgery. Obes Surg 22:8–12

    Article  PubMed  Google Scholar 

  5. Mitchell JE, Crosby RD, Ertelt TW, Marino JM, Sarwer DB, Thompson JK, Lancaster KL, Simonich H, Howell LM (2008) The desire for body contouring surgery after bariatric surgery. Obes Surg 18:1308–1312

    Article  PubMed  Google Scholar 

  6. Pecori L, Serra Cervetti GG, Marinari GM, Migliori F, Adami GF (2007) Attitudes of morbidly obese patients to weight loss and body image following bariatric surgery and body contouring. Obes Surg 17:68–73

    Article  PubMed  Google Scholar 

  7. Migliori F, Rosati C, D’Alessandro G, Cervetti GG (2006) Body contouring after biliopancreatic diversion. Obes Surg 16:1638–1644

    Article  PubMed  Google Scholar 

  8. Deitel M, Gagner M, Erickson AL, Crosby RD (2011) Third International Summit: current status of sleeve gastrectomy. Surg Obes Relat Dis 7:749–759

    Article  PubMed  Google Scholar 

  9. Strain GW, Gagner M, Pomp A, Dakin G, Inabnet WB, Hsieh J, Heacock L, Christos P (2009) Comparison of weight loss and body composition changes with four surgical procedures. Surg Obes Relat Dis 5:582–587

    Article  PubMed  Google Scholar 

  10. Teufel M, Rieber N, Meile T, Giel KE, Sauer H, Hünnemeyer K, Enck P, Zipfel S (2012) Body image after sleeve gastrectomy: reduced dissatisfaction and increased dynamics. Obes Surg 22:1232–1237

    Article  PubMed  Google Scholar 

  11. Steffen KJ, Sarwer DB, Thompson JK, Mueller A, Baker AW, Mitchell JE (2012) Predictors of satisfaction with excess skin and desire for body contouring after bariatric surgery. Surg Obes Relat Dis 8:92–97

    Article  PubMed  Google Scholar 

  12. Friedrich AE, Damms-Machado A, Meile T, Scheuing N, Stingel K, Basrai M, Küper MA, Kramer KM, Königsrainer A, Bischoff SC (2013) Laparoscopic sleeve gastrectomy compared to a multidisciplinary weight loss program for obesity–effects on body composition and protein status. Obes Surg 23:1957–1965

    Article  PubMed  Google Scholar 

  13. Sarwer DB, Thompson JK, Mitchell JE, Rubin JP (2008) Psychological considerations of the bariatric surgery patient undergoing body contouring surgery. Plast Reconstr Surg 121:423e–434e

    Article  PubMed  Google Scholar 

  14. Sarwer DB, Fabricatore AN (2008) Psychiatric considerations of the massive weight loss patient. Clin Plast Surg 35:1–10

    Article  PubMed Central  PubMed  Google Scholar 

  15. Wadden TA, Sarwer DB (2006) Behavioral assessment of candidates for bariatric surgery: a patient-oriented approach. Surg Obes Relat Dis 2:171–179

    Article  PubMed  Google Scholar 

  16. Sarwer DB, von Sydow Green A, Vetter ML, Wadden TA (2009) Behavior therapy for obesity: where are we now? Curr Opin Endocrinol Diabetes Obes 16:347–352

    Article  PubMed  Google Scholar 

  17. Cheng IC, Wei SC, Yeh SL, Wang W (2014) Comparison of weight loss and body composition changes in morbidly obese Taiwanese patients with different bariatric surgeries: a 1-year follow-up study. Obes Surg 24:572–577

    Article  PubMed  Google Scholar 

  18. Biörserud C, Olbers T, Fagevik Olsén M (2011) Patients’ experience of surplus skin after laparoscopic gastric bypass. Obes Surg 21:273–277

    Article  PubMed  Google Scholar 

  19. Song AY, Rubin JP, Thomas V, Dudas JR, Marra KG, Fernstrom MH (2006) Body image and quality of life in post massive weight loss body contouring patients. Obesity 14:1626–1636

    Article  PubMed  Google Scholar 

  20. Kitzinger HB, Abayev S, Pittermann A, Karle B, Bohdjalian A, Langer FB, Prager G, Frey M (2012) After massive weight loss: patients’ expectations of body contouring surgery. Obes Surg 22:544–548

    Article  PubMed  Google Scholar 

  21. Aldaqal SM, Samargandi OA, El-Deek BS, Awan BA, Ashy AA, Kensarah AA (2012) Prevalence and desire for body contouring surgery in post bariatric patients in Saudi Arabia. N Am J Med Sci 4:94–98

    Article  PubMed Central  PubMed  Google Scholar 

  22. Giordano S, Victorzon M, Stormi T, Suominen E (2014) Desire for body contouring surgery after bariatric surgery: do body mass index and weight loss matter? Aesthet Surg J 34:96–105

    Article  PubMed  Google Scholar 

  23. Apovian CM, Cummings S, Anderson W, Borud L, Boyer K, Day K, Hatchigian E, Hodges B, Patti ME, Pettus M, Perna F, Rooks D, Saltzman E, Skoropowski J, Tantillo MB, Thomason P (2009) Best practice updates for multidisciplinary care in weight loss surgery. Obesity 17(5):871–879

    Article  PubMed Central  PubMed  Google Scholar 

  24. Highton L, Ekwobi C, Rose V (2012) Post-bariatric surgery body contouring in the NHS: a survey of UK bariatric surgeons. J Plast Reconstr Aesthet Surg 65:426–432

    Article  PubMed  Google Scholar 

  25. ASPS Positions on Recommended Insurance Coverage Criteria Surgical Treatment of Skin Redundancy for Obese and Massive Weight Loss Patients. http://www.plasticsurgery.org/for-medical-professionals/legislation-and-advocacy/health-policy-resources/recommended-insurance-coverage-criteria.html

  26. Sati S, Pandya S (2008) Should a panniculectomy/abdominoplasty after massive weight loss be covered by insurance? Ann Plast Surg 60:502–504

    Article  CAS  PubMed  Google Scholar 

  27. Gurunluoglu R (2008) Panniculectomy and redundant skin surgery in massive weight loss patients: current guidelines and recommendations for medical necessity determination. Ann Plast Surg 61:654–657

    Article  CAS  PubMed  Google Scholar 

  28. Gusenoff JA, Messing S, O’Malley W, Langstein HN (2008) Temporal and demographic factors influencing the desire for plastic surgery after gastric bypass surgery. Plast Reconstr Surg 121:2120–2126

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Surgery, University Hospital of Larissa, Viopolis, 41110, Larissa, Greece

    Eleni Sioka, George Tzovaras, Georgia Katsogridaki, Vissarion Bakalis, Sofia Bampalitsa, Eleni Zachari & Dimitrios Zacharoulis

Authors
  1. Eleni Sioka
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. George Tzovaras
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Georgia Katsogridaki
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Vissarion Bakalis
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Sofia Bampalitsa
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Eleni Zachari
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Dimitrios Zacharoulis
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Dimitrios Zacharoulis.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Supplementary material 1 (PDF 81 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Sioka, E., Tzovaras, G., Katsogridaki, G. et al. Desire for Body Contouring Surgery After Laparoscopic Sleeve Gastrectomy. Aesth Plast Surg 39, 978–984 (2015). https://doi.org/10.1007/s00266-015-0561-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00266-015-0561-1

Keywords

Search

Navigation