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Combined Surgery (Mommy-Makeover) Compared to Single Procedure (Abdominoplasty) in After-Pregnancy Women: A Prospective Study on Risks and Benefits

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  • Body Contouring
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Abstract

Background

Mommy-makeover is becoming very popular to help them reshaping their own bodies and restoring self-perception, hardly stressed by childbearing-related changes. However, debate exists in the literature concerning safety and aesthetic outcome in patients undergoing combined procedures. The study aims to shed a light on advantages and disadvantages in mommy-makeover technique compared to conventional abdominoplasty with a particular attention to psychological aspects.

Materials and Methods

In total, 37 women were enrolled at Campus Bio-Medico Hospital in Rome between October 2019 and January 2022. All of the patients were eligible for both abdominoplasty only and mommy-makeover. We proposed to the patients both procedures explaining risks and benefits; then, based on the preference of the single patient, we performed either mommy-makeover (Group A) or abdominoplasty alone (Group B). In order to evaluate patients’ satisfaction and safety, multiple questionnaires were administered 9-month postoperatively (BUT, POSAS, visual perception, etc.).

Results

The sample analyzed was composed of 37 patients (treatment group = 18, control group = 19). In the pre–post comparisons of BUT-A performed, there were statistically significant differences recorded in both groups and for all observed variables. The significance values were all less than 1% (p < 0.01).

Conclusions

Combined surgery proved not to be inferior in terms of patient safety. At the same time, the effectiveness in improving diastasis-related symptoms is fully comparable with single surgery. Treatment group showcases a considerable superiority in terms of body-image perception improvement and overall patient satisfaction.

Level of Evidence IV

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 the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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References

  1. Iribarren-Moreno R, Cuenca-Pardo J, Ramos-Gallardo G (2019) Is plastic surgery combined with obstetrical procedures safe? Aesthet Plast Surg 43(5):1396–1399. https://doi.org/10.1007/s00266-019-01448-9

    Article  Google Scholar 

  2. Sinno S, Shah S, Kenton K et al (2011) Assessing the safety and efficacy of combined abdominoplasty and gynecologic surgery. Ann Plast Surg 67(3):272–274. https://doi.org/10.1097/SAP.0b013e3181f9b245

    Article  CAS  PubMed  Google Scholar 

  3. Matarasso A, Smith DM (2015) Combined breast surgery and abdominoplasty: strategies for success. Plast Reconstr Surg 135(5):849e–860e. https://doi.org/10.1097/PRS.0000000000001238

    Article  CAS  PubMed  Google Scholar 

  4. Matarasso A, Smith DM (2015) Strategies for aesthetic reshaping of the postpartum patient. Plast Reconstr Surg 136(2):245–257. https://doi.org/10.1097/PRS.0000000000001410

    Article  CAS  PubMed  Google Scholar 

  5. Hodgkinson EL, Smith DM, Wittkowski A (2014) Women’s experiences of their pregnancy and postpartum body image: a systematic review and meta-synthesis. BMC Pregnancy Childbirth. https://doi.org/10.1186/1471-2393-14-330

    Article  PubMed  PubMed Central  Google Scholar 

  6. Bjelica A, Cetkovic N, Trninic-Pjevic A, Mladenovic-Segedi L (2018) The phenomenon of pregnancy—a psychological view. Ginekol Pol 89(2):102–106. https://doi.org/10.5603/GP.a2018.0017

    Article  PubMed  Google Scholar 

  7. Tan EK, Tan EL (2013) Alterations in physiology and anatomy during pregnancy. Best Pract Res Clin Obstet Gynaecol 27(6):791–802. https://doi.org/10.1016/j.bpobgyn.2013.08.001

    Article  PubMed  Google Scholar 

  8. Edmondson SJ, Ross DA (2021) The postpartum abdomen: psychology, surgery and quality of life. Hernia 25(4):939–950. https://doi.org/10.1007/s10029-021-02470-0

    Article  PubMed  Google Scholar 

  9. Stevens WG, Cohen R, Vath SD, Stoker DA, Hirsch EM (2006) Is it safe to combine abdominoplasty with elective breast surgery? A review of 151 consecutive cases. Plast Reconstr Surg 118(1):207–212. https://doi.org/10.1097/01.prs.0000220529.03298.42

    Article  CAS  PubMed  Google Scholar 

  10. Simon S, Thaller SR, Nathan N (2006) Abdominoplasty combined with additional surgery: a safety issue. Aesthet Surg J 26(4):413–416. https://doi.org/10.1016/j.asj.2006.06.004

    Article  CAS  PubMed  Google Scholar 

  11. Saad AN, Parina R, Chang D, Gosman AA (2014) Risk of adverse outcomes when plastic surgery procedures are combined. Plast Reconstr Surg 134(6):1415–1422. https://doi.org/10.1097/PRS.0000000000000738

    Article  CAS  PubMed  Google Scholar 

  12. Goldwyn RM (1986) Abdominoplasty as a combined procedure: added benefit or double trouble? Plast Reconstr Surg 78(3):383–384. https://doi.org/10.1097/00006534-198609000-00018

    Article  CAS  PubMed  Google Scholar 

  13. Agrawal NA, Hillier K, Kumar R, Izaddoost SA, Rohrich RJ (2022) A review of venous thromboembolism risk assessment and prophylaxis in plastic surgery. Plast Reconstr Surg 149(1):121E-129E. https://doi.org/10.1097/PRS.0000000000008663

    Article  CAS  PubMed  Google Scholar 

  14. Pannucci CJ (2017) Evidence-based recipes for venous thromboembolism prophylaxis: a practical safety guide. Plast Reconstr Surg 139(2):520e–532e. https://doi.org/10.1097/PRS.0000000000003035

    Article  CAS  PubMed  Google Scholar 

  15. Cuzzolaro M, Cuzzolaro M, Vetrone G, Marano G, Garfinkel PE (2006) The body uneasiness test (BUT): development and validation of a new body image assessment scale. Eat Weight Disord 11:1–13

    Article  CAS  PubMed  Google Scholar 

  16. Tyack Z, Simons M, Spinks A, Wasiak J (2012) A systematic review of the quality of burn scar rating scales for clinical and research use. Burns 38(1):6–18. https://doi.org/10.1016/J.BURNS.2011.09.021

    Article  PubMed  Google Scholar 

  17. Lippi C, Santini F, Valenti F, Macchi E, Lemmi F, Ceccarini G, Scartabelli G, Valeriano R, Marsili A, Giannetti M, Jaccheri R, Fierabracci P, Biddau M, Simonetti B, Calderone A, Mauri M, Virgone E, Baracchini G, Cassano GB, Pinchera A (2006) Body dissatisfaction and body mass index in an Italian sample aged 11–15 years. Obes Metab 2:165–171

  18. Davis MJ, Lopez JP, Turner A, Abu-Ghname A, Davies LW, Buchanan EP (2022) Sharing the operating room: a descriptive study of combined and collaborative plastic surgery cases. Plast Reconstr Surg 149(5):1009E-1013E. https://doi.org/10.1097/PRS.0000000000009028

    Article  CAS  PubMed  Google Scholar 

  19. Ali A, Essam A (2011) Abdominoplasty combined with cesarean delivery: evaluation of the practice. Aesthet Plast Surg 35(1):80–86. https://doi.org/10.1007/s00266-010-9563-1

    Article  Google Scholar 

  20. Cardoso de Castro C, Cupello AM (1990) Analysis of 60 cases of simultaneous mammaplasty and abdominoplasty. Aesthetic Plast Surg 14(1):35–41. https://doi.org/10.1007/BF01578323

  21. Miszkiewicz K, Perreault I, Landes G et al (2009) Venous thromboembolism in plastic surgery: incidence, current practice and recommendations. J Plast Reconstr Aesthet Surg 62(5):580–588. https://doi.org/10.1016/J.BJPS.2008.11.109

    Article  PubMed  Google Scholar 

  22. Marangi GF, Segreto F, Poccia I et al (2016) Thromboprophylaxis in abdominoplasty: efficacy and safety of a complete perioperative protocol. Arch Plast Surg 43(4):360–364. https://doi.org/10.5999/aps.2016.43.4.360

    Article  PubMed  PubMed Central  Google Scholar 

  23. Grieco M, Grignaffini E, Simonacci F, Raposio E (2015) Analysis of complications in postbariatric abdominoplasty: our experience. Plast Surg Int 2015:1–5. https://doi.org/10.1155/2015/209173

    Article  Google Scholar 

  24. Kaoutzanis C, Gupta V, Winocour J et al (2017) Cosmetic liposuction: preoperative risk factors, major complication rates, and safety of combined procedures. Aesthet Surg J 37(6):680–694. https://doi.org/10.1093/asj/sjw243

    Article  PubMed  Google Scholar 

  25. Nielsen C, Elander A, Staalesen T, al nouh M, FagevikOlsén M (2022) Depressive symptoms before and after abdominoplasty among post-bariatric patients—a cohort study. J Plast Surg Hand Surg. https://doi.org/10.1080/2000656X.2022.2050251

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Policlinico Universitario Campus Bio-Medico, Rome, Italy

    Vito Toto, Anna Scarabosio & Paolo Persichetti

  2. Istituto Ortopedico Galeazzi, Università degli Studi di Milano, Milan, Italy

    Mario Alessandri-Bonetti

  3. Ospedale Santa Maria della Misericordia, Udine, Italy

    Roberta Albanese

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  1. Vito Toto
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  2. Anna Scarabosio
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  3. Mario Alessandri-Bonetti
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  4. Roberta Albanese
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  5. Paolo Persichetti
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Correspondence to Anna Scarabosio.

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Consent to Publish

All patients gave consent for their photographs and medical information to be published in print and online and with the understanding that this information may be publicly available.

Human and Ethical Statement

This study followed the Declaration of Helsinki on medical protocols, ethics and human rights. Study protocol was reviewed and approved by the Campus Bio-Medico University Ethic Committee (MOMMY-MK v1.6).

Informed Consent

All participants provided a written informed consent for this study.

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Toto, V., Scarabosio, A., Alessandri-Bonetti, M. et al. Combined Surgery (Mommy-Makeover) Compared to Single Procedure (Abdominoplasty) in After-Pregnancy Women: A Prospective Study on Risks and Benefits. Aesth Plast Surg 47, 2533–2542 (2023). https://doi.org/10.1007/s00266-023-03579-6

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