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New Approach for Post-bariatric Abdominoplasty with Extended Vertical Resection: A Prospective Cohort Study

  • Heraldo Carlos Borges InforzatoEmail author
  • Elvio Bueno Garcia
  • Juan Carlos Montano-Pedroso
  • Lydia Masako Ferreira
Original Article Body Contouring
  • 18 Downloads

Abstract

Introduction

As the number of bariatric surgeries has increased, so has the demand for post-bariatric abdominoplasty. The aim of this study was to describe a new approach to anchor-line abdominoplasty for the treatment of post-bariatric surgery patients.

Methods

This prospective, longitudinal, single-center study was conducted with 20 women, 23–47 years of age, with a body mass index < 30 kg/m2, who had undergone gastroplasty. The vertical amount of tissue to be excised was estimated preoperatively by the pinch test. The amount of tissue to be removed by transverse resection was determined intraoperatively. Patient satisfaction with the body contour result was assessed.

Results

Patient self-assessment showed that 85% of patients were very satisfied, 10% were satisfied, and 5% were not very satisfied with the surgical results. There were no cases of flap necrosis or surgical wound dehiscence.

Conclusion

The described technique resulted in improved body contour, good scar quality, and a high level of 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.

Keywords

Abdominoplasty Bariatric surgery Gastroplasty Weight loss Patient satisfaction 

Notes

Compliance with Ethical Standards

Conflict of interest

We have no conflicts of interest to disclose.

Ethical Approval

This prospective, longitudinal, single-center study was approved by the Research Ethics Committee of the Hospital Santo Amaro (approval number 002/2015), located in Guarujá, São Paulo (Brazil), and was performed in accordance with the ethical standards of the 1964 Declaration of Helsinki and its subsequent amendments as well as Resolution 466/2012 of the Brazilian National Health Council (CNS) on research involving human beings.

Informed Consent

Written informed consent was obtained from all patients prior to their inclusion in the study, all details about the scars were explained, and patient anonymity was assured.

References

  1. 1.
    World Health Organization (WHO). Global Health Observatory (GHO) data. Obesity and overweight. http://www.who.int/gho/ncd/risk_factors/overweight/en/. Accessed 15 July 2017
  2. 2.
    World Health Organization (WHO) (2015) Health statistics and information systems. Global reference list of 100 core health indicators, 2015. http://www.who.int/healthinfo/indicators/2015/en/. Accessed 15 July 2017
  3. 3.
    James PT (2004) Obesity: the worldwide epidemic. Clin Dermatol 22(4):276–280CrossRefGoogle Scholar
  4. 4.
    Buchwald H, Avidor Y, Braunwald E, Jensen MD, Pories W, Fahrbach K et al (2004) Bariatric surgery: a systematic review and meta-analysis. JAMA 292(14):1724–1737CrossRefGoogle Scholar
  5. 5.
    Colquitt J, Clegg A, Loveman E, Royle P, Sidhu MK (2005) Surgery for morbid obesity. Cochrane Database Syst Rev 4:CD003641Google Scholar
  6. 6.
    Maggard MA, Shugarman LR, Suttorp M, Maglione M, Sugerman HJ, Livingston EH et al (2005) Meta-analysis surgical treatment of obesity. Ann Intern Med 142(7):547–559CrossRefGoogle Scholar
  7. 7.
    Gloy VL, Briel M, Bhatt DL, Kashyap SR, Schauer PR, Mingrone G et al (2013) Bariatric surgery versus non-surgical treatment for obesity: a systematic review and meta-analysis of randomised controlled trials. BMJ 347:f5934CrossRefGoogle Scholar
  8. 8.
    García-García ML, Martín-Lorenzo JG, Campillo-Soto A, Torralba-Martínez JA, Lirón-Ruiz R, Miguel-Perelló J et al (2014) Complications and level of satisfaction after dermolipectomy and abdominoplasty post-bariatric surgery. Cir Esp 92(4):254–260CrossRefGoogle Scholar
  9. 9.
    The American Society for Aesthetic Plastic Surgery (ASAPS). 2016 Cosmetic Surgery National Data Bank Statistics. We are aesthetics. https://www.surgery.org/sites/default/files/ASAPS-Stats2016.pdf. Accessed 15 July 2017
  10. 10.
    Wong MS (2016) Post-bariatric body contouring surgery after weight loss: lessons learned from an obesity epidemic in the United States. Ann Plast Surg 77(Suppl 1):S53–S59CrossRefGoogle Scholar
  11. 11.
    Castañares S, Goethel JA (1967) Abdominal lipectomy: a modification in technique. Plast Reconstr Surg 40(4):378–383CrossRefGoogle Scholar
  12. 12.
    Dellon AL (1985) Fleur-de-lis abdominoplasty. Aesthet Plast Surg 9(1):27–32CrossRefGoogle Scholar
  13. 13.
    Costa LF, Landecker A, Manta AM (2004) Optimizing body contour in massive weight loss patients: the modified vertical abdominoplasty. Plast Reconstr Surg 114(7):1917–1923CrossRefGoogle Scholar
  14. 14.
    Persichetti P, Simone P, Scuderi N (2005) Anchor-line abdominoplasty: a comprehensive approach to abdominal wall reconstruction and body contouring. Plast Reconstr Surg 116(1):289–294CrossRefGoogle Scholar
  15. 15.
    Espinosa-de-los-Monteros A, de la Torre JI, Rosenberg LZ, Ahumada LA, Stoff A, Williams EH et al (2006) Abdominoplasty with total abdominal liposuction for patients with massive weight loss. Aesthet Plast Surg 30(1):42–46CrossRefGoogle Scholar
  16. 16.
    Wallach SG (2005) Abdominal contour surgery for the massive weight loss patient: the fleur-de-lis approach. Aesthet Surg J 25(5):454–465CrossRefGoogle Scholar
  17. 17.
    Bracaglia R, Tambasco D, D’Ettorre M, Gentileschi S (2012) Inverted-Y”: a modified vest-over-pants abdominoplasty pattern following bariatric surgery. Aesthet Plast Surg 36(5):1179–1185CrossRefGoogle Scholar
  18. 18.
    Fraccalvieri M, Datta G, Bogetti P, Verna G, Pedrale R, Bocchiotti MA et al (2007) Abdominoplasty after weight loss in morbidly obese patients: a 4-year clinical experience. Obes Surg 17(10):1319–1324CrossRefGoogle Scholar
  19. 19.
    Lievain L, Aktouf A, Auquit-Auckbur I, Coquerel-Beghin D, Scotte M, Milliez PY (2015) Abdominoplasty complications: particularities of the post-bariatric patients within a 238 patients series. Ann Chir Plast Esthet 60(1):26–34CrossRefGoogle Scholar
  20. 20.
    Garcia Botero A, García Wenninger M, Fernández Loaiza D (2017) Complications after body contouring surgery in post-bariatric patients. Ann Plast Surg 79(3):293–297CrossRefGoogle Scholar
  21. 21.
    Carloni R, De Runz A, Chaput B, Herlin C, Girard P, Watier E, Bertheuil N (2017) Circmferential contouring of the lower trunk: indications, operative techniques, and outcomes—a systematic review. Ann Plast Surg 79(3):293–297CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2019

Authors and Affiliations

  1. 1.Postgraduate Program in Translational SurgeryUniversidade Federal de São Paulo (UNIFESP)SantosBrazil
  2. 2.Division of Plastic Surgery, Department of SurgeryUNIFESPSão PauloBrazil

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