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



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.


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.


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.


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


Abdominoplasty Bariatric surgery Gastroplasty Weight loss Patient satisfaction 


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.


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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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