Obesity Surgery

, 17:68 | Cite as

Attitudes of Morbidly Obese Patients to Weight Loss and Body Image following Bariatric Surgery and Body Contouring

  • Laura Pecori
  • Gian Giacomo Serra Cervetti
  • Giuseppe M. Marinari
  • Franco Migliori
  • Gian Franco Adami


The authors evaluated body image attitudes in post-obese persons following bariatric surgery who require cosmetic and body contouring operations.


We studied 20 morbidly obese women prior to biliopancreatic diversion (BPD) (OB group), 20 post-obese women at >2 years following BPD (POST group), 10 post-obese women following BPD who required cosmetic procedures (POST-A group), 10 post-obese women after BPD and subsequent cosmetic surgery (POST-B group), and 20 healthy lean controls. Attitudes to weight and shape were evaluated by means of the Body Uneasiness Test (BUT).


In comparison with the obese patients in the POST group, lower BUT scores were observed, while in the POST-A group the values were very similar to those observed in the non-operated obese individuals. In the individuals having received cosmetic surgery, the BUT findings were similar to those recorded in the POST group patients, the values approaching data found in the controls.


Despite a fully satisfactory weight loss and maintenance, the post-BPD individuals requiring aesthetic surgery showed some disparagement of body image; in these subjects, cosmetic and body contouring procedures may actually improve body weight and shape attitudes towards normality.

Key words

Bariatric surgery body image body contouring morbid obesity obesity psychology 


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Copyright information

© Springer Science + Business Media B.V. 2007

Authors and Affiliations

  • Laura Pecori
    • 1
  • Gian Giacomo Serra Cervetti
    • 2
  • Giuseppe M. Marinari
    • 3
  • Franco Migliori
    • 2
  • Gian Franco Adami
    • 3
    • 4
  1. 1.Department of PsychologyUniversity of GenoaGenoaItaly
  2. 2.Plastic SurgeryOspedale San MartinoGenoaItaly
  3. 3.Department of SurgeryUniversity of GenoaGenoaItaly
  4. 4.Dipartimento di Discipline Chirurgiche, Facoltà di MedicinaUniversità di GenovaGenovaItaly

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