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Obesity Surgery

, Volume 19, Issue 8, pp 1170–1175 | Cite as

Abdominoplasty After Major Weight Loss: Improvement of Quality of Life and Psychological Status

  • Calin Constantin Lazar
  • I. Clerc
  • S. Deneuve
  • I. Auquit-Auckbur
  • P. Y. Milliez
Review

Abstract

Abdominoplasty provides a reconstructive but rarely aesthetic cosmetic solution after major weight loss. Few articles document quality of life (QOL) issues and the psychological impact of abdominoplasty on obese patients. We report a retrospective study of 41 abdominoplasties performed after an average weight loss of 40.2 kg. Data were obtained through review of patient medical files, double-blind surgical and psychological examinations, and two specifically designated questionnaires used to assess pre-abdominoplasty body perception and QOL, post-body contouring perception of improvement, and psychological status. To date, 14 patients have regained >10 kg; 84.6% have improved QOL; 86.5% have improved psychological status; 74% have better sexual relations; 53.9% admit liking their body; 76.9% are satisfied with the results of abdominoplasty; and 96.1% would be willing to undergo abdominoplasty again. Anterior dermolipectomy improves both QOL and psychological status. Provision of patient education, multidisciplinary management, and long-term follow up are necessary to obtain satisfactory results.

Keywords

Abdominoplasty Obesity Psychology Quality of life Sexuality Surgery 

Notes

Financial Disclosure

The authors certify that there is no actual or potential conflict of interest in relation to this article. No commercial associations or financial relationships exist at the time of submission.

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Copyright information

© Springer Science + Business Media, LLC 2009

Authors and Affiliations

  • Calin Constantin Lazar
    • 1
    • 4
  • I. Clerc
    • 2
  • S. Deneuve
    • 3
  • I. Auquit-Auckbur
    • 1
  • P. Y. Milliez
    • 1
  1. 1.Department of Plastic and Reconstructive SurgeryRouen University HospitalRouenFrance
  2. 2.Department of PsychologyRouen University HospitalRouenFrance
  3. 3.Department of Head and Neck SurgeryBichat University HospitalParisFrance
  4. 4.Department of Plastic and Reconstructive SurgeryMeulan – les Mureaux Regional HospitalMeulanFrance

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