Operating on the Edge? Body Contouring Procedures in Patients with Body Mass Index Greater 35
- 50 Downloads
Body contouring surgery after massive weight loss was shown to ameliorate the patient’s quality of life and to enhance physical and psychological well-being. However, numerous patients are still obese when presenting for body contouring surgery, not able to lose additional weight for various reasons. Data regarding general feasibility, outcome, and postoperative complications in obese patients is rare. The aim of this study was to investigate the outcome in body contouring procedures in obese patients.
A retrospective chart review of 65 cases in 42 patients was performed. Patients with a body mass index (BMI) > 35 kg/m2 at the time of operation were enrolled and all different types of body contouring surgery were included. Complications were classified as major (need for surgical intervention) and minor complications.
The median BMI of all patients was 38 kg/m2 (range 35.1–65.1 kg/m2). The majority of performed types of body contouring was abdominal body contouring (panniculectomy n = 27 (42%), abdominoplasty n = 12 (18%)). Complications occurred in 27 cases (41.5%). Twenty-one cases (32.3%) were classified as minor complications, six (9.2%) as major complications. The most common major complications were hematoma and wound dehiscence; the most common minor complication was seroma.
A reasonable risk for complications is well known in body contouring surgery especially in obese patients. It is imperative to discuss related risks and expected results. Taking several points into account concerning the perioperative management, reduction of major complications is possible even in still obese patients, making body contouring surgery a discussible option.
KeywordsBody contouring surgery Bariatric surgery Obesity Complications
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no conflict of interest.
For this type of study, formal consent is not required.
- 1.NCD Risk Factor Collaboration (NCD-RisC). Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1698 population-based measurement studies with 19.2 million participants. Lancet. 2016; 87(10026):1377–96.Google Scholar
- 3.Lementowski PW, Zelicof SB. Obesity and osteoarthritis. Am J Orthop (Belle Mead, NJ). 2008;37(3):148–51.Google Scholar
- 4.Colquitt JL, Pickett K, Loveman E, et al. Surgery for weight loss in adults. Cochrane Database Syst Rev. 2014;8(8):Cd003641.Google Scholar
- 10.Pierpont YN, Dinh TP, Salas RE, et al. Obesity and surgical wound healing: a current review. ISRN Obes. 2014;2014:638936.Google Scholar
- 13.Ludolph I, Fried FW, Kneppe K, et al. Negative pressure wound treatment with computer-controlled irrigation/instillation decreases bacterial load in contaminated wounds and facilitates wound closure. Int Wound J. 2018;15:978–84.Google Scholar
- 18.Ghnnam W, Elrahawy A, Moghazy ME. The effect of body mass index on outcome of abdominoplasty operations. World J Plast Surg. 2016;5(3):244–51.Google Scholar
- 22.Zuelzer HB, Ratliff CR, Drake DB. Complications of abdominal contouring surgery in obese patients: current status. Ann Plast Surg. 2010;64(5):598–604.Google Scholar
- 26.Powell JL, Kasparek DK, Connor GP. Panniculectomy to facilitate gynecologic surgery in morbidly obese women. Obstet Gynecol. 1999;94(4):528–31.Google Scholar
- 27.Pearl ML, Valea FA, Disilvestro PA, et al. Panniculectomy in morbidly obese gynecologic oncology patients. Int J Surg Investig. 2000;2(1):59–64.Google Scholar
- 33.Hillenbrand A, Henne-Bruns D, Wolf AM. Panniculus, giant hernias and surgical problems in patients with morbid obesity. GMS Interdiscip Plast Reconstr Surg DGPW. 2012;1:Doc05.Google Scholar