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Quality of Life and Complications in the Morbidly Obese Patient following Post-Bariatric Body Contouring

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  • Body Contouring
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Abstract

Background

With a growing obesity epidemic, an increasing number of patients are seeking body contouring procedures (BCP). The aim of this study was to assess the association of morbid obesity (BMI > 40 kg/m2) with both clinical and health-related quality of life (H-RQOL) outcomes following BCP.

Methods

Patients evaluated for post-bariatric BCP at a large academic hospital by one surgeon were retrospectively identified. Patients were surveyed using the BODY-Q© during initial and postoperative visits. Demographic, clinical, operative characteristics, and surgical outcomes data were extracted. BODY-Q domain scores were compared between morbidly obese (MO) and non-morbidly obese (NMO). The absolute change in HR-QOL scores for MO and NMO was also compared.

Results

Overall, 59 patients were included (MO 72.9% vs. NMO 27.1%). The median age was 50 years old (Interquartile range [IQR] ± 17); the majority were non-Hispanic (89.8%), non-diabetic (81.4%), non-smokers (67.8%). Assessment of surgical site occurrences, reoperations, and the complication composite outcome revealed no statistical differences between groups (p >0.05). MO patients showed lower net improvement in three HR-QOL domains: satisfaction with body (median 30 [IQR ± 53] vs. 65 [IQR ± 54]; p = 0.036), body image (median 39 [IQR ± 55] vs. 52 [IQR ± 44]; p = 0.025), and social function (median 12 [IQR ± 18] vs. 19 [IQR ± 35]; p = 0.015).

Conclusion

Post-bariatric BCP can be safely performed in the MO patient without increased risk of complication. However, the benefit of truncal BCP is less in MO as it pertains to specific QOL domains: satisfaction with body, body image, and social function.

Level of evidence IV

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Authors and Affiliations

  1. Division of Plastic Surgery, Department of Surgery, University of Pennsylvania Health System, 51 North 39th Street, Wright Saunders Building, Philadelphia, PA, 19104, United States

    Omar Elfanagely, Sammy Othman, Joseph A. Mellia, Charles A. Messa IV & John P. Fischer

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  1. Omar Elfanagely
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  2. Sammy Othman
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  3. Joseph A. Mellia
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  4. Charles A. Messa IV
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Correspondence to John P. Fischer.

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Conflict of interest

Dr. JPF has received consulting payments from Baxter, Becton-Dickinson, Gore, and Integra Life Sciences. The other authors have no financial interest to declare in relation to the content of this article. No support was received for this work.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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All respondents were briefed with informed consent prior to the survey.

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Elfanagely, O., Othman, S., Mellia, J.A. et al. Quality of Life and Complications in the Morbidly Obese Patient following Post-Bariatric Body Contouring. Aesth Plast Surg 45, 1105–1112 (2021). https://doi.org/10.1007/s00266-020-02046-w

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