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Quality of Life and Concurrent Procedures in Truncal Body Contouring Patients: A Single-Center Retrospective Study

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  • Body Contouring
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Abstract

Background

Body contouring procedures provide patients with a meaningful improvement in health-related quality of life (QoL). We aim to compare the difference between the QoL in patients undergoing a single post-bariatric abdominal body contouring procedure (BCP) and those undergoing two or more concurrent procedures.

Methods and Materials

Patients evaluated for post-bariatric BCP were identified and administered the BODY-Q©. Patient demographics, clinical and operative characteristics, surgical outcomes, cost data, and absolute change in QoL scores were analyzed using descriptive statistics, chi-square, and Mann–Whitney U-test, between patients who underwent single (SP), double (DP), or triple (TP) concurrent procedures.

Results

A total of 45 patients were included. The median age was 52 years old ([IQR] ± 13). The majority were female (71.1%) and African-American (55.5%). The most common single procedure was panniculectomy (75%). Surgical site occurrences, readmissions, and the complication composite outcome did not differ between groups (p>0.05). No difference was seen between SP and DP QoL score (p>0.05). The DP had a statistically lower net QoL score compared with TP cohort in four domains. The SP had a statistically lower net QoL score compared with the TP in three domains. Average total cost for patients receiving an SP was $8,048.44, compared with $19,063.94 for DP (p<0.01), and $19,765.02 for TP (p>0.05).

Conclusions

Body contouring procedures are associated with improvements in QoL irrespective of the number of concurrent procedures. Further improvement in psychological well-being occurs for patients who proceed with double concurrent procedures, albeit with an increase in cost.

Level of Evidence IV

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Author notes

  1. Omar Elfanagely and Jaclyn T. Mauch have contributed equally to this work.

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, USA

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

  2. Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA

    Jaclyn T. Mauch & Yasmeen M. Byrnes

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  1. Omar Elfanagely
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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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Omar Elfanagely: Accepted for poster at the Virtual Clinical Congress 2020.

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Elfanagely, O., Mauch, J.T., Mellia, J.A. et al. Quality of Life and Concurrent Procedures in Truncal Body Contouring Patients: A Single-Center Retrospective Study. Aesth Plast Surg 45, 1620–1627 (2021). https://doi.org/10.1007/s00266-021-02129-2

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