Advertisement

Obesity Surgery

, 18:1308 | Cite as

The Desire for Body Contouring Surgery after Bariatric Surgery

  • James E. MitchellEmail author
  • Ross D. Crosby
  • Troy W. Ertelt
  • Joanna M. Marino
  • David B. Sarwer
  • J. Kevin Thompson
  • Kathryn L. Lancaster
  • Heather Simonich
  • L. Michael Howell
Research Article

Abstract

Background

Obesity has become far more prevalent over the last few decades. In parallel, bariatric surgery has been increasingly utilized as a method of treatment. This appears to be having an impact on the rate of body contouring surgery for hanging redundant skin after the massive weight loss that usually results from bariatric surgery. Little literature is available addressing how frequently patients who have undergone bariatric surgery receive or desire body contouring surgery or regarding how satisfied these patients are with the hanging skin in certain body areas.

Methods

Seventy individuals (out of 250 who were mailed the questionnaire) who had undergone Roux-en-Y gastric bypass surgery 6–10 years previously completed a questionnaire, which obtained information regarding their experiences with as well as their desire for body contouring surgery and more general body area satisfaction.

Results

Thirty three of the seventy patients reported having undergone a total of 38 body contouring procedures. The most common were abdominoplasties (24.3%), breast lifts (8.6%), and thigh lifts (7.1%). However, subjects were not uniformly satisfied with body areas that had undergone body contouring surgery; some found the areas unattractive. The majority of patients, at least to some extent, desired body contouring surgery, often in several areas, most notably the waist/abdomen, rear/buttock, upper arms, and chest/breast.

Conclusion

Paralleling the increasing use of bariatric surgery is an increasing desire for body contouring surgery. Most patients desire body contouring surgery after bariatric surgery. However, third party payors usually do not reimburse for such procedures.

Keywords

Body contouring Bariatrics 

References

  1. 1.
    National Institute of Health. Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults—the Evidence Report. Obes Res. 1998;2:51S–209S.Google Scholar
  2. 2.
    Santry HP, Gillen DL, Lauderdale DS. Trends in bariatric surgical procedures. JAMA. 2005;294:1909–17.PubMedCrossRefGoogle Scholar
  3. 3.
    Borud LJ, Warren AG. Body contouring in the postbariatric surgery patient. J Am Coll Surg. 2005;203:82–93.CrossRefGoogle Scholar
  4. 4.
    Tang L, Song AY, Choi S, et al. Completing the metamorphosis: building a center of excellence in postbariatric plastic surgery. Ann Plast Surg. 2007;58:54–6.PubMedCrossRefGoogle Scholar
  5. 5.
    Rubin JP, Nguyen V, Schwentker A. Perioperative management of the post-gastric-bypass patient presenting for body contour surgery. Clin Plast Surg. 2004;31:601–10.PubMedCrossRefGoogle Scholar
  6. 6.
    Sarwer DB, Thompson K, Mitchell JE, et al. Psychological considerations of the bariatric surgery patient undergoing body contouring surgery. Plast Reconstr. Surg. (in press).Google Scholar
  7. 7.
    Scheufler O, Erdmann D. Current concepts and trends in postbariatric plastic surgery. Chirurg. 2007;78:316–25.PubMedCrossRefGoogle Scholar
  8. 8.
    Spector JA, Levine SM, Karp NS. Surgical solutions to the problem of massive weight loss. World J Gastroenterol. 2006;12:6602–7.PubMedGoogle Scholar
  9. 9.
    Chandawarkar RY. Body contouring following massive weight loss resulting from bariatric surgery. Adv Psychosom Med. 2006;27:61–72.PubMedCrossRefGoogle Scholar
  10. 10.
    Borud LJ, Warren AG. Modified vertical abdominoplasty in the massive weight loss patient. Plast Reconstr Surg. 2007;119:1911–21.PubMedCrossRefGoogle Scholar
  11. 11.
    Rhomberg M, Pulzi P, Piza-Katzer H. Single-stage abdominoplasty and mastopexy after weight loss following gastric banding. Obes Surg. 2003;13:418–23.PubMedCrossRefGoogle Scholar
  12. 12.
    Espinosa-de-los-Monteros A, de la Torrre J, Rosenberg L, et al. Abdonimoplasty with total abdominal liposuction for patients with massive weight loss. Aesthet Plast Surg. 2006;30:42–6.CrossRefGoogle Scholar
  13. 13.
    Manahan MA, Shermak MA. Massive panniculectomy after massive weight loss. Plast Reconstr Surg. 2006;117:2191–7.PubMedCrossRefGoogle Scholar
  14. 14.
    Nemerofsky RB, Oliak DA, Capella JF. Body lift: an account of 200 consecutive cases in the massive weight loss patient. Plast Reconstr Surg. 2006;117:414–30.PubMedCrossRefGoogle Scholar
  15. 15.
    Hurwitz DJ. Single-staged total body lift after massive weight loss. Ann Plast Surg. 2004;52:435–41.PubMedCrossRefGoogle Scholar
  16. 16.
    Strauch B, Hermann C, Rohde C, et al. Mid-body contouring in the post-bariatric surgery patient. Plast Reconstr Surg. 2006;117:2200–11.PubMedCrossRefGoogle Scholar
  17. 17.
    Aly AS, Cram AE, Heddens C. Truncal body contouring surgery in the massive weight loss patient. Clin Plast Surg. 2004;31:611–24.Google Scholar
  18. 18.
    Sclafani AP. Restoration of the jawline and the neck after bariatric surgery. Facial Plast Surg. 2005;21:28–32.PubMedCrossRefGoogle Scholar
  19. 19.
    Hurwitz DJ, Holland SW. The L brachioplasty: an innovative approach to correct excess tissue of the upper arm, axilla, and lateral chest. Plast Reconstr Surg. 2006;117:401–11.Google Scholar
  20. 20.
    Hurwitz DJ, Rubin JP, Risin M, et al. Correcting the saddlebag deformity in the massive weight loss patient. Plast Reconstr Surg. 2004;114:1313–25.PubMedCrossRefGoogle Scholar
  21. 21.
    Song AY, Rubin JP, Thomas V, et al. Body image and quality of life in post massive weight loss body contouring patients. Obesity. 2006;14:1626–36.PubMedCrossRefGoogle Scholar
  22. 22.
    Migliori F, Rosati CD, Alessandro G, et al. Body contouring after biliopancreatic diversion. Obes Surg. 2006;16:11638–44.CrossRefGoogle Scholar
  23. 23.
    Bolton MA, Pruzinsky T, Cash TG, et al. Measuring outcomes in plastic surgery: body image and quality of life in abdominoplasty patients. Plast Reconstr Surg. 2003;112:619–25.PubMedCrossRefGoogle Scholar
  24. 24.
    Pecori L, Serra Cervetti GG, Marianri GM, et al. Attitudes of morbidly obese patients to weight loss and body image following bariatric surgery and body contouring. Obes Surg. 2007;17:68–73.PubMedCrossRefGoogle Scholar
  25. 25.
    Rhomberg M, Piza-Katzer H. Plastic reconstructive operations after weight loss through gastric banding. Chirurg. 2002;73:918–23.PubMedCrossRefGoogle Scholar
  26. 26.
    Sanger C, David LR. Impact of significant weight loss on outcome of body-contouring surgery. Ann Plast Surg. 2006;56:585–6.CrossRefGoogle Scholar

Copyright information

© Springer Science + Business Media, LLC 2008

Authors and Affiliations

  • James E. Mitchell
    • 1
    • 5
    • 6
    Email author
  • Ross D. Crosby
    • 1
  • Troy W. Ertelt
    • 2
  • Joanna M. Marino
    • 2
  • David B. Sarwer
    • 3
  • J. Kevin Thompson
    • 4
  • Kathryn L. Lancaster
    • 1
  • Heather Simonich
    • 1
  • L. Michael Howell
    • 5
  1. 1.The Neuropsychiatric Research Institute and the Department of Clinical NeuroscienceUniversity of North Dakota School of Medicine and Health SciencesFargoUSA
  2. 2.The Department of PsychologyUniversity of North DakotaFargoUSA
  3. 3.The Departments of Psychiatry and SurgeryUniversity of Pennsylvania School of MedicinePhiladelphiaUSA
  4. 4.The Department of PsychologyUniversity of South FloridaTampaUSA
  5. 5.MeritCare Health Care SystemFargoUSA
  6. 6.Neuropsychiatric Research InstituteFargoUSA

Personalised recommendations