Quality of Life after Postbariatric Abdominoplasty in Females: Interest of Age, Current Weight and Weight Loss
|Modolin M*, Cintra W Jr, Rocha RI, Faintuch J, Camargo CP and Gemperli R|
|Plastic Surgery Division, University of São Paulo School of Medicine, São Paulo, SP, Brazil|
|Corresponding Author :||Miguel Modolin
Plastic Surgeon, Rua Canada, 89
01436-000, São Paulo, Brazil
E-mail: [email protected]
|Received: June 10, 2015; Accepted: August 29, 2015; Published: August 31, 2015|
|Citation: Modolin M, Cintra W Jr, Rocha RI, Faintuch J, Camargo CP, et al. (2015) Quality of Life after Postbariatric Abdominoplasty in Females: Interest of Age, Current Weight and Weight Loss. J Obes Weight Loss Ther 5:272.doi:10.4172/2165-7904.1000272|
|Copyright: © 2015 Modolin M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
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Background: Aiming to analyze whether abdominoplasty might benefit quality of life of postbariatric females with redundant abdominal skin folds beyond the first year, a clinical investigation after 2-4 years was designed. Despite being a reputed and popular procedure after massive weight loss, results are still debated. It was hypothesized that sustained improvements in quality of life, independent of previous anti-obesity gastroplasty, would be demonstrated.
Methods: This was a prospective study in a female cohort. Patients (N=22) were submitted to abdominoplasty with the age of 42.7 ± 9.1 years and body mass index/BMI of 27.2 ± 2.7 kg/m2, about five years after bariatric Rouxen- Y gastric bypass. The interview occurred after an additional 32.0 ± 8.2 months.
Results: All post abdominoplasty indices of quality of life were benefitted, with emphasis on body contour, sexual activity and dressing. Despite frequent surgical wound complications (40.9%), most were minor and patients had few complaints about their scars. More than 90% would undergo the operation again, or recommend it to a friend. Major weight loss, or low BMI at the time of abdominoplasty, signaled better sexual and dressing scores. Sexual score was more increased in younger participants.
Conclusion: This paper suggest that abdominoplasty in ex-obese patients increased quality of life, related to the following domains body contour, mobility, hygiene, dressing, and sexuality.