Patient satisfaction, body image, and quality of life after lower body lift: a prospective pre- and postoperative long-term survey

A systematic review of body contouring surgery in post‐bariatric patients to determine its prevalence, effects on quality of life, desire, and barriers

“…Patients in the post‐BCS group expressed a higher desire for and acceptance of BCS. According to Vierhapper et al 38 62% of the patients expressed the desire for further BCS; Klassen et al 24 confirmed that 83.3% of the participants in the post‐BCS group desired more BCS, and the corresponding figure reported by Stuerz et al 37 reached 100%. Staalesen et al 30 reported that of responders who had undergone one BCS, 14% wanted the subsequent BCS and 6% wanted even more; of those who had undergone two or more BCSs, the corresponding figures were 20% and 72%.…”

“…At the 12‐month follow‐up after BCS, Paul et al 17 found statistically significant improvements in the acceptance and evaluation of body appearance according to all the researched body parts (abdomen, buttocks, back, thighs, upper arms, and skin excess), with the most significant being changes in the abdomen. Another longitudinal study including 29 post‐lower body lift patients also showed significant improvements in body image 38 . Song et al 39 demonstrated that the post‐BCS mean scores of subscales “appearance evaluation” and “body area satisfaction” improved significantly, which indicated a greater evaluation and satisfaction with appearance, and mean score of the subscale “appearance orientation” declined, indicating that patients placed less importance on appearance.…”

“…Eight studies reported the positive effects of BCS. Vierhapper et al 38 found that problems such as eczema, difficulties with sports activities, and clothes‐fitting significantly improved after BCS. Staalesen et al 40 observed significant improvements in physical symptoms (such as itching and rash) and impairment of physical function (such as difficulties in performing sports and hindrance in daily life) and showed a significant increase in scores on the physical function subscale of the Short‐Form Health Survey‐36 Items (SF‐36).…”

The complexity of body image following bariatric surgery: a systematic review of the literature

“…A range of bariatric surgeries were reported in the longitudinal designs including a single bariatric surgery (i.e. gastric banding ; biliopancreatic diversion ; gastric bypass ) or more than one bariatric surgery type . Several body contouring procedures following bariatric surgery were reported with abdominoplasty appearing to be the most common.…”

“…A variety of bariatric surgery samples were studied with some studies including more than one bariatric surgery type and time since bariatric surgery ranged from 27.2 to 38.71 months. Of the seven longitudinal studies, BCS sample sizes were small, ranging from 18 to 47, and follow‐up assessments ranged from three to 61 months post‐BCS. Three studies had a 6‐month follow‐up assessment while two had a 12‐month follow‐up assessment .…”