Body Contouring Surgery Improves Weight Loss after Bariatric Surgery: A Systematic Review and Meta-Analysis

ElAbd, Rawan; Samargandi, Osama A.; AlGhanim, Khalifa; Alhamad, Salma; Almazeedi, Sulaiman; Williams, Jason; Al-Sabah, Salman; Youha, Sarah Al

doi:10.1007/s00266-020-02016-2

Cited by 20 publications

(19 citation statements)

References 47 publications

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“…This undesirable consequence alters the way patients look at their bodies, becoming extremely self-conscious [15]. Despite the satisfactory weight loss results, continuous feelings of disgust or contempt for body image impacts patients' psychological wellbeing and leads patients to seek body-contouring procedures [16,17]. For women who submitted to bariatric surgery, the discomfort with the excessive skin showed to be significantly associated with more eating-disorder psychopathology and more depressive symptoms [18].…”

Section: Of 10mentioning

confidence: 99%

Understanding Uncontrolled Eating after Bariatric Surgery: The Role of Excessive Skin and Body Image Shame

Lourdes

Cerqueira

Pinto-Bastos

et al. 2021

JCM

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Excess skin and disordered eating behaviors are referred to as some of the major negative consequences of bariatric surgery as well as body image shame. This study sought to explore how discomfort with excessive skin, body image shame, psychological distress, eating-related psychopathology, and negative urgency interact to understand uncontrolled eating among woman submitted to bariatric surgery. A cross-sectional sample of 137 women was evaluated postoperatively through self-report questionnaires assessing discomfort with excess skin, body image shame, eating-related psychopathology, negative urgency, and uncontrolled eating in a hospital center in the north of Portugal. Pearson correlations and Structural Equation Modeling (SEM) were performed. Body image shame mediated the relationship between discomfort with excess skin and eating-related psychopathology. In turn, the relationship between eating-related psychopathology and uncontrolled eating was mediated by negative urgency. This study highlights the impact of excess skin and body image shame on eating behavior post-bariatric-surgery. Considering the proven impact of uncontrolled eating on weight-loss results post-surgery, understanding the mechanisms underlying this problem is highly important. Our findings provide helpful insight for multidisciplinary teams committed to providing care to bariatric patients struggling with body image and eating difficulties.

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Section: Of 10mentioning

confidence: 99%

Understanding Uncontrolled Eating after Bariatric Surgery: The Role of Excessive Skin and Body Image Shame

Lourdes

Cerqueira

Pinto-Bastos

et al. 2021

JCM

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“…Gastroesophageal reflux, treatment failure requiring operative revision, incisional hernia, nutritional deficits, stomach cancer, gallbladder disorders, liver necrosis, pancreatic disorders, acute kidney failure, and redundant skin are reported as complications of bariatric surgery [ 16 ]. Redundant skin following significant weight loss is a common occurrence affecting up to 96% of patients who undergo bariatric surgery, negatively impacting physical and psychosocial health and detracting from activities of daily living [ 17 , 18 , 19 ]. The effects of redundant skin are so pervasive and consequential that the majority of patients also eventually desire a body contouring (BC) operation following bariatric surgery [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

“…Redundant skin following significant weight loss is a common occurrence affecting up to 96% of patients who undergo bariatric surgery, negatively impacting physical and psychosocial health and detracting from activities of daily living [ 17 , 18 , 19 ]. The effects of redundant skin are so pervasive and consequential that the majority of patients also eventually desire a body contouring (BC) operation following bariatric surgery [ 19 ]. Abdominoplasty, brachioplasty, thighplasty, mastopexy, lower body lift, abdominal panniculectomy, torsoplasty, and cruroplasty are all commonly sought BC procedures which are effective for removing redundant skin [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

Post-Bariatric Plastic Surgery: Abdominoplasty, the State of the Art in Body Contouring

Sadeghi

Duarte-Bateman

et al. 2022

JCM

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Due to the increased prevalence of obesity in the last decades, bariatric surgery has been on the rise in recent years. Bariatric surgery is a compelling option for weight loss in obese patients with severe obesity-related comorbidities or for whom lifestyle modifications have proven ineffective. Redundant skin following significant weight loss is a common occurrence affecting up to 96% of patients who undergo bariatric surgery, negatively impacting physical and psychosocial health and detracting from activities of daily living. Statistics of the American Society of Plastic Surgeons show that 46,577 body contouring procedures were performed after massive weight loss in the USA in a 2020 report. Abdominoplasty, a well-established cosmetic surgery procedure for improving body contour, is performed by removing excess skin and fat from the abdominal wall and thereby restoring musculofascial integrity and skin elasticity, resulting in a more ideal body shape and increasing quality of life. Although abdominoplasty is a safe procedure, it has been associated with a higher complication rate compared with other body-contouring procedures. Technologic advances over the past decade have been developed as non-invasive alternatives or adjunctive tools to surgery to enhance cosmetic results and minimize complications. New energy-based technologies may supplant invasive surgery for mild to moderate skin laxity and/or diminish the extent of surgery and resulting scars. Plastic surgeons play a significant role in improving the quality of life of patients who suffer from obesity and underwent bariatric surgery. We are deeply convinced, however, that the advancement of knowledge and research in this field will determine the introduction of new technologies and custom-made techniques. This advancement will reduce the complication rate with a rapid reintegration of the patient into the world of work and resumption of daily activities.

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“… 1 , 2 ElAbd et al’s SR in 2020 and metaanalysis comparing postbariatric BC patients with postbariatric patients who did not undergo BC included a pooled analysis demonstrating significantly greater percent total weight loss (%TWL) and percent excess weight loss (%EWL) with the addition of BC surgery following bariatric surgery. 3 Although these calculations are helpful, the studies from which they are based are inconsistent in metrics reported, anatomic areas addressed with BC, adjustment for tissue resection weight, and time at which weight loss was calculated (maximum weight loss versus endpoint follow-up). 3 In addition, several more studies with large patient censuses and sufficient follow-up are not accounted for in these SRs due to lack of bariatric-only case controls and reference times based on BC surgery date rather than on bariatric surgery date.…”

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confidence: 99%

“… 3 Although these calculations are helpful, the studies from which they are based are inconsistent in metrics reported, anatomic areas addressed with BC, adjustment for tissue resection weight, and time at which weight loss was calculated (maximum weight loss versus endpoint follow-up). 3 In addition, several more studies with large patient censuses and sufficient follow-up are not accounted for in these SRs due to lack of bariatric-only case controls and reference times based on BC surgery date rather than on bariatric surgery date.…”

mentioning

confidence: 99%

Standardized Reporting of Weight Control following Body Contouring

Henderson

Koenig

Woodberry

2021

Plastic and Reconstructive Surgery - Global Open

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Body Contouring Surgery Improves Weight Loss after Bariatric Surgery: A Systematic Review and Meta-Analysis

Cited by 20 publications

References 47 publications

Understanding Uncontrolled Eating after Bariatric Surgery: The Role of Excessive Skin and Body Image Shame

Understanding Uncontrolled Eating after Bariatric Surgery: The Role of Excessive Skin and Body Image Shame

Post-Bariatric Plastic Surgery: Abdominoplasty, the State of the Art in Body Contouring

Standardized Reporting of Weight Control following Body Contouring

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