2012
DOI: 10.1097/sap.0b013e31823aefc3
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Changes in Dermal Histomorphology Following Surgical Weight Loss Versus Diet-Induced Weight Loss in the Morbidly Obese Patient

Abstract: Although the differences in histomorphology between the surgical and nonsurgical weight loss groups did not reach statistical significance, the results demonstrated an existence of weight loss-induced histomorphological skin changes that may impact future studies. The study did not demonstrate a relationship between dermal histomorphology and postoperative wound complications, suggesting that aberrant healing in body contouring procedures involves a multifactorial process.

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Cited by 21 publications
(14 citation statements)
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“…It has been reported that obese people have a poorly organized dermal collagen structure because of the degradation of collagen fibers. These individuals possess a degraded and diffused collagen matrix compared with individuals with a normal body weight . Some studies have found higher skin oxidative stress due to the accumulation of subcutaneous fat and collagenolytic enzymes in the skin, which influenced the degradation of collagen fibers .…”
Section: Introductionmentioning
confidence: 99%
See 1 more Smart Citation
“…It has been reported that obese people have a poorly organized dermal collagen structure because of the degradation of collagen fibers. These individuals possess a degraded and diffused collagen matrix compared with individuals with a normal body weight . Some studies have found higher skin oxidative stress due to the accumulation of subcutaneous fat and collagenolytic enzymes in the skin, which influenced the degradation of collagen fibers .…”
Section: Introductionmentioning
confidence: 99%
“…These individuals possess a degraded and diffused collagen matrix compared with individuals with a normal body weight. [1][2][3] Some studies have found higher skin oxidative stress due to the accumulation of subcutaneous fat and collagenolytic enzymes in the skin, which influenced the degradation of collagen fibers. [4][5][6] Moreover, our previous study clarified that the degree of obesity was higher; dermal echogenicity was lower; and dermal thickness was higher in the abdomen, thighs, and upper arms of obese males compared with normal body-weight males.…”
Section: Introductionmentioning
confidence: 99%
“…It has been reported that obese people have poorly organized dermal collagen structure because of the degradation of collagen fibres, and these dermal changes were irreversible. Furthermore, these individuals possess a degraded and diffused collagen matrix compared with normal, healthy controls [1][2][3]. It has also been shown that this dermal condition does not change even after weight loss by bariatric surgery [1].…”
Section: Introductionmentioning
confidence: 99%
“…(7) Post-bariatric patients often present with nutritional deficiencies, particularly in the first postoperative year, which are able to negatively influence the wound-healing process. (15)(16)(17)(18) A recent study reported that pre-treatment protein supplementation was a simple intervention that could significantly decrease wound-healing complications after abdominoplasty in post-bariatric patients with massive weight loss. (19) In this study, 18% (n = 38) of the entire population of 203 patients admitted in our unit for scheduled post-bariatric abdominoplasty over a 9-year period had a diagnosis of postoperative wound dehiscence.…”
Section: Discussionmentioning
confidence: 99%