Depressive symptoms before and after abdominoplasty among post-bariatric patients – a cohort study

Nielsen, Christina; Elander, Anna; Staalesen, Trude; Nouh, Micheline Al; Olsén, Monika Fagevik

doi:10.1080/2000656x.2022.2050251

Cited by 8 publications

(9 citation statements)

References 35 publications

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“…An improvement in physical activity was demonstrated after BCS in patients after massive weight loss [ 82 ]. It was reported that abdominoplasty can decrease the depression symptoms in post-bariatric patients [ 83 ]. While aesthetic improvement is one primary outcome of BC, there are many other important benefits, including reduced BMI, reduced incidence of skin rash and infection, and increased quality of life [ 17 , 18 ].…”

Section: Impact Of Abdominoplasty On Health-related Quality Of Life (...mentioning

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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Section: Impact Of Abdominoplasty On Health-related Quality Of Life (...mentioning

confidence: 99%

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

Sadeghi

Duarte-Bateman

et al. 2022

JCM

View full text Add to dashboard Cite

show abstract

“…In stark contrast, studies done by Nielsen et al 9 and Papadopulos et al 10 showed marked improvement in depressive symptoms after abdominoplasty. Increases in self-esteem and body image improved in both studies.…”

Section: Discussionmentioning

confidence: 74%

“… 2 , 5 , 6 , 12 , 15 , 16 Depression, rather than anxiety, seemed to be more common in patients undergoing abdominoplasty procedures. 9 , 10 An increased incidence of body dysmorphia was suggested in patients who pursue rhinoplasty and breast augmentation. 5 , 13 , 15 , 16 These findings reinforce the statement of Linn and Goldman 15 : all aesthetic patients are “in effect, psychiatric patients” which is an important correlation for plastic surgeons to keep in mind.…”

Section: Discussionmentioning

confidence: 99%

“…A prospective randomized controlled cohort study by Nielsen et al 9 investigated the psychological impact of abdominoplasty on 110 formerly obese patients. The participants completed 3 separate surveys that measured changes in quality of life, experience of having excess skin, and depressive symptoms respectively.…”

Section: The Psychological Impact Of Aesthetic Surgerymentioning

confidence: 99%

“…The patients had significantly fewer depressive symptoms after abdominoplasty; however, quality of life was unchanged. 9 The reason quality of life did not change despite significant improvement in depressive symptoms might be due to low construct validity of the health survey measuring quality of life.…”

Section: The Psychological Impact Of Aesthetic Surgerymentioning

confidence: 99%

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The Psychological Impact of Aesthetic Surgery: A Mini-Review

Jones

Faulkner²,

Losken

2022

Aesthetic Surgery Journal Open Forum

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The purpose of this summary is to outline the available research on the psychological factors associated with aesthetic surgery. Aesthetic procedures such as abdominoplasty, breast augmentation, face lift, and rhinoplasty are shown to have unique preoperative and postoperative psychological factors. Depression and anxiety may occur after aesthetic procedures with an increased incidence in patients with certain depression prone personality traits. The pre-existing psychology of patients is also an important contributing factor to consider when evaluating surgical candidates. Pre-existing mood disorders such as depression and anxiety are shown with higher incidence in individuals pursuing aesthetic procedures and can predispose such individuals to worsening mood symptoms postoperatively. This paper aims to equip surgeons with a better understanding of the common psychological factors seen in the field of aesthetic surgery so patients can be better supported throughout all parts of the surgical process.

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Psychological well‐being as a motive for and result of post‐bariatric body contouring procedures

Pehlke,

Oliveira,

Varnava

et al. 2023

Obesity Science & Practice

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ObjectiveThis study investigates whether psychological well‐being in post‐bariatric patients seeking body contouring procedures differ from those who do not seek body contouring procedures, those who have already undergone body contouring procedures, and those who are unsure about body contouring procedures.MethodsAn anonymous, nonrandomized, cross‐sectional survey study was designed. Psychological well‐being of four groups of post‐bariatric‐patients (undergone body contouring procedures, seeking body contouring procedures, not seeking body contouring procedures, unsure about body contouring procedures) was compared.ResultsA total of 345 patients were included in this study. No significant difference between patients seeking body contouring procedures and those not seeking body contouring procedures was found with regard to depressive symptoms, self‐esteem, and body image. Patients who had already undergone body contouring procedures scored lower on depressive symptoms (p=.035), and reported to feel more attractive (p<.001) and less insecure (p=.030) than patients who had not undergone body contouring procedures yet but seeked it. Satisfaction with the result of the body contouring procedures was associated with lower depression levels (p<.001), higher self‐esteem (p<.001) and a more positive body‐image (p<.001).ConclusionsDepressive symptoms or a low self‐esteem are not motivational factors for post‐bariatric patients to seek body contouring procedures. body contouring procedures is, however, associated with improvement in psychological well‐being in post‐bariatric patients. The patients’ satisfaction with the result of the body contouring procedures is significantly associated with positive psychological well‐being.This article is protected by copyright. All rights reserved.

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Depressive symptoms before and after abdominoplasty among post-bariatric patients – a cohort study

Cited by 8 publications

References 35 publications

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

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

The Psychological Impact of Aesthetic Surgery: A Mini-Review

Psychological well‐being as a motive for and result of post‐bariatric body contouring procedures

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