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Published in: Aesthetic Plastic Surgery 6/2015

01-12-2015 | Original Article

Desire for Body Contouring Surgery After Laparoscopic Sleeve Gastrectomy

Authors: Eleni Sioka, George Tzovaras, Georgia Katsogridaki, Vissarion Bakalis, Sofia Bampalitsa, Eleni Zachari, Dimitrios Zacharoulis

Published in: Aesthetic Plastic Surgery | Issue 6/2015

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Abstract

Background

Laparoscopic sleeve gastrectomy (LSG) is an effective approach for the treatment of morbid obesity. Surgically induced massive weight loss provokes skin deformities that can be addressed with plastic surgery. However, there is a paucity of data regarding the esthetic outcome of patients after LSG. The aim of the study was to assess the postoperative appearance and the request for body contouring surgery after LSG.

Methods

All the patients who underwent LSG between August 2006 and September 2014 with a minimum follow-up of 1 year were interviewed using the Post-Bariatric Surgery Appearance Questionnaire. Postoperative satisfaction with their appearance, and the desire and frequency for body contouring surgery were assessed.

Results

A total of 175 patients were interviewed. Overall, 75 % of the patients rated that they felt attractive with their appearance. More specifically, 84 % of men and 72 % of women were satisfied with their appearance. Females were most dissatisfied with waist/abdomen, chest/breasts, and upper arms, in descending order. Males were dissatisfied with chest/breasts, upper arms, and waist/abdomen, respectively. The most desired procedures were abdominoplasty, chest/breast lift, and upper arm lift in females and abdominoplasty, thigh lift and upper arm lift in males. Only 3.6 % of patients underwent body contouring surgery postoperatively.

Conclusion

LSG patients rated their overall appearance from slightly to moderately attractive. There was a strong desire for abdominoplasty; breast lift and upper arm lift in females, although only a small proportion of patients proceeded to plastic surgery.

Level of Evidence II

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to Table of Contents or the online Instructions to Authors www.​springer.​com/​00266.
Appendix
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Metadata
Title
Desire for Body Contouring Surgery After Laparoscopic Sleeve Gastrectomy
Authors
Eleni Sioka
George Tzovaras
Georgia Katsogridaki
Vissarion Bakalis
Sofia Bampalitsa
Eleni Zachari
Dimitrios Zacharoulis
Publication date
01-12-2015
Publisher
Springer US
Published in
Aesthetic Plastic Surgery / Issue 6/2015
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-015-0561-1

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