Body contouring after obesity surgery is associated with a weight loss benefit among patients

J Plast Reconstr Aesthet Surg. 2017 Sep;70(9):1186-1190. doi: 10.1016/j.bjps.2017.05.029. Epub 2017 May 20.

Abstract

Background: Patients who undergo obesity surgery often require body contouring procedures to eliminate excess skin. Recent studies suggest that body contouring surgery may provide psychological benefits to patients after obesity surgery. However, it remains unclear how body contouring may affect weight loss maintenance after obesity surgery.

Methods: This is a retrospective review of patients who underwent obesity surgery with or without body contouring at a single institution from 2000 to 2005. Charts were reviewed for demographic, medical, and surgical information. The primary outcome of interest was the difference in weight loss maintenance among patients who underwent body contouring versus those who did not.

Results: A total of 318 patients were included for analysis in this study, of which 70 underwent obesity surgery with body contouring and 248 underwent obesity surgery without body contouring. The mean change in BMI among patients who did not undergo body contouring was 19.7 kg/m2. The mean change in BMI among patients who underwent body contouring was 22.1 kg/m2. Among patients who underwent body contouring surgery, 2.9% (2/70) of patients did not maintain at least a 20% decrease in body weight during the entire follow-up period (mean follow-up time 92.2 months). Among patients who did not undergo body contouring surgery, 10% (25/248) of patients did not maintain at least a 20% decrease in body weight during the entire follow-up period (mean follow-up time 39.0 months) (χ2 = 3.67, p = 0.055).

Conclusions: Body contouring surgery may have a positive effect on weight loss maintenance after body contouring determined from the mean weight change and on percentage of patients who maintain at least a 20% decrease in body weight.

Keywords: Body contouring; Gastric bypass; Maintenance; Obesity surgery; Weight loss.

MeSH terms

  • Adult
  • Female
  • Gastric Bypass*
  • Humans
  • Male
  • Obesity, Morbid / surgery*
  • Reconstructive Surgical Procedures / methods*
  • Retrospective Studies
  • Weight Loss*