Plus size tummy tuck4/24/2023 ![]() Plastic and Reconstructive Surgery® is published by Wolters Kluwer.Ĭlick here to read "Abdominoplasty in the Overweight and Obese Population: Outcomes and Patient Satisfaction"Īrticle: "Abdominoplasty in the Overweight and Obese Population: Outcomes and Patient Satisfaction" (doi: 10.1097/PRS.0000000000006018) Hammond and colleagues conclude: "ven in the face of this elevated complication rate, patient satisfaction is overwhelmingly high, making body contouring procedures in this patient population an acceptable option in appropriately selected patients." ![]() Although complications were frequent, most were minor and readily manageable, and many patients lost more weight after surgery. The authors believe their results support this strategy. The researchers note, "Even with weight loss, the excess skin and fat.will not completely recede and can still present as an impediment to normal function and exercise." While acknowledging the increased risks, they offered abdominoplasty or panniculectomy to overweight/obese patients "in an attempt to relieve the discomfort and physical effects of the excess skin and fat and offer the potential to jumpstart a weight loss process." Due to their increased risk of complications, patients are commonly advised to lose weight before undergoing body contouring surgery. "Abdominoplasty and panniculectomy in the overweight and obese patient presents as a surgical decision-making challenge for the treating surgeon," Dr. Nearly half of patients said they lost additional weight after surgery. Ninety-seven percent of patients said the procedure had improved their quality of life. Ninety-four percent of patients were satisfied with the results of abdominoplasty/panniculectomy, while 97 percent stated they would choose to have the procedure again. Thirty-six patients completed follow-up surveys an average of 15 months after their procedure. About nine percent of patients had major complications requiring a return to the operating room – mainly due to wound healing problems and/or fluid collections. About 39 percent had minor complications, requiring office procedures or antibiotics. ![]() Nearly half of patients had some type of complication. The researchers analyzed the outcomes of surgery, including complication rates and patient-rated outcomes. The remaining 20 percent had a procedure called panniculectomy to eliminate excess, "hanging" abdominal fat and skin. (A BMI of 25 or higher is considered overweight, while a BMI of 30 is the cutoff point for obesity.)Įighty percent of patients underwent abdominoplasty, most often including a procedure to restore weakened or separated abdominal muscles. All had a BMI of 25 or higher, with an average BMI of 32. The patients were 41 women and five men, average age 49 years. The researchers analyzed the outcomes of tummy tuck surgery in 46 overweight/obese patients over a 12-year period. That reflects concerns that increased body mass index (BMI) may increase the risk of wound healing problems and other complications. However, this and other body contouring procedures have historically been discouraged in overweight or obese patients. They write, "A real quality of life improvement can be obtained by offering body contouring even in the face of obesity, with the caveat that the risk of minor postoperative complications is high." Risks Are Higher, But Body Contouring Has Real Benefits for Patients with Increased BMIĪbdominoplasty is an effective procedure to improve the appearance of the abdomen. ![]() Hammond, MD, and colleagues of Partners in Plastic Surgery of West Michigan, Grand Rapids. Tummy tuck surgery (abdominoplasty) yields high patient satisfaction and improved quality of life in patients who are overweight or obese – despite a substantial risk of complications, reports a study in the October issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS).Īn "overwhelming majority" of overweight/obese patients are happy with the results of abdominoplasty, according to the study by Dennis C.
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