Menderes Adnan, Baytekin Caghan, Haciyanli Mehmet, Yilmaz Mustafa
Department of Plastic and Reconstructive Surgery, Dokuz Eylul University, Faculty of Medicine, Izmir, Turkey.
Obes Surg. 2003 Aug;13(4):637-41. doi: 10.1381/096089203322190880.
The only proven effective long-term treatment for morbid obesity is bariatric surgery. After surgery, additional problems may arise such as redundant hanging skin and a poor body image. The patient's quality of life and social acceptance may thus still be hindered. Body contouring operations remain the only hope here.
Body contouring surgery was performed on 11 patients out of 38 who had had vertical banded gastroplasty. General self-consciousness, social self-consciousness of appearance and sexual and bodily self-consciousness of appearance were measured with a retrospective questionnaire.
Timing of body contouring surgery was determined according to the demand of the patient and stabilization of the patient's weight status. On average the first plastic surgery operation was performed after 17 (12-25) months. Mean age was 37.4 (34-65) and mean excess weight loss was 57.6 (37-129). In the 11 patients who underwent plastic procedures, a total of 23 such operations were performed, and 8 complications were encountered in these 23 operations. General self-consciousness and sexual bodily self-consciousness of appearance showed improvement after bariatric surgery and further improvement after the plastic surgery.
For markedly redundant skin after massive weight loss, dermalipectomy is the only treatment. This improves the patient's general, sexual and bodily self-consciousness.
治疗病态肥胖唯一经证实有效的长期疗法是减肥手术。术后可能会出现其他问题，如皮肤赘垂和身体形象不佳。患者的生活质量和社会接受度可能仍会受到影响。身体塑形手术仍是解决这一问题的唯一希望。
对38例行垂直束带胃成形术的患者中的11例进行了身体塑形手术。通过回顾性问卷调查来评估一般自我意识、外貌的社会自我意识以及外貌的性和身体自我意识。
身体塑形手术的时机根据患者需求和体重状况的稳定程度来确定。首次整形手术平均在17（12 - 25）个月后进行。平均年龄为37.4（34 - 65）岁，平均多余体重减轻量为57.6（37 - 129）。在接受整形手术的11例患者中，共进行了23次此类手术，这23次手术中出现了8例并发症。减肥手术后一般自我意识以及外貌的性和身体自我意识有所改善，整形手术后进一步改善。
对于大量体重减轻后明显多余的皮肤，皮肤切除术是唯一的治疗方法。这可改善患者的一般、性和身体自我意识。
