Mitchell James E, Crosby Ross D, Ertelt Troy W, Marino Joanna M, Sarwer David B, Thompson J Kevin, Lancaster Kathryn L, Simonich Heather, Howell L Michael
The Neuropsychiatric Research Institute and the Department of Clinical Neuroscience, University of North Dakota School of Medicine and Health Sciences, Fargo, ND, USA.
Obes Surg. 2008 Oct;18(10):1308-12. doi: 10.1007/s11695-008-9557-0. Epub 2008 Jun 17.
Obesity has become far more prevalent over the last few decades. In parallel, bariatric surgery has been increasingly utilized as a method of treatment. This appears to be having an impact on the rate of body contouring surgery for hanging redundant skin after the massive weight loss that usually results from bariatric surgery. Little literature is available addressing how frequently patients who have undergone bariatric surgery receive or desire body contouring surgery or regarding how satisfied these patients are with the hanging skin in certain body areas.
Seventy individuals (out of 250 who were mailed the questionnaire) who had undergone Roux-en-Y gastric bypass surgery 6-10 years previously completed a questionnaire, which obtained information regarding their experiences with as well as their desire for body contouring surgery and more general body area satisfaction.
Thirty three of the seventy patients reported having undergone a total of 38 body contouring procedures. The most common were abdominoplasties (24.3%), breast lifts (8.6%), and thigh lifts (7.1%). However, subjects were not uniformly satisfied with body areas that had undergone body contouring surgery; some found the areas unattractive. The majority of patients, at least to some extent, desired body contouring surgery, often in several areas, most notably the waist/abdomen, rear/buttock, upper arms, and chest/breast.
Paralleling the increasing use of bariatric surgery is an increasing desire for body contouring surgery. Most patients desire body contouring surgery after bariatric surgery. However, third party payors usually do not reimburse for such procedures.
在过去几十年中，肥胖现象变得极为普遍。与此同时，减肥手术作为一种治疗方法越来越多地被采用。这似乎对减肥手术后因大量体重减轻导致的皮肤松弛而进行的身体塑形手术的发生率产生了影响。关于接受减肥手术的患者接受或希望进行身体塑形手术的频率，以及这些患者对身体某些部位松弛皮肤的满意度，相关文献很少。
在250名收到问卷的人中，有70人在6至10年前接受了Roux-en-Y胃旁路手术，他们完成了一份问卷，该问卷获取了有关他们身体塑形手术的经历、意愿以及更普遍的身体部位满意度的信息。
70名患者中有33人报告总共进行了38次身体塑形手术。最常见的是腹壁成形术（24.3%）、乳房提升术（8.6%）和大腿提升术（7.1%）。然而，受试者对接受过身体塑形手术的身体部位并不一致满意；有些人觉得这些部位不美观。大多数患者至少在一定程度上希望进行身体塑形手术，通常涉及多个部位，最明显的是腰部/腹部、臀部/臀部、上臂和胸部/乳房。
与减肥手术使用的增加并行的是对身体塑形手术的需求增加。大多数患者在减肥手术后希望进行身体塑形手术。然而，第三方支付者通常不报销此类手术费用。
