Dr Giordano is a Resident in Plastic Surgery and Dr Suominen is an Assistant Professor of Plastic Surgery in the Department of Plastic and General Surgery, Turku University Hospital, Turku, Finland.
Aesthet Surg J. 2014 Jan 1;34(1):96-105. doi: 10.1177/1090820X13515701. Epub 2013 Dec 13.
There is disparity between the number of postbariatric surgery subjects who desire body contouring and those who receive it due to lack of resources or insurance criteria.
The authors evaluate the desire for body contouring after bariatric surgery and its relationship with demographic patient characteristics.
Three hundred sixty patients who had undergone bariatric surgery procedures >1 year previously completed a questionnaire designed by the surgical team to analyze each patient's desire for body contouring by area (face, upper arm, upper back, chin/neck, chest/breast, waist/abdomen, lower back, rear/buttock), scored from 0 to 3 (do not want, want somewhat, want, want a great deal). Data were compared with patient characteristics, postoperative body mass index (BMI), amount of weight loss, and BMI difference (ΔBMI).
Most patients desired body contouring surgery, with high or very high desire for waist/abdomen (62.2%), upper arm (37.6%), chest/breast (28.3%), and rear/buttock (35.6%) contouring. Many patients (36.4%) cited "very high" expectations for how body contouring might change their appearance. Patients >50 years old and >3 years postsurgery had a significantly lower desire. Patients with a ΔBMI >10 and with a weight loss >20 kg showed a significantly stronger overall desire for body contouring compared with other groups.
Most patients desire body contouring surgery after bariatric surgery, and our multivariate analysis showed a significant positive association between female sex, younger age, amount of weight loss, and ΔBMI with desire for body contouring.
由于资源或保险标准的限制，接受过减重手术的患者中，希望进行身体塑形的人数与实际接受治疗的人数之间存在差异。
作者评估了减重手术后对身体塑形的渴望程度及其与患者特征的关系。
360 名接受减重手术 1 年以上的患者完成了由手术团队设计的问卷，该问卷分析了每位患者对身体塑形的渴望程度，按区域（面部、上臂、上背部、下巴/颈部、胸部/乳房、腰部/腹部、下背部、臀部/臀部）进行评分，分值为 0-3 分（不想要、有点想要、想要、非常想要）。将数据与患者特征、术后体重指数（BMI）、减重幅度和 BMI 差值（ΔBMI）进行比较。
大多数患者希望进行身体塑形手术，对腰部/腹部（62.2%）、上臂（37.6%）、胸部/乳房（28.3%）和臀部/臀部（35.6%）的塑形有较高或非常高的渴望。许多患者（36.4%）表示，身体塑形可能会极大地改变他们的外貌。年龄>50 岁和术后>3 年的患者渴望程度明显较低。与其他组相比，ΔBMI>10 和减重>20kg 的患者对身体塑形的整体渴望程度明显更强。
大多数接受过减重手术的患者希望进行身体塑形手术，我们的多变量分析显示，女性、年龄较小、减重幅度和ΔBMI 与对身体塑形的渴望呈显著正相关。
