Department of Plastic Surgery, Gothenburg, Sweden.
Department of Surgery, Gothenburg, Sweden.
Surg Obes Relat Dis. 2019 Feb;15(2):305-311. doi: 10.1016/j.soard.2018.10.032. Epub 2018 Nov 5.
Excess skin is well known after massive weight loss but, there is missing knowledge from various groups.
To describe and compare excess skin in a reference population during obesity, after obesity surgery, and after reconstructive abdominoplasty.
University hospital, Sweden.
The following 6 groups were included: the reference population, obese adults before obesity surgery, obese adults after obesity surgery, adolescents after obesity surgery, super-obese adults after obesity surgery, and adults after abdominoplasty. All groups filled in the Sahlgrenska Excess Skin Questionnaire (SESQ). Some groups also underwent measurements of ptosis/excess skin on 4 body parts.
All groups scored significantly higher experience of and discomfort from excess skin compared with the reference population. SESQ scores were significantly higher for obese adults (10.5 ± 8.5) and even higher for adults and adolescents (12.3 ± 8.1 versus 14.4 ± 7.7) after obesity surgery compared with the reference population (1.5 ± 3.5). Abdominoplasty resulted in significantly reduced scores (2.9 ± 5.2). Those undergoing obesity surgery and weight loss had significantly less excess skin measured on arms, breasts, and abdomen compared with before surgery, except for the upper arms on the adolescents. Excess skin increased on inner thighs in both age groups after weight loss. Correlations between objectively measured ptosis/excess skin and the patients' experience of and discomfort were .16 to .71, and the highest correlations were found among adolescents.
Excess skin is not a problem for the vast majority of the normal population but is linked to obesity and massive weight loss. The SESQ score illustrates major problems related to excess skin both for obese adults and after obesity surgery for adults and for adolescents, who have problems similar to or worse than adults. Abdominoplasty markedly decreases symptoms.
大量减重后会出现多余皮肤，但是目前对于不同人群的多余皮肤的了解还存在欠缺。
描述和比较肥胖人群、肥胖症手术后人群、肥胖症手术后青少年人群、超级肥胖症手术后人群和腹部整形术后人群的多余皮肤。
瑞典大学医院。
纳入以下 6 组人群：对照组、肥胖症手术前的肥胖成年人、肥胖症手术后的肥胖成年人、肥胖症手术后的青少年、肥胖症手术后的超级肥胖成年人、腹部整形术后的成年人。所有组群都填写了 Sahlgrenska 多余皮肤问卷（SESQ）。部分组群还接受了 4 个身体部位的皮肤松弛/多余皮肤测量。
与对照组相比，所有组群在经历和对多余皮肤的不适方面的评分均显著更高。肥胖症成年人（10.5 ± 8.5）和肥胖症手术后的成年人和青少年（12.3 ± 8.1 比 14.4 ± 7.7）的 SESQ 评分显著更高，与对照组（1.5 ± 3.5）相比。腹部整形术后评分显著降低（2.9 ± 5.2）。与手术前相比，接受肥胖症手术和减重的患者手臂、乳房和腹部的多余皮肤明显减少，除了青少年的上臂。两组青少年的大腿内侧在减重后多余皮肤增加。客观测量的皮肤松弛/多余皮肤与患者的经历和不适之间的相关性在.16 到.71 之间，青少年的相关性最高。
多余皮肤不是绝大多数正常人群的问题，但与肥胖和大量体重减轻有关。SESQ 评分表明肥胖成年人以及肥胖症手术后的成年人和青少年存在与多余皮肤相关的重大问题，他们的问题与成年人相似或更严重。腹部整形术显著减轻症状。
