Department of Plastic Surgery & Hand Surgery University Hospital Rechts der Isar, Munich Technical University, Munich, Germany; Department of Plastic Surgery, Alexandroupoli University Hospital, Democritus University of Thrace, Alexandroupoli, Greece.
Department of Plastic Surgery & Hand Surgery University Hospital Rechts der Isar, Munich Technical University, Munich, Germany.
J Plast Reconstr Aesthet Surg. 2019 May;72(5):813-820. doi: 10.1016/j.bjps.2018.12.020. Epub 2018 Dec 17.
In our previous retrospective study, we detected an increased quality of life after aesthetic abdominoplasty. In this survey, we analyzed quality of life, self-esteem, emotional stability, and mental health before and after aesthetic abdominoplasty prospectively.
Twenty-two female patients were surveyed before and six months after their surgeries. The testing instrument consisted of a self-developed indication-specific questionnaire and four standardized tests (Questions on Life Satisfaction plus a specified part body image, Rosenberg Self-Esteem Scale, Freiburg Personality Inventory, and Patient Health Questionnaire-4).
Significantly increased values were found concerning feeling comfortable in swimwear in front of the mirror or the sexual partner and at social or professional activities (each p=0.000). Women had less problems doing sports (p=0.029) and felt more feminine (p=0.012). Sum scores of general life satisfaction (p=0.016) and scores of the items leisure activity (p=0.003), relaxing abilities (p=0.002), and sexuality (p=0.046) showed significant improvements. The body image improved in general (p=0.010) and in particular in the items abdomen, hips, and waist (each p=0.000). Emotional stability increased significantly (p=0.029). We detected a mild mental depression in 27% and a moderate depression in 32% of our patients before surgery. Depressive disorders were significantly reduced (p=0.004) down to mild depression in 18% and moderate depression in 9% of the patients.
Positive results for quality of life shown in the retrospective study were confirmed. Abdominoplasty improves general life satisfaction and satisfaction with health and outer appearance and increases emotional stability. Depressive patients showed a significant improvement after aesthetic abdominoplasty.
在我们之前的回顾性研究中，我们发现美容腹部整形术后生活质量提高。在这项调查中，我们前瞻性地分析了美容腹部整形术前和术后 6 个月的生活质量、自尊、情绪稳定性和心理健康。
对 22 名女性患者进行了调查，这些患者在手术前和手术后 6 个月接受了调查。测试工具包括一个自行开发的特定于指征的问卷和四个标准化测试（生活满意度问卷加特定部分的身体形象、罗森伯格自尊量表、弗赖堡人格问卷和患者健康问卷-4）。
在穿泳衣照镜子或面对性伴侣时、在社交或职业活动中，患者感到更加舒适，这方面的评分显著增加（每项 p=0.000）。女性在运动方面的问题较少（p=0.029），并且感觉更有女人味（p=0.012）。一般生活满意度的总和评分（p=0.016）和休闲活动（p=0.003）、放松能力（p=0.002）和性（p=0.046）的项目评分均有显著改善。整体身体形象有所改善（p=0.010），腹部、臀部和腰部的项目（每项 p=0.000）尤其改善。情绪稳定性显著提高（p=0.029）。我们发现，术前有 27%的患者存在轻度抑郁，32%的患者存在中度抑郁。抑郁障碍显著减少（p=0.004），术后 18%的患者为轻度抑郁，9%的患者为中度抑郁。
回顾性研究中显示的生活质量的积极结果得到了证实。腹部整形术可提高整体生活满意度和对健康和外表的满意度，并增强情绪稳定性。美容腹部整形术后，抑郁患者的病情明显改善。
