Department of Plastic Surgery & Hand Surgery, University Hospital Rechts der Isar, Munich Technical University, Ismaningerstrasse 22, 81675 Munich, Germany; Department of Plastic Surgery & Burns, Alexandroupoli University Hospital, Democritus University of Thrace, Alexandroupoli, Greece.
Department of Plastic Surgery & Hand Surgery, University Hospital Rechts der Isar, Munich Technical University, Ismaningerstrasse 22, 81675 Munich, Germany.
J Plast Reconstr Aesthet Surg. 2019 Aug;72(8):1363-1372. doi: 10.1016/j.bjps.2019.04.008. Epub 2019 Apr 19.
The authors' previous research suggested the hypothesis that aesthetic surgery in general has a positive impact on quality of life (QoL). This prospective study aimed to investigate the indication-specific effect on QoL in patients undergoing aesthetic liposuction. To our knowledge, no other prospective study has been conducted using standardised and validated questionnaires with a comparable return rate and sample size.
Sixty-four patients underwent aesthetic liposuction. Forty-two patients met the inclusion criteria, and 38 of them answered one set of questionnaires preoperatively and the follow-up set at six months post-operatively. The testing instrument included a self-developed, indication-specific questionnaire and four standardised and validated questionnaires with German norm data available: Questions on Life Satisfaction, Modules (FLZ, German version), the Freiburg Personality Inventory-Revised (FPI-R), the Rosenberg Self-Esteem Scale (RSES) and the Patient Health Questionnaire (PHQ-4).
Our self-developed indication-specific questionnaire showed high satisfaction with the postoperative results. The FLZ demonstrated significant improvements for all modules, concerning life in general (p = 0.02), health (p = 0.04) and body image (p = 0.02). Moreover, the FPI-R revealed a significant improvement in emotional stability (p < 0.01). Moreover, the PHQ-4 showed a significant reduction in overall psychological distress (p = 0.03) and anxiety (p = 0.01).
Liposuction had significant impact on QoL. The surgery led to a higher satisfaction not only with the result of intervention and the outer appearance specifically but also with life and the state of health generally. It improved emotional stability and reduced anxiety. Therefore, the authors' hypothesis in a previous research was confirmed for this specific indication prospectively.
作者之前的研究提出了一个假设，即一般的美容手术对生活质量（QoL）有积极影响。本前瞻性研究旨在探讨美容吸脂术患者特定适应症对 QoL 的影响。据我们所知，没有其他使用标准化和经过验证的问卷进行的前瞻性研究，这些问卷具有可比的回复率和样本量。
64 名患者接受了美容吸脂术。42 名患者符合纳入标准，其中 38 名患者在术前和术后 6 个月回答了一组问卷。测试仪器包括自行开发的、适应症特异性问卷和四个具有德国标准数据的标准化和经过验证的问卷：生活满意度问卷、模块（FLZ，德语版）、弗莱堡人格问卷修订版（FPI-R）、罗森伯格自尊量表（RSES）和患者健康问卷（PHQ-4）。
我们自行开发的适应症特异性问卷显示对术后结果非常满意。FLZ 显示所有模块的总体生活（p=0.02）、健康（p=0.04）和身体形象（p=0.02）都有显著改善。此外，FPI-R 显示情绪稳定性显著提高（p<0.01）。此外，PHQ-4 显示整体心理困扰（p=0.03）和焦虑（p=0.01）显著降低。
吸脂术对 QoL 有显著影响。手术不仅提高了对干预结果和外观的满意度，而且提高了对生活和健康状况的总体满意度。它改善了情绪稳定性并减轻了焦虑。因此，作者之前的研究假设在这个特定的适应症中得到了前瞻性的证实。
