Department of Plastic Surgery, DSS, im. T. Marciniaka, Wroclaw, Poland.
Division of Plastic and Reconstructive Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, United States of America.
PLoS One. 2020 Feb 21;15(2):e0229138. doi: 10.1371/journal.pone.0229138. eCollection 2020.
There has been a significant increase in the number of body contouring procedures performed worldwide. This study aimed to evaluate the long-term psychosocial effects of these procedures among patients who undergone weight loss surgery and maintained their body mass for a minimum of one year.
Post-bariatric patients undergoing body contouring procedures were recruited for the study consecutively. Inclusion criteria: BMI < 30 following bariatric surgery, weight maintenance for a minimum of 12 months, and completion of all follow up questionnaires (6 and 12 months). Patients were surveyed 24 hours before, 6-months, and 12-months post-procedure using a Polish validated version of BODY-Q.
30 consecutive patients with a mean age of 38 years (SD 5,91) were included in this study. The BODY-Q questionnaire revealed statistically significant improvements in the acceptance of body appearance after 12 months of follow up. In the abdominal area, the rise in scores achieved 90 from the starting level of 13, and the overall body image increased from 24 to 67. Moreover, in patients with postoperative complications (one hematoma and four minor wound dehiscence), the overall score did not differ from uncomplicated patients.
Body contouring procedures after massive weight loss significantly improve the general perception of personal appearance as well as both the psychological and social aspects of life in patients, already significantly stigmatized by their appearance. Body contouring procedures have essential value and should be widely offered as a step in the treatment of morbidly obese patients.
全球进行的身体塑形手术数量显著增加。本研究旨在评估那些接受减重手术后体重维持至少 1 年的患者进行这些手术的长期社会心理影响。
连续招募接受身体塑形手术的减肥后患者进行本研究。纳入标准：减重手术后 BMI<30，体重维持至少 12 个月，并完成所有随访问卷（6 个月和 12 个月）。患者在手术前 24 小时、术后 6 个月和 12 个月使用经过波兰验证的 BODY-Q 进行调查。
本研究纳入了 30 名连续患者，平均年龄为 38 岁（标准差 5.91）。BODY-Q 问卷显示，在 12 个月的随访后，对身体外观的接受程度有统计学上的显著改善。在腹部区域，评分从最初的 13 分上升到 90 分，整体身体形象从 24 分提高到 67 分。此外，在有术后并发症的患者（1 例血肿和 4 例小伤口裂开）中，总体评分与无并发症患者无差异。
大量体重减轻后的身体塑形手术显著改善了患者对个人外表的总体认知，以及生活的心理和社会方面，这些患者已经因外表而受到严重的歧视。身体塑形手术具有重要价值，应广泛提供给病态肥胖患者作为治疗的一个步骤。
