Policlinico Universitario Campus Bio-Medico, Rome, Italy.
Istituto Ortopedico Galeazzi, Università degli Studi di Milano, Milan, Italy.
Aesthetic Plast Surg. 2023 Dec;47(6):2533-2542. doi: 10.1007/s00266-023-03579-6. Epub 2023 Aug 23.
Mommy-makeover is becoming very popular to help them reshaping their own bodies and restoring self-perception, hardly stressed by childbearing-related changes. However, debate exists in the literature concerning safety and aesthetic outcome in patients undergoing combined procedures. The study aims to shed a light on advantages and disadvantages in mommy-makeover technique compared to conventional abdominoplasty with a particular attention to psychological aspects.
In total, 37 women were enrolled at Campus Bio-Medico Hospital in Rome between October 2019 and January 2022. All of the patients were eligible for both abdominoplasty only and mommy-makeover. We proposed to the patients both procedures explaining risks and benefits; then, based on the preference of the single patient, we performed either mommy-makeover (Group A) or abdominoplasty alone (Group B). In order to evaluate patients' satisfaction and safety, multiple questionnaires were administered 9-month postoperatively (BUT, POSAS, visual perception, etc.).
The sample analyzed was composed of 37 patients (treatment group = 18, control group = 19). In the pre-post comparisons of BUT-A performed, there were statistically significant differences recorded in both groups and for all observed variables. The significance values were all less than 1% (p < 0.01).
Combined surgery proved not to be inferior in terms of patient safety. At the same time, the effectiveness in improving diastasis-related symptoms is fully comparable with single surgery. Treatment group showcases a considerable superiority in terms of body-image perception improvement and overall patient satisfaction.
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
“妈妈改造”（Mommy-makeover）手术越来越受欢迎，它可以帮助女性重塑身体，恢复自我认知，缓解生育相关变化带来的压力。然而，对于接受联合手术的患者，文献中对于手术的安全性和美学效果仍存在争议。本研究旨在探讨“妈妈改造”手术与传统腹部整形术的优缺点，特别关注心理方面。
2019 年 10 月至 2022 年 1 月，共有 37 名女性在罗马 Campus Bio-Medico 医院入组。所有患者均符合腹部整形术和“妈妈改造”手术的适应证。我们向患者详细介绍了两种手术的风险和益处，然后根据患者的个人偏好，为其实施“妈妈改造”手术（A 组）或单纯腹部整形术（B 组）。为了评估患者的满意度和安全性，术后 9 个月对患者进行了多项问卷调查（BUT、POSAS、视觉感知等）。
本研究共分析了 37 名患者（治疗组 18 例，对照组 19 例）。在 BUT-A 的术前术后比较中，两组患者的所有观察指标均有统计学差异，且显著性值均小于 1%（p<0.01）。
联合手术在患者安全性方面并不逊于单一手术。同时，在改善腹直肌分离相关症状方面，联合手术的效果与单一手术完全相当。治疗组在改善身体形象感知和提高整体患者满意度方面具有显著优势。
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