Ivezaj Valentina, Alperovich Michael, Price Gary, Dunford Ashley, Metzler Abigail, Grilo Carlos M
Department of Psychiatry, Program for Obesity, Weight, and Eating Research, Yale University School of Medicine, New Haven, CT, 06511, USA.
Department of Surgery, Yale University School of Medicine, New Haven, CT, 06511, USA.
Aesthetic Plast Surg. 2025 Jan;49(1):269-276. doi: 10.1007/s00266-024-04427-x. Epub 2024 Oct 14.
Body contouring surgery (BCS) to remove loose skin is often desired following bariatric surgery. This study prospectively examined psychosocial and medical functioning based on BCS status after bariatric surgery.
N=56 adults who sought a BCS consultation following bariatric surgery completed measures of impairment, depression, and medical (e.g., rashes, infections) and psychosocial concerns due to loose skin. Assessments were repeated at 1- and 3-month follow-ups.
Most did not undergo BCS due to insurance coverage denial/finances; n = 24 (42.9%) underwent BCS. The groups with and without BCS did not differ significantly in BMI, weight loss, impairment, or depression at any assessment; however, a significantly greater proportion of non-BCS patients reported several medical and psychosocial concerns due to loose skin relative to BCS patients at follow-up assessments. Greater loose skin concerns were associated significantly with greater impairment and depression at all assessments.
Over half who sought BCS did not undergo BCS, mostly due to insurance/financial reasons. The BCS group had significantly fewer medical and psychosocial concerns related to loose skin at follow-ups. Greater loose skin concerns were associated with heightened levels of broad psychosocial impairments suggesting that loose skin and psychological concerns warrant greater clinical attention after bariatric surgery.
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 .
减肥手术后，患者通常希望通过身体塑形手术（BCS）去除松弛的皮肤。本研究前瞻性地考察了减肥手术后基于BCS状态的心理社会和医学功能。
56名在减肥手术后寻求BCS咨询的成年人完成了因皮肤松弛导致的损伤、抑郁以及医学（如皮疹、感染）和心理社会问题的测量。在1个月和3个月的随访中重复进行评估。
大多数人因保险覆盖拒绝/经济原因未接受BCS；24人（42.9%）接受了BCS。在任何评估中，接受和未接受BCS的组在体重指数、体重减轻、损伤或抑郁方面均无显著差异；然而，在随访评估中，相对于接受BCS的患者，未接受BCS的患者中因皮肤松弛报告有多种医学和心理社会问题的比例显著更高。在所有评估中，对皮肤松弛问题的担忧越大，与更大的损伤和抑郁显著相关。
超过一半寻求BCS的人未接受BCS，主要是由于保险/经济原因。在随访中，接受BCS的组与皮肤松弛相关的医学和心理社会问题显著较少。对皮肤松弛问题的担忧越大，与广泛的心理社会损伤水平升高相关，这表明减肥手术后皮肤松弛和心理问题值得更多的临床关注。
证据水平II：本杂志要求作者为每篇文章指定证据水平。有关这些循证医学评级的完整描述，请参阅目录或作者在线指南www.springer.com/00266 。
