Vater Adrian Matthias, Schultze-Mosgau Lennart Erik, Lamby Philipp Edmund, Aitzetmüller-Klietz Matthias Michael, Schmidt Karsten, Jakubietz Rafael, Jakubietz Michael
Klinik für Plastische, Ästhetische and Hand- und Wiederherstellungschirurgie, Klinikum des Universitären, MedizinCampus Niederbayern, Innstraße 76, 94032 Passau, Germany.
Sektion Plastische und Ästhetische Chirurgie, Klinik und Poliklinik für Unfall-, Hand-, Plastische und Wiederherstellungschirurgie, Universitätsklinikum Würzburg, Oberdürrbacher Straße 6, 97080 Würzburg, Germany.
Life (Basel). 2024 Nov 7;14(11):1443. doi: 10.3390/life14111443.
The demand for body sculpting procedures after massive weight loss (MWL) has grown, with medial thighplasty (MT) emerging as an effective option. This study examines the impact of MT on quality of life (QoL), particularly focusing on body image and self-perception in individuals who have undergone MWL.
This retrospective, single-center study included 21 patients who had post-bariatric MWL and subsequently underwent MT. QoL, with a focus on body image and self-perception, and was assessed through a custom-designed questionnaire administered before and after surgery. Inclusion criteria were a BMI < 35 and a history of bariatric surgery.
Twenty-one patients (20 female, 1 male) were included, with an average age of 50.3 years. The median weight loss was 58.4 kg. Post-operatively, the Physical Component Score (PCS-12) showed significant improvement, while the Mental Component Score (MCS-12) did not show a notable change. However, self-acceptance, body contact, sexuality, and self-esteem all significantly improved post-surgery, whereas vitality did not.
Consistent with previous studies, MT yields positive outcomes regarding physical well-being. This study further highlights the procedure's benefits for self-acceptance, body contact, sexuality, and self-esteem. Patients with expectations of improvements in vitality, or mental health concerns like depression or anxiety, should be carefully selected and may benefit from multidisciplinary care, including psychiatry or psychological support, to avoid dissatisfaction with post-surgical outcomes.
大量减重（MWL）后对身体塑形手术的需求不断增加，内侧大腿成形术（MT）已成为一种有效的选择。本研究探讨MT对生活质量（QoL）的影响，特别关注接受MWL者的身体形象和自我认知。
这项回顾性单中心研究纳入了21例减重后接受MWL并随后接受MT的患者。通过术前和术后发放的一份定制问卷评估QoL，重点是身体形象和自我认知。纳入标准为BMI<35且有减重手术史。
纳入21例患者（20例女性，1例男性），平均年龄50.3岁。中位减重58.4kg。术后，身体成分评分（PCS-12）显著改善，而心理成分评分（MCS-12）无明显变化。然而，自我接受、身体接触、性方面及自尊在术后均显著改善，而活力未改善。
与既往研究一致，MT在身体健康方面产生了积极结果。本研究进一步强调了该手术在自我接受、身体接触、性方面及自尊方面的益处。对活力改善有期望或存在抑郁或焦虑等心理健康问题的患者应谨慎选择，可能受益于多学科护理，包括精神科或心理支持，以避免对手术结果不满意。
