Zhou Renpeng, Zhang Yi, Lyu Dongze, Wang Chen
Department of Plastic and Reconstructive Surgery, Shanghai 9th People's Hospital, Shanghai Jiao Tong University School of Medicine, 639 Zhi Zao Ju Road, Shanghai, 200011, People's Republic of China.
Aesthetic Plast Surg. 2025 Feb;49(3):824-832. doi: 10.1007/s00266-024-04606-w. Epub 2024 Dec 9.
The increasing prevalence of bariatric surgeries in China has led to a growing number of patients experiencing massive weight loss and abdominal skin laxity. However, there is a scarcity of reports addressing post-bariatric lipoabdominoplasty in these patients. This study aims to present our clinical experiences with lipoabdominoplasty in post-bariatric patients in China.
We performed lipoabdominoplasty on patients who had abdominal skin laxity following bariatric surgery between March 2018 and October 2023. The procedure encompassed abdominal liposuction, plication of the rectus abdominis muscles, umbilical transposition and progressive tension sutures. Complications were recorded and analyzed.
The cohort consisted of 23 post-bariatric patients who underwent lipoabdominoplasty, achieving aesthetically favorable results. The average age at the time of surgery was 31.5 years, and the mean body mass index (BMI) was 25.1 kg/m.The overall complication rate was 34.8% (8 out of 23 patients), with hypertrophic scar being the most prevalent complication at 30.4%, followed by partial skin necrosis (4.3%).
For the Chinese post-bariatric patients, traditional lipoabdominoplasty may be preferred over fleur-de-lis abdominoplasty. The primary complication observed in our patients is hypertrophic scar. Chinese patients experience a lower rate of other complications, potentially attributed to their lower pre-surgery BMI and younger age.
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中国肥胖症手术的患病率不断上升，导致越来越多的患者体重大幅减轻且腹部皮肤松弛。然而，关于这些患者减重术后腹壁成形术的报道却很少。本研究旨在介绍我们在中国肥胖症患者减重术后腹壁成形术的临床经验。
我们对2018年3月至2023年10月间接受减重手术后出现腹部皮肤松弛的患者进行了腹壁成形术。该手术包括腹部抽脂、腹直肌折叠、脐部移位和渐进性张力缝合。记录并分析并发症情况。
该队列包括23例接受腹壁成形术的肥胖症患者，取得了良好的美学效果。手术时的平均年龄为31.5岁，平均体重指数（BMI）为25.1kg/m。总体并发症发生率为34.8%（23例患者中的8例），其中增生性瘢痕最为常见，占30.4%，其次是部分皮肤坏死（4.3%）。
对于中国肥胖症患者减重术后患者，传统腹壁成形术可能比百合花形腹壁成形术更受青睐。我们患者中观察到的主要并发症是增生性瘢痕。中国患者其他并发症的发生率较低，这可能归因于他们术前较低的BMI和较年轻的年龄。
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