Drygalski Krzysztof, Płonowska Ewa, Hady Zuzanna Razak, Głuszyńska Paulina, Hady Hady Razak
Department of Hypertension and Diabetology, Medical University of Gdansk, Mariana Smoluchowskiego 17, 80-214 Gdańsk, Poland.
Department of Anaesthesiology and Intensive Care, Medical University of Bialystok, M. Skłodowskiej-Curie 24A, 15-276 Białystok, Poland.
J Clin Med. 2025 Jun 6;14(12):4025. doi: 10.3390/jcm14124025.
Bariatric surgery is an effective treatment for obesity, leading to significant weight loss and improvements in metabolic health. However, massive weight loss often results in excess skin, which can negatively impact body image, psychological well-being, and quality of life. Abdominoplasty is commonly performed after bariatric surgery to address these concerns. Our study aimed to evaluate the effects of post-bariatric abdominoplasty on psychological well-being, body image, social relationships, and sexual functioning in formerly obese patients. A single-center, cross-sectional recall study was conducted on 35 patients, out of 135 invited, who underwent sleeve gastrectomy followed by abdominoplasty 12-24 months after the initial surgery. Participants completed validated questionnaires assessing psychological well-being, depression, anxiety, self-esteem, body perception, social relationships, and sexual functioning. Pairwise comparisons were performed to assess changes across the preoperative, post-bariatric, and post-abdominoplasty stages. Psychological well-being significantly improved post-bariatric surgery, with further reductions in anxiety and depressive symptoms after abdominoplasty. However, body shape perception and self-esteem improved after bariatric surgery but did not show additional enhancement following abdominoplasty. Social support remained largely unchanged, except for modest improvements in attachment and reliable alliance. Sexual functioning improved significantly after bariatric surgery but showed no further significant gains after abdominoplasty. While abdominoplasty is associated with additional psychological benefits, particularly in reducing anxiety and depressive symptoms, it does not significantly enhance body perception, self-esteem, or sexual functioning beyond the effects of bariatric surgery. These findings highlight the importance of setting realistic patient expectations regarding the benefits of body contouring surgery in post-bariatric care.
减重手术是治疗肥胖症的有效方法，可显著减轻体重并改善代谢健康状况。然而，大量体重减轻往往会导致皮肤过多，这可能会对身体形象、心理健康和生活质量产生负面影响。腹壁成形术通常在减重手术后进行，以解决这些问题。我们的研究旨在评估减重后腹壁成形术对既往肥胖患者心理健康、身体形象、社会关系和性功能的影响。对135名受邀患者中的35名进行了一项单中心横断面回顾性研究，这些患者接受了袖状胃切除术，并在初次手术后12至24个月接受了腹壁成形术。参与者完成了经过验证的问卷，评估心理健康、抑郁、焦虑、自尊、身体感知、社会关系和性功能。进行成对比较以评估术前、减重后和腹壁成形术后各阶段的变化。减重手术后心理健康显著改善，腹壁成形术后焦虑和抑郁症状进一步减轻。然而，身体形状感知和自尊在减重手术后有所改善，但在腹壁成形术后没有进一步提高。社会支持基本保持不变，除了在依恋和可靠联盟方面有适度改善。性功能在减重手术后显著改善，但在腹壁成形术后没有进一步显著提高。虽然腹壁成形术具有额外的心理益处，特别是在减轻焦虑和抑郁症状方面，但它并不能在减重手术的效果之外显著增强身体感知、自尊或性功能。这些发现凸显了在减重后护理中对身体塑形手术的益处设定现实患者期望的重要性。
