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Tidsskr Nor Laegeforen. 2015 Jun 16;135(11):1044-9. doi: 10.4045/tidsskr.14.0814. eCollection 2015.

Plastic surgery after bariatric surgery.

[Article in English, Norwegian]

Author information

  • 1Avdeling for plastikkirurgi Sykehuset Telemark.
  • 2Aleris Oslo.
  • 3Senter for sykelig overvekt i Helse Sør-Øst Sykehuset i Vestfold.
  • 4Avdeling for plastikkirurgi Odense Universitetshospital og Vejle Sykehus Lillebælt.
  • 5Senter for sykelig overvekt i Helse Sør-Øst Sykehuset i Vestfold og Avdeling for endokrinologi, sykelig overvekt og forebyggende medisin Medisinsk klinikk Institutt for klinisk medisin Universitetet i Oslo.

Abstract

BACKGROUND:

Massive weight loss after bariatric surgery often results in excess skin, which can lead to stigma due to appearance and pronounced physical and psychological impairments. This review considers the evidence base for post-bariatric plastic surgery and the treatment options that are available.

METHOD:

The article is based on a literature search in PubMed with the keywords «bariatric surgery» AND «plastic surgery», in addition to the authors' experience with a large number of patients.

RESULTS:

Body contouring surgery after massive weight loss is offered primarily for the treatment of troublesome skin conditions. The surgery can help to improve quality of life and functional status. However, there is little scientific evidence regarding indications for surgery, choice of surgical techniques and risk of complications, and the surgeon's own opinions and clinical experience often play a major role. Many plastic surgeons limit body contouring surgery to those with BMI < 28 kg/m². However, most patients who have undergone bariatric surgery have BMI ≥ 30 kg/m², and requests for body contouring surgery for these individuals are often denied, except when there are compelling medical grounds.

INTERPRETATION:

Plastic surgery can lead to improved functioning and increased quality of life. The evidence base with respect to indications, treatment methods and outcomes should be strengthened through well-planned prospective studies and a patient registry. There is a particular need for documentation of treatment outcomes in the large group of patients with BMI ≥ 30 kg/m².

Comment in

PMID:
26080780
DOI:
10.4045/tidsskr.14.0814
[PubMed - indexed for MEDLINE]
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