Format

Send to

Choose Destination
Surg Obes Relat Dis. 2018 Nov;14(11):1740-1747. doi: 10.1016/j.soard.2018.07.025. Epub 2018 Jul 31.

Psychosocial functioning and quality of life in patients with loose redundant skin 4 to 5 years after bariatric surgery.

Author information

1
College of Human Sciences and Humanities, University of Houston - Clear Lake, Houston, Texas. Electronic address: marekrj1@gmail.com.
2
Neuropsychiatric Research Institute, Fargo, North Dakota.
3
General Surgery Clinic, Washington University Medicine, Seattle, Washington.
4
Weill Cornell Medicine, New York, New York.
5
Department of Surgery Brody School of Medicine at East Carolina University, Greenville, North Carolina.
6
Department of Plastic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania.
7
Oregon Health and Science University, School of Medicine, Portland, Oregon.

Abstract

BACKGROUND:

Bariatric surgery usually results in substantial weight loss and a reduction in medical comorbidities. Many patients, as a consequence of the weight loss, subsequently evidence loose, redundant skin.

OBJECTIVES:

This investigation seeks to examine the prevalence of body contouring surgery (BCS) by patients approximately 4 to 5 years after Roux-en-Y gastric bypass surgery. Demographics, change in BMI, and psychosocial variables were also used to predict body dissatisfaction, desire for BCS, and patients who reported obtaining BCS.

SETTING:

The clinical sites involved in the Longitudinal Assessment of Bariatric Surgery project, which included 10 hospitals across the United States.

METHODS:

The sample comprised 1159 patients who underwent Roux-en-Y gastric bypass and were enrolled in the Longitudinal Assessment of Bariatric Surgery-2 study. Participants were surveyed using the Excessive Skin Survey and other psychosocial measures at their 4- or 5-year postoperative outcome. The participants were predominately women (80.5%), Caucasian (88.3%), and middle-aged (mean = 46.1 yr, standard deviation = 11.11 yr).

RESULTS:

Participants reported modest degrees of being bothered by excessive skin, primarily in their waist/abdomen, thighs, and chest/breasts body areas. Only 11.2% of the sample had undergone any BCS procedure, and a majority of those participants paid "out of pocket" for BCS. Desire for BCS and body dissatisfaction 4 to 5 years postsurgery was associated with higher depression scores and poorer quality of life scores.

CONCLUSIONS:

Excessive skin is associated with poorer psychosocial functioning. Despite reporting modest levels of being bothered by excessive skin and body dissatisfaction, only a small fraction of participants underwent BCS. Cost of BCS was reported to be a primary barrier for not obtaining BCS. All rights reserved.

KEYWORDS:

Bariatric surgery; Body contouring surgery; Excess skin; Plastic surgery; Psychosocial

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center