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Aesthet Surg J Open Forum 2023 31;5:ojad080. Epub 2023 Aug 31.

Background: Body contouring procedures have significantly increased in popularity in the United States.

Objectives: The authors sought to understand, categorize, and classify patients' experiences with postoperative complications following common body contouring procedures.

Methods: PearlDiver (PearlDiver Technologies, Colorado Springs, CO), a database with over 90 million patients, was queried to identify patients who had undergone body contouring procedures between 2010 and 2021 using current procedural terminology (CPT) codes. Read More

Aesthetic Plast Surg 2023 Sep 7. Epub 2023 Sep 7.

Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200, 00128, Roma, Italy.

Introduction: Do smaller scars lead to higher patient satisfaction? The aim of this study is to analyze long-term satisfaction of patients who underwent abdominoplasty after massive weight loss.

Methods: Patients inclusion criteria: no previous abdominal remodeling procedures, previous bariatric surgery followed by a weight loss of at least 30 kg, weight stability for at least one year, good understanding of the Italian language and standardized pre- and postoperative photographs. We divided the population in 2 groups based on the surgical procedure: group 1, conventional abdominoplasty, and group 2, anchor-line abdominoplasty. Read More

Aesthetic Plast Surg 2023 Aug 29. Epub 2023 Aug 29.

Division of Plastic Surgery, Department of Surgery, University of Pennsylvania Health System, PCAM South Pavilion 14th Floor, 3400 Civic Center Boulevard, Philadelphia, PA, 19104, USA.

Background: The incidence of obesity is on the rise around the globe. Outside of the massive weight loss (MWL) patient population, knowledge of risk factors associated with abdominal body contouring (BC) is limited. This systematic review and meta-analysis assesses the impact of obesity has on cosmetic abdominal BC outcomes. Read More

Aesthetic Plast Surg 2023 Aug 23. Epub 2023 Aug 23.

Policlinico Universitario Campus Bio-Medico, Rome, Italy.

Background: Mommy-makeover is becoming very popular to help them reshaping their own bodies and restoring self-perception, hardly stressed by childbearing-related changes. However, debate exists in the literature concerning safety and aesthetic outcome in patients undergoing combined procedures. The study aims to shed a light on advantages and disadvantages in mommy-makeover technique compared to conventional abdominoplasty with a particular attention to psychological aspects. Read More

JPRAS Open 2023 Sep 17;37:155-162. Epub 2023 Jul 17.

Surgery Department and Coordinator of the Sciences Applied to Surgery and Ophtalmology graduate program of the Medical School, Federal University of Minas Gerais, Belo Horizonte, Brazil.

Background: Obesity poses a major risk for cardiovascular diseases, while it is almost a consensus that intra-abdominal adiposity has a more deleterious effect for metabolic syndrome. In this sense, it is speculated that lipectomy or liposuction would be metabolically harmful, as it changes the abdominal-superficial adipose tissue ratio. However, the literature has shown conflicting evidence. Read More

Aesthetic Plast Surg 2023 Jun 26. Epub 2023 Jun 26.

Department of Surgery and Physiology, Faculty of Medicine, Porto University, Porto, Portugal.

Background: Abdominoplasties performed with Scarpa Fascia preservation, improve recovery and reduce complications, particularly seroma. Bariatric patients who experience massive weight loss frequently seek body contouring procedures and represent a high-risk group. This study aimed to evaluate the effects of abdominoplasty with Scarpa Fascia preservation versus the classical technique in a bariatric population. Read More

Aesthetic Plast Surg 2023 Aug 2;47(4):1472-1479. Epub 2023 Jun 2.

St George Private Hospital, Sydney, NSW, Australia.

Background: As advanced maternal age and bariatric procedures have become more common, the number of women seeking pregnancy after having abdominoplasty has increased. This has traditionally been a relative contraindication and counselled against, though there are little data in the literature regarding the potential effects to mother and baby.

Methods: A systematic review of Medline and Embase databases was performed to identify cases of pregnancy occurring after abdominoplasty. Read More

Aesthet Surg J 2023 Aug;43(9):986-993

Background: Patients seeking cosmetic abdominoplasty often have umbilical hernias. Optimal management and safety of concomitant umbilical hernia repair with abdominoplasty is not well described.

Objectives: The goal of this study was to compare complication rates following abdominoplasty with or without umbilical hernia repair. Read More

Aesthet Surg J 2023 Aug;43(9):978-985

Background: The United States is experiencing the highest opioid overdose death rate in our nation's history. Misuse and addiction to opioids, including prescription pain relievers, is a serious national crisis that affects public health as well as social and economic welfare.

Objectives: The aim of the study was to critically evaluate postoperative opioid-prescribing patterns. Read More

J Clin Med 2023 Apr 29;12(9). Epub 2023 Apr 29.

Bariatric and Metabolic Surgery Unit, 4th Department of General Surgery, Evaggelismos General Hospital of Athens, Ipsilantou 45-47, 106 76 Athens, Greece.

Obesity is a disease rather than a state, and metabolic bariatric surgery (MBS) is its most effective treatment. Body contouring surgery (BCS) is an integral part of the continuum of care following MBS, provided that the body mass index (BMI) has stabilized for an adequate period. This study is an attempt to capture the current status of BCS following MBS in Greece, based on data from one of the country's highest-volume hospitals. Read More

J Plast Reconstr Aesthet Surg 2023 Jun 6;81:53-59. Epub 2023 Feb 6.

Division of Plastic Surgery, Department of Surgery, The George Washington University School of Medicine and Health Sciences, Washington, DC, United States.

Background: Concurrent hernia repair (HR) with abdominal body contouring procedures (ABD), panniculectomy, and abdominoplasty, has been discussed as a strategy. The purpose of this study is to evaluate potential medical and surgical complications following concurrent ABD-HR, with a greater emphasis on cosmetic abdominoplasty.

Methods: The 2015-2020 ACS-NSQIP datasets were utilized to identify patients who underwent ABD or ABD-HR. Read More

Aesthet Surg J 2023 Jul;43(8):856-868

Abdominoplasty is one of the most common procedures performed in plastic surgery. By removing redundant skin and fat tissue, body contouring narrows the waist and achieves a naturally flattened appearance. To achieve this, one technique frequently utilized is plication of the abdominal rectus sheath. Read More

Ann Chir Plast Esthet 2023 Jun 23;68(3):231-237. Epub 2023 Mar 23.

Service de chirurgie plastique et reconstructrice, hôpital Saint-Luc Saint-Joseph, Lyon, France.

Introduction: Abdominoplasty is the most frequently performed procedure for the treatment of weight loss sequelaes. It carries risks of complications, especially in patients with multiple metabolic comorbidities. It is commonly accepted that the male population develops more postoperative complications, particularly haemorrhage, but there are very few studies showing this excessive morbidity. Read More

Harefuah 2022 Dec;161(12):780-785

Assia Medical group, Tel Aviv.

Bariatric surgery is an effective tool for weight loss in the obese population, improving and often resolving related co-morbidities such as diabetes and hypertension, reducing overall morbidity and mortality. However, many patients suffer from excess and redundant skin in many areas of their body. Skin excess can cause physical, functional, psychological and aesthetic impairments such as fungal infections and skin rashes, difficulty maintaining personal hygiene, low self-esteem and self-image, social isolation, depression and low quality of life. Read More

J Clin Med 2023 Feb 22;12(5). Epub 2023 Feb 22.

Department of Plastic Surgery, Agaplesion Markus Hospital, Wilhelm Epstein Str. 4, 60431 Frankfurt am Main, Germany.

(1) Background: Postoperative pain is a frequently underestimated complication significantly influencing surgical outcome and patient satisfaction. While abdominoplasty is one of the most commonly performed plastic surgery procedures, studies investigating postoperative pain are limited in current literature. (2) Methods: In this prospective study, 55 subjects who underwent horizontal abdominoplasty were included. Read More

Plast Reconstr Surg 2023 Mar 7. Epub 2023 Mar 7.

West Virginia University, Department of Surgery, Division of Plastic Surgery, Morgantown, WV.

Background: Few reports of weight maintenance following body contouring (BC) surgery present weight measurements as percent weight change, and most of these studies do not isolate BC to specific body areas. This study analyzes weight control in the trunk-based BC population and further compares BC outcomes in postbariatric and non-bariatric patients.

Methods: We performed a retrospective cohort study of consecutive postbariatric and non-bariatric patients who underwent trunk-based BC (abdominoplasty, panniculectomy, and circumferential lipectomy) from 1/1/2009 through 7/31/2020 at West Virginia University. Read More

Aesthetic Plast Surg 2023 Feb 23. Epub 2023 Feb 23.

Plastic and Reconstructive Surgery Unit, Department of Neurosciences, University of Padua, Via Giustiniani 2, 35128, Padua, Italy.

Background: Due to the high demand of post-bariatric surgeries, the number of litigation cases is rapidly growing. Even if surgical mistakes still represent one of the main causes of medico-legal issues, many disputes depend on what happens in the post-operative course. In this article we analyzed the litigation cases that occurred in our Plastic Surgery Department, the current literature about medico-legal disputes and the importance of the doctor-patient relationship. Read More

Plast Reconstr Surg Glob Open 2023 Feb 13;11(2):e4411. Epub 2023 Feb 13.

Research Unit for Tissue Regeneration, Repair and Reconstruction, Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Graz, Austria.

Unlabelled: After body contouring surgery of the lower trunk (CSLT), the definition, rate (4%-70%), and documentation of complications vary.

Objectives: We analyzed the effect of risk factors on the outcome based on the Clavien-Dindo classification (CDC) after CSLT surgery and polled postoperative satisfaction among patients.

Methods: All patients undergoing CSLT from 2001 to 2016 were included and were classified according to the CDC for postoperative events. Read More

Ann Plast Surg 2023 Mar 18;90(3):197-203. Epub 2023 Jan 18.

From the Division of Plastic Surgery, Montefiore Medical Center/Albert Einstein College of Medicine, New York, NY.

Background: There is evidence of increased postoperative complications in patients who have recovered from SARS-CoV-2. However, previous studies have not examined this effect in abdominal contouring procedures.

Methods: A retrospective review was conducted for all patients who underwent abdominoplasty or panniculectomy at our institution from March 2020 to November 2021. Read More

Plast Reconstr Surg 2023 Jun 26;151(6):1043e-1050e. Epub 2022 Dec 26.

From the Division of Plastic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School.

Background: TikTok is a short-form video social media platform created in 2016 that has rapidly grown in popularity. The aim of this study was to examine trending plastic surgery videos on TikTok and to understand the dynamics of the #PlasticSurgery conversation on this relatively new social media platform.

Methods: A prospective analysis of TikTok videos identified by directly querying the platform using #PlasticSurgery was performed during November of 2020. Read More

Int Wound J 2023 May 25;20(5):1558-1565. Epub 2023 Jan 25.

Department of Surgery, Faculty of Medicine, Misr University for Science and Technology, Giza, Egypt.

Repair of large midline ventral hernias still represents a challenge for general surgeons. As obesity is a key factor of this type of hernias, usually the patients are presented with abdominal wall laxity, excess skin and subcutaneous fat. Combined procedures has evolved over the last six decades to repair the hernias and to improve the shape of the abdomen, but was associated with high rate of wound complications. Read More

J Clin Med 2023 Jan 13;12(2). Epub 2023 Jan 13.

Department of Plastic and General Surgery, Turku University Hospital, University of Turku, 20500 Turku, Finland.

(1) Background: An increasing number of patients undergo bariatric surgery and seek body contouring surgery after massive weight loss (MWL). Abdominoplasty itself is associated with a high complication rate in these patients, particularly due to seroma formation. Scarpa fascia preservation (SFP) has been proven to be an efficient method of reducing seroma rates. Read More

Aesthetic Plast Surg 2023 Aug 6;47(4):1447-1458. Epub 2023 Jan 6.

Clinic of Plastic Surgery, Department of Neuroscience, Padua University Hospital, Via Nicolò Giustiniani, 2, 35128, Padua, PD, Italy.

Introduction: Ex-obese patients present with redundancy of abdominal skin and soft tissue due to massive weight loss (MWL). The plastic surgeon can restore the body shape through body contouring procedures. Hence the need to adequately direct patients to body contouring by identifying suitable candidates exists. Read More

J West Afr Coll Surg 2022 23;12(4):31-38. Epub 2022 Nov 23.

Department of Surgery, ESUT College of Medicine and ESUT Teaching Hospital, Enugu, Nigeria.

Background: Abdominoplasty is a body contouring surgical procedure designed to improve the contour of the lower trunk. It is one the most commonly performed cosmetic procedures in developed countries. In developing nations such as ours, it constitutes a small percentage of aesthetic procedures performed. Read More

Zentralbl Chir 2022 Dec 7;147(6):556-573. Epub 2022 Dec 7.

Direktor der Klinik für Plastische und Ästhetische Chirurgie, Hand- und Verbrennungschirurgie, Helios Universitätsklinikum Wuppertal, Universität Witten/Herdecke, Wuppertal, Deutschland.

Body contouring procedures are the consequent and final step for patients after massive weight loss. These surgical procedures are mainly indicated for functional reasons resulting from extensive excess skin flaps. The current overview serves as an introduction to body contouring strategies without any claim to comprehensiveness. Read More

Ann Plast Surg 2022 Dec 9;89(6):664-669. Epub 2022 Aug 9.

From the Department of Plastic Surgery, Vanderbilt University Medical Center, Nashville, TN.

Background: Tighter abdominal wall reconstruction may increase intra-abdominal pressure, which can decrease lower extremity venous return. Decreased venous return through the inferior vena cava has been demonstrated to increase risk of deep vein thrombosis.

Objectives: Tighter abdominal wall plication during cosmetic abdominoplasty compared with functional panniculectomy may increase these risks. Read More

Aesthet Surg J 2022 Apr;42(5):497-504

Department of Plastic Surgery, University of Texas Southwestern, Dallas, TX, USA.

Seromas are a common complication in plastic surgery. In this article, the authors describe their approach to the prevention and treatment of seromas and include a discussion of the evolution of their techniques. They provide specific technical details for many body contouring operations, including abdominoplasty, belt lipectomy, brachioplasty, and thighplasty. Read More

Aesthetic Plast Surg 2023 Feb 31;47(1):455-464. Epub 2022 Oct 31.

Department of Plastic Surgery, Division of Surgery, University of Pennsylvania, 3400 Civic Center Blvd, Philadelphia, PA, 19102, USA.

Background: Medical tourism has grown increasingly popular in the past few decades. Cosmetic surgery centers have developed in vacation locales, offering procedures at lower prices. However, surgeons and patients alike are often unprepared for management of complications after patients return to the USA. Read More