Impact of Abdominoplasty on Quality of Life in Post-Bariatric and Non-Bariatric Patients: A Prospective Clinical Study

Document Type : Original Article

Authors

1 The Department of Plastic & Reconstructive Surgery, Faculty of Medicine, Mansoura University

2 The Department of Public Health & Community Medicine, Faculty of Medicine, Mansoura University

3 General Surgery Department, Faculty of Medicine, Mansoura University

Abstract

Background: Global obesity rates have reached alarming
levels. While bariatric surgery effectively helps with weight
loss, it often leads to excess skin. This prompts many patients
to seek body contouring procedures like abdominoplasty,
which improves the quality of life (QoL) by positively impacting
body image, self-esteem, and overall well-being.
Objective: Evaluation of the outcomes and QoL following
abdominoplasty in two groups: Those who have undergone
bariatric surgery (post-bariatric patients) and those who
have achieved significant weight loss without bariatric surgery
(non-bariatric patients).
Patients and Methods: A non-randomized prospective
cohort study was conducted from February 2023 over one
year, involving 30 patients at Mansoura University Hospitals.
They were divided into post-bariatric and non-bariatric groups
(patients lost weight without surgery only with diet). Various
abdominoplasty techniques, including traditional, mini-abdominoplasty,
and belt lipectomy, were utilized. Preoperative
assessments included medical history, physical examination,
and laboratory investigations. Post-operative assessment
Health-related quality of life (HRQOL) was evaluated utilizing
the validated 15D instrument.
Results: The study included 30 patients, mainly females.
Both groups showed significant BMI reduction post-surgery.
Group I (post-bariatric) had higher incidences of excess skin
and fat accumulation compared to Group II (non-bariatric).
Traditional abdominoplasty was the most common technique
used. Seroma was the most frequent complication. Quality of
life improvements were noted particularly in the post-bariatric
group.
Conclusion: Abdominoplasty significantly enhances QoL
in both groups, though complications like seroma remain prevalent.
The study highlights the need for personalized surgical
approaches to optimize outcomes. Further research is necessary
to refine techniques and improve patient care in diverse
populations.

Keywords

Main Subjects

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