Objectives: In our work we were able to show that the skin quality and thus the skin's ability to retract, in MWL patients, should not be underestimated. As with patients with an aesthetic indication, common procedures such as lipoabdominoplasty can also be used in MWL patients to improve the end result and avoid the need of long scars, especially the visible vertical scar of and Fleur-de-lis-abdominoplasty.
Introduction: The number of bariatric procedures and thus also the number of post-bariatric operations has increased dramatically in recent years. Although long scars are common in post-bariatric surgery and accepted in favor of body shape reconstruction, we increasingly notice the wish for aesthetically pleasing results in addition to the desire for body contouring. The Fleur-de-Lis abdominoplasty (FdL), in particular, is viewed critically by younger patients after massive weight loss due to the visible vertical scar. Surgeons are also often bothered by the unsatisfying aesthetic outcome as wel
Materials / method: Retrospective analysis of 20 female patients who, after massive weight loss following bariatric surgery, received a lipoabdominoplasty instead of a Fleur-de-Lis abdominoplasty in the period from January 2019 to June 2020. Data analysis was performed using measurements of the preoperative vertical and horizontal excess skin and fat (Pittsburgh Rating Scale), the Body Mass Index, the surgical technique and the final result.
Results: 20 female patients with an indication for carrying out a FdL abdominoplasty underwent a combined radical liposuction of the abdomen with abdominoplasty. The original weight before massive weight reduction ranged between 100-168kg. The average weight reduction was 56.5 kg. The mean BMI was 27.3 kg/m². The average age of our cohort was 40 years. One patient (5%) had a major complication. This was an infected seroma which could be treated conservatively. Two other patients (10%) also developed an uninfected seroma as a minor complication.
Conclusion: On the basis of our data and work, we are able to show that lipoabdominoplasty can be safely and well performed also with patients after massive weight loss. It is possible to achieve good body contours without vertical incisions and with a high degree of patient satisfaction. The number of patients who have to undergo FdL-abdominoplasty can be successfully reduced by this technique.
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