For sufferers with huge weight reduction after bariatric surgical procedure, subsequent physique contouring to take away extra pores and skin shouldn’t be itself related to long-term weight reduction, reviews a examine within the June concern of Plastic and Reconstructive Surgical procedure®, the official medical journal of the American Society of Plastic Surgeons (ASPS). The journal is printed within the Lippincott portfolio by Wolters Kluwer.
In distinction to earlier research, we discovered that physique contouring procedures don’t result in improved weight reduction or weight upkeep after bariatric surgical procedure. Quite, the reported advantages of physique contouring seem like in bettering high quality of life.”
Teresa Benacquista, MD, ASPS Member Surgeon, Montefiore Medical Heart, Bronx, N.Y.
New take a look at how physique contouring impacts long-term weight reduction
Physique contouring refers to a spread of surgical procedures to take away extra pores and skin in sufferers with main weight reduction, with the intention of bettering the affected person’s look, decreasing discomfort, and bettering bodily perform. Earlier research have instructed that sufferers who endure physique contouring have extra sustained weight reduction over time, though some research have reported conflicting outcomes.
The examine included 2,531 sufferers who underwent bariatric surgical procedure between 2009 and 2012. Of those, 350 sufferers underwent physique contouring a median of two years later. One other 364 sufferers consulted with plastic surgeons about physique contouring, however didn’t proceed to surgical procedure. The remaining 1,817 sufferers had neither physique contouring nor a session.
At follow-up, sufferers who underwent physique contouring did certainly have extra sustained weight reduction. After one yr, common physique mass index (BMI) was about 3 kg/m2 decrease within the physique contouring group, in comparison with sufferers who had bariatric surgical procedure solely. By seven years, BMI was 5 kg/m2 decrease for sufferers who underwent physique contouring.
Nonetheless, weight reduction was additionally better for sufferers who had a session however didn’t proceed with physique contouring. For this group, common BMI was 1.5 kg/m2 decrease at one yr in comparison with sufferers with out a session, and a couple of.3 kg/m2 decrease after seven years.
Additional evaluation centered on 259 sufferers from the session group who had ample weight reduction to be thought-about candidates for physique contouring. For these sufferers, common BMI after seven years was about the identical as for sufferers who underwent physique contouring: 31 versus 30 kg/m2, in comparison with 35 kg/m2 for these with no session or physique contouring. Evaluation by share of extra physique weight misplaced confirmed the same sample.
Variations in long-term weight reduction by kind of surgical procedure and race/ethnicity
Weight reduction was additionally affected by the kind of bariatric surgical procedure: sufferers present process a process referred to as sleeve gastrectomy had decrease sustained weight reduction, in comparison with gastric bypass. Amongst physique contouring sufferers, common distinction in extra physique weight reduction was about eight % at seven years’ follow-up.
Black sufferers had decrease sustained weight reduction, in comparison with different racial/ethnic teams. In distinction to earlier research of weight reduction after bariatric surgical procedure, most sufferers within the new evaluation recognized as Black (about 29%) or Hispanic/Latinx (62%).
The examine raises questions in regards to the results of physique contouring on long-term weight reduction after bariatric surgical procedure. Noting the same responses in sufferers who underwent physique contouring versus these with session solely, Dr. Benacquista and coauthors write, “[T]he impression of physique contouring on weight reduction is probably going minimal, and the distinction in weight reduction as in comparison with the ‘bariatric solely’ group is secondary to particular person affected person elements.”
The researchers add: “The obvious advantages of physique contouring in huge weight reduction sufferers is probably going psychosocial, associated to enhancements in bodily functioning.”
Greige, N., et al. (2023) Evaluation of Physique Contouring and Sustained Weight Loss in a Various, City Inhabitants: A 7-12 months Retrospective Evaluation. Plastic and Reconstructive Surgical procedure. doi.org/10.1097/PRS.0000000000010097.